Research Topics
| S MalviyaSummaryAffiliation: University of Michigan Country: USA Publications
Research Grants
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Detail Information
Publications
Risk factors for adverse postoperative outcomes in children presenting for cardiac surgery with upper respiratory tract infectionsShobha Malviya
Department of Anesthesiology, The University of Michigan Health System, Ann Arbor 48109, USA
Anesthesiology 98:628-32. 2003..Therefore, this study was designed to determine the incidence of peri- and postoperative complications in children undergoing cardiac surgery while harboring a URI...- Clonidine for the prevention of emergence agitation in young children: efficacy and recovery profileShobha Malviya
Department of Anesthesiology, University of Michigan Medical Center, Ann Arbor, MI 48109 0211, USA
Paediatr Anaesth 16:554-9. 2006..This randomized, double-blinded study evaluated the efficacy of intraoperative clonidine in reducing EA, and describes its recovery profile... - Can we improve the assessment of discharge readiness?: A comparative study of observational and objective measures of depth of sedation in childrenShobha Malviya
Department of Anesthesiology, C S Mott Children s Hospital, University of Michigan Health Systems, F3900, Box 0211, 1500 East Medical Center Drive, Ann Arbor, Michigan 48109 0211, USA
Anesthesiology 100:218-24. 2004..e., 0-4 observational scale), and a Modified Maintenance of Wakefulness Test (MMWT; visual observation of the time the child is able to stay awake) in assessing return to baseline status... 
Does an objective system-based approach improve assessment of perioperative risk in children? A preliminary evaluation of the 'NARCO'S Malviya
The University of Michigan Health System, F3900 C S Mott Hospital SPC 5211, 1500 E Medical Center Drive, Ann Arbor, MI 48109 5211, USA
Br J Anaesth 106:352-8. 2011..This study evaluated whether an objective tool would provide a more reliable and valid assessment of perioperative risk compared with the ASA-physical status (ASA-PS) in children...- Pentobarbital vs chloral hydrate for sedation of children undergoing MRI: efficacy and recovery characteristicsShobha Malviya
F3900 C S Mott Children s Hospital, University of Michigan, 1500 E Medical Center Drive, Ann Arbor, MI 48109 0211, USA
Paediatr Anaesth 14:589-95. 2004..Pentobarbital (PB), reportedly produces successful sedation in 98% of children undergoing diagnostic imaging. This study compared the efficacy, adverse events and recovery characteristics of CH vs PB in children undergoing MRI... - Pain management in children with and without cognitive impairment following spine fusion surgeryS Malviya
Department of Anesthesiology, University of Michigan Health Systems, 1500 East Medical Center Drive, Ann Arbor, MI 48109 0211, USA
Paediatr Anaesth 11:453-8. 2001..We compared pain assessment and management practices in children with and without cognitive impairment (CI) undergoing spine fusion surgery... - Effect of age and sedative agent on the accuracy of bispectral index in detecting depth of sedation in childrenShobha Malviya
Section of Pediatrics, Department of Anesthesiology, University of Michigan Health Systems, F3900 Box 0211, 1500 E Medical Center Dr, Ann Arbor, MI 48109 0211, USA
Pediatrics 120:e461-70. 2007..This study evaluated age- and sedative agent-related differences in bispectral index across observed sedation levels in a large sample of children < 18 years of age... - False alarms and sensitivity of conventional pulse oximetry versus the Masimo SET technology in the pediatric postanesthesia care unitS Malviya
Department of Anesthesiology, The University of Michigan Health System, Ann Arbor, Michigan 48109 0211, USA
Anesth Analg 90:1336-40. 2000.... - Prolonged recovery and delayed side effects of sedation for diagnostic imaging studies in childrenS Malviya
Department of Anesthesiology, University of Michigan Health Systems, Ann Arbor, Michigan, USA
Pediatrics 105:E42. 2000..This study was undertaken to evaluate the recovery and delayed adverse events after discharge of children who received sedation for magnetic resonance imaging or computed tomography... - A comparison of observational and objective measures to differentiate depth of sedation in children from birth to 18 years of ageShobha Malviya
Department of Anesthesiology, Section of Pediatrics, C S Mott Children s Hospital, University of Michigan Medical Center, Ann Arbor, Michigan 48109 0211, USA
Anesth Analg 102:389-94. 2006..Our findings demonstrate the overall validity of these observational and objective measures of sedation depth in children <18 yr of age but show ongoing limitations distinguishing moderate from deep sedation... - The revised FLACC observational pain tool: improved reliability and validity for pain assessment in children with cognitive impairmentShobha Malviya
Department of Anesthesiology, Section of Pediatrics, University of Michigan Health Systems, Ann Arbor, MI 48109 0211, USA
Paediatr Anaesth 16:258-65. 2006..This study evaluated the validity and reliability of the revised and individualized Face Legs Activity Cry and Consolability (FLACC) behavioral pain assessment tool in children with CI... - Nurses' diagnoses and treatment decisions regarding care of the agitated childTerri Voepel-Lewis
Department of Anesthesiology, Section of Pediatrics, University of Michigan Health Systems, Ann Arbor, MI 48109-0211, USA
J Perianesth Nurs 20:239-48. 2005..A decision algorithm based on this study is described as a potential aid toward differentiation of agitation and appropriate intervention... - Depth of sedation in children undergoing computed tomography: validity and reliability of the University of Michigan Sedation Scale (UMSS)S Malviya
Department of Anesthesiology, University of Michigan Health Systems, Ann Arbor 48109, USA
Br J Anaesth 88:241-5. 2002..CONCLUSION: The UMSS is a simple, valid and reliable tool that facilitates rapid and frequent assessment and documentation of depth of sedation in children... - Pain assessment in infants and young children: the FLACC scaleSandra Merkel
Pediatric Pain Service, Section of Pediatric Anesthesiology, University of Michigan Health System and C. S. Mott Children's Hospital, Ann Arbor, USA
Am J Nurs 102:55-8. 2002 - Risk factors for perioperative adverse respiratory events in children with upper respiratory tract infectionsA R Tait
Department of Anesthesiology, University of Michigan Health Systems, Ann Arbor 48109, USA
Anesthesiology 95:299-306. 2001..The Current prospective study was designed to determine the incidence of and risk factors for adverse respiratory events in children with URTs undergoing elective surgical procedures... - Evaluation of simethicone for the treatment of postoperative abdominal discomfort in infantsT D Voepel-Lewis
Department of Anesthesiology, University of Michigan Health Care Center, Ann Arbor 48109 0211, USA
J Clin Anesth 10:91-4. 1998..To determine whether abdominal discomfort is a cause for distress symptoms in infants following administration of inhalational anesthesia, and to evaluate the effectiveness of simethicone in treating this discomfort... - Pain relief in children following outpatient surgeryH M Munro
Section of Pediatric Anesthesiology, University of Michigan Medical Center, Ann Arbor 48109, USA
J Clin Anesth 11:187-91. 1999..To evaluate perioperative analgesia, prescription patterns, pain relief, and parental care of children undergoing outpatient surgery... - Anaesthetic management and outcomes in patients with surgically corrected D-transposition of the great arteries undergoing non-cardiac surgeryR E Christensen
Department of Anesthesiology, F3900 C S Mott Hospital SPC 5211, The University of Michigan Health Systems, 1500 E Medical Center Drive, Ann Arbor, MI 48109 5211, USA
Br J Anaesth 104:12-5. 2010..This retrospective study was undertaken to review the care and outcomes of patients with D-TGA who presented for non-cardiac surgery... - Parents' preferences for participation in decisions made regarding their child's anaesthetic careA R Tait
Department of Anesthesiology, The University of Michigan Medical Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA
Paediatr Anaesth 11:283-90. 2001..This study was designed to examine parents' preferences for participation in decisions regarding their child's anaesthetic care and to determine if active participation is associated with greater parental satisfaction... - Oral transmucosal midazolam premedication for preschool childrenU A Pandit
Department of Anesthesiology, C S Mott Children s Hospital, Ann Arbor, MI 48109 0211, USA
Can J Anaesth 48:191-5. 2001..To evaluate the acceptance and effectiveness of 0.2 mg x kg(-1) of oral transmucosal midazolam as a premedicant in infants and preschool children... - Presenting research information to children: a tale of two methodsAlan R Tait
Department of Anesthesiology, University of Michigan Health System, Ann Arbor, MI 48109, USA
Anesth Analg 105:358-64. 2007..We designed this study, therefore, to examine the effect of improved readability and processability of written study information on children's understanding... - Association of neck circumference with perioperative adverse respiratory events in childrenOlubukola O Nafiu
Department of Anesthesiology, University of Michigan, Ann Arbor, MI 48109 0048, USA
Pediatrics 127:e1198-205. 2011.... - Glycopyrrolate does not reduce the incidence of perioperative adverse events in children with upper respiratory tract infectionsAlan R Tait
Department of Anesthesiology, University of Michigan Health System, Ann Arbor, Michigan 48109, USA
Anesth Analg 104:265-70. 2007.... - Delayed postoperative agitation in a child after preoperative midazolamTerri Voepel-Lewis
Department of Anesthesiology, C S Mott Children s Hospital, Ann Arbor, MI, USA
J Perianesth Nurs 22:303-8. 2007..This information has nursing implications for postoperative discharge instructions and follow-up... - The prevalence of and risk factors for adverse events in children receiving patient-controlled analgesia by proxy or patient-controlled analgesia after surgeryTerri Voepel-Lewis
Department of Anesthesiology, The University of Michigan Health Systems, Ann Arbor, Michigan, USA
Anesth Analg 107:70-5. 2008..We compared the prevalence of clinically significant adverse events in children receiving PCA-P versus PCA, and examined factors that place children at increased risk... - A comparison of the clinical utility of pain assessment tools for children with cognitive impairmentTerri Voepel-Lewis
University of Michigan Health Systems, Department of Anesthesiology, Mott Children s Hospital, Ann Arbor, Michigan 48109 0211, USA
Anesth Analg 106:72-8, table of contents. 2008..We designed this study to evaluate pragmatic attributes or clinical utility properties of three recently developed pain assessment tools for children with CI... - Hemodynamic changes in children with Down syndrome during and following inhalation induction of anesthesia with sevofluraneWenyu Bai
Department of Anesthesiology, University of Michigan Health Systems, F3900 Mott Hospital, Ann Arbor, MI 48109 5211, USA
J Clin Anesth 22:592-7. 2010..To evaluate whether children with Down Syndrome are at increased risk of bradycardia and hypotension during and following sevoflurane induction... - The use of aprotinin in children undergoing operative repair of isolated atrial septal defectsS Devi Chiravuri
Department of Anesthesiology and Surgery, University of Michigan Health Systems, Ann Arbor, MI 48109 5211, USA
Paediatr Anaesth 18:145-50. 2008..However, past studies have not reported the benefits of this agent during low complexity procedures such as ASD repair... 
Parents' understanding of information regarding their child's postoperative pain managementAlan R Tait
Department of Anesthesiology, University of Michigan Health System, Ann Arbor, MI 48109, USA
Clin J Pain 24:572-7. 2008..This study was designed to examine the nature of information provided to parents regarding options for postoperative pain control and their understanding thereof...- Incidence and risk factors for preincision hypotension in a noncardiac pediatric surgical populationOlubukola O Nafiu
Department of Anesthesiology, University of Michigan, Ann Arbor, MI 48109 0048, USA
Paediatr Anaesth 19:232-9. 2009..We utilized the Brain Trauma Foundation definition of hypotension to describe the incidence of preincision hypotension (PIH) in a large pediatric noncardiac surgical population and identified risk factors for the occurrence PIH... - Neck circumference as a screening measure for identifying children with high body mass indexOlubukola O Nafiu
Department of Anesthesiology, University of Michigan, Ann Arbor, Michigan, USA
Pediatrics 126:e306-10. 2010..The aims of this investigation were to examine the correlation between BMI and NC in children and to determine the best NC cutoff that identifies children with high BMI... - Parental presence on emergence: effect on postanesthesia agitation and parent satisfactionConstance N Burke
Department of Anesthesiology, University of Michigan Health Systems, Ann Arbor, MI, USA
J Perianesth Nurs 24:216-21. 2009..Perioperative and perianesthesia nurses should consider these potential benefits when planning reunion of parents with their children after surgery... - How do pediatric anesthesiologists define intraoperative hypotension?Olubukola O Nafiu
Department of Anesthesiology, University of Michigan, Ann Arbor, MI 48109 0048, USA
Paediatr Anaesth 19:1048-53. 2009..We designed a questionnaire-based survey of pediatric anesthesiologists to determine the BP ranges and thresholds used to define intraoperative hypotension (IOH)... - An assessment of interrater reliability of the ASA physical status classification in pediatric surgical patientsRagheb Jacqueline
Department of Anesthesiology, Section of Pediatrics, University of Michigan, Ann Arbor, MI 48109 0211, USA
Paediatr Anaesth 16:928-31. 2006..This assessment score has been inconsistently assigned by anesthesia providers among adult surgical patients. This study tested the reliability of assignment of ASA-PS classification among pediatric anesthesia providers... - Do they understand? (part II): assent of children participating in clinical anesthesia and surgery researchAlan R Tait
Department of Anesthesiology, University of Michigan Health Systems, Ann Arbor 48109, USA
Anesthesiology 98:609-14. 2003..This study was designed to determine children's understanding of the elements of disclosure for studies in which they had assented to participate... - The reliability and validity of the Face, Legs, Activity, Cry, Consolability observational tool as a measure of pain in children with cognitive impairmentTerri Voepel-Lewis
Department of Anesthesiology, Section of Pediatrics, C S Mott Children s Hospital, University of Michigan, 1500 E Medical Center Drive, Ann Arbor, MI 48109 0211, USA
Anesth Analg 95:1224-9, table of contents. 2002..Objective pain assessment is important to facilitate effective postoperative pain management in these vulnerable children... - Increased respiratory symptoms following surgery in children exposed to environmental tobacco smokeRobert A Drongowski
University of Michigan, Department of Surgery, Mott Children s Hospital, Ann Arbor, MI 48109 0245, USA
Paediatr Anaesth 13:304-10. 2003.... - A prospective cohort study of emergence agitation in the pediatric postanesthesia care unitTerri Voepel-Lewis
Department of Anesthesiology, Section of Pediatrics, C S Mott Children s Hospital, University of Michigan Medical Center, Ann Arbor, Michigan 48109 0211, USA
Anesth Analg 96:1625-30, table of contents. 2003..IMPLICATIONS: Children may become agitated after general anesthesia. This study describes several factors that may increase the risk for agitation. These data are important in planning anesthesia care for young children... - Participation of children in clinical research: factors that influence a parent's decision to consentAlan R Tait
Department of Anethesiology, University of Michigan Health System, Ann Arbor, USA
Anesthesiology 99:819-25. 2003..This study was designed to identify factors that influence parents' decisions to consent to their child's participation in clinical research... - Factors that influence parents' assessments of the risks and benefits of research involving their childrenAlan R Tait
Department of Anesthesiology, University of Michigan Health System, Ann Arbor, Michigan 48109, USA
Pediatrics 113:727-32. 2004..This study was designed to examine factors that influence parents' assessments of the risks and benefits of anesthesia and surgery research involving their children... - Anesthesia for the child with an upper respiratory tract infection: still a dilemma?Alan R Tait
Department of Anesthesiology, University of Michigan Health Systems, 1500 E Medical Center Dr, Ann Arbor, MI 48109, USA
Anesth Analg 100:59-65. 2005.... - Improving the readability and processability of a pediatric informed consent document: effects on parents' understandingAlan R Tait
Department of Anesthesiology, University of Michigan Health System, 1500 E Medical Center Drive, Ann Arbor, MI 48109, USA
Arch Pediatr Adolesc Med 159:347-52. 2005..To examine whether a consent document modified to conform with the federal guidelines for readability and processability would result in greater parental understanding compared with a standard form... - Validity of parent ratings as proxy measures of pain in children with cognitive impairmentTerri Voepel-Lewis
University of Michigan Medical Center, Ann Arbor, 48109, USA
Pain Manag Nurs 6:168-74. 2005..Parents may, however, tend to overestimate their child's pain during the early postoperative period... - Priorities for disclosure of the elements of informed consent for research: a comparison between parents and investigatorsAlan R Tait
Department of Anesthesiology, University of Michigan Health Systems, Ann Arbor, MI 48109, USA
Paediatr Anaesth 12:332-6. 2002..Disclosure is a key element of the informed consent process. This study examines and compares the priorities for disclosure of the elements of informed consent between parents of paediatric research subjects and investigators... - Do they understand? (part I): parental consent for children participating in clinical anesthesia and surgery researchAlan R Tait
Department of Anesthesiology, University of Michigan Health Systems, Ann Arbor 48109, USA
Anesthesiology 98:603-8. 2003..This study was designed to measure parents' understanding of the elements of informed consent for clinical studies in which their children had been approached to participate... - Do 0-10 numeric rating scores translate into clinically meaningful pain measures for children?Terri Voepel-Lewis
University of Michigan Health Systems, 1500 E Medical Center Drive, Ann Arbor, MI 48109 5211, USA
Anesth Analg 112:415-21. 2011.... - Anesthetic management for resection of cor triatriatum during the second trimester of pregnancyW Bai
Department of Anesthesiology, University of Michigan Health System, Ann Arbor, Michigan, USA
Int J Obstet Anesth 19:103-6. 2010..These approaches, together with minimizing bypass time, resulted in successful maternal and fetal outcome... - The effect of a right-to-left intracardiac shunt on the rate of rise of arterial and end-tidal halothane in childrenJ H Huntington
Department of Anesthesiology, University of Michigan Medical Center, Ann Arbor, USA
Anesth Analg 88:759-62. 1999..Induction of anesthesia by inhalation of volatile anesthetics may therefore be slower in these children... - The incidence of intraoperative awareness in children: childhood awareness and recall evaluationShobha Malviya
Department of Anesthesiology at University of Michigan Health Systems, Ann Arbor, Michigan, USA
Anesth Analg 109:1421-7. 2009.... - Low-dose ketorolac improves analgesia and reduces morphine requirements following posterior spinal fusion in adolescentsHamish M Munro
Department of Anesthesiology, University of Michigan Health System, Ann Arbor, Michigan, USA
Can J Anaesth 49:461-6. 2002..To determine if low-dose ketorolac would improve analgesia while minimizing unwanted side effects in adolescents following posterior spinal fusion (PSF)... - Albumin versus crystalloid prime solution for cardiopulmonary bypass in young childrenLori Q Riegger
Department of Anesthesiology, University of Michigan Health System, Ann Arbor, MI, USA
Crit Care Med 30:2649-54. 2002..CONCLUSIONS: Albumin in the prime may attenuate the extravasation of fluid out of the vascular space, but it may be associated with an increased transfusion rate. The risk/benefit ratio for this intervention warrants further study... - Adverse effects of sedatives in childrenLynne G Maxwell
Children s Hospital of Philadelphia, Department of Anesthesiology and Critical Care Medicine, 9th Floor Main, 34th and Civic Center Blvd, Philadelphia, PA 19104, USA
Expert Opin Drug Saf 2:167-94. 2003..The purpose of this review is to describe the adverse effects of sedative and reversal agents currently used in paediatric sedation/analgesia... - FLACC Behavioral Pain Assessment Scale: a comparison with the child's self-reportMartha H W Willis
Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
Pediatr Nurs 29:195-8. 2003..These findings provide additional support for the construct validity of the FLACC Pain Assessment Tool... - Balancing efficacy and safety in the use of oral sedation in dental outpatientsRaymond A Dionne
Pain and Neurosensory Mechanisms Branch, National Institute of Dental and Craniofacial Research, National Institutes of Health, USA
J Am Dent Assoc 137:502-13. 2006..Concerns about the safety of pediatric oral sedation and the incremental use of triazolam in adults prompted a workshop cosponsored by several professional organizations...
Research Grants
- Pain Assessment in Cognitively Impaired ChildrenShobha Malviya; Fiscal Year: 2005..A reliable and valid pain assessment tool is critical to facilitate our future study of pain management strategies in these children. ..