Cardiovascular, Pediatric Services

Improving extubation failure rate in neonate cardiac patients

Often, after lifesaving cardiac surgery for congenital heart defects, neonates require help with breathing using a breathing tube and a mechanical ventilator. Deciding when to extubate, or remove the breathing tube and ventilator, after cardiac surgery is an extremely important decision with profound health implications. Extubation failure in this patient population has been associated with…

Read Full Story
Infectious Disease, Pediatric Services, Research

Study of Paxlovid for children with COVID-19 underway at Norton Children’s Research Institute

Norton Children’s Research Institute, affiliated with the UofL School of Medicine, is involved in a study to evaluate the safety, pharmacokinetics and efficacy of nirmatrelvir/ritonavir (authorized as Paxlovid in older children and adults) in symptomatic pediatric outpatients with COVID-19 who are at risk of progression to severe illness. All participants will receive the study medication,…

Read Full Story
Pediatric Services, Urology

Elisha N. McAlmont, APRN, joins Norton Children’s Urology

Elisha N. McAlmont, APRN, a nurse practitioner for nine years, has joined Norton Children’s Urology, affiliated with the UofL School of Medicine. Elisha most recently worked in pediatric emergency medicine and had been a registered nurse at Norton Children’s Hospital since 2005. She received her Master of Science in nursing from Spalding University in 2013…

Read Full Story
Adult Services, Cardiovascular, Pediatric Services, Sports Health

Myocarditis in athletes after COVID-19

It is hard to find a group not been adversely affected by COVID-19 and all its variants in the last two years. One such group that has seen lingering and sometimes fatal effects of COVID-19 infection is athletes — everyone from professional players and student-athletes to semiprofessional athletes and people who simply enjoy exercising. Discussed…

Read Full Story
Adult Services, Pediatric Services, Research

Clinical research: Asking questions, sharing answers

Clinical research drives progress for every element of health and requires global collaboration. At Norton Healthcare alone, our research teams lead and contribute to studies about pediatric medicine, cancer, infectious diseases, cardiology, neurology, the spine, orthopedics and many other specialties. Research requires meticulous attention to detail and a strong commitment to ethical integrity, not to…

Read Full Story
Medical Group, Pediatric Services

November 2022 Norton Children’s Medical Group New Providers

Desarae Brymer, LCSW Pediatric Behavioral Medicine Andrea P. Roberts, APRN Neonatology Annie Shaughnessy, APRN Pediatrics

Read Full Story
Diabetes, Pediatric Services

Growing pains are challenging, but diabetes care shouldn’t be part of that stress

Most children who have diabetes get their medical care for their condition from a pediatric endocrinologist. As they get older and approach adulthood, they will transition into adult care. It’s important to discuss the process and timing for transition of diabetes care from the pediatric world to an adult diabetes provider. A recent publication from…

Read Full Story
Neuroscience, Pediatric Services

Recognize the signs and symptoms of pediatric stroke

Stroke is the sixth-leading cause of death in children, and early recognition is key. Those at higher risk of stroke include newborns and pediatric patients with sickle cell anemia, congenital heart defects, immune disorders, clotting disorders and hidden disorders, such as narrow blood vessels. If a pediatric stroke is suspected, Norton Children’s has implemented an…

Read Full Story
Gynecology, Pediatric Services

Contraception: The options for pediatric patients

When it’s time to start talking about sexual behaviors and birth control with adolescent and teenage patients, keep in mind the services available at Norton Children’s Gynecology, affiliated with the UofL School of Medicine. Providers at the practice see adolescents, teens and young adults up to age 21. According to the American Academy of Pediatrics,…

Read Full Story
Gynecology, Obstetrics, Pediatric Services

When should pediatric gynecology patients transition to adult OB/GYN care?

The transition from pediatric gynecology care to an adult OB/GYN provider comes with several considerations. “The best time for a patient to transition from pediatric to adult care can depend on their individual needs and circumstances,” said Rosemary C. Sousa, M.D., OB/GYN with Norton Women’s Care. What is the best age to transition from pediatric…

Read Full Story
Neuroscience, Pediatric Services

Cullen S. Marshall, M.D., joins Norton Children’s Neuroscience Institute

Pediatric neurologist Cullen S. Marshall, M.D., has joined Norton Children’s Neuroscience Institute, affiliated with the UofL School of Medicine. Dr. Marshall recently completed a residency in child neurology at Cincinnati Children’s Hospital Medical Center. He earned his medical degree from the University of Louisville School of Medicine in 2017. While in residency, Dr. Marshall was…

Read Full Story
Case Study, Neuroscience, Pediatric Services

Case study: Shunt relieves pressure from arachnoid brain cyst, allowing boy to continue leukemia treatment

The patient A 4-year-old boy presented to the hospital with fever, fatigue and weakness. He also complained of blurry vision. He had recently had nose bleeds and oral bleeding. A complete blood count showed pancytopenia, as well as blasts on his peripheral smear. A bone marrow aspiration and biopsy were performed. He was diagnosed with…

Read Full Story