Download Pediatric Cardiovascular Intensive Care Unit Multidisciplinary

Curriculum Vitae
Name:
Mayte I. Figueroa, M.D., FACC
Education:
1988: Bachelor of Science St. Johns University, Jamaica Estates, NY
Degree: Biology
Magna Cum Laude
1992: Medical Degree
Mount Sinai School of Medicine
New York, NY
Post Doctoral Training
Internship and Residency
July 1992 to June 1995
Resident in Pediatrics
Mount Sinai Hospital
New York, NY
Clinical and Research
Fellowships
July 1995 to August 1996
Post Doctoral Fellow in Pediatric Cardiology
Mount Sinai Hospital, New York
March 1997 to June 1999
Post Doctoral Fellow in Pediatric Cardiology
Medical University of South Carolina
Charleston, SC
July 1999 to June 2000
Senior Fellowship in Pediatric Cardiac
Critical Care, Houston Texas
Updated 3/25/15
Page 1
Honors and Awards
1992
Magna Cum Laude
St. John’s University
Excellence in Teaching Award
Mount Sinai Hospital
1995
Specialty/ Board Certification
Pediatric Cardiology
August 2000; Certificate # 1507
October 2007; Recertification
Licensure
Tennessee (January 2010)
#45635(active)
Texas (2003- to present)
#L7724 (active)
New York (1993-1997; 2001 to 2004) # 194407(Inactive)
New Jersey ( 1996-1997)
# 63672 (Inactive)
South Carolina ( 1997-2000)
# 19141 (Inactive)
Illinois (2000-2002)
# 036-102890 (Inactive)
Membership in Professional Societies
American College of Cardiology (1992- present)
Elected Fellow February 2002
American Heart Association – Council Member
Cardiovascular Disease in the Young
September 2002
American Academy of Pediatrics ( 1992- 2009)
Fellow
Pediatric Cardiac Intensive Care Society (2010-present)
Society for Critical Care Medicine (2011- present)
International Pediatric Simulation Society (2013-present)
Updated 3/25/15
Page 2
University/Hospital Appointments
University of Tennessee
Associate Professor of Pediatrics
MedicalDirectorofCardiovascularCritical Care Services
Le Bonheur Children’s Hospital
July 2014 - present
University of Tennessee
Assistant Professor of Pediatrics
Medical Director of Cardiovascular Critical Care Services
Le Bonheur Children’s Hospital
January 2010-June 2014
Cook Childrens Heart Center
Staff Pediatric Cardiologist
Fort Worth Texas
October 2003 to January 2005
Cook Children’s Medical Center
Pediatric Cardiac Intensivist
Fort Worth, TX
December 2003 to January 2010
Stony Brook University Hospital
Assistant Professor of Clinical Pediatrics
Staff Pediatric Cardiologist
Stony Brook, New York
June 2001 to September 2003
University Of Chicago Children’s Hospital
Assistant Professor of Clinical Pediatrics
Director of Pediatric Cardiac ICU services
Chicago, Illinois
August 2000 to May 2001
Teaching Experience
Master Clinicians Course: University of Tennessee, Memphis TN
Updated 3/25/15
Page 3
Spring 2010 until 2014. Taught history and physical Exam for First
year medical students at the University of Tennessee
CVICU Advanced Simulation Course – Co- Director
Le Bonheur Children’s Hospital
Organized and taught advanced simulation course at MERI institute.
Participants included CVICU Nursing staff, Respiratory therapists, Critical
Care and Cardiology Fellows. January 2011
2nd Annual Simulation Course- 8/2012- Course Director
3rd Annual Simulation Course- 9/2013- Course Director
4th Annual Simulation Course- 9/2014 Course Director
CVICU Fellow Teaching Conference: UT-Le Bonheur Children’s
Hospital. Organized core curriculum for CVICU and Critical Care Fellows
on pertinent topics in Cardiac Intensive Care. Weekly conference.
Berlin VAD In-service for Le Bonheur Staff - October 2012
Pediatric Critical Care Medicine Lecture Series: Single Ventricle
Physiology
March 2012, February 2013
Pediatric Cardiology Lecture Series (2001-2003)
Stony Brook Pediatric Clinical Clerks
Pediatric Residents
Congenital Heart Disease Pathophysiology/Pathology Course(20012003)
SUNY School of Medicine
December 2001
Cardiac Arrhythmias
Core Lecture Series – College of Nursing (SUNY)
Lectures and Presentations
1) Society of Thoracic Sugeons- January 2015
Perioperative Use of Vasopressin Reduces Morbidity after the Fontan
Operation. Oral Presentation TKS Kumar, M Figueroa, D Zurakowski, C.
Knott-Craig MD a
Updated 3/25/15
Page 4
2)Society of Critical Care Medicine- January 2015
Transfusion-Associated Necrotizing Enterocolitis In Infants With
Congenital Heart Disease. Poster presentation D Kimura, M
Figueroa, C Knott-Craig, S Shah.
3) PCICS 2014 10th International Conference, Miami Beach, Florida,
December 11-14, 2014.
i. Analysis of Peri-operative feeding management of neonates with
congenital heart disease: Pediatric Cardiac Critical Care Consortium (PC4)
Registry. Poster Presentation
JA Alten, JE Donohue, S Yu, SK Pasquali, BS Marino, J Bolivar, MI
Figueroa, NK Chanani, EM Graham, JP Jacobs, S Tabbutt, N Ghanayem,
JR Charpie, DS Cooper, MG Gaies.
ii. Postoperative serum albumin level is associated with serum creatinine and
acute kidney injury in neonates and infants after cardiopulmonary bypass.
Poster Presentation
S Borasino, LA Ortmann, MI Figueroa, M Briceno, AN Sims, KS
Douglass, & JA Alten.
iii Implementation of a pediatric cardiac arrest algorithm leads to early
recognition of need for ECMO and improved outcomes. Poster
Presentation M. Figueroa, R Holloway, S Shah
iv Inter-rater reliability with use of VTE risk assessment tool reduces rates
of VTE in a pediatric cardiovascular intensive care unit. Poster
Presentation M. Figueroa, S Subramanian, M. Grandberry, D Hannah.
v. Institutional experience with sildenafil use in postoperative Fontan
patients. Poster Presentation S Subramanian, D Zurakowski, M Figueroa
4) Annual Update on Pediatric and Congenital Cardiovascular Disease
Feb 2014. Intravenous Morphine Infusion in neonates after cardiac surgery
is not associated with extubation failure.” Mayte Figueroa, John Alexander,
Juan Menendez, Christopher Knott-Craig. 17th
5) Society of Thoracic Surgeons 50th Annual Meeting: January 25-29,
2014.“What is the best surgical option for symptomatic neonates with
Ebstein’s anomaly and Pulmonary atresia? Christopher Knott-Craig, Vijaya
Joshi, Mayte Figueroa. T.K. Susheel Kumar
Updated 3/25/15
Page 5
6)American Academy of Pediatrics National Conference : October 2629, 2013. “Intravenous Morphine Infusion in neonates after cardiac surgery
is not associated with extubation failure.” Mayte Figueroa, John Alexander,
Juan Menendez, Christopher Knott-Craig.
7)American Academy of Pediatrics National Conference : October 2629, 2013. “ Use of a Protocol based approach for prevention of pulmonary
hypertensive crises shortens duration of mechanical ventilation in
postoperative pediatric cardiac patients.”
Thomas Yohannan ,Juan Menendez,Vivian Lebaroff , Curtis Petty Mayte
Figueroa MD
8)Southeastern Pediatric Cardiology Conference: September 2013.
“Perioperative Vasopressin results in reduced length of hospital stay after
the Fontan operation. Poster Presentation: Pooja Kashyap MD, Christopher
Knott-Craig MD, Steven Goldberg MD, TK Susheel Kumar MD, Michele
Harris RN, Mayte Figueroa MD”
9)Southeastern Pediatric Cardiology Conference: September 2013. “
Comparison of bumetanide continuous infusions to furosemide continuous
infusions in critically ill pediatric patients.” Katie McCallister, Mario
Briceno, Rebecca Chimm , Chasity Shelton, Mayte Figueroa
10)5th International Pediatric Simulation Symposia and Workshops
April 23-25, 2013 New York, New York. Roundtable and poster
presentations:
i. Practical Aspects of implementing a new clinical pathway using
simulation in a pediatric cardiovascular intensive care unit: Oral
presentation- First Author.
ii.Multidisciplinary simulation-based training in a pediatric
cardiovascular intensive care unit: Poster presentation- First author
iii. How do I develop a simulation based Extracorporeal membrane
oxygenation(ECMO) training program at my institution: Oral
presentation-Senior author
iv. Simulation-based training for acute ECMO emergencies: Poster
presentation-Senior author
v. Interdisciplinary education for codes utilizing high fidelity simulation
in a pediatric CVICU: Poster presentation:Co-author
Updated 3/25/15
Page 6
11)6th World Congress in Pediatric Cardiology and Cardiac Surgery:
February 17-22, 2013
“Perioperative Vasopressin results in reduced length of hospital stay after
the Fontan operation. Poster Presentation: Pooja Kashyap MD,
Christopher Knott-Craig MD, Steven Goldberg MD, TK Susheel Kumar
MD, Michele Harris RN, Mayte Figueroa MD”
12)American Society of Health System Pharmacists: December 2012
Evaluation of tolerance and withdrawal associated with prolonged infusions
of dexmedetomidine in pediatric critical care Johanna L. Norman,
Chasity M. Shelton, Kelly S. Bobo, Mark S. Rayburn, Mayte I. Figueroa
13)American Association for Respiratory Care conference: November
2012
“A comparison of Positive Pressure Therapy and Conventional Chest
Physiotherapy for the Prevention and Treatment of Post-operative atelectasis
in Children after Cardiac Surgery.” Poster Presentation Tina Pitt, MPS,
RRT-NPS ▪ Antonio Cabrera, MD ▪ Mohammed Alsheikh-Ali, MD ∙
Glenn Wetzel, MD ∙ Mayte Figueroa, MD ∙ Kristen Washington, RRTNPS.
14)3rd Annual ELSO Conference: September 14-16, 2012
“Impact of a Simulation Integrated Educational Model for training
ECMO specialists in a Cardiac Intensive Care Unit.”
Poster Presentation. Authors: Soi-Yu Chan MD, Mayte Figueroa, MD,
Samir Shah, MD.
15) Southeast Pediatric Cardiology Conference: September 13-15,2012
“The impact of a standardized protocol for prevention and management of
pulmonary hypertensive crises in a tertiary care center in post-operative
pediatric cardiac patients”
Poster Presentation:Thomas Yohannan MD 1, Juan Menendez Ph.D
2
,Vivian Lebaroff RRT3,Mayte Figueroa MD1
16) Cardiology 2012 16th Annual Update on Pediatric and Congenital
Cardiovascular Disease: February 23, 2012“Impact of a Simulation Integrated
Educational Model for training ECMO specialists in a Cardiac Intensive
Care Unit.”
Updated 3/25/15
Page 7
Poster Presentation. Authors: Soi-Yu Chan MD, Mayte Figueroa, MD,
Samir Shah, MD.
17)Society for Critical Care Medicine : February 4-7th 2012
“ Improving Teamwork, Confidence and Collaboration among a
Pediatric Cardiovascular Intensive Care Unit Multidisciplinary
Team using Simulation.”
Poster Presentation. Authors: Mayte Figueroa, MD, Steve Goldberg,
MD, Samir Shah, MD.
18)LeBonheur Research Day : November 2011
Improving Teamwork, Confidence and Collaboration among a
Pediatric Cardiovascular Intensive Care Unit Multidisciplinary
Team using Simulation.” Poster Presentation. Authors: Mayte
Figueroa, MD, Steve Goldberg, MD, Samir Shah, MD.
19)AMA Research Symposium: November 11-12, 2011
“Establishing Simulation based credentialing standards for ECMO in a
Cardiac Intensive Care Unit.” Poster Presentation. Authors: Soi-Yu
Chan MD, Mayte Figueroa, MD, Samir Shah, MD.
20)44th Southeast Pediatric Cardiology Society Conference: September 2224, 2011. “A comparison of Positive Pressure Therapy and Conventional
Chest Physiotherapy for the Prevention and Treatment of Post-operative
atelectasis in Children after Cardiac Surgery.”
Oral Abstract Presentation: Authors, Thomas Yohannan, MD, Tina Pitt,
Mayte Figueroa, MD, Glenn Wetzel, MD and Mohammed Ali, MD
20)Western Thoracic Surgical Association 37th Annual Meeting
June 25, 2011:
“Left Ventriculotomy is Safe in Infants and Young Children Requiring
Cardiac Surgery.” Authors: Steven P.Goldberg, Umar S. Boston, Vijay
Joshi, Mayte I. Figueroa, Christopher Knott-Craig.
21)Pediatric Cardiac Intensive Care Society: December 8, 2010
“ Surgical Decision making in Neonatal Ebsteins Anomaly”.
Presenter:Christopher Knott-Craig,
Co-authors: Steven P Goldberg, Jean Ballweg, Mayte I Figueroa
Updated 3/25/15
Page 8
22) Pediatric Grand Rounds: Restrictive Cardiomyopathy in Children
Stony Brook University Hospital, March 2002
23)The 3rd World Congress of Pediatric Cardiology and Cardiac Surgery,
May 2001 ; Toronto, Canada; Poster presentation
“An individualized approach to the Fontan operation improves early
morbidity and mortality.”
24)3rd World Congress; May 2001; Toronto, Canada; Poster
presentation.
“ Improved results of the Fontan operation in the adult patient”
25)American Heart Association Meeting, New Orleans; November 2000.
Poster presentation.
“Missense mutations in the Amino- or Carboxyterminus of Human
NKX2.5 do not have an atrioventricular block phenotype.”
26)American Heart Association Meeting, Atlanta, Ga.; November 1999.
Poster presentation.“ TBX.5 mutation explains some but not all cardiac
anomalies in a family with congenital heart disease.”
27) American Academy of Pediatrics, Washington, DC; October 1999.
Oral presentation. “ Is amiodarone more hepatotoxic in patients with
Fontan Physiology?”
28) American Society of Echocardiography, Washington, DC; June
1999.
Moderated poster and video presentation.“ Multiplane TEE guided
Amplatzer device closure of atrial septal defects.”
Past Research Projects
July 1997 – June 1998 NIH Training Grant titled: Multidisciplinary
Research in Developmental Cardiology.
Project Title: Role of TH3 in Connexin 43Physiology. Acquired skills in
PCR, tissue culturing and recombinant DNA technology.
Mentor: Timothy McQuinn, MD
Updated 3/25/15
Page 9
July 1998 – June 1999 Inhaled Nitric Oxide for elevated pulmonary
Vascular resistance in patients with congenital heart defects.
July 1997 – June 1998 Effects of amiodarone on liver function in
patients with Fontan physiology.
Mentor: Seshadri Balji, MD
July 1998 – June 1999
Genetic heterogeneity of secundum atrial septal
Defects. Mentor: Woodrow Benson, MD
July 1999 – June 2000
Clinical Outcomes of the Fontan Procedure
Mentor: Charles Fraser MD and Antonio Mott MD
March 2002 to Sept 2003
Pediatric Cardiomyopathy Registry:
Hypertrophic and Dilated Cardiomyopathy: Rates, Risk factors, and
Outcome.
Current Research Projects ( IRB approved)
1) Study Title: Improving Teamwork, Confidence and Collaboration in
a Pediatric Cardiovascular Intensive Care Unit using Simulation
Based Team Training. IRB Number 12-01758-XP.
Primary Investigator
2) Study Title: National Collaborative to Improve Care of Children
with Complex Congenital Heart Disease: A project of the Joint
Council of Congenital Heart Disease (JCCHD). IRB Number 1101461-XP. Primary Investigator.
3) Study Title: Efficacy of an algorithm for prevention of pulmonary
hypertensive crises in a tertiary care center CVICU. IRB Number 1101462-XM. Faculty Advisor.
4) Study Title: Effects of hyperinflation during mechanical ventilation
after surgery for congenital heart disease. IRB Number 11-01352-XM
Primary Investigator
5) Study Title: Is Blood transfusion associated with necrotizing
enterocolitis in neonates with congenital heart disease?
IRB 12-02005. Co-Investigator
Updated 3/25/15
Page 10
6) Hyponatremia and hypernatremia in children after CHD surgery
IRB Number 12-01972-XM .Co-Investigator
7) Safety and Efficacy of low dose morphine infusion in neonates and
infants after surgery for congenital heart defects morphine infusion
post cardiac surgery. IRB Number 12-02242. Primary Investigator
8) Evaluation of Bumetanide Continuous Infusion in Pediatric Patients.
IRB Number 12-012128. Co-Investigator
9) Evaluation of dexmedetomidine infusions and withdrawal in
pediatric critical care patients. IRB Number 12-02116. Co-Investigator
10) Hypoalbuminemia after cardiopulmonary bypass in children:
Multicenter retrospective study: CICUP Collaborative
IRB Number13-02424. Co-Investigator
11.) A comparative multicenter study to see if Sildenafil is beneficial in
post Fontan patients.
IRB Number 13-02523-XM. Primary Investigator
12.) Mediastinal infection in children undergoing cardiac surgery.
IRB Number 13-02536-XM. Co-Investigator CICUP collaborative
13) Institutional Experience with Transthoracic Atrial Catheters in
Pediatric Cardiac Surgery. IRB Number: 14-03467 Co-PI
Peer Reviewed Journal Articles:
1. M.I. Figueroa, D. Balaguru. C. McClure, C.H. Kline, W.A.K. Radtke,
G.S. Shirali: Experience with use of multiplane TEE to guide Amplatzer
Device closure of atrial septal defects.
Pediatric Cardiology July 2002
2. Connor JA, Arons RR, Figueroa M, Gebbie KM: Clinical Outcomes and
secondary diagnosies for infants born with HLHS. Pediatrics 2004
Aug:114(2):e160-5
3. Goldberg, SP, Boston, US, Joshi VM, Figueroa MI, Ballweg JA, Chin
TK, Mathis CA, Knott-Craig CJ. Left ventriculotomy is safe in Infants and
Updated 3/25/15
Page 11
Young Children requiring cardiac surgery. World Journal for Pediatric
and Congenital Heart Surgery (2012); 00(0) ; 1-3
4. Soi-Yu Chan, MD1; Mayte Figueroa, MD 1; Thomas Spentzas, MS,
MD2,3; Ashley Powell, RN 2; Ricky Holloway, RN 2; Samir Shah, MD,
MBA, FRCPC2 Prospective Assessment of Novice Learners of a
Simulation Based Extracorporeal Membrane Oxygenation (ECMO)
Education Program. Pediatric Cardiology (2013) 34:543-552
5. Mayte Figueroa, MD, Steve Goldberg, MD, Samir Shah, MD.
Improving Teamwork, Confidence and Collaboration among a
Pediatric Cardiovascular Intensive Care Unit Multidisciplinary
Team using Simulation. Pediatric Cardiology (2013) 34:612-619
6. Katie McCallister, Rebecca Chimm ,Mario Briceno, Chasity Shelton,
Mayte Figueroa, Mark Rayburn
"Bumetanide continuous infusions in critically ill pediatric patients"
Pediatr Crit Care Med. 2014 Dec 31. [Epub ahead of print]
7. Ali MA, Kumar TK, Figueroa M, Johnson J, Perez M. “Acute onset
Tachypnea, Tachycardia and reduced activity in a 16 month old girl.”
Pediatrics In Review. Index of Suspiscion. January 2015 Vol. 36 No. 1.
8) Figueroa, M. The Role of Simulation in Promoting Multidisciplinary
Teamwork. (accepted for publication in E Critical Care Medicine)
Abstracts published:
1.Whitney Smith, RN, Samir Shah, MD, Robert Sepanski, MS, Mayte
Figueroa, MD: “ Improving Teamwork, Confidence and Collaboration
among a Pediatric Cardiovascular Intensive Care Unit Multidisciplinary
Team using Simulation.” .Critical Care Medicine. December 2011
39(12): 467
2. Howaida El-Said, Mayte Figueroa, Timothy Feltes, Antonio Mott,
Charles Fraser: An individualized approach to the Fontan operation
Improves early morbidity and mortality. Cardiology in the Young.
May 2001 11(1); 104.
3. Howaida El-Said, Antonio Mott, Timothy Feltes, Mayte Figueroa,
Charles Fraser: Improved results of the Fontan operation in the adult
Updated 3/25/15
Page 12
Patient. Cardiology in the Young. May 2001 11(1);117.
4. M.I. Figueroa, G.S. Shirali, C.H.Kline, H.B. Wiles, W.A.Radtke:
Multiplane transesophageal echocardiography guided Amplatzer device
closure of atrial septal defects. Journal of the American Society of
Echocardiography. 12(8); 375 ;May 1999.
5. M.I. Figueroa, S.Balaji : Is amiodarone more hepatotoxic in patients
with Fontan physiology? PediatricResearch. 45, 22A ; September 1999
6. G.S. Shirali, T.C. McQuinn, Ping Lu, M.I.Figueroa, B.C. Horne,
F.A. Crawford, D.W. Benson: TBX.5 Mutation explains some but not
All cardiac anomalies in a family with congenital heart disease: a
Clinical and genetic study. Circulation. November 1999.
7. D.W. Benson, Marie Majarais, Elizabeth Geiger, MI Figueroa, GS
Shirali, Elizabeth Goldmuntz. Missense mutations in the Aminoor Carboxyterminus of Human NKX2.5 do not have an atrioventricular block phenotype. Circulation: 2000;102 (18).
Research Collaboration
Cardiac Intensive Care Unit in Pediatrics (CICUP)
Participating center in Multicenter research group whose aim is to:
National Quality Projects:
1) National Pediatric Cardiology-Quality Improvement CollaborativeInitial project Aim: To improve survival and optimize quality of life in
Infants between discharge after Stage I Norwood and admission for BDG.
2) Ohio Children’s Hospitals’ Solutions for Patient Safety (OCHSPS)Physician Leader on VTE Project at Le Bonheur. Part of Pioneer
workgroup
Updated 3/25/15
Page 13
3) Pediatric Cardiac Critical Care Consortium (PC4 Database):
Physician Lead
LeBonheur Quality Projects for JCAHO
1) Physician Team Leader for improving Hand Hygiene in CVICUCompliance now at 100%
2) CVICU CLABSI Project: Over 2 years without a CLABSI
3) Central Line Utilization Project
4) Developed Hospital VTE Risk Assessment Tool
5) Developed Practice Guideline for Evaluation and Mangement of
PHTN in NICU patients with BPD
HospitalCommittee Experience:
Current:
Cardiovascular Intensive Care Unit Performance Improvement and
Patient Safety Committee: Leader/Organizer March 2013 - Present
Physician Advisory Group Le Bonheur Children’s Hospital
March 2010 until September 2013
Part of Ad Hoc Sub Committee involved in development of hospital-wide
Nitric Oxide Protocol.
Blood Utilization Review Committee LeBonheur Children’s Hospital
Since January 2011-December 2013
Pharmacy and Therapeutics Committee Le Bonheur Children’s Hospital
Since January 2011Quality Council
Le Bonheur Children’s Hospital January 2011- present
SOC Committee Chair Le Bonheur Children’s Hospital. Involved in
reviewing Research progress for Cardiology Fellow trainees.
Fellows: Pooja Kashyap MD
Saradha Subramanian, MD
John Alexander, MD
Updated 3/25/15
Page 14
Past: IRB Committee Cook Children’s Medical Center
January 2007-December 2009
Medical Record Committee CCMC
7/2006-8/2007
Continuing Medical Education
1) Society for Critical Care Medicine Houston TX January 2012
2) Senn Delaney Leadership Training Course
3) Mechanical Cardiac Support in Pediatric Heart Disease State of the
Art 2012 :St. Louis Washington University September 20-22,2012
4) 23rd Annual ELSO Conference : Seattle Washington September 2012
5) Levitronix Ventricular Assist Device Training
6) International Pediatric Simulation Society Congress: New York,NY
April 24-26, 2012
7) Heart Failure Summit/Berlin In-service – Houston TX October 2013
8) Heart Failure Summit/VAD In-service – Cincinnatti OH September
2014
9) Pediatric Cardiac Intensive Care Conference – Miami, Fla. December
2014
Community Service:
Medical Education and Research Institute (MERI) Board Member
September 2014
February 2002-2006 Heart Care International: Team member
Pediatric Cardiac Medical Mission Trips to the Dominican Republic and El
Salvador
Hobbies:Travel, Reading, Hiking, Yoga, Opera and the Arts
References available upon request
Updated 3/25/15
Page 15