• Shivananda, Sandesh

    Titles

    Investigator, BC Children's Hospital
    Associate Professor, Division of Neonatology, Department of Pediatrics, University of British Columbia 

    Degrees / Designations
    MSc, MD, MBBS
    Primary Area of Research
    Evidence to Innovation
    Secondary Area(s) of Research
    Phone
    604-875-2000 ext. 7353
    Fax
    Lab Phone
    Mailing Address

    BC Children's Hospital
    Room 1R19
    4500 Oak Street
    Vancouver, BC  V6H 3V4

    Affiliate Websites
    Research Areas

    My clinical research has focused on Knowledge Translation (KT) and Quality improvement (QI) programs. Specifically my expertise lies in packaging context–specific, evidence-informed practices, developing decision-making products and, monitoring and evaluating large scale- KT programs

    Summary

    I work with multiple professional groups in intensive care while leading activities that help in moving research from journal publications, conference proceedings, and best practices from other centres into the hands of people who can put to use at bedside. Measuring the impact of adopting such practices and sharing the lessons learnt during this process will be an important job of our team

    Current Projects

    Resuscitation and Early Stabilization Improvement in Newborns (RESIN). RESIN program had 7 evidence-informed practices and resulted in significant reduction in invasive ventilation (20%), umbilical catheter use (40%) and severity of illness during the first 4 days of life. As a part of this program, video recording during delivery room resuscitation was done for the first time in a Canadian centre.

    Care  Bundle to  Improve Oxygenation and Minimize desaturation Events in newborns (CBIOME) program had 5 interventions and was aimed at reducing the incidence of two neonatal morbidities including retinopathy of prematurity and bronchopulmonary dysplasia. This program was a combination of implementing evidence-informed practices, adoption  of histogram technology, interprofessional education, and individualized patient care.

    Patient at risk trigger event huddles to improve neonatal outcomes (ParteNeo). The focus of this project will be on improving delivery of effective, patient centered and safe care by multidisciplinary team in NICU. We aim for 80% of reported Patient At-Risk Trigger (PART) events in preterm infants in NICU will have Patient At-Risk Trigger event (PARTe) huddles at the bedside. Structured PARTe huddles, promotes a culture of awareness, collaborative learning, ownership and sensitivity for PARTe events among staff and overall promotes a culture of preparedness and safe care.

    Selected Publications

    Shivananda S, Ahliwahlia L, Kluchkow M, Luc J, Jankov J, McNamara PJ. Variation in the management of persistent pulmonary hypertension of newborn (PPHN): A survey of physicians in Canada, Australia, and New Zealand. American Journal of Perinatology.  2012 Aug; 29 (7): 519-26 (Citations=6)

    McNamara PJ, Shivananda SP, Sahni M, Freeman D, Taddio A. Pharmacology of Milrinone in Persistent Pulmonary Hypertension of the Newborn (PPHN). Pediatric Critical Care Medicine. 2013 Jan; 14 (1): 74-84. (Citations=18)

    Wong C, Mak M, Shivananda S, Yang J, Shah PS, Seidlitz W, Pemberton J, Fitzgerald PG, Cameron BH on behalf of the Canadian Neonatal Network. Outcomes of Neonatal Patent Ductus Arteriosus Ligation in Canadian Neonatal Units with and without Pediatric Cardiac Surgery Programs. Journal of Pediatric Surgery. 2013 May; 48(5):  909-914. (Citations=3)

    Shahid S, Dutta S, Symington A, Shivananda S. Standardizing Umbilical Catheter Usage in Preterm Infants. Pediatrics. 2014; 133:e1742–e1752. (Citations=3). This study highlighted the importance of standardizing practice to improve patient safety and eliminating inappropriate practices at no extra cost. 

    Braga MS, Kabbur P, Alur P, Goodstein MH, Roberts KD, Satrom K, Shivananda S, Goswami I, Pappagallo M, Briere CE, Suresh G. Current practice of neonatal resuscitation documentation in North America: a multi-center retrospective chart review. BMC Pediatr. 2015 Nov 14;15(1):184. doi: 10.1186/s12887-015-0503-8. (Citations=0)

    Doreswamy SM, Fusch C, Selvaganapathy R, Matharoo H, Shivananda S. A comparison of the Miller laryngoscope versus the prototype neonatal offset-blade laryngoscope in a manikin. Anaesthesia. 2015 Dec 18. doi: 10.1111/anae.13343. [Epub ahead of print]. (Citations=0)

    Shivananda S, Gupta S. Impact of assessment of severity of visible blood in stool on patient care-a QI cohort study. Journal of Neonatal-Perinatal Medicine. 8 (2015) 379–391. (Citations=0) 

    Soraisham AS, Harabor A, Shivananda S, Alvaro R, Ye XY, Lee SK, Shah PS; Canadian Neonatal Network. Trends and Variations in the Use of Inhaled Nitric Oxide in Preterm Infants in Canadian Neonatal Intensive Care Units. Am J Perinatol. 2016 33:7;715-21. (Citations=0)

    Grants
    • Canadian Medical Protective Association. Patient at risk trigger huddles to improve neonatal outcomes (PARTINeO). 2015.
    • Physicians’ Services Incorporated (PSI) Foundation Grant. Care Bundle to Improve Oxygenation and Minimize desaturation Events (CBIOME) in Newborns. Knowledge Translation Project. 2013-2015. 
    • Canadian Institutes of Health Research (CIHR), MOHLTC Ontario, McMaster University, Collaborative Health Research Project. Canadian Neonatal Network, Seminal Canadian Recommendations for Evidence-Based Examinations of Neonates for Retinopathy of Prematurity (SCREEN-ROP) - Population based prospective national study. 2011-2015.
    • Hamilton Health Sciences Foundation - Centre for Health Care Optimization Research and Delivery (CHORD), Collab/Partnerships Research - Group (Collaborative Project. Resuscitation and Early Stabilization Improvement in Newborns (RESIN): Knowledge Translation Project. 2010-2014.
    Honours & Awards
    Research Group Members

    Jennifer Claydon, NICU Research Manager