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Ryan                           Breuer

Ryan K. Breuer MD

Department of Pediatrics

Clinical Assistant Professor

Specialty/Research Focus

Pediatric Critical Care Medicine; Pediatrics

 
Professional Summary:

As a pediatric intensivist, I am responsible evaluating and treating children and young adults afflicted with critical illness and varying degrees of end-organ dysfunction and failure. I am also actively involved in the supervision and education of medical students, resident physicians, and fellows in pediatric critical care medicine. My practice is located at the Pediatric Intensive Care Unit (PICU) at the Women and Children’s Hospital of Buffalo, where our division is committed to providing comprehensive, expert care and multidisciplinary support for the children of Western New York and their families.
Throughout the course of my subspecialty training, I developed a special interest in quality improvement, and personally developed an award-winning project at Duke Children’s Hospital in Durham, North Carolina which focused on streamlining and standardizing communication for all postoperative admissions to its pediatric ICU. This work, the first of its kind in a pediatric multidisciplinary, non-cardiac, ICU demonstrated sustainable improvements in communication errors, antibiotic delays, and pain control, upwards of one year after its implementation. I am looking forward to working with the expert teams here at Women and Children’s to find ways in which we might build upon our mutual past successes and continue to help set the standard for best practice medicine.

Education and Training:
  • Fellowship, Pediatric Critical Care, Duke Children's Hospital (2014)
  • Cert, Patient Safety and Quality Improvement, Duke University Medical Center (2014)
  • Cert, Healthcare Quality Improvement, Duke University Medical Center (2014)
  • Residency, Pediatrics, UCLA - Mattel Children's Hospital (2011)
  • Internship, Pediatrics, UCLA - Mattel Children's Hospital (2009)
  • MD, Medicine, Stony Brook School of Medicine (2008)
  • BS, Human Biology, Health, and Society, Cornell University, with Distinction (2003)
Employment:
  • Associate Fellowship Program Director, Pediatric Critical Care Medicine, Pediatrics, University at Buffalo (2017-present)
  • Attending Physician, Division of Critical Care, UBMD Pediatrics, Women and Children‘s Hospital of Buffalo (2014-present)
  • Clinical Assistant Professor, Pediatrics, University at Buffalo (2014-present)
Awards and Honors:
  • University at Buffalo Jacobs School of Medicine and Biomedical Sciences: Louis A. and Ruth Siegel Award - Teaching in the Clinical Program (2017)
  • Duke University Medical Center: First Prize Poster Presentation (2014)
  • Kappa Omicron Nu Honor Society (2003)
  • National Society of Collegiate Scholars (2002)
  • Phi Gamma Delta: Academic Excellence Award (2000)
  • Cornell University: Dean's List (1999-2003)
  • National Dean's List (2004-2006)

Grants and Sponsored Research:
  • Observation of Multi-Center Quality Improvement Project: Improving Safety and Quality of Tracheal Intubation Practice in Pediatric ICUs (NEAR-4-KIDS)
    Role: Principal Investigator
  • PRESS (Pediatric Provider Experience with Sepsis and Septic Shock) Survey Study: From ER to ICU
    Role: Principal Investigator
  • PICU Handoffs
    Role: Principal Investigator

Journal Articles:
  • Grunwell JR, Kamat PP, Miksa M, Krishna A, Walson K, Simon D, Krawiec C, Breuer RK, Lee JH, Gradidge E, Tarquinio K, Shenoi A, Shults J, Nadkarni V, Nishisaki A, National Emergency Airway Registry for Children and the Pediatric Acute Lung Injury and Sepsis Network. Trend and Outcomes of Video Laryngoscope Use Across PICUs. Pediatr Crit Care Med. 2017.
  • Parker MM, Nuthall G, Brown C 3rd, Biagas K, Napolitano N, Polikoff LA, Simon D, Miksa M, Gradidge E, Lee JH, Krishna AS, Tellez D, Bird GL, Rehder KJ, Turner DA, Adu-Darko M, Nett ST, Derbyshire AT, Meyer K, Giuliano J Jr, Owen EB, Sullivan JE, Tarquinio K, Kamat P, Sanders RC Jr, Pinto M, Bysani GK, Emeriaud G, Nagai Y, McCarthy MA, Walson KH, Vanderford P, Lee A, Bain J, Skippen P, Breuer RK, Tallent S, Nadkarni V, Nishisaki A, Pediatric Acute Lung Injury and Sepsis Investigators Network. Relationship Between Adverse Tracheal Intubation Associated Events and PICU Outcomes. Pediatr Crit Care Med. 2017; 18(4).
  • Hassinger AB, Breuer RK, Nutty K, Alibrahim OS. Negative pressure ventilation in pediatric acute respiratory failure.. Respir Care. 2017.
  • Breuer RK, Taicher B, Turner DA, Cheifetz IM, Rehder KJ. Standardizing postoperative PICU handovers improves handover metrics and patient outcomes. Pediatr Crit Care Med. 2015; 16(3).
Books and Book Chapters:
  • Hassinger AB, Breuer RK. "Maintenance Fluids". The PICU Handbook. 2018.
  • Breuer RK, Hassinger AB. "Electrolyte Derangements". The PICU Handbook. 2018.

Professional Memberships:
  • American Society of Chest Physicians
  • Society of Critical Care Medicine
  • American Medical Association
  • American Academy of Pediatrics
Presentations:
  • "Is It Safe and Effective for Pediatric Intensive Care Faculty to Manage an Apheresis Program?" Annual Meeting, American Society for Apheresis (2017)
  • "A Single Center Experience with the Biphasic Cuirass Ventilator in Pediatric Residency Failure" 46th Annual Congress, Society of Critical Care Medicine (2017)
  • "PRESS: Pediatric Providers Experience with Severe Sepsis and Septic Shock" 46th Annual Congress, Society of Critical Care Medicine (2017)
  • "Sepsis Drills: A Multi-Disciplinary Sepsis Educational Program in a Pediatric Hospital" 46th Annual Congress, Society of Critical Care Medicine (2017)
  • "Pediatric Sepsis and Septic Shock" Pediatric Grand Rounds, Women and Children's Hospital of Buffalo (2016)
  • "Diabetic Ketoacidosis in Children" Critical Care Nursing Education Seminar, Duke University Medical Center (2014)
  • "Respiratory Failure in Neuromuscular Disease" Case Conference, Duke University Medical Center, Division of Pediatric Critical Care Medicine (2014)
  • "The Physiology of Gas Transfer" ECMO Course, Duke University Medical Center (2014)
  • "Standardizing Postoperative PICU Handovers Improves Handover Metrics and Patient Care" 43rd Annual Congress, Society of Critical Care Medicine (2014)
  • "ICU Management of the ECMO Patient" PICU Resident Lecture Series, Duke University Medical Center, Department of Pediatrics (2013)
  • "Standardizing Postoperative Handoffs in the PICU to Improve Patient Care" Research Retreat, Duke University Medical Center, Department of Pediatrics (2013)
  • "Respiratory Emergencies in the PICU" Senior Fellow Lecture Series, Duke University Medical Center, Division of Pediatric Critical Care Medicine (2013)
  • "Arrythmias in the Pediatric Patient" PICU Resident Lecture Series, Duke University Medical Center, Department of Pediatrics (2013)
  • "Sedation in the Critically Ill Child" PICU Resident Lecture Series, Duke University Medical Center, Department of Pediatrics (2013)
  • "Thrombocytopenia-associated Multiorgan Failure" Case Conference, Duke University Medical Center, Division of Pediatric Critical Care Medicine (2013)
  • "Supraventricular Tachycardia" Case Conference, Duke University Medical Center, Division of Pediatric Critical Care Medicine (2013)
  • "Introduction to ECMO" PICU Resident Lecture Series, Duke University Medical Center, Department of Pediatrics (2013)
  • "Trauma in the Pediatric Patient" PICU Resident Lecture Series, Duke University Medical Center, Department of Pediatrics (2013)
  • "Introduction to ECMO" PICU Resident Lecture Series, Duke University Medical Center, Department of Pediatrics (2012)
  • "Shock" PICU Resident Lecture Series, Duke University Medical Center, Department of Pediatrics (2012)
  • "Sensitivity and Specificity in Research" Evidence-Based Medicine Lecture Series, Duke University Medical Center, Division of Pediatric Critical Care Medicine (2012)
  • "Hemoptysis in a Fontan Patient" Case Conference, Duke University Medical Center, Division of Pediatric Critical Care Medicine (2012)
  • "Diabetic Ketoacidosis" PICU Resident Lecture Series, Duke University Medical Center, Department of Pediatrics (2012)
  • "Diabetic Ketoacidosis" PICU Resident Lecture Series, Duke University Medical Center, Department of Pediatrics (2012)
  • "Septic Shock" PICU Resident Lecture Series, Duke University Medical Center, Department of Pediatrics (2012)
  • "Septic Shock" PICU Resident Lecture Series, Duke University Medical Center, Department of Pediatrics (2012)
  • "Inborn Errors of Metabolism - Approach to Diagnosis" PICU Resident Lecture Series, Duke University Medical Center, Department of Pediatrics (2011)
  • "Blunt Trauma in a Three Year Old" Case Conference, Duke University Medical Center, Division of Pediatric Critical Care Medicine (2011)
  • "Management of Traumatic Brain Injury" PICU Resident Lecture Series, Duke University Medical Center, Department of Pediatrics (2011)
  • "Single Ventricle Physiology" PICU Resident Lecture Series, Duke University Medical Center, Department of Pediatrics (2011)
  • "Septic Shock in a Transplant Patient" Case Conference, Duke University Medical Center, Division of Pediatric Critical Care Medicine (2011)
See all (21 more)
Service Activities:
  • Kaleida Health: Corporate Code Blue Committee; Committee Member (2015–present)
  • Women and Children‘s Hospital of Buffalo: Quality Assurance/Improvement Committee; Committee Member (2015–present)
  • Duke University School of Medicine: Medical Student Discussion Session on Patient Safety; Co-Leader (2013)
  • Duke University Medical Center Office of Graduate Medical Education: Patient Safety and Quality Council; Member (2013–2014)
  • Duke University Medical Center Office of Graduate Medical Education: Patient Safety and Quality Council - Education Task Force; Member (2013–2014)
  • Duke University Medical Center: Pediatric Residency Mock Code Program; Co-Supervising Fellow (2013–2014)

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Contact Information

UBMD Pediatrics
Division of Critical Care
219 Bryant Street
Buffalo, NY 14222
Phone: (716) 878-7442
Fax: (716) 878-7101
Email: ryanbrue@buffalo.edu

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