Ryan K. Breuer MD

Ryan Breuer

Ryan K. Breuer
MD

Clinical Assistant Professor

Department of Pediatrics

Jacobs School of Medicine & Biomedical Sciences

Specialty/Research Focus

Pediatric Critical Care Medicine; Pediatrics

Contact Information
UBMD Pediatrics
Division of Critical Care
1001 Main Street
Buffalo, NY 14203
Phone: (716) 323-0200
Fax: (716) 323-0293
ryanbrue@buffalo.edu
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Patient Care

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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 John R. Oishei Children’s Hospital, 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 Oishei Children’s Hospital 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:
  • Cert, Medical Educators, Royal College of Physicians (2018)
  • 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, Critical Care, UBMD Pediatrics, Oishei Children's Hospital (2014-present)
  • Clinical Assistant Professor, Pediatrics, University at Buffalo (2014-present)
  • Teaching Assistant, Molecules, Genes and Cells, SUNY Stony Brook, School of Medicine (2005)
  • Teaching Assistant, Center for Developmental Disabilities (2002)
  • Teaching Assistant, Nutritional Sciences, Cornell University (2001)

Awards and Honors:
  • Castle Connolly Medical Ltd: America‘s Top Doctors (2020)
  • University at Buffalo Jacobs School of Medicine and Biomedical Sciences: Student Marshall (2018)
  • 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:
  • 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:

  • Croix M, Schwarz CH, Breuer RK, Hassinger AB, Chadha K, Hicar MD. Actinomyces Naeslundii and Aggregatibacter Aphrophilus Brain Abscess in an Adolescent. Arch Clin Med Case Rep. 2019; 3(6).
  • Islam SM, Mannix MK, Breuer RK, Hassinger AB. Guideline Adherence and Antibiotic Utilization by Community Pediatricians, Private Urgent Care Centers, and a Pediatric Emergency Department. Clin Pediatr (Phila). 2019.
  • Breuer RK, Carnevale FP, Donhauser JA, Iwano M, Kramer BC, Marthia V, Nutty K, Patankar N, Wilkowski S, Hassinger AB. Pediatric Sepsis in Our Community: A Point Prevalence Study. J Pediatr Infect Dis. 2019.
  • Breuer RK, Hassinger AB. Identifying Hesitation and Discomfort with Diagnosing Sepsis: Survey of a Pediatric Tertiary Care Center. Pediatric Quality & Safety. 2018; 3(5).
  • Kojima T, Harwayne-Gidansky I, Shenoi AN, Owen EB, Napolitano N, Rehder KJ, Adu-Darko MA, Nett ST, Spear D, Meyer K, Giuliano JS Jr, Tarquinio KM, Sanders RC Jr, Lee JH, Simon DW, Vanderford PA, Lee AY, Brown CA, Skippen PW, Breuer RK, Toedt-Pingel I, Parsons SJ, Gradidge EA, Glater LB, Culver K, Nadkarni VM, Nishisaki A, National Emergency Airway Registry for Children (NEAR4KIDS) and Pediatric Acute Lung Injury and Sepsis Investigators (PALISI). Cricoid Pressure During Induction for Tracheal Intubation in Critically Ill Children: A Report From National Emergency Airway Registry for Children. Pediatr Crit Care Med. 2018; 19(6).
  • Gradidge EA, Bakar A, Tellez D, Ruppe M, Tallent S, Bird G, Lavin N, Lee A, Nadkarni V, Adu-Darko M, Bain J, Biagas K, Branca A, Breuer RK, Brown C, Bysani K, Emeriaud G, Gangadharan S, Giuliano JS, Howell JD, Krawiec C, Lee JH, Li S, Meyer K, Miksa M, Napolitano N, Nett S, Nuthall G, Orioles A, Owen EB, Parker MM, Parsons S, Polikoff LA, Rehder K, Saito O, Sanders RC, Shenoi A, Simon DW, Skippen PW, Tarquinio K, Thompson A, Toedt-Pingel I, Walson K, Niskisaki A, For National Emergency Airway Registry for Children (NEARKIDS) Investigators and Pediatric Acute Lung Injury and Sepsis Investigators (PALISI). Safety of tracheal intubation in the presence of cardiac disease in paediatric ICUs. Cardiol Young. 2018; 28(7).
  • Gabrani A, Kojima T, Sanders RC Jr, Shenoi A, Montgomery V, Parsons SJ, Gangadharan S, Nett S, Napolitano N, Tarquinio K, Simon DW, Lee A, Emeriaud G, Adu-Darko M, Giuliano JS Jr, Meyer K, Graciano AL, Turner DA, Krawiec C, Bakar AM, Polikoff LA, Parker M, Harwayne-Gidansky I, Crulli B, Vanderford P, Breuer RK, Gradidge E, Branca A, Grater-Welt LB, Tellez D, Wright LV, Pinto M, Nadkarni V, Nishisaki A, National Emergency Airway Registry for Children (NEAR4KIDS) Collaborators and Pediatric Acute Lung Injury and Sepsis Investigators (PALISI). Downward Trend in Pediatric Resident Laryngoscopy Participation in PICUs. Pediatr Crit Care Med. 2018; 19(5).
  • Gradidge EA, Bakar A, Tellez D, Ruppe M, Tallent S, Bird G, Lavin N, Lee A, Adu-Darko M, Bain J, Biagas K, Branca A, Breuer RK, Brown C, Bysani GK, Cheifitz IM, Emeriaud G, Gangadharan S, Giuliano JS Jr, Howell JD, Krawiec C, Lee JH, Li S, Meyer K, Miksa M, Napolitano N, Nett S, Nuthall G, Orioles A, Owen EB, Parker MM, Parsons S, Polikoff LA, Rehder K, Saito O, Sanders RC Jr, Shenoi AN, Simon DW, Skippen PW, Tarquinio K, Thompson A, Toedt-Pingel I, Vanderford P, Walson K, Nadkarni V, Nishisaki A, National Emergency Airway Registry for Children (NEAR4KIDS) and Pediatric Acute Lung Injury and Sepsis Investigators (PALISI). Effect of Location on Tracheal Intubation Safety in Cardiac Disease-Are Cardiac ICUs Safer? Pediatr Crit Care Med. 2018; 19(3).
  • Kojima T, Laverriere EK, Owen EB, Harwayne-Gidansky I, Shenoi AN, Napolitano N, Rehder KJ, Adu-Darko MA, Nett ST, Spear D, Meyer K, Giuliano JS Jr, Tarquinio KM, Sanders RC Jr, Lee JH, Simon DW, Vanderford PA, Lee AY, Brown CA, Skippen PW, Breuer RK, Toedt-Pingel I, Parsons SJ, Gradidge EA, Glater LB, Culver K, Li S, Polikoff LA, Howell D, Nuthall G, Bysani GK, Graciano AL, Emeriaud G, Saito O, Orioles A, Walson K, Jung P, Al-Subu AM, Ikeyama T, Shetty R, Yoder KM, Nadkarni VM, Nishisaki A, National Emergency Airway Registry for Children (NEAR4KIDS) Collaborators and Pediatric Acute Lung Injury and Sepsis Investigators (PALISI). Clinical Impact of External Laryngeal Manipulation During Laryngoscopy on Tracheal Intubation Success in Critically Ill Children. Pediatr Crit Care Med. 2018; 19(2).
  • Hassinger AB, Breuer RK, Nutty K, Alibrahim OS. Negative-Pressure Ventilation in Pediatric Acute Respiratory Failure. Respir Care. 2017.
  • 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).
  • Breuer RK, Rehder KJ. The authors reply. Pediatr Crit Care Med. 2015; 16(8).
  • 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).
See all (4 more)

Books and Book Chapters:

  • Hassinger AB, Breuer RK. "Maintenance Fluids". The PICU Handbook. 2018.
  • Breuer RK, Hassinger AB. "Electrolyte Derangements". The PICU Handbook. 2018.

Abstracts:

  • Hassinger AB, Breuer RK. The Impact of a Hospital-Wide Multidisciplinary Educational Sepsis Initiative. Crit Care Med. 2018; 46(1).
  • Quraishi M, Kallash M, Hassinger AB, Breuer RK. Acute Kidney Injury in Critically Ill Children and Its One-Year Sequelae. Crit Care Med. 2018; 46(1).
  • Shum K, Heard CM, Breuer RK, Alibrahim OS, Waz WR. The DNR Order in the Pediatric Intensive Care Unit. Crit Care Med. 2018; 46(1).
  • Gourabathini H, Heard CM, Breuer RK, Alibrahim OS, Kramer BC. A Pediatric Intensivist Directed Apheresis Program: from Conception to Fruition. Crit Care Med. 2016; 44(12).

Professional Memberships:
  • American Society of Chest Physicians (2011–present)
  • Society of Critical Care Medicine (2011–present)
  • American Academy of Pediatrics (2007–present)

Presentations:
  • "Factors Related to Extubation Effectiveness and Reintubation Rates: An Extubation Registry" 48th Annual Congress, Society of Critical Care Medicine (2019)
  • "The Impact of an Institutional Education Initiative on Knowledge and Comfort with Pediatric Sepsis" 48th Annual Congress, Society of Critical Care Medicine (2019)
  • "Did We Do Sepsis Good? OCH Studies of Hospital Providers and Community Patients" Pediatric Grand Rounds, University at Buffalo (2018)
  • "Advances in Pediatric Intensive Care" Mini Med School, University at Buffalo (2018)
  • "Resident Staff: Traumatic Brain Injury" Pediatric Resident Lecture Series, Oishei Children's Hospital (2018)
  • "Critical Reflection and Reflective Writing" PICU Fellow Lecture Series, Oishei Children's Hospital (2018)
  • "SEPSIS: Study of the Epidemiology of Pediatric Sepsis In Society" Annual Meeting, Pediatric Academic Societies, ID: Bacterial Infections I (2018)
  • "ECMO Physiology" PICU Fellow Lecture Series, Oishei Children's Hospital (2018)
  • "Acute Kidney Injury in Critically Ill Children and Its One-Year Sequelae" 47th Annual Congress, Society of Critical Care Medicine (2018)
  • "Air Leak Syndrome in Children with Acute Respiratory Failure on Negative Pressure Ventilation" 47th Annual Congress, Society of Critical Care Medicine (2018)
  • "Isolated Noncompaction Cardiomyopathy Presenting with Ventricular Tachycardia and Cardiac Arrest" 47th Annual Congress, Society of Critical Care Medicine (2018)
  • "Pediatric Acute Respiratory Failure: A Primer" Pediatric Resident Lecture Series, Oishei Children's Hospital (2018)
  • "The DNR Order in the PICU" 47th Annual Congress, Society of Critical Care Medicine (2018)
  • "The Impact of a Hospital-Wide Multidisciplinary Educational Sepsis Initiative" 47th Annual Congress, Society of Critical Care Medicine (2018)
  • "How Sick are You? Principles of Hemodynamic Monitoring" PICU Fellow Lecture Series, Oishei Children's Hospital (2018)
  • "Brain Death and the Logistics of Dying" PICU Fellow Lecture Series, Oishei Children's Hospital (2017)
  • "Critical Care Monitoring" PICU Fellow Lecture Series, Women and Children's Hospital of Buffalo (2017)
  • "Cardiovascular Physiology" PICU Fellow Lecture Series, Women and Children's Hospital of Buffalo (2017)
  • "Respiratory Physiology" PICU Fellow Lecture Series, Women and Children's Hospital of Buffalo (2017)
  • "Is It Safe and Effective for Pediatric Intensive Care Faculty to Manage an Apheresis Program?" Annual Meeting, American Society for Apheresis (2017)
  • "High Frequency Ventilation" PICU Fellow Lecture Series, Women and Children‘s Hospital of Buffalo (2017)
  • "A Pediatric Intensivist-Directed Apheresis Program: From Conception to Fruition" 46th Annual Congress, Society of Critical Care Medicine (2017)
  • "A Single-Center Experience with the Biphasic Cuirass Ventilator in Pediatric Residency Failure" 46th Annual Congress, Society of Critical Care Medicine (2017)
  • "Biphasic Cuirass Ventilator Use During Special Circumstances in the PICU" 46th Annual Congress, Society of Critical Care Medicine (2017)
  • "Multidisciplinary Attitudes About Airway Pressure Release Ventilation (APRV) in an Academic PICU" 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)
  • "The Pediatric Provider Experience with Sepsis and Septic Shock (PRESS) Study" 46th Annual Congress, Society of Critical Care Medicine (2017)
  • "Basic Airway Management Simulation Sessions" Pediatric Critical Care Medicine Regional Boot Camp, Children's Hospital of Philadelphia (2016)
  • "Cardiopulmonary Interactions" PICU Fellow Lecture Series, Women and Children's Hospital of Buffalo (2016)
  • "Endotracheal Intubation" Pediatric Critical Care Medicine Regional Boot Camp, Children's Hospital of Philadelphia (2016)
  • "Supraventricular Tachycardia Simulation Sessions" Pediatric Critical Care Medicine Regional Boot Camp, Children's Hospital of Philadelphia (2016)
  • "VP Shunt Malfunction with Seizure Simulation Sessions" Pediatric Critical Care Medicine Regional Boot Camp, Children's Hospital of Philadelphia (2016)
  • "WCHOB Sepsis Initiative: Update" Pediatric Grand Rounds, University at Buffalo (2016)
  • "Recognizing Abnormal Vital Signs" Pediatric Resident Lecture Series, Women and Children's Hospital of Buffalo (2016)
  • "Submersion Injuries" Pediatric Resident Lecture Series, Women and Children's Hospital of Buffalo (2016)
  • "Pediatric Sepsis and Septic Shock" Pediatric Grand Rounds, University at Buffalo (2016)
  • "SIRS to Sepsis to MODS. And Back Again" Pediatric Resident Lecture Series, Women and Children's Hospital of Buffalo (2015)
  • "Cardiopulmonary Interactions" PICU Fellow Lecture Series, Women and Children's Hospital of Buffalo (2014)
  • "Diabetic Ketoacidosis in Children" Critical Care Nursing Education Seminar, Duke University Medical Center (2014)
  • "Respiratory Failure in Neuromuscular Disease" PICU Case Conference, Duke University Medical Center (2014)
  • "The Physiology of Gas Exchange" ECMO Specialist Training Program, Duke University Medical Center, Respiratory Care Services (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 (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" PICU Senior Fellow Lecture Series, Duke University Medical Center (2013)
  • "Arrythmias in the Pediatric Patient" PICU Resident Lecture Series, Duke University Medical Center (2013)
  • "Sedation in the Critically Ill Child" PICU Resident Lecture Series, Duke University Medical Center (2013)
  • "Thrombocytopenia-associated Multiorgan Failure" PICU Case Conference, Duke University Medical Center (2013)
  • "Supraventricular Tachycardia" PICU Case Conference, Duke University Medical Center (2013)
  • "Introduction to ECMO" PICU Resident Lecture Series, Duke University Medical Center (2013)
  • "Trauma in the Pediatric Patient" PICU Resident Lecture Series, Duke University Medical Center (2013)
  • "Introduction to ECMO" PICU Resident Lecture Series, Duke University Medical Center (2012)
  • "Shock" PICU Resident Lecture Series, Duke University Medical Center (2012)
  • "Sensitivity and Specificity in Research" PICU Evidence-Based Medicine Lecture Series, Duke University Medical Center (2012)
  • "Hemoptysis in a Fontan Patient" PICU Case Conference, Duke University Medical Center (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 (2012)
  • "Septic Shock" PICU Resident Lecture Series, Duke University Medical Center (2012)
  • "Inborn Errors of Metabolism - Approach to Diagnosis" PICU Resident Lecture Series, Duke University Medical Center (2011)
  • "Blunt Trauma in a Three Year Old" PICU Case Conference, Duke University Medical Center (2011)
  • "Management of Traumatic Brain Injury" PICU Resident Lecture Series, Duke University Medical Center (2011)
  • "Single Ventricle Physiology" PICU Resident Lecture Series, Duke University Medical Center (2011)
  • "Septic Shock in a Transplant Patient" PICU Case Conference, Duke University Medical Center (2011)
See all (53 more)

Service Activities:
  • American Association for Physician Leadership; Member (2016–2017)
  • Oishei Children‘s Hospital: Code Blue Committee; Chair (2016–present)
  • Oishei Children‘s Hospital: Pediatric Grand Rounds; Director (2015–present)
  • Kaleida Health: Code Blue Committee; Committee Member (2015–present)
  • Oishei Children‘s Hospital: Quality Assurance Committee; Committee Member (2015–present)
  • Oishei Children‘s Hospital: Severe Sepsis QA Committee; Committee Member (2015–present)
  • University at Buffalo Jacobs School of Medicine and Biomedical Sciences: Pediatrics Teaching Interest Group; Member (2015–present)
  • Duke University School of Medicine: MSII Patient Safety Symposium - ‘Patient Safety Case Studies‘; Small Group Leader (2013)
  • Duke University Medical Center: Education Task Force; Member (2013–2014)
  • Duke University Medical Center: Patient Safety and Quality Council; Member (2013–2014)
  • Duke University Medical Center: Pediatric Residency Mock Code/Simulation Program; Supervising Fellow (2013–2014)

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Contact Information

UBMD Pediatrics
Division of Critical Care
1001 Main Street
Buffalo, NY 14203
Phone: (716) 323-0200
Fax: (716) 323-0293
ryanbrue@buffalo.edu
View map

Looking for a doctor? This faculty member is affiliated with UBMD, the group comprised of practicing physicians who are also professors in the UB Jacobs School of Medicine and Biomedical Sciences.

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