Ryan K. Breuer MD
Ryan K. Breuer
MD
Clinical Assistant Professor
Jacobs School of Medicine & Biomedical Sciences
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, 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:
- 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:
- 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).
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 Academy of Pediatrics
Presentations:
- "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)
- "The DNR Order in the Pediatric Intensive Care Unit" 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)
- "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)
- "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)
- "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, Women and Children's Hospital of 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, Women and Children‘s Hospital of 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)
Service Activities:
- American Association for Physician Leadership; Member (2016–2017)
- Women and Children's Hospital of Buffalo: Code Blue Committee; Chair (2016–present)
- Women and Children‘s Hospital of Buffalo: Pediatric Grand Rounds; Director (2015–present)
- Kaleida Health: Code Blue Committee; Committee Member (2015–present)
- University at Buffalo Jacobs School of Medicine and Biomedical Sciences: Teaching Interest Group (Pediatrics); Member (2015–present)
- Women and Children‘s Hospital of Buffalo: Quality Assurance Committee; Committee Member (2015–present)
- Women and Children‘s Hospital of Buffalo: Sepsis Quality Assurance Committee; Committee 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)