Clinical Focus


  • Anesthesia
  • Pediatric Pain

Academic Appointments


Administrative Appointments


  • Director, Pediatric Anesthesia Resource center (2014 - Present)

Professional Education


  • Fellowship:AI Dupont Hospital for Children (2008) DE
  • Board Certification: Pain Medicine, American Board of Pain Medicine (2013)
  • Professional Education:Helms Medical Institute (2015) CA
  • Board Certification: Pediatric Anesthesia, American Board of Anesthesiology (2013)
  • Board Certification: Anesthesia, American Board of Anesthesiology (2008)
  • Residency:Thomas Jefferson Univ Hospital (2007) PA
  • Internship:Morehouse School of Medicine (2004) GA
  • Medical Education:Terna Medical College (1999)

All Publications


  • Management of a Ventral Cerebrospinal Fluid Leak With a Lumbar Transforaminal Epidural Blood Patch in a Child With Persistent Postdural Puncture Headache: A Case Report. Regional anesthesia and pain medicine D'souza, G., Seidel, F. G., Krane, E. J. 2017; 42 (2): 263-266

    Abstract

    Postdural puncture headache (PDPH) is an uncommon sequel of lumbar puncture in children. When conservative treatment with bed rest, hydration, and caffeine are ineffective, epidural blood patches are recommended and are generally effective. The purpose of this report was to highlight that when lumbar epidural blood patches fail to eliminate PDPH, diagnostic evaluation should be performed and alternative treatment sought.An unusual case is described of an 11-year-old boy with PDPH, which was successfully managed with a ventral (anterior) epidural blood patch and epidural saline infusion after headache and other symptoms failed to resolve after conservative treatment and conventionally performed blood patches.Ineffectiveness of conservative measures and epidural blood patches performed posteriorly to resolve PDPH should lead the physician both to question the diagnosis of PDPH by pursuing radiographic confirmation of a cerebral spinal fluid leak and, furthermore, identification of its location to best direct further therapy.

    View details for DOI 10.1097/AAP.0000000000000562

    View details for PubMedID 28178090