Peta-Maree Alexander, MBBS
Senior Associate Cardiologist, Department of Cardiology
Associate Professor of Pediatrics, Harvard Medical School
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Peta-Maree Alexander, MBBS
Senior Associate Cardiologist, Department of Cardiology
Associate Professor of Pediatrics, Harvard Medical School
Medical Services
Languages
English
Education
Undergraduate School
University of Queensland
1995
Brisbane
Australia
Medical School
University of Queensland
2000
Brisbane
Australia
Internship
St. George Hospital
2002
Sydney
Australia
Residency
The Canberra Hospital
2001
Canberra
Australia
Fellowship
Royal Children's Hospital
2003
Canberra
Australia
Professional History
I have benefited from clinical training in the United Kingdom, Australia and Boston in the USA in Pediatric Cardiology and Critical Care Medicine. During this time, I have completed 2 fellowships in Heart Failure, Transplantation and Mechanical Circulatory Support. My clinical practice and research interests are focused around the care of these patients, who often require extended CICU admissions. Boston Children’s Hospital has been internationally renowned for clinical innovation and genuine advancement of the field of Pediatric Cardiology and Cardiac Surgery and I am delighted to be a part of this team.
Approach to Care
I have the most remarkable job in the world and I can honestly say that I know how privileged I am to be in this role. It is a privilege to care for patients before, sometimes during and certainly after their surgery. Families are often well prepared before their admission, with advances in prenatal diagnosis and imaging detail available to have a plan for surgical intervention and appropriate counseling – but someone’s baby (or child/adolescent/partner or parent) undergoing a cardiac intervention is always a big deal.
It is a privilege to work with the extraordinary multi-disciplinary team of specialized nurses, educators, cardiac surgeons, cardiologists and dedicated cardiac intensive care physicians. We share an expectation of excellence in family centered care and a dedication to advancing this rapid-paced field.
It is a privilege to see the tenacity of our patients and the way children of all ages recovery quickly from interventions. We meet the most remarkable families – advocates and participants in their child/family member’s care, and it is a privilege to share this sometimes difficult journey with them.
Many patients who come to Boston Children’s Hospital with congenital cardiac disease for operative intervention spend only a short period in CICU, and need only a glimpse of the care we offer. But for those patients and families who need more intensive care - longer, more complicated admissions for more complicated underlying disease, we have a unique multi-disciplinary team who is ready for the challenge and prepared to share the journey.
It is a privilege to work with the extraordinary multi-disciplinary team of specialized nurses, educators, cardiac surgeons, cardiologists and dedicated cardiac intensive care physicians. We share an expectation of excellence in family centered care and a dedication to advancing this rapid-paced field.
It is a privilege to see the tenacity of our patients and the way children of all ages recovery quickly from interventions. We meet the most remarkable families – advocates and participants in their child/family member’s care, and it is a privilege to share this sometimes difficult journey with them.
Many patients who come to Boston Children’s Hospital with congenital cardiac disease for operative intervention spend only a short period in CICU, and need only a glimpse of the care we offer. But for those patients and families who need more intensive care - longer, more complicated admissions for more complicated underlying disease, we have a unique multi-disciplinary team who is ready for the challenge and prepared to share the journey.
Publications
Assessing Critical Care Delivery Using National-Level ICU Registry Data. View Abstract
Outcomes in pediatric ECPR for in-hospital cardiac arrest: an ELSO registry analysis. View Abstract
Generating Value Through Structural Investment: Rebalancing Value-Based Payment, Pay for Transformation, and Fee-for-Service. View Abstract
Left ventricular decompression in paediatric veno-arterial extracorporeal life support: Reviewing the evidence. View Abstract
Level of sedation in patients with COVID-19 supported with ECMO: A comparative analysis of the critical care consortium international database. View Abstract
ECMO-induced coagulopathy: strategic initiatives for research and clinical practice (a workshop report of the NHLBI). View Abstract
Clinical Trials for Pediatric Extracorporeal Membrane Oxygenation: The Time Is Now! View Abstract
Definitions of adverse events associated with extracorporeal membrane oxygenation in children: results of an international Delphi process from the ECMO-CENTRAL ARC. View Abstract
ACTION-ARC Pediatric and Adult Congenital Heart Disease Ventricular Assist Device Adverse Event Definitions-2023. View Abstract
Extracorporeal cardiopulmonary resuscitation for pediatric out-of-hospital cardiac arrest: A review of the Extracorporeal Life Support Organization Registry. View Abstract
Extracorporeal Cardiopulmonary Resuscitation Use Among Children With Cardiac Disease in the ICU: A Meta-Analysis and Meta-Regression of Data Through March 2024. View Abstract
Worldwide application and valuation of extracorporeal membrane oxygenation support during the COVID-19 pandemic (WAVES). View Abstract
The Influence of the Extracorporeal Membrane Oxygenation Circuit and Components on Anticoagulation Management: The Pediatric Extracorporeal Membrane Oxygenation Anticoagulation CollaborativE Consensus Conference. View Abstract
Recommendations on Monitoring and Replacement of Antithrombin, Fibrinogen, and Von Willebrand Factor in Pediatric Patients on Extracorporeal Membrane Oxygenation: The Pediatric Extracorporeal Membrane Oxygenation Anticoagulation CollaborativE Consensus Conference. View Abstract
Management of Extracorporeal Membrane Oxygenation Anticoagulation in the Perioperative Period: The Pediatric Extracorporeal Membrane Oxygenation Anticoagulation CollaborativE Consensus Conference. View Abstract
Management of Bleeding and Thrombotic Complications During Pediatric Extracorporeal Membrane Oxygenation: The Pediatric Extracorporeal Membrane Oxygenation Anticoagulation CollaborativE Consensus Conference. View Abstract
Executive Summary: The Pediatric Extracorporeal Membrane Oxygenation Anticoagulation CollaborativE (PEACE) Consensus Conference. View Abstract
Anticoagulant Medications: The Pediatric Extracorporeal Membrane Oxygenation Anticoagulation CollaborativE Consensus Conference. View Abstract
Anticoagulation Monitoring and Targets: The Pediatric Extracorporeal Membrane Oxygenation Anticoagulation CollaborativE Consensus Conference. View Abstract
Prophylactic Transfusion Strategies in Children Supported by Extracorporeal Membrane Oxygenation: The Pediatric Extracorporeal Membrane Oxygenation Anticoagulation CollaborativE Consensus Conference. View Abstract
Antifibrinolytic and Adjunct Hemostatic Agents: The Pediatric Extracorporeal Membrane Oxygenation Anticoagulation CollaborativE Consensus Conference. View Abstract
Priorities for Clinical Research in Pediatric Extracorporeal Membrane Oxygenation Anticoagulation From the Pediatric Extracorporeal Membrane Oxygenation Anticoagulation CollaborativE Consensus Conference. View Abstract
Targeting Hemodynamics of Cardiopulmonary Resuscitation to Cardiac Physiology-The Next Frontier for Resuscitation Science? View Abstract
Extracorporeal Cardiopulmonary Resuscitation in Children With Primary Noncardiac Diagnoses: Untangling a Complex Intervention. View Abstract
Formal Ethics Consultation in Extracorporeal Membrane Oxygenation Patients: A Single-Center Retrospective Cohort of a Quaternary Pediatric Hospital. View Abstract
Extracorporeal Life Support Organization Registry International Report 2022: 100,000 Survivors. View Abstract
The authors reply. View Abstract
Pediatric Highlights From the Extracorporeal Life Support Organization Registry: 2017-2022. View Abstract
Higher Survival With the Use of Extracorporeal Cardiopulmonary Resuscitation Compared With Conventional Cardiopulmonary Resuscitation in Children Following Cardiac Surgery: Results of an Analysis of the Get With The Guidelines-Resuscitation Registry. View Abstract
Adult Highlights From the Extracorporeal Life Support Organization Registry: 2017-2022. View Abstract
Percutaneous cannulation is associated with lower rate of severe neurological complication in femoro-femoral ECPR: results from the Extracorporeal Life Support Organization Registry. View Abstract
Thrombotic and hemorrhagic complications of COVID-19 in adults hospitalized in high-income countries compared with those in adults hospitalized in low- and middle-income countries in an international registry. View Abstract
The Reviewer Academy of the Society of Critical Care Medicine: Key Principles and Strategic Plan. View Abstract
Cardiac arrest and cardiopulmonary resuscitation in pediatric patients with cardiac disease: a narrative review. View Abstract
Realizing Potential: Pediatric Extracorporeal Membrane Oxygenation Needs Common Adverse Event Definitions to Improve Outcomes. View Abstract
Centrifugal or Roller Blood Pumps for Neonatal Venovenous Extracorporeal Membrane Oxygenation: Extracorporeal Life Support Organization Database Comparison of Mortality and Morbidity. View Abstract
Foundations of a life support equipment exchange platform. View Abstract
Extracorporeal Membrane Oxygenation Cannulation Timing in the Pediatric Myocarditis Population: An Exploratory Analysis From the Extracorporeal Life Support Organization Registry. View Abstract
The Use of Extracorporeal Membrane Oxygenation for COVID-19: Lessons Learned. View Abstract
Extracorporeal Membrane Oxygenation for Pediatric Toxin Exposures: Review of the Extracorporeal Life Support Organization Registry. View Abstract
Anticoagulation practices associated with bleeding and thrombosis in pediatric extracorporeal membrane oxygenation; a multi-center secondary analysis. View Abstract
A Monte Carlo Simulation Approach to Optimizing Capacity in a High-Volume Congenital Heart Pediatric Surgical Center. View Abstract
Pregnant and Peripartum Women with COVID-19 Have High Survival with Extracorporeal Membrane Oxygenation: An Extracorporeal Life Support Organization Registry Analysis. View Abstract
Risk Factors Associated With Bleeding in Children With Cardiac Disease Receiving Extracorporeal Membrane Oxygenation: A Multi-Center Data Linkage Analysis. View Abstract
Percutaneous versus surgical cannulation for femoro-femoral VA-ECMO in patients with cardiogenic shock: Results from the Extracorporeal Life Support Organization Registry. View Abstract
Pediatric Organ Dysfunction Information Update Mandate (PODIUM) Contemporary Organ Dysfunction Criteria: Executive Summary. View Abstract
Cardiovascular Dysfunction Criteria in Critically Ill Children: The PODIUM Consensus Conference. View Abstract
Extracorporeal Membrane Oxygenation Support for Influenza A: Retrospective Review of the Extracorporeal Life Support Organization Registry Comparing H1N1 With Other Subtypes. View Abstract
A Communication Guide for Pediatric Extracorporeal Membrane Oxygenation. View Abstract
Cardiopulmonary Resuscitation and Rescue Therapies. View Abstract
Venoarterial Extracorporeal Membrane Oxygenation for Postcardiotomy Shock-Analysis of the Extracorporeal Life Support Organization Registry. View Abstract
Ongoing Variability in Pediatric Extracorporeal Membrane Oxygenation Anticoagulation Practices-Could Consensus Change the Next Survey Results? View Abstract
Extracorporeal Life Support Organization (ELSO): Guidelines for Pediatric Cardiac Failure. View Abstract
Pediatric Extracorporeal Cardiopulmonary Resuscitation ELSO Guidelines. View Abstract
Life-Threatening Hemoptysis in a Pediatric Referral Center. View Abstract
On the Academic Value of 30 Years of the Extracorporeal Life Support Organization Registry. View Abstract
Role of extracorporeal membrane oxygenation in children with sepsis: a systematic review and meta-analysis. View Abstract
Pediatric Cardiac Intensive Care Distribution, Service Delivery, and Staffing in the United States in 2018. View Abstract
Extracorporeal Membrane Oxygenation in Myocardial Infarction Complicated by Cardiogenic Shock: Analysis of the ELSO Registry. View Abstract
Pediatric oncology-The final frontier for extracorporeal membrane oxygenation in children? View Abstract
Childhood Viral Respiratory Infection and Congenital Heart Disease: Many Questions Remain Unanswered. View Abstract
Association Between Arterial Carbon Dioxide Tension and Clinical Outcomes in Venoarterial Extracorporeal Membrane Oxygenation. View Abstract
Intubation precautions in a pediatric patient with severe COVID-19. View Abstract
Extracorporeal Membrane Oxygenation Support After Heart Transplantation in Children-Outcomes of a Single Center Cohort. View Abstract
Pediatric donor management to optimize donor heart utilization. View Abstract
ISHLT consensus statement on donor organ acceptability and management in pediatric heart transplantation. View Abstract
Mortality and Factors Associated With Hemorrhage During Pediatric Extracorporeal Membrane Oxygenation. View Abstract
Outcomes of Infants Supported With Extracorporeal Membrane Oxygenation Using Centrifugal Versus Roller Pumps: An Analysis From the Extracorporeal Life Support Organization Registry. View Abstract
Another Outcome Lost to the Benefits of Levosimendan? View Abstract
Pediatric Hemoptysis without Bronchiectasis or Cardiac Disease: Etiology, Recurrence, and Mortality. View Abstract
Structured review of post-cardiotomy extracorporeal membrane oxygenation: part 1-Adult patients. View Abstract
Highlights from the Extracorporeal Life Support Organization Registry: 2006-2017. View Abstract
Structured review of post-cardiotomy extracorporeal membrane oxygenation: Part 2-pediatric patients. View Abstract
Epidemiology of childhood death in Australian and New Zealand intensive care units. View Abstract
The Extracorporeal Life Support Organization Registry: update and perspectives. View Abstract
Accurate Prediction of Congenital Heart Surgical Length of Stay Incorporating a Procedure-Based Categorical Variable. View Abstract
Factors Associated With Mortality in Children Who Successfully Wean From Extracorporeal Membrane Oxygenation. View Abstract
An Ethical Claim for Providing Medical Recommendations in Pediatric Intensive Care. View Abstract
RBC Exposure in Pediatric Extracorporeal Membrane Oxygenation: Epidemiology and Factors Associated With Large Blood Transfusion Volume. View Abstract
Long-Term Outcomes of Hypertrophic Cardiomyopathy Diagnosed During Childhood: Results From a National Population-Based Study. View Abstract
Outcomes in Pediatric Dilated Cardiomyopathy: Quo Vadis? View Abstract
Does Birth at Early-Term Gestation Increase Mortality for Neonates on Extracorporeal Life Support After Cardiac Surgery? View Abstract
Pediatric Extracorporeal Life Support Organization Registry International Report 2016. View Abstract
Effect of anti-heart failure therapy on diastolic function in children with single-ventricle circulations. View Abstract
Association of hemodynamic profiles with wait-list mortality in children listed for heart transplantation with idiopathic dilated cardiomyopathy. View Abstract
Long-term outcomes of dilated cardiomyopathy diagnosed during childhood: results from a national population-based study of childhood cardiomyopathy. View Abstract
Respiratory syncytial virus immunoprophylaxis in high-risk infants with heart disease. View Abstract
Anterior mediastinal lymphangioma in an infant: diagnosis and surgical management. View Abstract
Molecular basis for clinical heterogeneity in inherited cardiomyopathies due to myopalladin mutations. View Abstract
Outcomes of second-run extracorporeal life support in children: a single-institution experience. View Abstract
Rotating inotrope therapy in a pediatric population with decompensated heart failure. View Abstract
Obstetric and neonatal outcomes in severe fetal ventriculomegaly. View Abstract
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