- Education and Training
MD - University of Saskatchewan. Saskatoon, Saskatchewan, Canada
Pediatrics - Alberta Children's Hospital, Calgary, Canada
Chief Resident, 2004-05
Pediatric Critical Care - Stollery Children's Hospital, Edmonton, Alberta, Canada
Pediatric Cardiac Critical Care - The Children's Hospital of Philadelphia, Philadelphia, PA
Pediatric Specialist - The Royal College of Physicians and Surgeons of CanadaPediatrics
BA in History - University of Saskatchewan. Saskatoon, Saskatchewan, Canada
- Titles and Academic Titles
Staff Cardiac lntensivist, Cardiac ICU
Instructor of Pediatrics, Perelman School of Medicine at the University of Pennsylvania
- Departments and Services
- Research Interests
Ethics of implementing new innovation
Institutional learning curves
Ethical challenges surrounding medical futility
Perioperative outcomes in tetralogy of Fallot
Misfeldt, AM, Kirsch RE, Goldberg DJ, Mascio CE, Nairn MY, Zhang X, Mott AR, Ravishankar C, Rossano JW. Outcomes of Single Ventricle Patients Supported with ECMO. Manuscript submitted for publication Jan 2015.
Kirsch RE, Glatz AC, Gaynor JW, Nicolson SC, Spray TL, Wernovsky G, Bird GL. Results of elective repair at 6 months or younger in 277 patients with tetralogy of Fallot: A 14-year experience at a single center. The Journal of Thoracic and Cardiovascular Surgery 2014; 147:713-7.
Kang Tl, Santucci G, Rychik J, Kovacs AH, Kirsch RE. Advanced Care Planning for Young Adults and Children With Congenital Heart Disease: A Panel Discussion. World Journal for Pediatric and Congenital Heart Surgery 2013 January; 4:7-9; Supplementary Material. Epub.
Posters and Presentations
Goldberg DJ, Ravishankar C, Kirsch RE, Nairn MY, Mott AR, Rossano JR. Outcomes and risk factors for children with single ventricle physiology who are supported with ECMO. Poster presentation at American College of Cardiology: ACC.13 Discovery to Delivery, March 2013, San Francisco, CA.
Kirsch R, Goldberg DJ, Nairn MY, Mott AR, Rossano JW, Ravishankar C. Extracorporeal Membrane Oxygenation in Children with Single Ventricle Anomalies: At What Cost? Poster presentation at the 29th Annual CNMC Symposium: ECMO & the Advanced Therapies for Respiratory Failure, February 2013, Denver, CO.
"End of Life Care for Patient with Heart Failure on VAD: When and How to Stop?" Invited Speaker, Heart Failure/Transplant Breakout, The Pediatric Cardiac Intensive Care Society, 10th International Conference, Miami, FL
"CICU Rounds ECLS Simulation", Invited Instructor, 10th International Conference on Pediatric Mechanical Circulatory Support Systems & Pediatric Cardiopulmonary Perfusion. Philadelphia, PA
"Minimizing Adverse Effects of CPB: A Multidisciplinary Approach: Cardiac lntensivist's Perspective" Invited Speaker, Plenary Session, 10th International Conference on Pediatric Mechanical Circulatory Support Systems & Pediatric Cardiopulmonary Perfusion. Philadelphia, PA
"Palliative Care in Congenital Heart Disease: The Limits of What We Can and Should Do", Invited Expert, Moderated Panel of Experts, Cardiology 2014, 1f h Annual Update on Pediatric and Congenital Cardiovascular Disease, Innovations: What We Know. What We Need to Learn. Where we Need to Be. Orlando, FL
"What ICU Practice in the Developing World Offers the Ivory Tower Who Needs to Innovate", Invited Speaker, Cardiology 2014, 1fh Annual Update on Pediatric and Congenital Cardiovascular Disease, Innovations: What We Know. What We Need to Learn. Where we Need to Be. Orlando, FL.
"How Does What Happens in the OR Impact Patient Care?" Invited Speaker, Cardiology 2014, 171h Annual Update on Pediatric and Congenital Cardiovascular Disease, Innovations: What We Know. What We Need to Learn. Where we Need to Be. Orlando, FL
"Palliative Care in Congenital Heart Disease: When to Start", Invited Speaker, Cardiovascular Seminar: Palliative Care in Congenital Heart Disease: Not Just at End of Life, CVS.209, American Heart Association, Scientific Sessions 2013, Dallas, TX
"When Quality of Life Conflicts with Reasonable Therapy: The Ethics of End Stage Heart Failure", Invited Speaker, Ethics and End Stage Heart Failure, Pediatric Heart Failure Summit, Houston, TX
"The Ethics of Stopping ECMO", Invited Speaker, Ethical and Social Issues in ECLS Care, 24th Annual ELSO Conference, Philadelphia, PA.
- Editorial and Academic Positions
2012-present, World Journal for Pediatric and Congenital Heart Surgery, reviewer
Academic and Institutional Committees
2012-present, ECMO Anticoagulation Committee
2012-present, ECMO Operations Committee
2008-present, CICU Quality and Patient Safety Team Committee
Memberships in Professional Organizations
2006-present, Royal College of Physicians and Surgeons Canada
2002-present, Canadian Pediatric Society
2008-present, Pediatric Cardiac Intensive Care Society
2007-present, Society of Critical Care Medicine
2006-present, American Academy of Pediatrics
- Editorial and Academic Positions