Roxanne Kirsch, MD, FRCPC, FAAP

Roxanne Kirsch, MD, is an attending physician with the Cardiac Center and Anesthesiology and Critical Care Medicine at CHOP.

Locations: Main Campus
Phone: 215-590-4040

  • Education and Training

    Medical School

    MD - University of Saskatchewan. Saskatoon, Saskatchewan, Canada

    Residency

    Pediatrics - Alberta Children's Hospital, Calgary, Canada
    Chief Resident, 2004-05

    Fellowship

    Pediatric Critical Care - Stollery Children's Hospital, Edmonton, Alberta, Canada
    Pediatric Cardiac Critical Care - The Children's Hospital of Philadelphia, Philadelphia, PA

    Board Certification

    Pediatric Specialist - The Royal College of Physicians and Surgeons of Canada
    Pediatrics

    Undergraduate Degree

    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
    Simulation instruction

  • Publications

    Papers

    2015

    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.

    2014

    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.

    2013

    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

    2013

    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 Ventri.cle Anomalies: At What Cost? Poster presentation at the 29th Annual CNMC Symposium: ECMO & the Advanced Therapies for Respiratory Failure, February 2013, Denver, CO.

    Invited lectures

    2014

    "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

    2013

    "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

    Editorial 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

  • Leaderships

    Memberships in Professional Organizations

    International

    2006-present, Royal College of Physicians and Surgeons Canada
    2002-present, Canadian Pediatric Society

    National 

    2008-present, Pediatric Cardiac Intensive Care Society
    2007-present, Society of Critical Care Medicine
    2006-present, American Academy of Pediatrics