Neha Goel
Icahn School of Medicine at Mount Sinai, NY·Medicine & Clinical Research·Early-career
When patients arrive at the emergency department struggling to get enough oxygen, a common treatment is high flow nasal oxygen (HFNO). It delivers warmed, humidified oxygen at high rates through tubes in the nose.
- Fields
Medicine & Clinical Research
Public Health & Epidemiology
- Topics
acute respiratory failure
hypoxemia
high flow nasal oxygen
- Grants
- 1 known grant, through Jan 2028
What they work on
- Develop a practical protocol for using and managing high flow nasal oxygen (HFNO) for low-oxygen acute respiratory failure in the emergency department, using feedback from a national panel of experts and current evidence.
- Select implementation strategies that address the barriers and supports for following the HFNO protocol, matched to the emergency department's capabilities, resources, and patient needs.
- Run a pilot hybrid effectiveness-implementation study measuring both how the HFNO protocol is adopted and the related clinical outcomes, to guide a future multi-system trial.
More about the research
HFNO use rose sharply during the COVID-19 pandemic. Yet there is little guidance on how emergency departments should use and monitor it, and patients can suffer poor outcomes without clear rules. This career-development project uses implementation science, the study of how to get proven practices adopted in real clinical settings. The goal is to standardize HFNO care for hypoxemic acute respiratory failure, meaning failure marked by low blood oxygen.
Why it matters
More than a million acutely ill patients come to U.S. emergency departments each year with breathing complaints, and their care for acute respiratory failure varies widely. A tested, evidence-based protocol for high flow nasal oxygen could make care more consistent. It could also improve outcomes for these patients and later be spread across health systems.
Known grants
From NIH and NSF research grants. Labs often have other funding we can't see.
Closest labs
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Clemson University, SC·Engineering
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University of Florida, FL·Pharmacology
Expand pharmacogenetic prescribing decision support for emergency and post-emergency care to include drug–drug–gene interactions, more gene–drug pairs, pharmacist medication reviews and recommendations for prescribers outside the health system.
Jacqueline Kruser
University of Wisconsin-Madison, WI·Medicine & Clinical Research
Map how time-limited trials of mechanical ventilation are actually carried out in five ICUs, using focused ethnography of 50 trials in patients with acute respiratory failure.
The school
Icahn School of Medicine at Mount Sinai: 45 labs on PI Pages, $1.0B a year on research, 62 research doctorates a year.
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