Regina Okhuysen-Cawley, MD

Department or Service


  • Texas Medical Center


Critical Care
Palliative Care

Phone: 832-824-1000 (Critical Care) | 832-822-7228 (Palliative Care)
Fax: 832-825-0341 (Critical Care) | 832-825-7829 (Palliative Care

Contact Information

6621 Fannin Street
Houston, TX 77030
United States
Texas US

Associate Professor, Sections of Critical Care Medicine and Palliative Care

Baylor College of Medicine


School Education Degree Year
University of Texas Medical School at Houston fellowship Pediatric Critical Care 1994
Rush University Medical Center residency Pediatrics 1989
Autonoma de Guadalajara medical school Doctor of Medicine 1984


I am a pediatric intensivist also certified in Palliative Medicine, which focuses on the care of seriously ill children, their families, and their medical teams. It is a privilege to provide direct care to these children and families as part of an outstanding multidisciplinary team, and to support Texas Children’s Hospital and Baylor College of Medicine’s clinical and educational outreach programs throughout the world.

Clinical Interests

Bedside care of the seriously ill, medical education, global health, family and team support, and bioethics.

Research Interests:

Variability in practice and provision of critical care and palliative care services throughout the world; use of instruments to facilitate communication of important information in the context of life-limiting or serious illness.


Organization Name Role
American Academy of Pediatrics (AAP) Fellow; contributor to Bioethics publications
American Association of Hospice and Palliative Medicine (AAHPM) Member; Global SIG preceptor
Asociacion Latinoamericana de Cuidados Paliativos (ALCP – Latin American Palliative Care Society) Immediate past chair, Pediatric Taskforce; representative for North America (Canada, USA, Mexico and Guatemala)
International Children’s Palliative Care Network (ICPCN) Representative for Latin America, International Board of Directors.
Society of Critical Care Medicine (SCCM): Pediatrics, Ethics, Educational Taskforce Member Member
Society of Pediatric Sedation Member

Selected Publications

Davis AL, Carcillo MD, Aneja RK, Nguyen, T, Okhuysen-Cawley R et al. American College of Critical Care Medicine Clinical Practice Parameters for Hemodynamic Support of Pediatric and Neonatal Septic Shock. Critical Care Medi 2017 June; 45(6) 1061-1093.

Hayes-Jordan A, Green H, Lin H, Owusu-Agyemang P, Mejia R, Okhuysen-Cawley R, Cortes J, Fitzgerald NE, McAleer MF, Herzog C, Huh WW, Anderson P. Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy (HIPEC) for Children, Adolescents and Young Adults: the first 50 cases.  Ann Surg Oncol 2015 May; 22(5):1726-32.

Reddy GD, Okhuysen-Cawley R, Harsh V, Viswanathan A: Percutaneous CT-guided cordotomy for    the treatment of pediatric cancer pain. J Neurosurg Pediatr 2013 Jul;12(1):93-6.

Book Chapters:

Regina Okhuysen-Cawley, Kimberly Lehecka, and Joseph Carcillo: “Evaluation and Management of Pediatric Shock” In: Textbook of Pediatric Fundamental Critical Care Support, Society of Critical Care Medicine, 2008, 2013; 2018 in press.

Regina Okhuysen-Cawley, Sunil Sahai, Peter M. Anderson. "Pediatric Oncology Emergencies" In: Oncology Emergencies. Springer-Verlag. 2016.

Rodrigo Mejia, Regina Okhuysen-Cawley, et al: “Pediatric Oncology Emergencies” in Rogers’ Textbook of Pediatric Intensive Care, Nichols and Schaffner, Editors. Wolters Kluwer, 2016.

Regina Okhuysen-Cawley : Pain and Opioids in Children.  In “Textbook of Palliative Medicine and Supportive Care”, Second Edition; Eduardo Bruera, Editor.  Hodder, 2014.