Ryan D. Coleman, MD

Personal Statement

Care for critically ill children requires not only an understanding of the disease, but of the child and family affected by the disease as well.  My approach to providing care to these children and their families is to always keep in mind “what would I want if it were one of my children?” and ensure that the therapy I recommend stays in line with that tenet.  With all of the technology available today, it is imperative that we ensure we are doing things because we should, not simply because we can.

Clinical Interests:

My clinical interests include patients with severe pulmonary hypertension, right heart failure and exploring the role of both mechanical support and surgical options for these patients.  I provide intensive care to children with varying diseases, from those with oncologic processes to traumatic brain injury.  I am also particularly interested in pediatric ECMO for cardiorespiratory support, including patients with septic shock and those with acute respiratory failure that are difficult to manage.  To this end, I am also part of the Texas Children’s Hospital ECMO transport team.

I am actively involved in the clinical ethics services at Baylor and Texas Children’s Hospital.  I have been a part of the clinical ethics committee for the past 7 years, and also help facilitate courses for the medical students and residents at Baylor College of Medicine.

Research Interests:

Pediatric ECMO

Severe pulmonary hypertension and right heart failure

Pediatric bioethics

Education

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Organizations

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* Texas Children’s Hospital physicians’ licenses and credentials are reviewed prior to practicing at any of our facilities. Sections titled From the Doctor, Professional Organizations and Publications were provided by the physician’s office and were not verified by Texas Children’s Hospital.

Adair A, Greene SC, Greeley CS, Coleman R, Shekerdemian L.  Synthetic cannabinoid exposure: a new risk for children?  Clinical Pediatrics 2016; 55(11):1075-77. PMID 27550872.

Salazar JD, Zafar F, Siddiqui K, Coleman RD, Morales DL, Heinle JS, Rossano JW, Mossed E, Fraser CD Jr. Fenestration during Fontan palliation: now the exception instead of the rule. Journal of Thoracic and Cardiovascular Surgery 2010 Jul;140(1): 129-36.  PMID: 20620378.

Sharef S, Coleman R, Rivenes S, Wilmot I, Altman C, Madden-Fuentes R, Salazar J.  Stentless Xenograft Implantation in the Aortic Position for a 7-year-old Pediatric Patient. Texas Heart Institute Journal 2010; 37(3): 347-9.  PMID 20548820.

Salazar J, Coleman RD, Griffith S, McNeil JD, Steigelman M, Young H, Hensler B, Dixon P, Calhoon J, DiGeronimo R.  Selective Cerebral Perfusion: Real-time Evidence of Brain Oxygenation and Energy Metabolism Preservation.  Annals of Thoracic Surgery 2009 Jul; 88(1): 162-9.   PMID: 19559218.

Salazar J, Coleman RD, Griffith S, McNeil J, Young H, Calhoon J, Serrano F, DiGeronimo R. Brain preservation with selective cerebral perfusion for operations requiring circulatory arrest: protection at 25C is similar to 18C with shorter operating times. European Journal of Cardiothoracic Surgery 2009 Jul;88(1):162-9. PMID 19481468.

Coleman R, Chartan C, Varghese P. Pulmonary Hypertension in Congenital Heart Disease, in: Challenging Concepts - Congenital and Acquired Heart Disease in the Young. 2017. Eds M Rigby and S Jivanji.

Coleman R and Checchia P.  ECMO In High-Risk Populations, in: Current Concepts in Pediatric Critical Care 2015. 2015. Eds MR Rigby and AL Graciano.

Stein F and Coleman R. Point of View – The Intensivist, In: Communicating with Pediatric Patients and their Families: The Texas Children’s Hospital Guide for Physicians, Nurses and Other Health Care Professionals. 2014. Eds M Lorin, D Palazzi, A Cabrera, M Ward, T Turner.