YuKawaiMD

Pediatric Critical Care Medicine, Pediatric Cardiac Critical Care

Assistant Professor, QI Medical Director of PICU and Peds CVS ICU

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I am a pediatric intensivist and the local site PI for a multi-institutional quality improvement initiative, the Pediatric ICU Liberation. Mayo Clinic is one of the 8 centers involved in this major national project to implement the ABCDEF Bundle to improve the care of critically ill children. I am also the physician liaison for the Pediatric Delirium Team and the Pediatric Mobility Team as part of the Liberation project. I developed a pediatric delirium management and prevention bundle called the Bundle to Eliminate Delirium (BED) to mitigate the iatrogenic and reversible drivers of delirium. The bundle especially focuses on improving the quality of sleep in the PICU as poor sleep quality is associated with delirium. I also represent our local ICUs in another multi-institutional quality improvement collaborative, the Improving Pediatric Sepsis Outcome, to detect, manage, and prevent severe sepsis and septic shock.

University of Michigan Medical SchoolPatient Safety and Quality Leadership (PASQUAL) Scholars Program, Quality Improvement, 2015 - 2016
University of MichiganFellowship, Pediatric Critical Care Medicine, 2013 - 2016
University of MichiganResidency, Internal Medicine/Pediatrics, 2009 - 2013
Case Western Reserve University School of MedicineClass of 2009
University of MichiganBS, Bio-psychology & Cognitive Science, 2001 - 2005

MN State Medical License 2016 - 2025
WI State Medical License 2019 - 2025
American Board of Internal Medicine Internal Medicine
American Board of Pediatrics Pediatrics
American Board of Pediatrics Pediatric Critical Care Medicine
American Heart AssociationBLS, ACLS, PALS
Mayo ClinicQuality Fellow: Bronze
Society of Critical Care MedicinePediatric Fundamental Critical Care Support (PFCCS)

Teacher of the Year Pediatrics and Subspecialties Mayo Clinic, 2020
Pediatric Resident Favorite Faculty Award Mayo Clinic, 2018-2019
Above & Beyond Employee Recognition Program, Mayo Clinic, 2017, 2019
Bronze Snapshot Abstract Award Society of Critical Care Medicine, 2018
2nd Highest Rated Quality Improvement Abstract, Quality Conference Quality Conference, Mayo Clinic, 2018
Highest Rated Quality Improvement Abstract Quality Conference, Mayo Clinic, 2018
MSU/WSU Research Symposium Abstract Poster of Distinction Michigan State University, 2018
Children’s Research Center Symposium Best Poster Award Mayo Clinic, 2018
PICU Liberation Collaborative Site Team Leader Appreciation Society of Critical Care Medicine, 2017
Making a Difference Award Employee Recognition Program, University of Michigan Health System, 2011-2012, 2014, 2016
Pediatric Fellow of the Year Teaching Award Department of Pediatrics, University of Michigan Medical School, 2014
Most Outstanding Pediatric Resident Scholarly Activity Project Department of Pediatrics, University of Michigan Medical School, 2013
High Distinction (top 10% of the graduating class) University of Michigan, 2005
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PubMed

172 citations
Delirium in Critically Ill Children: An International Point Prevalence Study∗
Chani Traube, Gabrielle Silver, Ron W Reeder, Hannah Doyle, Emily Hegel
Critical Care Medicine. 2017-04-01
19 citations
National Survey on Pediatric Acute Agitation and Behavioral Escalation in Academic Inpatient Pediatric Care Settings
Nasuh Malas, Linden M. Spital, Jason B. Fischer, Yu Kawai, David Cruz
Psychosomatics. 2017-05-01
17 citations
Family Presence During Pediatric Tracheal Intubations
Ronald C. Sanders, Sholeen Nett, Katherine Finn Davis, Margaret M. Parker, G. Kris Bysani
JAMA Pediatrics. 2016-03-01

Books/Book Chapters

Checklist for Early Recognition and Treatment of Acute Illness in Pediatrics (CERTAINp)
Chapter: Delirium
Yu KawaiEdition 2nd,2017

Pediatric DeliriumJune 2016
Interpreting Lactic Acidosis in an Asthmatic on a Continuous Albuterol NebulizerJune 2015
Reviews: Dexamethasone pretreatment for 24 h versus 6 h for prevention of postextubation airway obstruction in children: a randomized double-blind trialDecember 2014

Pediatric ICU Team Success: Implementing the ICU Liberation CampaignMay 22nd, 2021
ICU Liberation Labs: Engaging the Team Ensures the ICU Liberation Bundle Improves Patient OutcomesMay 22nd, 2021
Pediatric ICU Liberation: Collaborative Members Share Their SuccessMay 22nd, 2021

Improving Quality of Sleep in the PICU by Modifying Human Behavior to Minimize Nocturnal Noise PollutionMayo Clinic2019–Present
Patient Safety and Quality Leadership (PASQUAL) Scholars GrantUniversity of Michigan Health System2015–2016
Fostering Innovation GrantUniversity of Michigan Health System2014–2016
T35 National Heart, Lung, and Blood Institute, Short-term Research Training GrantNIH2006–2009

PICU Physician Liaison, Acetaminophen Toxicity Workgroup 2018 - Present
PICU Physician Liaison, Chimeric Antigen Receptor T Cell Therapy Committee 2018 - Present
PICU and Pediatric CICU Physician Liaison, EPIC Super User 2018 - Present
PICU and Pediatric CICU Physician Liaison, Critical Care Integrated Medical Practice QI Committee 2017 - Present
PICU Physician Liaison, Pediatric Post Intensive Care Unit Syndrome Team 2017 - Present
Site Principal Investigator, Prevalence of Acute Rehab for Kids in the PICU 2017 - Present
Site Instructor, Pediatric Fundamental Critical Care Support - Society of Critical Care Medicine 2017 - Present
PICU Physician Liaison, Pediatric Early Mobility Team 2016 - Present
PICU Physician Liaison, Pediatric Delirium Team 2016 - Present
Site Principal Investigator, Pediatric ICU Liberation Collaborative 2016 - Present
PICU Physician Liaison, Improving Pediatric Sepsis Outcomes (IPSO) 2016 - Present
PICU Physician Liaison, Pediatric ICU CLABSI Team 2016 - Present

Assistant ProfessorQuality improvement initiative to screen, diagnose, manage, and prevent pediatric delirium in the ICU2016 - Present
Pediatric Critical Care FellowQuality improvement initiative to screen, diagnose, manage, and prevent pediatric delirium in the ICU2013 - 2016
Internal Medicine and Pediatrics ResidentOutcome of children using extracorporeal life support, therapeutic plasma exchange, and continuous renal replacement therapy in sepsis induced multiorgan dysfunction syndrome2010 - 2013
Medical StudentDiagnostic and therapeutic approach to pulmonary vein occlusion after pulmonary vein isolation2007 - 2010
Medical StudentCognitive and behavioral performance in children who underwent cardiac surgery for congenital heart disease2005 - 2007