Ryan K. Breuer MD

Ryan Breuer

Ryan K. Breuer
MD

Clinical Associate Professor

Department of Pediatrics

Jacobs School of Medicine & Biomedical Sciences


Specialty/Research Focus

Pediatric Critical Care Medicine; Pediatrics

Contact Information
UBMD Pediatrics
Division of Critical Care
1001 Main Street
Buffalo, New York 14203
Phone: (716) 323-0200
Fax: (716) 323-0293
ryanbrue@buffalo.edu


Patient Care

This faculty member is affiliated with UBMD, practicing physicians who are also professors in the Jacobs School.

View this physician on UBMD


Professional Summary:

As a pediatric intensivist, I am responsible evaluating and treating children and young adults afflicted with critical illness and varying degrees of end-organ dysfunction and failure. I am also actively involved in the supervision and education of medical students, resident physicians, and fellows in pediatric critical care medicine. My practice is located at the Pediatric Intensive Care Unit (PICU) at the John R. Oishei Children’s Hospital, where our division is committed to providing comprehensive, expert care and multidisciplinary support for the children of Western New York and their families.

Throughout the course of my subspecialty training, I developed a special interest in quality improvement, and personally developed an award-winning project at Duke Children’s Hospital in Durham, North Carolina which focused on streamlining and standardizing communication for all postoperative admissions to its pediatric ICU. This work, the first of its kind in a pediatric multidisciplinary, non-cardiac, ICU demonstrated sustainable improvements in communication errors, antibiotic delays, and pain control, upwards of one year after its implementation. I am looking forward to working with the expert teams here at Oishei Children’s Hospital to find ways in which we might build upon our mutual past successes and continue to help set the standard for best practice medicine.

Education and Training:

  • Certificate, Medical Educators, Royal College of Physicians (2018)
  • Certificate, Healthcare Quality Improvement, Duke University Medical Center (2014)
  • Certificate, Patient Safety and Quality Improvement, Duke University Medical Center (2014)
  • Fellowship, Pediatric Critical Care, Duke Children's Hospital (2014)
  • Residency, Pediatrics, UCLA - Mattel Children's Hospital (2011)
  • Internship, Pediatrics, UCLA - Mattel Children's Hospital (2009)
  • MD, Medicine, Stony Brook School of Medicine (2008)
  • BS, Human Biology, Health, and Society, Cornell University (2003)

Employment:

  • Program Director, Pediatric Critical Care Medicine fellowship, Pediatrics, University at Buffalo (2021-present)
  • Clinical Associate Professor, Pediatrics, University at Buffalo Jacobs School of Medicine & Biomedical Sciences (2020-present)
  • Medical Director, Respiratory Therapy of PICU, Oishei Children‘s Hospital (2019-present)
  • Associate Fellowship Program Director, Pediatric Critical Care Medicine, University at Buffalo (2017-present)
  • Attending Physician, Critical Care, Oishei Children's Hospital (2014-present)
  • Associate Program Director, Pediatric Critical Care Medicine fellowship, Pediatrics, University at Buffalo (2018–2021)
  • Clinical Assistant Professor, Pediatrics, University at Buffalo Jacobs School of Medicine & Biomedical Sciences (2014–2020)
  • Teaching Assistant, Molecules, Genes and Cells, SUNY Stony Brook School of Medicine (2005)
  • Teaching Assistant, Center for Developmental Disabilities (2002)
  • Teaching Assistant, Nutritional Sciences, Cornell University (2001)

Awards and Honors:

  • Buffalo Spree Magazine: Top Doctors in Western New York (2022-2023) (2022)
  • Buffalo Spree Magazine: Top Doctors in Western New York (2021-2022) (2022)
  • University at Buffalo Jacobs School of Medicine and Biomedical Sciences: Student Marshall (2018)
  • University at Buffalo Jacobs School of Medicine and Biomedical Sciences: Louis A. and Ruth Siegel Award - Teaching in the Clinical Program (2017)
  • Duke University Medical Center: First Prize Poster Presentation (2014)
  • Kappa Omicron Nu Honor Society (2003)
  • National Society of Collegiate Scholars (2002)
  • Phi Gamma Delta: Academic Excellence Award (2000)
  • Cornell University: Dean's List (1999-2003)
  • Buffalo Spree Magazine: Top Doctors in Western New York (2020-2021)
  • National Dean's List (2004-2006)

Research Expertise:

  • Patient Safety
  • Pediatric Advanced Airway Management
  • Pediatric Sepsis and Sepsis Education
  • Quality Improvement Science

UB 2020 Strategic Strengths:

  • Health and Wellness Across the Lifespan

Grants and Sponsored Research:

  • PICU Handoffs
    Role: Principal Investigator
  • PRESS (Pediatric Provider Experience with Sepsis and Septic Shock) Survey Study: From ER to ICU
    Role: Principal Investigator

Journal Articles:

See all (19 more)

Books and Book Chapters:

  • Breuer RK, Hassinger AB. (2018) In: "Electrolyte Derangements". McGraw-Hill
  • Hassinger AB, Breuer RK. (2018) In: "Maintenance Fluids". McGraw-Hill

Abstracts:

  • Preroff B, Marhia V, Michienzi K, Koshel C, Breuer RK. (2020) Acute Bilateral Blindness in a 10-Year Old Girl with AQP4-IGG-Negative Neuromyelitis Optica. Crit Care Med, (Jan) 263-263
  • Craig R, Breuer RK. (2020) Acute Polyinfection Producing Exorbitant Rhabdomyolysis and Renal Failure. Crit Care Med, (Jan) 691-691
  • Breuer RK. (2020) Nontraumatic Rupture of Abdominal Aortic Aneurysm in an 11-Year Old Boy. Crit Care Med, (Jan) 62-62
  • Hassinger AB, Breuer RK. (2018) The Impact of a Hospital-Wide Multidisciplinary Educational Sepsis Initiative. Crit Care Med, (Feb) 646-646
  • Quraishi M, Kallash M, Hassinger AB, Breuer RK. (2018) Acute Kidney Injury in Critically Ill Children and Its One-Year Sequelae. Crit Care Med, (Feb) 677-677
  • Shum K, Heard CM, Breuer RK, Alibrahim OS, Waz WR. (2018) The DNR Order in the Pediatric Intensive Care Unit. Crit Care Med, (Jan) 226-226
  • Gourabathini H, Heard CM, Breuer RK, Alibrahim OS, Kramer BC. (2016) A Pediatric Intensivist Directed Apheresis Program: from Conception to Fruition. Crit Care Med, (Dec) 107-107

Evaluative Studies and Case Reports:


Professional Memberships:

  • American Society of Chest Physicians (2011–present)
  • Society of Critical Care Medicine (2011–present)
  • American Academy of Pediatrics (2007–present)

Presentations:

  • "Acute, Bilateral Blindness in a 10-Year-Old Female with AQP4-IgG Negative, MOG-IgG Positive Neuromyelitis Optica" Annual Conference; Eastern Society for Pediatric Research; E-ESPR2020: 345 (2020)
  • "Acute Bilateral Blindness in a 10-Year Old Girl with AQP4-IGG-Negative Neuromyelitis Optica" 49th Annual Congress; Society of Critical Care Medicine (2020)
  • "Acute Polyinfection Producing Exorbitant Rhabdomyolysis and Renal Failure" 49th Annual Congress; Society of Critical Care Medicine (2020)
  • "Nontraumatic Rupture of Abdominal Aortic Aneurysm in an 11-Year Old Boy" 49th Annual Congress; Society of Critical Care Medicine (2020)
  • "Factors Related to Extubation Effectiveness and Reintubation Rates: An Extubation Registry" 48th Annual Congress; Society of Critical Care Medicine (2019)
  • "The Impact of an Institutional Education Initiative on Knowledge and Comfort with Pediatric Sepsis" 48th Annual Congress; Society of Critical Care Medicine (2019)
  • "Did We Do Sepsis Good? OCH Studies of Hospital Providers and Community Patients" Pediatric Grand Rounds; University at Buffalo (2018)
  • "Advances in Pediatric Intensive Care" Mini Med School; University at Buffalo (2018)
  • "Resident Staff: Traumatic Brain Injury" Pediatric Resident Lecture Series; Oishei Children's Hospital (2018)
  • "Critical Reflection and Reflective Writing" PICU Fellow Lecture Series; Oishei Children's Hospital (2018)
  • "SEPSIS: Study of the Epidemiology of Pediatric Sepsis In Society" Annual Meeting; Pediatric Academic Societies; ID: Bacterial Infections I (2018)
  • "ECMO Physiology" PICU Fellow Lecture Series; Oishei Children's Hospital (2018)
  • "Acute Kidney Injury in Critically Ill Children and Its One-Year Sequelae" 47th Annual Congress; Society of Critical Care Medicine (2018)
  • "Air Leak Syndrome in Children with Acute Respiratory Failure on Negative Pressure Ventilation" 47th Annual Congress; Society of Critical Care Medicine (2018)
  • "Isolated Noncompaction Cardiomyopathy Presenting with Ventricular Tachycardia and Cardiac Arrest" 47th Annual Congress; Society of Critical Care Medicine (2018)
  • "Pediatric Acute Respiratory Failure: A Primer" Pediatric Resident Lecture Series; Oishei Children's Hospital (2018)
  • "The DNR Order in the PICU" 47th Annual Congress; Society of Critical Care Medicine (2018)
  • "The Impact of a Hospital-Wide Multidisciplinary Educational Sepsis Initiative" 47th Annual Congress; Society of Critical Care Medicine (2018)
  • "How Sick are You? Principles of Hemodynamic Monitoring" PICU Fellow Lecture Series; Oishei Children's Hospital (2018)
  • "Brain Death and the Logistics of Dying" PICU Fellow Lecture Series; Oishei Children's Hospital (2017)
  • "Critical Care Monitoring" PICU Fellow Lecture Series; Women and Children's Hospital of Buffalo (2017)
  • "Cardiovascular Physiology" PICU Fellow Lecture Series; Women and Children's Hospital of Buffalo (2017)
  • "Respiratory Physiology" PICU Fellow Lecture Series; Women and Children's Hospital of Buffalo (2017)
  • "Is It Safe and Effective for Pediatric Intensive Care Faculty to Manage an Apheresis Program?" Annual Meeting; American Society for Apheresis (2017)
  • "High Frequency Ventilation" PICU Fellow Lecture Series; Women and Children‘s Hospital of Buffalo (2017)
  • "A Pediatric Intensivist-Directed Apheresis Program: From Conception to Fruition" 46th Annual Congress; Society of Critical Care Medicine (2017)
  • "A Single-Center Experience with the Biphasic Cuirass Ventilator in Pediatric Residency Failure" 46th Annual Congress; Society of Critical Care Medicine (2017)
  • "Biphasic Cuirass Ventilator Use During Special Circumstances in the PICU" 46th Annual Congress; Society of Critical Care Medicine (2017)
  • "Multidisciplinary Attitudes About Airway Pressure Release Ventilation (APRV) in an Academic PICU" 46th Annual Congress; Society of Critical Care Medicine (2017)
  • "Sepsis Drills: A Multi-Disciplinary Sepsis Educational Program in a Pediatric Hospital" 46th Annual Congress; Society of Critical Care Medicine (2017)
  • "The Pediatric Provider Experience with Sepsis and Septic Shock (PRESS) Study" 46th Annual Congress; Society of Critical Care Medicine (2017)
  • "Basic Airway Management Simulation Sessions" Pediatric Critical Care Medicine Regional Boot Camp; Children's Hospital of Philadelphia (2016)
  • "Cardiopulmonary Interactions" PICU Fellow Lecture Series; Women and Children's Hospital of Buffalo (2016)
  • "Endotracheal Intubation" Pediatric Critical Care Medicine Regional Boot Camp; Children's Hospital of Philadelphia (2016)
  • "Supraventricular Tachycardia Simulation Sessions" Pediatric Critical Care Medicine Regional Boot Camp; Children's Hospital of Philadelphia (2016)
  • "VP Shunt Malfunction with Seizure Simulation Sessions" Pediatric Critical Care Medicine Regional Boot Camp; Children's Hospital of Philadelphia (2016)
  • "WCHOB Sepsis Initiative: Update" Pediatric Grand Rounds; University at Buffalo (2016)
  • "Recognizing Abnormal Vital Signs" Pediatric Resident Lecture Series; Women and Children's Hospital of Buffalo (2016)
  • "Submersion Injuries" Pediatric Resident Lecture Series; Women and Children's Hospital of Buffalo (2016)
  • "Pediatric Sepsis and Septic Shock" Pediatric Grand Rounds; University at Buffalo (2016)
  • "SIRS to Sepsis to MODS. And Back Again" Pediatric Resident Lecture Series; Women and Children's Hospital of Buffalo (2015)
  • "Cardiopulmonary Interactions" PICU Fellow Lecture Series; Women and Children's Hospital of Buffalo (2014)
  • "Diabetic Ketoacidosis in Children" Critical Care Nursing Education Seminar; Duke University Medical Center (2014)
  • "Respiratory Failure in Neuromuscular Disease" PICU Case Conference; Duke University Medical Center (2014)
  • "The Physiology of Gas Exchange" ECMO Specialist Training Program; Duke University Medical Center; Respiratory Care Services (2014)
  • "Standardizing Postoperative PICU Handovers Improves Handover Metrics and Patient Care" 43rd Annual Congress; Society of Critical Care Medicine (2014)
  • "ICU Management of the ECMO Patient" PICU Resident Lecture Series; Duke University Medical Center (2013)
  • "Standardizing Postoperative Handoffs in the PICU to Improve Patient Care" Research Retreat; Duke University Medical Center; Department of Pediatrics (2013)
  • "Respiratory Emergencies in the PICU" PICU Senior Fellow Lecture Series; Duke University Medical Center (2013)
  • "Arrythmias in the Pediatric Patient" PICU Resident Lecture Series; Duke University Medical Center (2013)
  • "Sedation in the Critically Ill Child" PICU Resident Lecture Series; Duke University Medical Center (2013)
  • "Thrombocytopenia-associated Multiorgan Failure" PICU Case Conference; Duke University Medical Center (2013)
  • "Supraventricular Tachycardia" PICU Case Conference; Duke University Medical Center (2013)
  • "Introduction to ECMO" PICU Resident Lecture Series; Duke University Medical Center (2013)
  • "Trauma in the Pediatric Patient" PICU Resident Lecture Series; Duke University Medical Center (2013)
  • "Introduction to ECMO" PICU Resident Lecture Series; Duke University Medical Center (2012)
  • "Shock" PICU Resident Lecture Series; Duke University Medical Center (2012)
  • "Sensitivity and Specificity in Research" PICU Evidence-Based Medicine Lecture Series; Duke University Medical Center (2012)
  • "Hemoptysis in a Fontan Patient" PICU Case Conference; Duke University Medical Center (2012)
  • "Diabetic Ketoacidosis" PICU Resident Lecture Series; Duke University Medical Center; Department of Pediatrics (2012)
  • "Diabetic Ketoacidosis" PICU Resident Lecture Series; Duke University Medical Center (2012)
  • "Septic Shock" PICU Resident Lecture Series; Duke University Medical Center (2012)
  • "Inborn Errors of Metabolism - Approach to Diagnosis" PICU Resident Lecture Series; Duke University Medical Center (2011)
  • "Blunt Trauma in a Three Year Old" PICU Case Conference; Duke University Medical Center (2011)
  • "Management of Traumatic Brain Injury" PICU Resident Lecture Series; Duke University Medical Center (2011)
  • "Single Ventricle Physiology" PICU Resident Lecture Series; Duke University Medical Center (2011)
  • "Septic Shock in a Transplant Patient" PICU Case Conference; Duke University Medical Center (2011)
See all (57 more)

Service Activities:

  • MS3 Pediatric Clerkship Workshop: Introduction to Shock; Workshop lead (2021–present)
  • Frontiers in Pediatrics; Manuscript Review (2021–present)
  • Medical Director of ECMO, Oishei Children's Hospital; Medical Director of ECMO (2021–present)
  • Journal of the Pediatric Infectious Diseases Society; Manuscript Review (2020–present)
  • IMC 504 Fundamentals 2: Metabolism, Human Genetics and Principles of Pharmacology, Jacobs School of Medicine and Biomedical Sciences; Small-group facilitator (2020–present)
  • Clinical Practice of Medicine I and II; Small-group facilitator (2020–present)
  • Medical Director of Pediatric Respiratory Services, Oishei Children's Hospital; Medical Director of Respiratory Services (2019–present)
  • IMC 502 Fundamentals 1: Molecules, Cells and Molecular Genetics, UB Jacobs School of Medicine and Biomedical Sciences; Small-group facilitator (2019–present)
  • IDM 730 Core Topics: Behling Communication Simulations, Third Year Medical Students, UB Jacobs School of Medicine and Biomedical Sciences; Small-group facilitator (2019–present)
  • World Journal of Emergency Medicine; Manuscript Review (2018–present)
  • Society of Critical Care Medicine Annual Congress; Abstract Reviewer for Annual Congress (2018–present)
  • Pediatrics; Manuscript Reviews (2018–present)
  • Pediatric Quality and Safety; Manuscript Reviewer (2018–present)
  • Journal of Pediatric Intensive Care; Manuscript Review (2018–present)
  • American Association for Physician Leadership; Member (2016–2017)
  • Oishei Children‘s Hospital: Pediatric Grand Rounds; Director (2015–present)
  • University at Buffalo Jacobs School of Medicine and Biomedical Sciences: Pediatrics Teaching Interest Group; Member (2015–present)
  • Duke University School of Medicine: MSII Patient Safety Symposium - ‘Patient Safety Case Studies‘ Small Group Leader (2013)
  • Duke University Medical Center: Pediatric Residency Mock Code/Simulation Program Supervising Fellow (2013–2014)
  • Duke University Medical Center: Patient Safety and Quality Council; Member (2013–2014)
  • Duke University Medical Center: Education Task Force; Member (2013–2014)

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Contact Information

UBMD Pediatrics
Division of Critical Care
1001 Main Street
Buffalo, New York 14203
Phone: (716) 323-0200
Fax: (716) 323-0293
ryanbrue@buffalo.edu

This faculty member is affiliated with UBMD, practicing physicians who are also professors in the Jacobs School.

View this physician on UBMD