Nikhil Jagan, MB,BS
Nikhil Jagan, MB,BS

Nikhil Jagan, MB,BS

Assistant Professor
School of Medicine, Omaha Campus

Expertise/Specializations

  • Sepsis and Outcomes
  • Intensive Care Unit Bedside Procedures
  • Lung Cancer
  • Pleural Diseases
  • Bronchoscopy

Academic Appointments

Department

  • Medicine

Position

  • Assistant Professor

Publications and Presentations

Articles

  • Jagan N, Morrow LE, Walters RW, Plambeck RW, Patel TM, Moore DR, Malesker MA. Sympathetic stimulation increases serum lactate concentrations in patients admitted with sepsis: implications for resuscitation strategies. Annals of intensive care. 2021 Feb 5;11(1):24., Annals of Intensive Care, 11(1), :24., 2021
  • Christensen KJ, Malesker MA, Jagan N, Moore DR. Pulmonary Manifestations of Rheumatoid Arthritis. The Senior Care Pharmacist. 2021 Feb 1;36(2):97-103., The Senior Care Pharmacist, 36(2), 97-103, 2021
  • Jagan N, Morrow LE, Walters RW, Plambeck RW, Patel TM, Kalian KF, Macaraeg JC, Dyer ED, Bergh AA, Fried AJ, Moore DR. Sepsis, the Administration of Intravenous Fluids and Respiratory failure: A Retrospective analysis-SAIFR Study. Chest. 2020 Nov 14, Chest, 2020
  • Jagan N, Morrow LE, Walters RW, Klein LP, Wallen TJ, Chung J, Plambeck RW. The POSITIONED Study: Prone Positioning in Nonventilated Coronavirus Disease 2019 Patients—A Retrospective Analysis. Critical Care Explorations. 2020 Oct 1;2(10):e0229, Critical Care Explorations, 2(10), e0229, 2020
  • Jagan N, Morrow L, Walters R, Plambeck R, Wallen T, Patel T, Malesker M, Sepsis and the Obesity Paradox: Size Matters in More Than One Way. Critical Care Medicine. 2020 Jul 21., Crit Care Med, 2020
  • Essa A, Macaraeg J, Jagan N, Kwon D, Randhawa S, Kruse M, Thomas S, Velagapudi M, Horne J, Narechania S, Kaster M. Review of Cases of ECigarette or Vaping Product Use-Associated Lung Injury (EVALI) and Brief Review of the Literature. Case Reports in Pulmonology. 2020 Jun 15;2020., Case Reports in Pulmonology, 2020
  • The Impact of Gravity vs Suction-driven Therapeutic Thoracentesis on Pressure-related Complications: The GRAVITAS Multicenter Randomized Controlled Trial.
    Lentz RJ1, Shojaee S2, Grosu HB3, Rickman OB4, Roller L5, Pannu JK6, DePew ZS7, Debiane LG8, Cicenia JC9, Akulian J10, Walston C4, Sanchez TM2, Davidson KR2, Jagan N7, Ahmad S11, Gilbert C12, Huggins JT13, Chen H14, Light RW5, Yarmus L15, Feller-Kopman D15, Lee H15, Rahman NM16, Maldonado F17; Interventional Pulmonary Outcomes Group.

    PMID 31711990, Chest, 2019
  • Waste not, want not: diagnostic material found in suction syringe aspirate during endobronchial ultrasound guided transbronchial needle aspiration.
    Jagan N1, Landeen CA1, Moore DR1, Highley AD1, Walters RW2, DePew ZS1.

    PMID:31559029

     , Journal of Thoracic Disease, 11;8, 2019
  • Dull S, Jagan N, Moore D, DePew Z, Morrow L, Malesker M. Diffuse Alveolar Hemorrhage Following Pirfenidone Initiation. , Journal of Pharmacy Practice, 2019
  • Wallen T, Jagan N, Krishnan M, DePew ZS. A 75 Year Old Male with Recurrent Unilateral Pleural Effusion and Positive ANA., Respirartory Medicine Case Reports, 26, 301-303, 2019
  • Jagan N, Landeen CA, Moore DR, Highley AD, DePew ZS. Diagnostic Material Found in Suction Syringe Aspirate During Endobronchial Ultrasound Guided Transbronchial Needle Aspiration – Journal of Thoracic Disease 2019, Journal of Thoracic Disease, 2019
  • Wallen T, Jagan N, Krishnan M, DePew ZS. A 75-Year-Old Male with Recurrent Unilateral Pleural Effusion and Positive ANA. Respiratory Medicine Case Reports 2019:26:301-303., Respirartory Medicine Case Reports, 26, 301-303., 2019
  • Jagan N, DePew Z. Lung Cancer Screening, the Effects of Radon, and Lung Cancer in Farmers., CHI Health Better You Blog, 2018
  • Jagan N, Morrow L. Asymptomatic Pneumoperitoneum-Is this possible?, ATS Quick Hits, 2018
  • Ajimura C, Jagan N, Morrow L, Malesker M. Drug Interactions with Oral Inhaled Medications., Journal of Pharmacy Technology, 34(6), 273-280, 2018
  • Ajimura C, Jagan N, Morrow L, Malesker M. Drug Interactions with Oral Inhaled Medications.Journal of Pharmacy Technology 34 (6), 273-280, Journal of Pharmacy Technology, 34, 273-280 , 2018
  • Jagan N, Landeen CA, Moore DR, Highley AD, DePew ZS. Diagnostic Material Found in Suction Syringe Aspirate During Endobronchial Ultrasound Guided Transbronchial Needle Aspiration, Journal of Thoracic Disease
  • Jagan N, Morrow L, Walters R, Plambeck R, Moore D, Patel T, Malesker M. Sympathetic Stimulation increases Serum Lactate Concentration in Patients Admitted with Sepsis: Implications for Resuscitation Strategies., Critical Care Medicine
  • Kumar M, Jagan N, Krishnan M, Rashmi P, DePew Z. Concurrently Existing Sarcoidosis and Lymphoma - A Rare Variant of Sarcoid Lymphoma Syndrome., Respirartory Medicine Case Reports

Publications

  • Jagan N, Morrow L, Walters R, Plambeck R, Moore D, Patel T, Malesker M. Sympathetic Stimulation Increases Serum Lactate Concentration in Patients Admitted with Sepsis: Implications for Resuscitation Strategies., Chest, 2019
  • Jagan N, Morrow L, Walters R, Wallen T, Malesker M. Sepsis and the Obesity Paradox: Size matters in more than one way. , Chest, 2019
  • Gorantla R, Jagan N, Moore D, Berim I, Maki S. Organizing Pneumonia and Massive Hemoptysis: Rare but potentially fatal., Critical Care Medicine, 47(1), 567, 2019
  • Jagan N, Krishnan M, Malesker M, Sanley M. Acute Pulmonary Embolism Following Two Doses of Intravenous Conjugated Estrogen., Chest, 154(4), 832a, 2018
  • Krishnan M, Jagan N, DePew ZS. A Dilemma in the Etiology of Serositis., American Journal of Respiratory and Critical Care Medicine, 197, A3215, 2018
  • Berim I, Landeen C, Jagan N, King A. Blood patch impact on Pneumothorax risk during Electromagnetic Navigation bronchoscopy., American Journal of Respiratory and Critical Care Medicine, 197, 2018
  • Jagan N, Landeen C, Munir A, Plambeck R. Total Pleural Nutrition - A Rare Complication of Central Line Placement., American Journal of Respiratory and Critical Care Medicine, 197, 2018
  • Nayfeh A, Addasi N, Jagan N, Macaraeg J, Berim I. Rapidly Fatal Anti Synthetase Syndrome presenting with Pneumonia., American Journal of Respiratory and Critical Care Medicine, 197, 2018
  • Berim I, Colanta A, Saeed I, Jagan N, Landeen C, King A. Contamination of needles used for endobronchial ultrasound guided biopsies: myth confirmed., American Journal of Respiratory and Critical Care Medicine, 195, A2868, 2017
  • Jagan N, Mourya R, Wichman C, Bell D, Morrow L. The Natural History and Clinical Relevance of Colonization with Methicillin-Resistant Staphylococcus aureus (MRSA)., Chest, 150(4), 147A, 2016

Presentations

  • - Winter is Here- Continuing Medical Education at CHI Health St. FrancisGrand Island, NE, November 2020, 2020
  • The Past, Present and the Future of the ICU – 16th Annual Pulmonary, Critical Care and Sleep Medicine Conference- Omaha, NE, September 2020, 2020
  •  Rib Fractures and the Lung: Trauma Grand Rounds at CHI Health St. Francis- Grand Island, NE, March 2020, 2020
  • Jagan N, Landeen C, Walters R, Moore D, Highley A, DePew Z. “Waste Not, Want Not”: Diagnostic material found in the suction syringe. 2nd Annual AABIP. Denver, CO., 2019
  • Jagan N, Krishnan M, Moore D, Plambeck R, Malesker M. "Thrombosis Secondary to Angiotensin II Infusion." ACCP Virtual Poster Symposium., 2019
  • Addasi N, Jagan N, Nayfeh A, DePew Z, Moore D. "A Challenging Case of Disseminated Sarcoidosis." American Thoracic Society Annual Conference. Dallas, TX., 2019
  • "Code Blue Training – A Multidisciplinary Approach." Creighton University School of Medicine QI Symposium. Omaha, NE., 2019
  • "Airway Management: Is there a role for Direct Laryngoscopy?" 15th Annual Pulmonary, Critical Care and Sleep Medicine Conference. Omaha, NE., 2019
  • "CIWA: The Ultimate Guide." Intensive Care Unit, Creighton University, Bergan Campus. Omaha, NE., 2019
  • "Organizing Pneumonia and Massive Hemoptysis: Rare But Potentially Fata." SCCM. San Diego, CA., 2019
  • Jagan N, Morrow L, Walters R, Plambeck R, Moore D, Patel T, Malesker M. Sympathetic Stimulation increases Serum Lactate concentration in patients admitted with Sepsis: Implications for Resuscitation Strategies. Presented at CHEST 2019, 2019
  • Macaraeg J, Jagan N, Gupta V, Berim I. "Oxygen Transport in a Hospital Setting." Society of Critical Care Medicine Quality Summit. Atlanta, GA., 2018
  • "Delirium and the ICU." Intensive Care Unit, Creighton University, Bergan Campus. Omaha, NE., 2018
  • Krishnan M, Jagan N, Depew Z. "A Dilemma in the Etiology for Serositis." American Thoracic Society Annual Conference. San Diego, CA., 2018
  • Berim I, Colanta A, Jagan N, Landeen C, King A. "Optimization of Endobronchial Ultrasound Guided Needle Biopsies Using a 19G Needle: Go Bigger." American Thoracic Society Annual Conference. San Diego, CA., 2018
  • Berim I, Landeen C, Jagan N, King A. "Blood Patch Impact on Pneumothorax Risk During Electromagnetic Navigation Bronchoscopy." American Thoracic Society Annual Conference. San Diego, CA., 2018
  • Jagan N, Landeen C, Munir A, Plambeck R. "Total Pleural Nutrition - A Rare Complication of Central Line Placement." American Thoracic Society Annual Conference. San Diego, CA., 2018
  • Nayfeh A, Addasi N, Jagan N, Macaraeg J, Berim I. "Rapidly Fatal Anti Synthetase Syndrome Presenting with Pneumonia." American Thoracic Society Annual Conference. San Diego, CA., 2018
  • "Update on Sepsis." Cardiovascular and Pulmonary Forum. Omaha, NE., 2018
  • "Lung Cancer: The Era of Targeted Therapy and Immunotherapy." Pulmonary and Critical Care Grand Rounds, Creighton University. Omaha, NE., 2018
  • "Improving Resident Education in Critical Care Procedures, A Quality Improvement Project." Creighton University School of Medicine QI Symposium. Omaha, NE., 2018
  • "Update on Sepsis." 14th Annual Pulmonary, Critical Care and Sleep Medicine Conference. Omaha, NE., 2018
  • "Nuts and Bolts of the Management of ARDS for Nursing and Respiratory Therapy." Intensive Care Unit, Creighton University, Bergan Campus, Omaha, NE., 2017
  • Intraosseous placement simulation and training for Internal Medicine residents. Creighton University. Omaha, NE., 2017
  • "Improving Enteral Nutrition Delivery in Critically Ill Patients, A Quality Improvement Project." Creighton University School of Medicine QI Symposium. Omaha, NE., 2017
  • "Conventional and Unconventional Uses of Endobronchial Ultrasound." Pulmonary and Critical Care Grand Rounds, Creighton University. Omaha, NE., 2017
  • "The Natural History and Clinical Relevance of Colonization with Methicillin-Resistant Staphylococcus aureus (MRSA)." CHEST. Los Angeles, CA., 2016
  • "Bedside Ultrasound Enhancing Patient Care." Internal Medicine Grand Rounds, Creighton University. Omaha, NE., 2016
  • Jagan N, Anathanarayanan M, Khanal N, Wichman T. "Nonspecific Interstitial Pneumonia with Progression to Diffuse Micronodules in an Individual with a History of Malignancy: What Are the Possibilities?" American Thoracic Society Annual Conference. San Francisco, CA., 2016
  • "Surrogate Decision Making - A challenge in clinical medicine." Internal Medicine Grand Rounds, Creighton University. Omaha, NE., 2015
  • Nawaz S, Haddad T, Vallabhajosyula S, Jagan N, Jagadesh S. "Capnocytophagia Sepsis: A rare disease." Society of General Internal Medicine. Toronto, CA., 2015
  • Jagan N, Tella H, Brannan T. "Patient Education - A Case of NSAID Induced Acute Tubular Necrosis." Society of General Internal Medicine. San Diego, CA., 2014

Research and Scholarship

Grant Funding Received

  • Travel Grant to ATS 2016
  • Prophylactic melatonin in the Intensive Care Unit in preventing ICU acquired Delirium, A prospective double-blind study
  • GRAvity- Versus suction-drIven large volume Thoracentesis: a randomized controlled Study (GRAVITAS Study)
  • Lung Cancer and Targeted Therapy: A review
  • SAIFR Trial: Retrospective Analysis of Respiratory failure and IV Fluid administration
  • Construct Validity of the CHEST/Symbionix Bronchoscopy Curriculum

Awards and Honors

  • Alignment with the Mission of Creighton University Award, GME Annual QI Symposium, 2019
  • Best Poster Award, GME Annual QI Symposium, 2019
  • Outstanding Fellow Award, Creighton University Internal Medicine Residency Program, 2019
  • Admiral State of Nebraska, Gov Pete Ricketts, 2020
  • George F.Haddix Grant recipient, George F.Haddix Grant, 2020
  • Nomination Physician Excellence Award, CHI Health St. Francis Medical Center, 2019