Gest

Alfred L. Gest, MD

Associate Professor, Division of Pediatric Neonatal and Newborn Medicine

Contact

Phone
304-598-4835
Fax
304-293-4341
Address
PO Box 9214
Department of Pediatrics
Division of Neonatal and Newborn Medicine
Morgantown, WV 26506
Additions & Corrections?

Positions

Associate Professor

Organization:
School of Medicine
Department:
Pediatrics
Classification:
Clinical Faculty

Education

  • MD, Baylor College of Medicine, 1976

Publications

Publications

 Full papers:

  1. Welty SE, Rusin CG, Stanberry LI, Mandy GT, Gest AL, Ford JM, Backes CH Jr, Richardson CP, Howard CR, Hansen TN, Smith CV. Short term evaluation of respiratory effort by premature infants supported with bubble nasal continuous airway pressure using Seattle-PAP and a standard bubble device.   PLoS One. 2018 Mar 28;13(3):e0193807.

  2. Efficacy of a low-cost bubble CPAP system in treatment of respiratory distress in a neonatal ward in Malawi. Malawi Med J. 2016 Sep;28(3):131-137. 

  3. Kawaza K1, Machen HE2, Brown J3, Mwanza Z1, Iniguez S4, Gest A2, O'Brian Smith E2, Oden M3, Richards-Kortum RR3, Molyneux E1.

  4. Molyneux E(1), Gest A(2). Neonatal sepsis: an old issue needing new answers. Lancet Infect Dis. 2015 May;15(5):503-5. doi: 10.1016/S1473-3099(15)70143-X. Epub.

  5.  Hundalani SG(1), Richards-Kortum R(2), Oden M(2), Kawaza K(3), Gest A(4), Molyneux E(3). Development and validation of a simple algorithm for initiation of CPAP in neonates with respiratory distress in Malawi. Arch Dis Child Fetal Neonatal Ed. 2015 Jul;100(4):F332-6. doi:10.1136/archdischild-2014-308082. Epub 2015 Apr 15.

  6. Kawaza K(1), Machen HE(2), Brown J(3), Mwanza Z(1), Iniguez S(4), Gest A(2),Smith EO(2), Oden M(3), Richards-Kortum RR(3), Molyneux E(1). Efficacy of a low-cost bubble CPAP system in treatment of respiratory distress in a neonatal ward in Malawi. LoSOne.201429;9(1):e86327.doi:10.1371/journal.pone.008632 eCollection 2014.

  7. Brown J(1), Machen H, Kawaza K, Mwanza Z, Iniguez S, Lang H, Gest A, Kennedy N, Miros R, Richards-Kortum R, Molyneux E, Oden M. A high-value, low-cost bubble continuous positive airway pressure system forlow-resource settings: technical assessment and initial case reports. PLoS One . 2013;8(1):e53622. doi: 10.1371/journal.pone.0053622. Epub 2013 Jan 23.

  8. Mandy G(1), Malkar M, Welty SE, Brown R, Shepherd E, Gardner W, Moise A, Gest A.  Tracheostomy placement in infants with bronchopulmonary dysplasia: safety and outcomes. Pediatr Pulmonol. 2013 Mar;48(3):245-9. doi: 10.1002/ppul.22572. Epub 2012 May 8.

  9. Wood AM, Holzer RJ, Texter KM, Hill SL, Gest AL, Welty SE, Cheatham JP, Yates AR. Transcatheter elimination of left-to-right shunts in infants with bronchopulmonary dysplasia is feasible and safe. Congenit Heart Dis. 2011 Jul-Aug;6(4):330-7.

  10. Mandy G, Malkar M, Welty SE, Brown R, Shepherd E, Gardner W, Moise A, Gest A. Tracheostomy placement in infants with bronchopulmonary dysplasia: Safety and outcomes. Pediatr Pulmonol. 2012 May 8.

  11. Shepherd EG, Knupp AM, Welty SE, Susey KM, Gardner WP, Gest AL.  An interdisciplinary bronchopulmonary dysplasia program is associated with improved neurodevelopmental outcomes and fewer rehospitalizations. J Perinatol. 2012 Jan;32(1):33-8.

  12. Yates, A R, Welty, S E, Gest, A L, Cua, L C.  Myocardial Tissue Doppler Changes in Patients with Bronchopulmonary Dysplasia. J J Pediatr. 2008 Jun;152(6):766-70.

  13. Jadcherla SR, Gupta A, Fernandez S, Nelin LD, Castile R, Gest AL, Welty SE.  Spatio-temporal characteristics of acid refluxate and relationship to symptoms in premature and term infants with chronic lung disease. Am J Gastroenterol. 2008 Mar;103(3):720-8.

  14. Parellada, J.A., Moise, A.A., Hegemier, S., Gest, A.L.  Percutaneous central catheters and peripheral intravenous catheters have similar infection rates in very low birth weight infants.  J. Perinatology, 19(4), 251-254,1999.

  15. Moon J K; Evey L W; Moon Y S; Gest A L.; Gomez M R; Wearden M E, Nitric oxide supplied from a 10% source provides inhaled therapy without lowering inspired oxygen fraction., Biomedical Instrumentation and Technology, 31(2), 164-168, 1997 Mar-Apr.

  16. Johnson, S.A., Vander Straten, M.C., Parellada, J.A., Schnakenberg, W., Gest, A.L. Thoracic duct function in fetal, newborn, and adult sheep. Lymphology 29:50-56, 1996.

  17. Moise, A.A., Wearden, M.E., Kozinetz, C.A., Gest, A.L., Welty, S.E., Gunkel, J.H., and Hansen, T.N.: Antenatal steroids are associated with less need for blood pressure support in extremely premature infants.  Pediatrics 95:845-850,1995.

  18. Bair, D.K., Vander Straten, M.C., and Gest, A.L. Hydrops in fetal sheep from rapid induction of anemia. Ped Res 35:560-564, 1994.

  19. Soriano, H.E., Gest, A.L., Bair, D.K., Vander Straten, M.C., Lewis, D.E., Darlington, G.J., Finegold, M.J., and Ledley, F.D. Feasibility of hepatocellular transplantation via the umbilical vein in prenatal and perinatal lambs. Fetal Diagn Ther 8:293-304, 1993.

  20. Gest, A.L., Bair, D.K., and Vander Straten, M.C. Thoracic duct lymph flow in fetal sheep with increased venous pressure from electrically induced tachycardia. Biol. Neonate 64:325-330, 1993.

  21. Gest, A.L., Bair, D.K., and Vander Straten, M.C. The effect of outflow pressure upon thoracic duct lymph flow rate in fetal sheep. Pediatr. Res. 32:585-588, 1992.

  22. Moise, A.A., Gest, A.L., Weickmann, P.H., and McMicken, H.W.: Reduction in plasma protein does not affect body water content in fetal sheep. Pediatr. Res. 29:623-626, 1991.

  23. Hansen, T.N., Smith, C.V., Gest, A.L., Smith, H.W., and Giesler, M.:Biochemical Manifestations of Oxygen Toxicity in the Newborn Lamb. Pediatr. Res. 28:613-617, 1990.

  24. Gest, A.L., Martin, C.G., Moise, A.A., Hansen, T.N.: Reversal of venous blood flow with atrial tachycardia and hydrops in fetal sheep. Pediatr. Res. 28(3):223-226, 1990.

  25. Gest, A.L., Hansen, T.N., Moise, A.A., Hartley, C.J.: Atrial tachycardia causes hydrops in fetal lambs. Am. J. Physiol. 258:H1159-H1163, 1990.

  26. Gest, A.L., Moise, A.A., Hansen, T.N., Kaplan, S.: Effects of arginine vasopressin on hemodynamics and lung fluid balance in lambs. Am. J. Physiol. 256:H641-H647, 1989.

  27. Hansen, T.N., Gest, A.L., and Landers, S.: Effects of inspiratory airway obstruction on lung fluid balance in lambs. J. Appl. Physiol. 58(4):1314-1318, 1985.

  28. Hansen, T.N., LeBlanc, A.L., and Gest, A.L.:  Hypoxia and angiotensin II infustion redistribute lung blood flow in lambs. J. Appl. Physiol. 58(3): 812-818, 1985.

  29. Hansen, T.N. and Gest, A.L.:  Oxygen toxicity and other complications of treatment of infants with persistent pulmonary hypertension.  Clinics in Perinat. 11(3): 653-672, 1984. 

Book Chapters

Hansen, T.N., Gest, A.L.: Hydrops Fetalis. In: Fetal and Neonatal Body Fluids: The Scientific Basis of Clinical Practice. Edited by: R.A. Brace, M.G. Ross, and J.E. Robillard. Perinatology Press, Ithaca, NY, 1989, p. 85.

Gest, A.L., and Moise, A.A.: Fetal circulation and changes occurring at birth. In: The Science and Practice of Pediatric Cardiology. Edited by A. Garson, J.T. Bricker, and D.G. McNamara. Lea and Febiger, Philadelphia, 1990, pp. 280-288.

Gest, A.L., and Moise, Jr. K.J. Hydrops Fetalis. In: Issues in Clinical Neonatology. Edited by J. Pomerance and J. Richardson. Appleton & Lange, East Norwalk, CT. 1993, pp. 395-410.

Johnson, S.A. and Gest, A.L. Resuscitation of the newborn. In: Conn’s Current Therapy 1995.  Ed. Rakel, 1995, pp 957-962. W.B. Saunders, Philadelphia.

Johnson, S.A. and Gest, A.L.  Resuscitation of the newborn.  In:  Conn's Current Therapy 1996.  Ed. Rakel, 1996. pp 1001-1006. W.B. Saunders, Philadelphia. 

Gest, A.L.  Resuscitation of the newborn.  In:  Conn's Current Therapy 1998.  Ed.:  Rakel, 1998, pp1037-1042. W.B. Saunders, Philadelphia. 

Parellada, J.A. and Gest, A.L.  Fetal circulation and changes occurring at birth. In: The Science and Practice of Pediatric Cardiology, 2nd ed. Edited by A. Garson, J.T. Bricker, D.J. Fisher, and S.R. Neish. Williams and Wilkins, Baltimore, 1998, pp. 349-358.

Moïse, A.A, and Gest, A.L.  Differentiation of heart and lung disease. In: Contemporary Diagnosis and Management of Neonatal Respiratory Diseases, Second Edition. Edited by T.N. Hansen, T.R. Cooper, and L.E. Weisman. Handbooks in Health Care Co., Newtown, PA, 1998, pp. 72-78.

Moïse, A.A, and Gest, A.L.  Initial stabilization. In: Contemporary Diagnosis and Management of Neonatal Respiratory Diseases, Second Edition. Edited by T.N. Hansen, T.R. Cooper, and L.E. Weisman. Handbooks in Health Care Co., Newtown, PA, 1998, pp. 223-228.

Moïse, A.A, and Gest, A.L.  Surfactant administration. In: Contemporary Diagnosis and Management of Neonatal Respiratory Diseases, Second Edition. Edited by T.N. Hansen, T.R. Cooper, and L.E. Weisman. Handbooks in Health Care Co., Newtown, PA, 1998, pp. 241-245.

About Alfred Gest

Dr. Al Gest is a native of central Texas who trained at Baylor College of Medicine and Texas Children’s Hospital in Houston.  He has been a Board Certified Neonatologist for 34 years.  Previously, he set up and led the program for Bronchopulmonary Dysplasia (BPD) management at Nationwide Children’s Hospital from 2000-2010.  From 2010 to 2014 he was Medical Director of the NICU at Texas Children’s Hospital.  His current interests include caring for children with BPD as well as general Neonatology, including delivery room management.  He also has extensive training and interest in quality improvement science.

Patient Care Information

Medical Specialties

  • Pediatric Critical Care
  • Pediatric Neonatology

Board Certifications

  • Pediatrics, American Board of Pediatrics