- Pediatric Pain Management Techniques
- Neuroblastoma Research and Treatments
- Gastrointestinal motility and disorders
- Infant Health and Development
- Pain Mechanisms and Treatments
- Antibiotic Use and Resistance
- Vitamin C and Antioxidants Research
- Healthcare Systems and Technology
- Folate and B Vitamins Research
- Anesthesia and Sedative Agents
- Cancer Treatment and Pharmacology
- Vaccine Coverage and Hesitancy
- Bacterial Infections and Vaccines
- Central Venous Catheters and Hemodialysis
- Pneumonia and Respiratory Infections
- Colorectal Cancer Screening and Detection
- Healthcare Decision-Making and Restraints
- Intensive Care Unit Cognitive Disorders
- Antibiotics Pharmacokinetics and Efficacy
- Alcoholism and Thiamine Deficiency
- Hemodynamic Monitoring and Therapy
- Bacterial Identification and Susceptibility Testing
- Streptococcal Infections and Treatments
- Heart Failure Treatment and Management
SUNY Upstate Medical University
2014-2023
Upstate University Hospital
2019-2023
Golisano Children's Hospital
2014-2022
State University of New York
2021
George Washington University
2010
Type B lactic acidosis can occur secondary to several factors, including thiamine deficiency, and is not as common type A. Recognizing deficiency-associated challenging because serum concentrations are routinely obtained, a thorough specific history necessary for clinicians suspect deficiency root cause. Furthermore, the appropriate dose duration of treatment well defined. Untreated lead critical illness requiring lifesaving extracorporeal therapies. Additionally, if glucose administered in...
Background: Approximately 30% of antimicrobials prescribed in the outpatient setting are unnecessary and up to 50% inappropriate. Despite this, antimicrobial stewardship (AS) efforts mostly focus on inpatient setting, limited data describe AS interventions at hospital discharge. Acknowledging potential value discharge AS, we used our existing resources review oral prescriptions. Objective: The primary objective this retrospective, single-center study was evaluate impact an program Methods...
Purpose: The purpose of the article is to describe successful use parenteral olanzapine intravenously (IV) in a critically ill patient with severe agitated delirium. Summary: A 70-year-old man was admitted medical intensive care unit requiring plasmapheresis platelet counts consistently below 20 000/µL secondary thrombotic thrombocytopenic purpura (TTP). had experienced delirium treatment, which complicated by electrocardiogram (EKG) findings prolonged QTc interval. antipsychotics receiving...
Dinutuximab, an immune-mediated therapy indicated for high-risk neuroblastoma, targets the protein disialoganglioside (GD2) on neuroblastoma cells, neurons, and peripheral nerve fibers. Off-target effects lead to severe pain. Pain regimens including continuous infusion opioids are required during treatment courses. Our institution utilizes a combination of intravenous (i.v.) lidocaine infusions morphine dinutuximab-associated neuropathic pain.The primary outcome this study was compare...
Introduction The objective of this project was to assess the percentage interoperability compliance within our pediatric hematology/oncology patient care areas for intravenous chemotherapy medications before and after implementation circle priming. Methods We conducted a retrospective quality improvement at an inpatient floor outpatient infusion center Results There statistically significant increase in percent from 4.1% prior priming 35.6% (odds ratio 13.1 (95% CI, 3.96−43.1), p <...
Meningococcal disease, caused by Neisseria meningitidis, is associated with severe illness and death. The Centers for Disease Control Prevention Advisory Committee on Immunization Practices have published recommendations the use of meningococcal vaccines in United States. primary objective this study to compare serogroup B vaccination rates among adolescents at 4 diverse outpatient clinics.In retrospective chart review, patients between ages 16 23 years were identified using automated...
Dinutuximab, an immune-mediated therapy used in the treatment of high-risk neuroblastoma targets protein disialoganglioside (GD2) present on cells, neurons, and peripheral nerve fibers. Off target effects could lead to severe pain. Pain regimens including continuous infusion opioids are required during first course. Our institution utilizes a combination intravenous (IV) lidocaine infusions morphine for dinutuximab-associated neuropathic The primary outcome this study was compare equivalents...
Abstract Background The Centers for Disease Control and Prevention estimates approximately 30% of antimicrobials prescribed in the outpatient setting are unnecessary up to 50% inappropriate. Despite this, antimicrobial stewardship (AS) efforts mostly focus on inpatient limited data describe AS interventions at hospital discharge. Acknowledging potential discharge AS, we used our existing resources review prescriptions sent hospital-operated pharmacy potentially optimize therapy. Methods...