2023
Standardized Clinical Pathways Improve Management of Vaso-Occlusive Episodes in the Pediatric Emergency Department
Forward J, Thomas D, O'Malley S, Berkwitt A, Calhoun C, Krishnamurti L, Pashankar F. Standardized Clinical Pathways Improve Management of Vaso-Occlusive Episodes in the Pediatric Emergency Department. Blood 2023, 142: 2315. DOI: 10.1182/blood-2023-181285.Peer-Reviewed Original ResearchVaso-occlusive episodesSickle cell diseasePediatric emergency departmentMinutes of arrivalPain managementEmergency departmentClinical pathwayIntranasal fentanylYears post implementationHydromorphone PCAPain medicationPediatric patientsJune 30 thPain medication administrationVaso-occlusive painPercent of patientsPercentage of patientsQuality improvement projectOutcome one yearElectronic medical recordsPost implementationHealth care systemFirst analgesicED visitsED encounters
2020
Common Congenital Syndromes and Disease States Impacting Regional Anesthesiology Techniques
Thomas D, Missih O, Zhu R, Suchy T, Vadivelu N. Common Congenital Syndromes and Disease States Impacting Regional Anesthesiology Techniques. 2020, 111-122. DOI: 10.1007/978-3-030-55660-0_6.ChaptersHigh riskCommon congenital syndromeLimited neck mobilityTurner syndromeBicuspid aortic valveRisk of aspirationType 2 diabetesIntraoperative hypertensionLiver dysfunctionAortic dissectionHearing changesKidney functionHorseshoe kidneyInsulin resistanceNeck mobilityAortic valveAnesthesiology techniquesArched palateCongenital syndromeMaxillary hypoplasiaAnatomic differencesCognitive impairmentNormal tracheaKidney abnormalitiesShort statureNeuraxial and Peripheral Nerve Block Placement in Patients with Anatomical Anomalies
Thomas D, Antony S, Sum D, Asgerally A. Neuraxial and Peripheral Nerve Block Placement in Patients with Anatomical Anomalies. 2020, 359-371. DOI: 10.1007/978-3-030-55660-0_16.Peer-Reviewed Original ResearchPeripheral nerve blocksNerve blockAnatomical anomaliesAnatomical variationsCommon anatomical anomalyNerve block placementUse of sonographyNeuraxial analgesiaNerve stimulationNeuraxial anesthesiaSkeletal changesCadaver studySuccessful placementSuccess rateAnatomical landmarksPatientsPlacementBlock placementAnalgesiaAnesthesiaKyphosisSonographyScoliosisThe Effectiveness of Ketamine in Pediatric Acute Deafferentation Pain after Spinal Cord Injury
Shiwlochan D, Shah M, Baldev K, Thomas D, Debrosse M. The Effectiveness of Ketamine in Pediatric Acute Deafferentation Pain after Spinal Cord Injury. Case Reports In Anesthesiology 2020, 2020: 8835292. PMID: 33133700, PMCID: PMC7591970, DOI: 10.1155/2020/8835292.Peer-Reviewed Original ResearchDeafferentation painSpinal cord injuryCord injuryPreventing chronic pain statesSecondary to spinal cord injuryChronic pain statesInitiation of ketamineEffects of ketamineSpinal cord traumaPain statesAcute allodyniaMultiple analgesicsEffective therapyCord traumaEarly initiationPainQuality of lifeAllodyniaPatient's physical functionGunshot injuriesKetamineInjuryPatientsPhysical functionTherapy
2018
Hospitalization costs and resource allocation in cholecystectomy with use of intravenous versus oral acetaminophen
Hansen RN, Pham AT, Böing EA, Lovelace B, Wan GJ, Thomas DA, Fontes ML. Hospitalization costs and resource allocation in cholecystectomy with use of intravenous versus oral acetaminophen. Current Medical Research And Opinion 2018, 34: 1549-1555. PMID: 29192528, DOI: 10.1080/03007995.2017.1412301.Peer-Reviewed Original ResearchConceptsNausea/vomitingCholecystectomy patientsRespiratory depressionHospitalization costsOral APAPAPAP useOpioid useShorter LOSOpioid-related adverse eventsDaily morphine equivalent doseAssociated hospital lengthMorphine equivalent doseClinical risk factorsPerioperative pain managementMultivariable logistic regressionLower hospitalization costsYears of ageAdjunctive analgesicsOral acetaminophenBowel obstructionHospital lengthIntravenous acetaminophenAdverse eventsPatient demographicsPain management