Publications by authors named "Donald Vickers"
Objective: The purpose of this study is to identify objective perioperative diagnostic factors for acute invasive fungal rhinosinusitis (AIFS) to create a diagnostic scoring system using objective criteria.
Methods: Retrospective case-control study performed at an academic, tertiary care center. Biopsy-proven cases of AIFS identified from pathology records (2015-2019) were compared to patients the otolaryngology service was consulted to "Rule out AIFS" in the year 2019, only including those with underlying hematologic malignancy.
Objective: The purpose of this study is to identify perioperative independent prognostic factors that are available to the consulting team to aid in determining prognosis in patients with acute invasive fungal sinusitis.
Study Design: Retrospective chart review of patients with biopsy-proven acute invasive fungal sinusitis from 2015 to 2018.
Setting: Academic tertiary care center.
Article Synopsis
- The study aimed to investigate if detectable upper respiratory infections (URIs) during adenoidectomy/adenotonsillectomy lead to more complications or unexpected hospital admissions in children.
- A total of 164 pediatric patients were analyzed, with 82.9% testing positive for URIs, but there were no significant differences in postoperative outcomes between those with and without detectable infections.
- The findings suggest that routine preoperative URI testing is unnecessary, as having a recent URI does not increase risks during or after outpatient surgeries in healthy children.
Evaluation of the Safety of Rapid Parenteral Nutrition Titration.
JPEN J Parenter Enteral Nutr
March 2020
Background: Initiation of parenteral nutrition (PN) can cause complications including hyperglycemia (HGL), electrolyte abnormalities, and refeeding syndrome (RFS). These concerns lead many to titrate over several days, but our practice is to titrate PN to goal within 8 hours. The aim of this study was to evaluate the safety of titrating PN to goal within 8 hours.
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