Publications by authors named "H C Osiovich"
Background/objectives: Rapid genome-wide sequencing (rGWS) continues to transform the care provided to infants with genetic conditions in neonatal intensive care units (NICUs). Previous research has demonstrated that rGWS has immense benefits on patient care; however, little is known about non-genetic healthcare providers' (HCPs) experiences and perspectives of working with rGWS and supporting families through the rGWS testing process in Canadian NICU facilities. To address this gap, we surveyed and conducted semi-structured interviews with non-genetic HCPs of diverse professions from NICUs in British Columbia.
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- Genetic and genomic technologies can accurately diagnose many genetic disorders, and genetic counselling is essential to support patients before and after testing.
- There is a notable lack of understanding regarding specific genetic counselling needs in Neonatal Intensive Care Units (NICUs) and Pediatric Intensive Care Units (PICUs), which this scoping review aims to address.
- Analyzing 170 studies revealed that most research focused on NICUs, with only 31% of studies providing comprehensive genetic counselling, highlighting a pressing need for improved pre- and post-test genetic counselling tailored to different clinical situations and cultural factors.
Introduction Umbilical venous catheters (UVCs) are standardly used for central venous access in acutely sick neonates. Complications associated with UVCs include thrombosis, infection, diffuse intravascular coagulopathy, arrhythmia, tamponade, and liver injury, many of which are related to misplacement of the catheters. Therefore, this study aimed to institute a policy of obtaining lateral and frontal radiographs to improve the determination of the UVC position.
View Article and Find Full Text PDFBackground: Surgical ligation of patent ductus arteriosus (PDA) can be associated with long-term morbidity and adverse outcomes in neonates. Targeted neonatal echocardiography (TNE) has been increasingly used to improve the hemodynamic management. We aimed to evaluate the preoperative assessment impacts of the hemodynamic significance of PDA using TNE on PDA ligation rates and neonatal outcomes.
View Article and Find Full Text PDFObjective: To evaluate the change in consumption of specific antibiotics in a neonatal intensive care unit after the implementation of an antimicrobial stewardship program (ASP).
Design: Retrospective cohort study between January 1, 2010, and December 31,2019.
Setting: The neonatal intensive care unit at British Columbia Women's Hospital (Vancouver Canada), a tertiary-care center.