Appropriate Use and Clinical Impact of Echocardiographic “Evaluation of Murmur” in Pediatric Patients

2016 ◽  
Vol 11 (6) ◽  
pp. 721-726 ◽  
Author(s):  
Kirsten Rose-Felker ◽  
Michael S. Kelleman ◽  
Robert M. Campbell ◽  
Matthew E. Oster ◽  
Ritu Sachdeva
Keyword(s):  
Pediatric Patients ◽  
Clinical Impact ◽  
Appropriate Use ◽  
Echocardiographic Evaluation

The association of abnormal findings on transthoracic echocardiography with 2011 Appropriate Use Criteria and clinical impact

2015 ◽  
Vol 31 (3) ◽  
pp. 521-528 ◽  
Author(s):  
Thomas P. Koshy ◽  
Anand Rohatgi ◽  
Sandeep R. Das ◽  
Angela L. Price ◽  
Andres deLuna ◽  
...  
Keyword(s):  
Transthoracic Echocardiography ◽  
Clinical Impact ◽  
Appropriate Use Criteria ◽  
Appropriate Use

scholarly journals Development, Implementation, and Use of a Neurology Therapeutics Committee

2019 ◽  
Vol 6 ◽  
pp. 2329048X1983047
Author(s):  
Edward B. Clark ◽  
Russell J. Butterfield ◽  
Francis M. Filloux ◽  
Joshua L. Bonkowsky
Keyword(s):  
Neurological Disorders ◽  
Therapeutic Agent ◽  
Pediatric Patients ◽  
Third Party ◽  
Insurance Companies ◽  
Clinical Implementation ◽  
Appropriate Use ◽  
Therapy Choice ◽  
Financial Burdens ◽  
Therapeutics Committee

Innovative therapeutics are transforming care of children with previously untreatable neurological disorders. However, there are challenges in the use of new therapies: the medicine may not be effective in all patients, administration may not be tolerated, and matching therapy choice to patient is complex. Finally, costs are high, which imposes financial burdens on insurance companies, families, and the health-care system. Our objective was to address challenges for clinical implementation of the new therapeutics. We sought to develop a process that would be personalized for patient and disease, encourage appropriate use of a therapeutic agent while mitigating pressure on a clinician to prescribe the therapy in all instances, and assist third-party payers in approving therapeutic use based on safety and efficacy. We report our creation of a Neurology Therapeutics Committee for pediatric patients. We review the committee’s mechanisms, describe its use and report outcomes, and suggest the Neurology Therapeutics Committee’s broader applicability.

The Intranasal Route as an Alternative Method of Medication Administration

2018 ◽  
Vol 38 (5) ◽  
pp. 26-31 ◽  
Author(s):  
Calvin Tucker ◽  
Lyn Tucker ◽  
Kyle Brown
Keyword(s):  
Intranasal Administration ◽  
Pediatric Patients ◽  
Medication Administration ◽  
Intravenous Route ◽  
Appropriate Use ◽  
Intranasal Route ◽  
Superior Efficacy ◽  
Invasive Method ◽  
Correct Technique ◽  
Intranasal Drug Administration

Intranasal drug administration is a less invasive method of drug delivery that is easily accessible for adult and pediatric patients. Medications administered by the intranasal route have efficacy comparable to intravenous administration and typically have superior efficacy to subcutaneous or intramuscular routes. The intranasal route is beneficial in emergent situations when the intravenous route is not available. The intranasal route is safe and effective in various indications, and therapeutic systemic concentrations of medication can be attained via this route. As the evidence for and comfort with intranasal administration continue to grow, guidance on correct technique, medications, and dosing is vital for appropriate use. This article reviews the process and practices of appropriate intranasal medication administration.

Clinical impact of vasopressin infusion on hemodynamics, liver and renal function in pediatric patients

2008 ◽  
Vol 34 (7) ◽  
pp. 1274-1280 ◽  
Author(s):  
Nameet Jerath ◽  
Helena Frndova ◽  
Brian W. McCrindle ◽  
Rebecca Gurofsky ◽  
Tilman Humpl
Keyword(s):  
Renal Function ◽  
Pediatric Patients ◽  
Clinical Impact ◽  
Vasopressin Infusion

Echocardiographic Evaluation of Ventricular Assist Devices in Pediatric Patients

2013 ◽  
Vol 26 (1) ◽  
pp. 41-49 ◽  
Author(s):  
Ritu Sachdeva ◽  
Elizabeth A. Frazier ◽  
Robert D.B. Jaquiss ◽  
Michiaki Imamura ◽  
Christopher J. Swearingen ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Ventricular Assist Devices ◽  
Ventricular Assist ◽  
Assist Devices ◽  
Echocardiographic Evaluation

Echocardiographic Evaluation of Coronary Artery Fistula in Pediatric Patients

2005 ◽  
Vol 26 (6) ◽  
pp. 745-750 ◽  
Author(s):  
C.-D. Liang ◽  
S.-F. Ko ◽  
C.-F. Huang ◽  
S.-C. Huang
Keyword(s):  
Coronary Artery ◽  
Pediatric Patients ◽  
Coronary Artery Fistula ◽  
Echocardiographic Evaluation
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