Anthony Thomas Gerlach

Behavioral Economic and Staffing Strategies To Increase Adoption of the ABCDEF Bundle in the Intensive Care Unit (BEST ICU): study protocol for a multi-site stepped-wedge cluster randomized controlled trial in the USA

Eduard Eric Vasilevskis, Jungyoon Kim, Christopher Wichman, Ronnie D. Horner et autres

BACKGROUND: Despite its proven safety and effectiveness at liberation from mechanical ventilation, ABCDEF (Assess, prevent, and manage pain; Both spontaneous awakening and breathing trials; Choice of analgesia/sedation; Delirium: assess, prevent, and manage; Early mobility/exercise; and Family engagement/empowerment) bundle performance in everyday intensive …

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Discordance Between Serum Creatinine-Based and Combined Serum Creatinine/Cystatin C-Based Estimations of Kidney Function in Acutely Ill, Hospitalized Patients

Victoria L. Williams, Anthony Thomas Gerlach

Introduction: Traditional estimations of kidney function relying on serum creatinine (SCr) have significant limitations, as SCr is affected by many non-kidney determinants, such as body composition, age, nutritional status, volume status, etc. While cystatin C (cysC) is not without its own limitations, …

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Response to Comment on “Establishing discordance rate of estimated glomerular filtration rate between serum creatinine‐based calculations and cystatin‐C‐based calculations in critically ill patients”

Victoria L. Williams, Anthony Thomas Gerlach

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Implementing use of cystatin C‐guided estimated glomerular filtration rate for medication dosing at an Academic Medical Center

Victoria L. Williams, Rupal K. Parbhoo, Bruce A Doepker, Claire V. Murphy et autres

Abstract Accurate kidney function assessment is essential for medication dosing, although traditional methods such as urine output and serum creatinine are limited, especially in patients with acute kidney injury. Cystatin C was made available as an alternative marker at our institution, prompting …

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Establishing discordance rate of estimated glomerular filtration rate between serum creatinine‐based calculations and cystatin‐C‐based calculations in critically ill patients

Victoria L. Williams, Anthony Thomas Gerlach

INTRODUCTION: The use of serum creatinine (SCr) for drug dosing has significant limitations and is influenced by many non-kidney factors. Cystatin C (cysC) is an alternative or additional marker of kidney function that is less affected by non-kidney factors. Although cysC may …

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103: IMMIGRANT CRITICAL CARE PROGRAM: A NOVEL MENTORING INITIATIVE

Kwame Asante Akuamoah-Boateng, Mohan Mysore, Anthony Thomas Gerlach, Gozde Demiralp et autres

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Incidence of bradycardia with the use of remdesivir for coronavirus disease of 2019 and risk factor analysis

Samantha Steele, Anthony Thomas Gerlach, Jessica L. Elefritz, Heena H Sadaqat et autres

ABSTRACT Background: Remdesivir is commonly used for inpatient treatment of coronavirus disease of 2019 (COVID-19) and may be associated with bradycardia. The objective is to investigate the incidence of bradycardia in patients with COVID-19 receiving remdesivir and evaluate potential risk factors associated …

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An Approach to Diversifying the Selection of a Guideline Panel—The Process Utilized for the Updated Adult Critical Care Ultrasound Guidelines

Sara Nikravan, Michael J. Lanspa, Enyo Ablordeppey, Anthony Thomas Gerlach et autres

OBJECTIVES: Clinical practice guidelines are essential for promoting evidence-based healthcare. While diversification of panel members can reduce disparities in care, processes for panel selection lack transparency. We aim to share our approach in forming a diverse expert panel for the updated Adult …

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418: LOW RATES OF FEEDING INTOLERANCE WITH NEUROMUSCULAR BLOCKADE IN ACUTE RESPIRATORY DISTRESS SYNDROME

Emily R. Nicholson, Anthony Thomas Gerlach, Jessica L. Elefritz, Molly J. Thompson et autres

Nicholson, Emily; Gerlach, Anthony; Elefritz, Jessica; Thompson, Molly; Phelps, Megan; Thomas, Sheela; Eiferman, Daniel; Wehner, Rebecca Author Information

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Evaluation of an Automated, Pharmacist-Driven, Antimicrobial Patient Acuity Scoring System for Hospitalized Bacteremic Patients

Riley Karpen, Claire V. Murphy, Erica E. Reed, Anthony Thomas Gerlach et autres

Purpose: The implementation of an automated, pharmacist-driven, scoring system within the EMR has been shown to improve patient care in patients with Staphylococcus aureus bacteremia by increasing the adherence to disease specific quality-of-care measures. However, there are a lack of studies evaluating …

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Postoperative urinary retention in colorectal surgery patients on an enhanced surgical recovery pathway

Tuan Anh Nguyen, Eliza Wright Beal, Anthony Thomas Gerlach, Ahmad Shabsigh et autres

Abstract Introduction: Postoperative urinary retention (POUR) is a complication of surgery defined as the inability to empty a full bladder. POUR can prolong hospital length of stay and increase rates of urinary tract infection in the postoperative period. Risk factors for the …

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Development of 8‐h urine collections and an augmented renal clearance dosing program at an academic medical center

Anthony Thomas Gerlach, Brittany Hoyte, Steven W. Cotten, Bruce A Doepker et autres

Abstract Ensuring appropriate dosing of medications is an essential practice of clinical pharmacists. Dose adjustments in the setting of decreased renal function are common but may also be warranted for patients with supraphysiologic or augmented renal clearance (ARC). Conventional estimates of creatinine …

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