Barry J Gales

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The use of albumin in the clinical setting continues to generate controversy. Periodic shortages and the high cost of albumin have compelled many hospitals to develop guidelines regarding albumin administration. Our purpose is to review the human studies involving albumin. Particular emphasis will be placed on comparative trials involving albumin and the(More)
OBJECTIVE To evaluate the literature describing acetaminophen use in treatment of patent ductus arteriosus (PDA). DATA SOURCES Searches were conducted in MEDLINE with full text (EBSCOhost; 1946 to September 2014) using the search terms acetaminophen, paracetamol, and patent ductus arteriosus. The references of identified articles were reviewed to identify(More)
OBJECTIVE To evaluate the literature describing the influence of nutritional support teams (NSTs) on the provision of nutritional therapy. DATA SOURCES A MEDLINE and International Pharmaceutical Abstracts search (key terms: nutritional support, nutritional support service/team, hyperalimentation service/team, metabolic support service/team, service/team)(More)
This study was performed to identify and document the benefits associated with a multidisciplinary consult-based nutritional support team. The adequacy of nutritional support and incidence of metabolic complications were prospectively studied in 28 adult patients receiving total parenteral nutrition in a large private tertiary care institution during a(More)
OBJECTIVE To report a case of sulfasalazine-induced agranulocytosis that was successfully treated with granulocyte-colony stimulating factor (G-CSF). CASE SUMMARY An 82-year-old woman developed agranulocytosis within two months of initiating sulfasalazine therapy. She was hospitalized, empiric antibiotic and antifungal agents were prescribed, and(More)
During the past 2 decades, articles suggesting that stun guns be utilized to treat venomous bites and stings have appeared in both the lay and medical press. Although never widely considered to be standard therapy for venomous bites and stings, stun guns are still considered to be a treatment option by some medical practitioners and outdoor enthusiasts. A(More)
OBJECTIVE To identify patients receiving albumin, develop guidelines for albumin use, and examine distribution and billing procedures. DESIGN Case series. SETTING Tertiary care center. PATIENTS All patients received albumin in a four-week period. Patients were identified concurrently using intensive care unit surveys and the pharmacy computer system,(More)