Dr. Nilam Soni
University of Texas Health Science Center at San Antonio
+1
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Academic Career Length
22Years (2005-Present)
(Calculated once Scilit publication data is synced: current year − year of first publication + 1)
Representative Publications
View All Publications1 March 2019 in JAMA Network Open
Journal Article
AMAnna Maw
Anna MawAHAhmed Hassanin
Ahmed Hassanin
PHP. Michael Ho
P. Michael Ho
MMMatthew D. F. McInnes
Matthew D. F. McInnes
AMAngela Moss
Angela Moss
SDStacie L. Daugherty
Stacie L. Daugherty
+7
Acute decompensated heart failure (ADHF) is the primary cause in up to 40% of older adults presenting with dyspnea,1 one of the leading reasons for emergency department visits in the United States.2 The diagnostic workup for ADHF can be challenging and often requires several tests. The insensitivity of guideline-recommended tools for diagnosing ADHF, such as chest radiography (CXR), physical examination, and brain-type natriuretic peptide (BNP),3,4 is known to delay treatment, which is associated with an increase in mortality.5,6 In particular, the sensitivity of CXR in detecting pulmonary edema is limited, with 20% being a false-negative.7,8 Given the limitations of current tools to diagnose ADHF, the National Heart, Lung, and Blood Institute Working Group on Emergency Department Management of Acute Heart Failure has prioritized the development of new techniques for the diagnosis and monitoring of ADHF.9
1 December 2016 in Mayo Clinic Proceedings
Journal Article
ABAnjali Bhagra
Anjali BhagraDTDavid Tierney
David TierneyHSHiroshi Sekiguchi
Hiroshi Sekiguchi
Nilam Soni28 July 2015 in Journal of Hospital Medicine
Journal Article
Nilam SoniRFRicardo Franco
Ricardo Franco
MVMaria I. Velez
Maria I. Velez
DSDaniel Schnobrich
Daniel Schnobrich
RDRia Dancel
Ria Dancel
PMPaul H. Mayo
Paul H. Mayo
+1
5 July 2018 in European Respiratory Journal
Journal Article
MRMarcos I. Restrepo
Marcos I. Restrepo
BBBettina L. Babu
Bettina L. Babu
LRLuis F. Reyes
Luis F. Reyes
JCJames D. Chalmers
James D. Chalmers
Nilam SoniSAStefano Aliberti
Stefano Aliberti +4
Pseudomonas aeruginosais a challenging bacterium to treat due to its intrinsic resistance to the antibiotics used most frequently in patients with community-acquired pneumonia (CAP). Data about the global burden and risk factors associated withP. aeruginosa-CAP are limited. We assessed the multinational burden and specific risk factors associated withP. aeruginosa-CAP.We enrolled 3193 patients in 54 countries with confirmed diagnosis of CAP who underwent microbiological testing at admission. Prevalence was calculated according to the identification ofP. aeruginosa. Logistic regression analysis was used to identify risk factors for antibiotic-susceptible and antibiotic-resistantP. aeruginosa-CAP.The prevalence ofP. aeruginosaand antibiotic-resistantP. aeruginosa-CAP was 4.2% and 2.0%, respectively. The rate ofP. aeruginosaCAP in patients with prior infection/colonisation due toP. aeruginosaand at least one of the three independently associated chronic lung diseases (i.e.tracheostomy, bronchiectasis and/or very severe chronic obstructive pulmonary disease) was 67%. In contrast, the rate ofP. aeruginosa-CAP was 2% in patients without priorP. aeruginosainfection/colonisation and none of the selected chronic lung diseases.The multinational prevalence ofP. aeruginosa-CAP is low. The risk factors identified in this study may guide healthcare professionals in deciding empirical antibiotic coverage for CAP patients.
1 December 2016 in The Lancet Infectious Diseases
Journal Article
SAStefano Aliberti
Stefano AlibertiLRLuis F Reyes
Luis F Reyes
Paola FaverioGSGiovanni Sotgiu
Giovanni Sotgiu
SDSimone Dore
Simone DoreLLLucía Labra
Lucía Labra
+268
2 January 2019 in Journal of Hospital Medicine
Journal Article
Nilam SoniDSDaniel Schnobrich
Daniel Schnobrich
BMBenji K. Mathews
Benji K. Mathews
DTDavid Tierney
David TierneyTJTrevor P. Jensen
Trevor P. Jensen
BLBrian P. Lucas
Brian P. Lucas
+16
Many hospitalists incorporate point‐of‐care ultrasound (POCUS) into their daily practice to answer specific diagnostic questions or to guide performance of invasive bedside procedures. However, standards for hospitalists in POCUS training and assessment are not yet established. Most internal medicine residency training programs, the major pipeline for incoming hospitalists, have only recently begun to incorporate POCUS in their curricula. The purpose of this document is to inform a broad audience on what POCUS is and how hospitalists are using it. This document is intended to provide guidance for the hospitalists who use POCUS and administrators who oversee its use. We discuss POCUS 1) applications, 2) training, 3) assessments, and 4) program management. Practicing hospitalists must continue to collaborate with their local credentialing bodies to outline requirements for POCUS use. Hospitalists should be integrally involved in decision‐making processes surrounding POCUS program management.
About Me
Dr. Nilam J. Soni is a Professor of Medicine and an Academic
Hospitalist at the University of Texas School of Medicine in San Antonio and the South Texas Veterans Health Care System. He is trained in internal medicine and
is an international expert in point-of-care ultrasound. Dr. Soni has
collaborated with a broad range of healthcare professionals to advance point-of-care ultrasound implementation in multiple specialties, and he is an accomplished educator of point-of-care ultrasound nationally and internationally. He currently
leads development of a national point-of-care ultrasound program for the
Department of Veterans Affairs (VA) and serves as the Director of the VA Point-of-Care
Ultrasound Patient Safety Center. His current scholarly work includes evaluating
the impact of incorporating point-of-care ultrasound use into clinical care, and
in 2016, he was awarded a VA Quality Enhancement Research Initiative (QUERI) grant
to evaluate the implementation of point-of-care ultrasound training in the VA healthcare
system. He is the visionary and chief editor of the book, Point-of-Care Ultrasound,
which was awarded the 2015 British Medical Association’s President’s Choice Award and has been translated into seven different languages.
He has led the establishment of a point-of-care ultrasound certificate training program
offered by the Society of Hospital Medicine and Chest, and he continues to be actively involved in point-of-care ultrasound through national medical societies.