Supervise and administer intranasal and IV ketamine for treatment-resistant depression
Director, Emergency Medicine Pain Management
South Brooklyn Health/NYC Health + Hospitals
Brooklyn, NY
10.2018 - 06.2024
Developed a nitrous oxide protocol in the ED for procedural sedation + pain control
Trained residents in regional anesthesia for acute pain and procedural sedation with nitrous oxide
Member of Pharmacy & Therapeutics Committee - Reviewed ED opioid use on a monthly basis
Guided ED physicians in opioid stewardship
Periodically lectured to attendings and residents on non-opioid alternative therapies
Associate Director, Emergency Medicine Pain Management
St. Joseph’s University Medical Center
Paterson, NJ
07.2017 - 09.2018
Level II Trauma Center, 88-bed ED, 160,000 visits/year
Developed protocols for ED use of alternative non-opioid therapies
Performed and assisted with ultrasound guided nerve blocks for acute pain
Introduced nitrous oxide for ED procedural sedation
Education
D.O. -
Touro College of Osteopathic Medicine
New York, New York
06.2012
Graduate Study - Biomedical Sciences
Philadelphia College of Osteopathic Medicine
Suwanee, GA
05.2008
B.S. - Biological Sciences
Florida International University
Miami, Florida
06.2007
Fellowship Training
Interventional Pain Medicine Fellowship
UI Health - University of Illinois at Chicago | Chicago, IL
07/2024 - current
ACGME accredited 1 year multidisciplinary fellowship
Emergency Medicine Acute Pain Fellowship
St. Joseph’s University Medical Center | Paterson, NJ
06/2016 - 05/2017
Multidisciplinary fellowship with a focus on emergency department acute and chronic pain management with regional anesthesia
More than 600 hours of training in ultrasound-guided nerve blocks
Speaking Engagements
Abstract Presentation, "Neuromyelitis Optica Spectrum Disorder Treated With Ketamine" - 10th Annual Chicago Pain Summit - Chicago, IL
Grand Rounds Lecture, "Alternatives to Opiates in the Emergency Department", 09/14/18, Bayonne Medical Center - Bayonne, NJ
Guest Speaker, "Alternatives to Opiates in the Emergency Department", Annual Isabel Maitland Steward Conference - Columbia, NY, 05/04/18
Guest Speaker, "Pediatric Pain Management: Alternative Therapies", Pediatric Nursing Conference, Robert Wood Johnson - Saint Barnabas Health, NJ, 05/03/18
Guest Speaker, "Alternatives to Opiates in the Emergency Department", Vituity Spring Symposium, CA, 04/26/18
Guest speaker, "Alternatives to Opiates in the Emergency Department", BAE Systems, NJ, 10/10/17
Panelist speaker, United for Prevention in Passaic County, NJ, 09/29/17
St. Peter’s University Hospital Grand Rounds – Guest Speaker – "The Opioid Epidemic and Alternatives to Opiates", NJ, 09/26/17
NJ Council of Magnet Organizations (NJCOMO) Annual Conference - Guest Speaker – The Opioid Epidemic and Alternatives to Opiates, 04/28/17
University of Utah Emergency Medicine Grand Rounds – Guest Speaker – Alternatives to Opiates in the Emergency Department, 04/12/17
NJ Association of Osteopathic Physicians and Surgeons (NJAOPS) – Atlantic Regional Osteopathic Convention – Guest Speaker – Alternatives to Opiates in the Emergency Department, 04/07/17
Pennsylvania ACEP Annual Scientific Assembly – Guest Speaker – Alternatives to Opiates in the Emergency Department, 04/06/17
Geriatric Symposium – Guest Speaker Alternatives to Opiates in Geriatric Patient, St. Joseph’s University Medical Center, NJ
Wisconsin ACEP Annual Scientific Assembly - Guest Speaker – Alternatives to Opiates in the Emergency Department, 03/28/17
NJ Emergency Nurse Association – Emergency Care Conference – Guest Speaker - Alternatives to Opiates in the Emergency Department, 03/17/17
Edison NJ Chamber of Commerce – Panelist Speaker on the Opioid Epidemic, 03/01/17
Connecticut ACEP Annual Scientific Assembly – Guest Speaker – Alternatives to Opiates in the Emergency Department, 09/28/16
Mayor McCormac Chamber of Commerce Meeting, NJ – Panelist Speaker on the Opioid Epidemic
Examinations Licensure
COMLEX Level 1, 07/01/10
COMLEX Level 2 CE, 09/01/11
COMLEX Level 2 PE, 11/01/11
COMLEX Level 3, 05/01/14
AOBEM Certification Exam Part 1, 03/01/16
AOBEM Certification Exam Part 2, 03/01/17
Certification
Advance Cardiac Life Support (ACLS)
Advance Trauma Life Support (ATLS)
Pediatric Advance Life Support (PALS)
Basic Life Support (BLS)
Emergency Ultrasound
Ultrasound for Regional Anesthesia
Affiliations/Memberships
North American Neuromodulation Society (NANS)
American Society of Regional Anesthesia (ASRA)
American Society of Pain & Neuroscience (ASPN)
Pacific Spine & Pain Society (PSPS)
American College of Emergency Physicians (ACEP)
American College of Osteopathic Emergency Physicians (ACOEP)
Emergency Medicine Residents Association (EMRA)
American Osteopathic Association (AOA)
Language Fluency - Languages
Spanish
Affiliations
(2025) Viguri, A. (submitted) Chapter 43: Implant Methods for Intrathecal Drug Delivery. [Contributing Author]In Pope & Deer (Eds.) A Modern Atlas for Implantable Devices of the Spine, Brain, and Nerve. Elsevier
(2025) Viguri, A. (submitted) Chapter: Drug Selection and Dosing Strategies of Intrathecal Drug Delivery. [Contributing Author]In Pope & Deer (Eds.) A Modern Atlas for Implantable Devices of the Spine, Brain, and Nerve. Elsevier
2023 – Alleviating Refractory Renal Colic using Ultrasound Guided Erector Spinae Plane Block in the Emergency Department, ASPN
2023 – Safety and Efficacy of Greater Occipital Nerve Block for Adult Patients being Treated for Acute Migraines in the Emergency Department, Submitted EMResident
2022 – “An Adult Female with Periumbilical Pain and Intractable Vomiting” Case Report, Archives of Academic Emergency Medicine
2017 – “Spontaneous Coronary Dissection of Left Anterior Descending Artery Complicated by Retrograde Extension of Dissection and Involvement of Left Main Artery: Successful Management with PCI” Case Report – Minerva Cardioangiologica
2016 – “Postpartum Spontaneous Coronary Artery Dissection” Case Study – ACOEP Poster Presentation – Spring Conference 2016, NEOMEN 2016
11/2012 – 01/2015 Management of Abdominal Pain in Geriatric Patients Presenting to an Urban Geriatric Emergency Department: A Prospective Study
Accomplishments
Outstanding Mentorship Award 2024 - Department of Emergency Medicine - South Brooklyn Health
Timeline
Per Diem Physician
Keta Medical Center
10.2023 - 06.2024
Faculty Attending, Emergency Medicine Residency
South Brooklyn Health/NYC Health + Hospitals
10.2018 - 06.2024
Director, Emergency Medicine Pain Management
South Brooklyn Health/NYC Health + Hospitals
10.2018 - 06.2024
Associate Director, Emergency Medicine Pain Management
Attending Physician, Internal Medicine Residency Core Faculty at McLaren Health careAttending Physician, Internal Medicine Residency Core Faculty at McLaren Health care
Core Faculty, Internal Medicine Residency Training at Grand Strand Medical Center HCACore Faculty, Internal Medicine Residency Training at Grand Strand Medical Center HCA
Core Faculty Internal Medicine Residency Program at Centro Medico Episcopal San LucasCore Faculty Internal Medicine Residency Program at Centro Medico Episcopal San Lucas
Attending Emergency Medicine Physician at Geisinger Wyoming Valley/Geisinger South Wilkes-BarreAttending Emergency Medicine Physician at Geisinger Wyoming Valley/Geisinger South Wilkes-Barre