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