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102. Updated Panel Report: Best Practices for the Surgical Treatment of Obesity

in the treatment group for quality of life metrics such as less hunger, earlier fullness, and less food cravings [14]. The transpyloric shuttle is a newer, dumbbell-shaped device that is endoscopically placed across the pylorus to create intermittent gastric outlet obstruction to promote early satiety and delayed gastric emptying. This procedure is currently under investigation and patients are being enrolled for its pivotal trial. Devices meant to replicate portions of the RYGB and alter nutrient, bile acid (...) ]. Anesthesia considerations: airway and sleep apnea management in the patient with obesity Airway management in patients with obesity can be a challenge, particularly in those with obstructive sleep apnea (OSA). Preventing major airway complications (death, brain damage, need for surgical airway, unplanned intensive care unit admission) is a central focus in this patient population. Assessment of the ASA Closed Claims Project database demonstrated that 37% of claims related to induction and 67% of claims

2020 Society of American Gastrointestinal and Endoscopic Surgeons

103. Monogenic cerebral small-vessel diseases

with an increased risk of transient neurological events, mostly consistent with migraine aura and especially 2020 European Academy of Neurology 10 M. MANCUSO ET AL.during the puerperium, of which the patient and obstetrician should be aware. Pregnancy is not contraindicated in CADASIL, and no prophylaxis with heparin or aspirin is required. However, migraine can worsen especially around the puerperium when confusional migraine and encephalopathy can occur. Cerebral autosomal recessive arteriopathy (...) of the haemorrhagic type that can be associated with extracerebral clinical manifestations [20]. These two genes encode the a1 and a2 chains of COL4 and share a common locus on chromosome 13 (13q34). Most pathogenic variants of COL4A1/2 lead to either substitution of a glycine with a di?erent amino acid or haploinsu?ciency. (a) (b) (c) (d) (e) (f) (g) (h) (i) Figure 5 Type IV collagen (COL4)A1. White matter hyperintensities on Fluid Attenuated Inversion Recovery (FLAIR) images (a,b,c, d) and T2*-weighted images

2020 European Academy of Neurology

104. Practice Guidelines for Central Venous Access 2020: An Updated Report by the American Society of Anesthesiologists Task Force on Central Venous Access

Practice Guidelines for Central Venous Access 2020: An Updated Report by the American Society of Anesthesiologists Task Force on Central Venous Access Practice Guidelines for Central Venous Access 2020:An Updated Report by the American Society of Anesthesiologists Task Force on Central Venous Access* | Anesthesiology | ASA Publications 68182499 ASA Publications Log in to access full content You must be logged in to access this feature. ASA members enjoy complimentary access to ASA publications (...) , as well as a variety of educational resources. Non-ASA Members Login Free Practice Parameter | January 2020 Practice Guidelines for Central Venous Access 2020: An Updated Report by the American Society of Anesthesiologists Task Force on Central Venous Access * Author Notes Supplemental Digital Content is available for this article. Direct URL citations appear in the printed text and are available in both the HTML and PDF versions of this article. Links to the digital files are provided in the HTML

2020 American Society of Anesthesiologists

105. Defining Oligometastatic Disease from a Radiation Oncology Perspective

treatment of the primary cancer and all metastatic lesions might have a curative potential [19,21,25,29,32,34,38,51,57,58,61,64,65,73– 75,78,83,87,92,99,100,104–111] + Outcome An intermediate state in which local or treated metastasis control may yield improved systemic control [39,66] + Disease burden Limited number of metastases:oligometastatic is de?ned asa small number of low volume metastases, 5 orless, 3 or less [22,23,35,42,45,70,112–114] Limited number of sites/regions [31,71] Single or limited

2020 American Society for Radiation Oncology

106. Cardiovascular Considerations in Caring for Pregnant Patients: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

and should be replaced with medications known to have a better safety profile in pregnancy. A comprehensive clinical review of a woman’s overall health before conception should include reviewing the need for supplemental folic acid and monitoring nutritional status. Figure 3. Antihypertensive medications and anticoagulants used during pregnancy. , , Boxes with various shades: Red shows contraindicated medications; yellow, use-with-caution medications; and green, relatively safe medications. ACEI (...) dysfunction leading to improved outcomes have still not been done. For women with high-risk conditions (chronic hypertension, previous preterm preeclampsia, preterm birth at <34 weeks of gestation, diabetes mellitus), low-dose aspirin may be considered and should be started in the late first trimester. , , Expeditious triage and treatment within 30 to 60 minutes of confirmed severe hypertension (blood pressure ≥160/110 mm Hg and persistent for 15 minutes) should be initiated to reduce the risk of maternal

2020 American Heart Association

107. Call to Action to Prevent Venous Thromboembolism in Hospitalized Patients: A Policy Statement From the American Heart Association

Centre, has recently published guidelines on the prevention, diagnosis, and treatment of VTE, including the prevention of VTE in medically ill patients. Nineteen major recommendations for medically ill patients are provided, including pharmacological prophylaxis for all ill patients, no use in patients in nursing homes, not extending prophylaxis beyond the hospital stay, and aspirin in high-risk patients who cannot receive LMWH or sequential compression devices. Risk Assessment Tools AND MODELS

2020 American Heart Association

108. AGA Clinical Practice Update on Screening and Surveillance for Hepatocellular Carcinoma in Patients With Nonalcoholic Fatty Liver Disease: Expert Review Full Text available with Trip Pro

. Specialized serum-/plasma-based tests include Enhanced Liver Fibrosis panel (contains hyaluronic acid, PIIINP, and TIMP-1), Fibrospect 2 (contains hyaluronic acid, α-2 macroglobulin, and TIMP-1), FibroMeter, and Fibrosure. Younossi Z.M. Loomba R. Anstee Q.M. et al. Diagnostic modalities for nonalcoholic fatty liver disease, nonalcoholic steatohepatitis, and associated fibrosis. Hepatology. 2018; 68 : 349-360 Noninvasive imaging methods include vibration-controlled transient elastography (VCTE), shear-wave (...) , computed tomography scan or magnetic resonance imaging [MRI]) for HCC screening. While the PRIUS study (A Prospective Intra-individual Cohort Study to Compare Gadoxetic Acid [Primovist®]-Enhanced Magnetic Resonance Image and Ultrasonography for the Surveillance of Early Stage Hepatocellular Carcinoma in Patients at High-Risk) suggested that MRI-based screening may be superior to ultrasound-based screening, this comparison was not specifically studied or reported in patients with poor ultrasound quality

2020 American Gastroenterological Association Institute

109. Gestational Hypertension and Preeclampsia

that spans guidance on the diagnosis and management of the full spectrum of obstetric and gynecological conditions and clinical management issues. Note for Life Fellows: Annual membership dues are waived but there is a discounted annual subscription fee of $95 for access to publications such as the Green Journal, Practice Bulletins, and Committee Opinions. Individual subscriptions include print and online access. . Jump to: Figures & Tables Table 1. Clinical Risk Factors and Aspirin Use* Table 2. Serum

2020 American College of Obstetricians and Gynecologists

112. Clinical Management of Stable Coronary Artery Disease in Patients With Type 2 Diabetes Mellitus: A Scientific Statement From the American Heart Association

by both altered coagulation and altered platelet function. Aspirin alone Lowest risk of bleeding but high residual platelet reactivity increases cardiovascular risk Clopidogrel alone Decreased cardiovascular risk without meaningfully increased risk of bleeding vs aspirin alone Aspirin+clopidogrel/ticagrelor Decreased cardiovascular risk with increased risk of bleeding; targets patients with additional risk factor and low risk of bleeding (use risk scores) Aspirin+low-dose rivaroxaban Decreased (...) disease; DPP4, dipeptidyl peptidase 4; GLP-1, glucagon-like peptide-1; HDL-C, high-density lipoprotein cholesterol; LDL, low-density lipoprotein; LV, left ventricular; MACE, major adverse cardiovascular event; MI, myocardial infarction; PCSK9, proprotein convertase subtilisin/kexin type 9; SGLT2, sodium-glucose cotransporter 2; and T2DM, type 2 diabetes mellitus. Aspirin and Clopidogrel In the setting of this platelet-centric thrombogenic milieu, medical management with antiplatelet therapies has been

2020 American Heart Association

113. Treatment of Left-sided Colonic Diverticulitis

of amoxicillin-clavulanic acid (48 hours of intravenous treat- ment followed by oral administration) or observation in an outpatient setting, and the primary end point was time to recovery. The median time to recovery for the antibiotic treatment group was 12 days (interquartile range (IQR) 7–30) versus 14 days in the observation group (IQR 6–35; p = 0.15). There were no significant differences between the treatment groups in terms of the occurrence of mild or serious adverse events, but the antibiotic group (...) with multiquadrant peritonitis or overwhelming systemic in- flammatory response due to purulent or feculent perito- nitis who are acutely ill and/or appear toxic. These patients generally require expedited fluid resuscitation, antibiotic administration, and operation. In a retrospective NSQIP study evaluating complications after emergency colec- tomy for diverticulitis in 2214 patients, the overall 30-day operative mortality was 5.1%. 123 Predictors of mortality included age >80 years, ASA class 4 or 5, serum

2020 American Society of Colon and Rectal Surgeons

114. Pharmacologic Management of COPD: An Official ATS Clinical Practice Guideline

as policy in most situations, including for use asa performance indicator. (The recommended course of action may be an appropriate performance measure.) Policy making will require substantial debates and involvement of many stakeholders. Policies are also more likely to vary between regions. Performance indicators would have to focus on the fact that adequate deliberation about the management options has taken place. (The recommended course of action is not appropriate for a performance measure

2020 American Thoracic Society

116. American College of Rheumatology Guideline for the Management of Reproductive Health in Rheumatic and Musculoskeletal Diseases

taking mycophenolate mofetil/mycophenolic acid (MMF) use an IUD alone or 2 other methods of contraception together, because MMF may reduce serum estrogen and progesterone levels (in turn reducing the efficacy of oral contraceptives). The Mycophenolate Risk Evaluation and Mitigation Strategy program suggests use of an IUD alone (copper or progestin is not specified), or an estrogen- progestin contraceptive or the progestin implant together with a barrier contraceptive (36). It is not known whether (...) or persistent positive lupus anticoagulant); APS = antiphospholipid syndrome (obstetric and/or thrombotic); obstetric APS (OB APS) = patients meeting laboratory criteria for APS and having prior consistent pregnancy complications (=3 consecutive losses prior to 10 weeks’ gestation, fetal loss at or after 10 weeks’ gestation, or delivery at 100 mg per day. Low- dose aspirin is not thought to complicate anesthesia or delivery (112); however, a decision regarding discontinuation prior to delivery should

2020 American College of Rheumatology

117. CIRSE Standards of Practice on Thermal Ablation of Liver Tumours

for radiofrequency ablation of liver tumours. Cardiovasc Interv Radiol. 2010;33(1):11–7. 6. American College of Radiology (2018). Accessed 3 Jan 2020. 7. American College of Radiology (2017). Accessed 3 Jan 2020. 8. Vreugdenburg TD, Ma N, Duncan JK, Riitano D, Cameron AL, Maddern GJ. Comparative diagnostic accuracy of hepatocyte-specific gadoxetic acid (Gd-EOB-DTPA) enhanced MR imaging and contrast enhanced CT for the detection of liver metastases: a systematic review and meta analysis. Int J Colorectal Dis (...) , Claussen CD, Clasen S. Prolonged antibiotic prophylaxis in patients with bilioenteric anastomosis undergoing percutaneous radiofrequency ablation. J Vasc Interv Radiol. 2012;23(4):545–51. 34. Lee MJ, Fanelli F, Haage P, Hausegger K, Van Lienden KP. Patient safety in interventional radiology: a CIRSE IR checklist. Cardiovasc Interv Radiol. 2012;35(2):244–6. 35. ASA House of Delegates/Executive Committee (2014). Accessed 3 Jan 2020. 36. Pereira PL, Trübenbach J, Schenk M, Subke J, Kroeber S, Schaefer I

2020 Cardiovascular and Interventional Radiological Society of Europe

118. Guidelines on the use of liver biopsy in clinical practice

; evidence MODERATE). We recommend FFP should not be used to correct an INR =2.0 prior to liver biopsy (strength of recommendation STRONG; evidence MODERATE). We recommend that, where time allows, stopping aspirin 3 days prior to percutaneous biopsy should be considered, but the decision will depend on the indications for aspirin and the urgency of the biopsy (strength of recommendation MODERATE; evidence WEAK). In patients with acute kidney injury or acute or chronic/ decompensated liver disease, we

2020 British Society of Gastroenterology

119. Venous thromboembolism (VTE) prophylaxis in pregnancy and the puerperium

(Xarelto®) 42 Aspirin • There are no controlled trials on the use of aspirin for thromboprophylaxis in pregnancy 10 • The American College of Physicians recommend against the use of aspirin for VTE in any patient group 2 • No adverse fetal outcomes were reported in a meta-analysis of large randomised controlled trials of low-dose aspirin for the prevention of preeclampsia in pregnancy 43 • There is insufficient evidence to recommend routine use of aspirin for thromboprophylaxis in the antenatal

2020 Queensland Health

120. Maternity care for mothers and babies during the COVID-19 pandemic

-19 pandemic Refer to online version, destroy printed copies after use Page 6 of 29 Abbreviations AGP Aerosol generating procedure CPAP Continuous positive airway pressure DNA Deoxyribonucleic acid GDM Gestational diabetes mellitus ICU Intensive care unit LISA Less invasive surfactant administration MERS Middle eastern respiratory syndrome MSG Message NNST Neonatal screening test (also known as newborn bloodspot screening) OGTT Oral glucose tolerance test PPE Personal protective equipment RESPCR

2020 Queensland Health


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