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Deep Vein Thrombosis of the Upper Extremity

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162. Guidelines on Supraventricular Tachycardia (for the management of patients with) Full Text available with Trip Pro

PRKAG2 Protein kinase AMP-activated non-catalytic subunit gamma 2 PV Pulmonary vein RA Right atrial/anterior RAS Right anteroseptal RBBB Right bundle branch block RCT Randomized clinical trial RL Right lateral RP Right posterior RPS Right posteroseptal RyR Sarcoplasmic reticulum Ca2+ channel SPERRI Shortest pre-excited RR interval during atrial fibrillation SR Sarcoplasmic reticulum SVT Supraventricular tachycardia TA Triggered activity TCM Tachycardiomyopathy TDI Tissue Doppler imaging VA (...) or younger is less likely to have AT or AF continuing into adulthood. Such a long history will point towards a re-entrant mechanism. Dyspnoea, or other clinical signs and symptoms of HF, can occur when the patient has developed TCM. Light-headedness in association with SVT is not infrequent. Presyncope and syncope are less common, , and tend to be associated with presentation in older individuals. In older patients, symptoms may be more extreme—with dizziness, presyncope, and syncope—in view of the less

2019 European Society of Cardiology

163. Diagnosis and Management of Acute Pulmonary Embolism Full Text available with Trip Pro

weeks post-partum 38 Figure 8 Follow-up strategy and diagnostic workup for long-term sequelae of pulmonary embolism 44 Abbreviations and acronyms AcT Right ventricular outflow Doppler acceleration time AFE Amniotic fluid embolism ALT Alanine aminotransferase AMPLIFY Apixaban for the Initial Management of Pulmonary Embolism and Deep-Vein Thrombosis as First-line Therapy ASPIRE Aspirin to Prevent Recurrent Venous Thromboembolism trial AV Arteriovenous b.i.d Bis in die (twice a day) BNP B-type (...) CYP3A4 Cytochrome 3A4 DAMOVES D-dimer, Age, Mutation, Obesity, Varicose veins, Eight [coagulation factor VIII], Sex DASH D-dimer, Age, Sex, Hormonal therapy DVT Deep vein thrombosis ECMO Extracorporeal membrane oxygenation ELISA Enzyme-linked immunosorbent assay EMA European Medicines Agency ERS European Respiratory Society ESC European Society of Cardiology FAST H-FABP, Syncope, Tachycardia (prognostic score) FDA US Food and Drug Administration GUSTO Global Utilization of Streptokinase and Tissue

2019 European Society of Cardiology

165. SCAI Expert Consensus Statement Update on Best Practices for Transradial Angiography & Intervention Full Text available with Trip Pro

spasm or occlusion, 2) increased difficulty with access, 3) standard length catheters (100 cm) may not reach the coronary circulation, and 4) hemostasis devices and techniques are less well developed and validated. • Corcos Hand dysfunction following transradial access With formal and highly sensitive testing, in one study, upper extremity dysfunction or increased limb volume was found in 63.7% of patients two weeks following transradial catheterization and 66.7% at 6 months. A smaller proportion (...) of the radial artery as a bypass graft or dialysis conduit following transradial catheterization requires more study. A small retrospective study found a higher rate of radial graft failure (59% vs. 78%, p = 0.035) when the radial artery was previously utilized for angiography. · Hemodialysis has been a relative contraindication to upper extremity (transradial/transulnar) catheterization due to the frequent failure of shunts and grafts. Whether these concerns are sufficient to overcome the demonstrated

2020 Society for Cardiovascular Angiography and Interventions

166. Recommendations for good practice in Ultrasound: Oocyte retrieval

are shorter in comparison with general anaesthesia (Piroli et al., 2012). Therefore, OPU under conscious sedation is usually a suitable option for patients and operators alike (Kwan et al., 2018). Patient selection is an important consideration. Although conscious sedation is a well-tolerated option for most patients, in some circumstances deep sedation could be preferable such as in cases of: • Extreme anxiety; • Associated pathologies than can complicate OPU, making the procedure longer or painful (...) where there was the development of only a few follicles and/or when there are concerns of premature ovulation, transvaginal ultrasound should be performed before starting the procedure. Patient position and preparation for the procedure - The patient must fast, 6 h for food and 2 h for clear fluids (see also section sedation) - A peripheral intravenous line should be established, with Ringer’s lactate solution or physiological saline solution at the minimum speed required in order to keep the vein

2019 European Society of Human Reproduction and Embryology

167. Pregnancy and Renal Disease

: Weight management before, during and after pregnancy [PH27], 2010 [additional data from 2017 surveillance available at: https://www.nice.org.uk/guidance/ph11/evidence/appendix-a-summary-of- evidence-from-surveillance-pdf-4671107966] ? NICE: Hypertension in Pregnancy: Diagnosis and Management [CG107], 2011 (update awaited 2019). ? UK Renal Association Clinical Practice Guidelines: Undernutrition in Chronic Kidney Disease, June 2019 ? RCOG: Thrombosis and Embolism During Pregnancy and the Puerperium (...) /mmol) be offered thromboprophylaxis with low molecular weight heparin in pregnancy and the post-partum period unless there is a specific contraindication including risk of labour or active bleeding (1D). Renal Association Clinical Practice Guideline Pregnancy and Renal Disease – September 2019 12 Guideline 4.5.2 We suggest that non-nephrotic range proteinuria in pregnancy is a risk factor for thrombosis and thromboprophylaxis with low molecular weight heparin should be considered in the presence

2019 Renal Association

168. Guidelines for enhanced recovery after lung surgery: recommendations of the Enhanced Recovery After Surgery (ERAS) Society and the European Society of Thoracic Surgeons (ESTS) Full Text available with Trip Pro

(ESTS) Timothy J P Batchelor Department of Thoracic Surgery, University Hospitals Bristol NHS Foundation Trust, Bristol, UK Corresponding author. Department of Thoracic Surgery, Bristol Royal Infirmary, Upper Maudlin Street, Bristol BS2 8HW, UK. Tel: +44-117-3423132; e-mail: (T.J.P. Batchelor). Search for other works by this author on: , Neil J Rasburn Department of Anaesthesia, University Hospitals Bristol NHS Foundation Trust, Bristol, UK Search for other works by this author on: , Etienne (...) , the exact duration, intensity, structure and patient selection to achieve maximum efficacy is uncertain [ ]. In 21 studies (including 5 RCTs) focusing on pre- rather than postoperative rehabilitation, the intervention was delivered mainly in the outpatient setting or in a training facility [ ]. Prescribed exercises included aerobic training (lower and/or upper limbs), with the addition of strength training in some studies. Respiratory exercises were also included in the majority of studies. The addition

2020 ERAS Society

169. Special Topics in Venous Thromboembolism

, or mesenteric vein thrombosis). The document also addresses upper extremity and catheter-associated VTE, and criteria for admitting and discharging patients with PE. Key points: Upper extremity DVT Compression ultrasonography is the first-line imaging modality for the diagnosis. [I-B] For acute DVT involving the axillary or more proximal veins treat with anticoagulation for 3 months. [I-A] For central venous catheter-associated upper extremity DVT: when the catheter is no longer needed or is not functioning (...) of conditions: 1 Upper extremity DVT 2 Lower extremity DVT 2.1 Distal (calf) DVT 2.2 Proximal (iliofemoral and femoropopliteal) DVT 2.3 Acute lower extremity DVT with chronic large central vein thrombosis 3 Pulmonary embolism (PE) 3.1 Incidentally found PE 3.2 Massive PE 3.3 Submassive PE 3.4 Discharge considerations for patients with PE 4 Other sites of DVT 4.1 Portal Vein Thrombosis (PVT) 4.2 Mesenteric Vein Thrombosis (MVT) 5 Special topics in DVT 5.1 Thrombophilia workup 5.2 Recurrent VTE 5.3 Treatment

2020 University of Michigan Health System

170. Venous Thromboembolism (VTE)

acceptable methods of care reasonably directed to obtaining the same results. The ultimate judgment regarding any specific clinical procedure or treatment must be made by the physician in light of the circumstances presented by the patient. Venous Thromboembolism (VTE) Patient population: Outpatient adults with suspected acute deep venous thrombosis (DVT) of the upper and lower extremity, pulmonary embolus (PE), or both (VTE). Objectives: (1) Improve the recognition of VTE and selection of appropriate (...) treated at home vs. in the hospital) Thrombus involving the iliofemoral veins Postural or gait instability * Phlegmasia cerulea dolens (literally: painful blue edema) is an uncommon severe form of deep venous thrombosis resulting from extensive thrombotic occlusion (blockage by a Thrombus) of the major and the collateral veins of an extremity. It is characterized by sudden severe pain, swelling, cyanosis and edema of the affected limb Phlegmasia alba dolens: sudden total occlusion of the deep venous

2020 University of Michigan Health System

171. Guidelines for Perioperative Care in Cardiac Surgery Enhanced Recovery After Surgery Society Recommendations

stockings for prevention of deep vein thrombosis. Cochrane Database Syst Rev . 2018;11:CD001484. Dunning J, Versteegh M, Fabbri A, et al; EACTS Audit and Guidelines Committee. Guideline on antiplatelet and anticoagulation management in cardiac surgery. Eur J Cardiothorac Surg . 2008;34(1):73-92. doi: Ho KM, Bham E, Pavey W. Incidence of venous thromboembolism and benefits and risks of thromboprophylaxis after cardiac surgery: a systematic review and meta-analysis. J Am Heart Assoc . 2015;4(10):e002652

2020 ERAS Society

173. Crizanlizumab, Voxelotor, and L-Glutamine for Sickle Cell Disease: Effectiveness and Value

to make living with SCD very difficult. 6 We heard from both patients and clinicians that the picture of “baseline” or “usual” care for patients with SCD is highly variable. Deep dysfunction in care is driven by poor coordination within provider systems and by barriers to access that arise from a broad range of factors including systemic racism, uninformed clinicians, poverty, and insurance systems poorly designed to coordinate coverage for patients with multi-system chronic conditions. ©Institute (...) .” – Parent of an individual living with SCD “SCD is extremely unpredictable, even for the most aware patient. There is such a stigma that I feel from having this disease, wanting to do so much and contributing to society and yet I am limited from achieving many of my hopes and dreams.” – Patient living with SCD ©Institute for Clinical and Economic Review, 2020 Page 11 Evidence Report - Crizanlizumab, Voxelotor, and L-Glutamine for SCD Return to Table of Contents “My son feels very isolated by sickle cell

2020 California Technology Assessment Forum

174. AIUM Practice Parameter for the Performance of a Peripheral Venous Ultrasound Examination

misnomer. JAMA 1995; 274:1296–1298. 23. Lin EP, Bhatt S, Rubens D, Dogra VS. The importance of mono- phasic Doppler waveforms in the common femoral vein: a retro- spective study. J Ultrasound Med 2007; 26:885–891. 24. Lockhart ME, Sheldon HI, Robbin ML. Augmentation in lower extremity sonography for the detection of deep venous thrombosis. AJR Am J Roentgenol 2005; 184:419–422. 25. Noren A, Ottosson E, Sjunnesson M, Rosfors S. A detailed analysis of equivocal duplex ?ndings in patients with suspected (...) . Messina LM, Sarpa MS, Smith MA, Green?eld LJ. Clinical signi?- cance of routine imaging of iliac and calf veins by color ?ow duplex scanning in patients suspected of having acute lower extremity deep venous thrombosis. Surgery 1993; 114:921–927. 37. Baxter GM, Kincaid W, Jeffrey RF, Millar GM, Porteous C, Morley P. Comparison of colour Doppler ultrasound with venog- raphy in the diagnosis of axillary and subclavian vein thrombosis. Br J Radiol 1991; 64:777–781. 38. Grassi CJ, Polak JF. Axillary

2020 American Institute of Ultrasound in Medicine

175. AIUM Practice Parameter for the Performance of Vascular Ultrasound Examinations for Postoperative Assessment of Hemodialysis Access

-guided ligation. For treatment of a deep draining vein, an incision can be made to allow the vein to rise closer to the surface, or super?cial lipectomy can be performed. Successful super?cializationmayallowhemodialysisaccessmatura- tionin3to 6 weeks. 53 Upper Extremity Examination for Graft Dysfunction As part of a complete study, the graft should be evalu- ated with grayscale, color, and spectral Doppler imag- ing. Graft failure that is due to thrombosis is easily diagnosed by a physical (...) legal and local health care facility requirements. Speci?cationsoftheExamination The ultrasound examination is designed to detect abnormalities that may cause access thrombosis, poor function, inability to access for dialysis, or undesirable upper extremity symptoms and to assess for causes of AVF nonmaturation. It is important to understand the anatomic con- ?guration of the hemodialysis access to enable an accurate and complete evaluation. Review of clinical records can be useful

2020 American Institute of Ultrasound in Medicine

176. Obstetric Management of Patients with Spinal Cord Injuries

, and skin integrity problems . Additional potential complications include anemia, deep vein thrombosis, pulmonary emboli, and unattended delivery. Women with SCIs are underrepresented in methodologic research and underserved in terms of clear clinical guidelines and evidence-based care in the perinatal phases of prepregnancy, pregnancy, labor and delivery, and postpartum . Pregnancy in women with SCIs should be managed by a multidisciplinary team approach involving specialists, which may include (...) , fetal growth may be monitored serially. However, because the external uterine compression that occurs during an ultrasound examination can cause autonomic dysreflexia, care should be taken to monitor for and prevent this outcome. Muscle-strengthening exercises may be recommended for the upper extremities of patients who are not quadriplegic. For all patients, elevation of the legs and range-of-motion exercises may be implemented as pregnancy advances. Decreased or limited mobility increases the risk

2020 American College of Obstetricians and Gynecologists

178. Abdominal and pelvic imaging

Signs and Symptoms 36 Abdominal and/or pelvic pain, undifferentiated 36 Fever of unknown origin 38 Lower extremity edema 39 Weight loss 39 References 39 Codes 46 History 46 Imaging of the Abdomen and Pelvis Copyright © 2020 AIM Specialty Health ® All Rights Reserved. 5 Description and Application of the Guidelines The AIM Clinical Appropriateness Guidelines (hereinafter “the AIM Clinical Appropriateness Guidelines” or the “Guidelines”) are designed to assist providers in making the most appropriate (...) choice for initial evaluation of several intra-abdominal conditions, especially in the right upper quadrant and in the pelvis and especially in pediatric patients and pregnant women. Computed tomography (CT) is often utilized for imaging the abdomen and pelvis. It provides excellent 3- dimensional resolution and can be performed relatively quickly, reducing the potential for motion artifact. A major drawback of CT is the dose of ionizing radiation required for image acquisition, which

2020 AIM Specialty Health

179. VTE prophylaxis

contraceptive pills and HRT, varicose veins, pregnancy and up to 6 week postnatal, first-degree relative with a history of VTE, extended travel, and admission to intensive care previous VTE (deep vein thrombosis [DVT] and/or pulmonary embolism [PE]) thrombophilia malignancy postoperative setting trauma indwelling central catheter (upper or lower extremity) immobility myeloproliferative diseases congestive heart failure chronic obstructive pulmonary disease inflammatory bowel disease neurological disease (...) and 60% to 75% of surgical patients receive adequate thromboprophylaxis. Computer-based decision systems and pre-printed orders are most effective in optimising physician adherence to thromboprophylaxis guidelines. Periodic audits by pharmacists or other health professionals reinforce the consistent use of venous thromboembolism prophylaxis. Definition Venous thromboembolism (VTE) prophylaxis consists of pharmacological and non-pharmacological measures to diminish the risk of deep vein thrombosis

2018 BMJ Best Practice

180. Carfilzomib (multiple myeloma) - Addendum to Commission A17-38

(3.9) Deep vein thrombosis 9 (2.3) 6 (1.5) Renal and urinary disorders 13 (3.3) 9 (2.3) Acute kidney injury 8 (2.0) 4 (1.0) a: MedDRA version 20.0. MedDRA: Medical Dictionary for Regulatory Activities; n: number of patients with (at least one) event; N: number of analysed patients; PT: Preferred Term; RCT: randomized controlled trial; SAE: serious adverse event; SOC: System Organ Class; vs.: versus Addendum A18-04 Version 1.1 Carfilzomib – Addendum to Commission A18-04 1 February 2018 Institute (...) + dexamethasone N = 392 Lenalidomide + dexamethasone N = 389 ASPIRE Overall rate of AEs (second data cut-off 28 April 2017) 384 (98.0) 381 (97.9) Infections and infestations 314 (80.1) 279 (71.7) Upper respiratory tract infection 118 (30.1) 81 (20.8) Pneumonia 91 (23.2) 66 (17.0) Viral upper respiratory tract infection 80 (20.4) 68 (17.5) Bronchitis 79 (20.2) 59 (15.2) Respiratory tract infection 46 (11.7) 42 (10.8) General disorders and administration site conditions 269 (68.6) 245 (63.0) Fatigue 131 (33.4

2018 Institute for Quality and Efficiency in Healthcare (IQWiG)

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