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Fetal Heart Tracing

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141. Guidelines on Supraventricular Tachycardia (for the management of patients with) (Full text)

Guidelines on Supraventricular Tachycardia (for the management of patients with) 2019 ESC Guidelines for the management of patients with supraventricular tachycardiaThe Task Force for the management of patients with supraventricular tachycardia of the European Society of Cardiology (ESC) | European Heart Journal | Oxford Academic ') We use cookies to enhance your experience on our website.By continuing to use our website, you are agreeing to our use of cookies. You can change your cookie (...) by this author on: Georgia Sarquella-Brugada and Thomas Kriebel: representing the AEPC. European Heart Journal , ehz467, Published: 31 August 2019 Citation Josep Brugada, Demosthenes G Katritsis, Elena Arbelo, Fernando Arribas, Jeroen J Bax, Carina Blomström-Lundqvist, Hugh Calkins, Domenico Corrado, Spyridon G Deftereos, Gerhard-Paul Diller, Juan J Gomez-Doblas, Bulent Gorenek, Andrew Grace, Siew Yen Ho, Juan-Carlos Kaski, Karl-Heinz Kuck, Pier David Lambiase, Frederic Sacher, Georgia Sarquella-Brugada

2019 European Society of Cardiology

142. Pregnancy and Renal Disease

, (Piccoli et al., 2018, #13860) which equates to between 15,000-20,000 pregnancies per year in England. The prevalence of CKD in pregnancy is predicted to rise in the future due to increasing maternal age and obesity. Although CKD is not a barrier to reproduction in most women, the risk of adverse pregnancy outcomes is increased in women with CKD including pre-eclampsia, fetal growth restriction, preterm delivery and accelerated loss of maternal renal function. CKD impacts on communication, decision (...) of spontaneous miscarriage and fetal abnormality. A 3-month interval is advised before conception to allow conversion to a pregnancy-safe alternative and ensure stable disease/kidney function (1C). Guideline 2.6 We recommend that, when other treatment options exist, rituximab is avoided in pregnancy due to the risk of neonatal B cell depletion and unknown long-term outcomes (1D). Guideline 2.7 We recommend sirolimus and everolimus are avoided in pregnancy due to insufficient safety data (1D). Guideline 2.8

2019 Renal Association

143. Guidelines For Professional Ultrasound Practice

published on a wide range of topics by organisations other than the SCoR and BMUS. These guidelines do not and cannot cover all elements of an ultrasound examination and, in addition, ultrasound practitioners are advised to access standard texts, documents and research in order to fully inform local departmental protocols and procedures. There are no guidelines included for obstetric ultrasound in this edition. Practitioners are referred to publications from the national fetal anomaly screening (...) programmes, the Royal College of Obstetricians and Gynaecologists (especially their Greentop Guidelines), the Fetal Medicine Foundation, Association of Early Pregnancy Units, British Society of Gynaecological Imaging, National Institute for Health and Care Excellence and the International Society of Ultrasound in Obstetrics and Gynaecology. The term patient has been used throughout the document in preference to other terms such as client or service user. Several professional titles are used by those who

2019 British Medical Ultrasound Society

144. Guidelines For Professional Ultrasound Practice

do not and cannot cover all elements of an ultrasound examination and, in addition, ultrasound practitioners are advised to access standard texts, documents and research in order to fully inform local departmental protocols and procedures. There are no guidelines included for obstetric ultrasound in this edition. Practitioners are referred to publications from the national fetal anomaly screening programmes, the Royal College of Obstetricians and Gynaecologists (especially their Greentop (...) Guidelines), the Fetal Medicine Foundation, Association of Early Pregnancy Units, British Society of Gynaecological Imaging and the International Society of Ultrasound in Obstetrics and Gynaecology. The term patient has been used throughout the document in preference to other terms such as client or service user. Several professional titles are used by those who practice ultrasound and this can lead to considerable confusion. The term ultrasound practitioner is used throughout this document when

2018 British Medical Ultrasound Society

145. Risk factors for breast cancer: A review of the evidence 2018

populations associated with inheritance of the mutation ?a founder mutation ?from early ancestors in a group that is or was geographically or culturally isolated. Founder mutations in BRCA1 and BRCA2 have been identified in the Ashkenazi Jewish (Jews whose origins can be traced back to Eastern Europe) population and in populations of Iceland, the Netherlands, Sweden, Hungary, Italy, South Africa and Pakistan. 104, 105 As many as one in 40 individuals (men and women) of Ashkenazi Jewish descent has one

2018 Cancer Australia

146. Evaluation and management of polyhydramnios (Full text)

stage of labor was prolonged in the presence of polyhydramnios and that the rate of amniotomy was significantly increased. If amniotomy is to be performed, and the polyhydramnios is moderate to severe, performing a “controlled” amniotomy in the operating room using a spinal or pudendal block needle has been suggested; however, a clear advantage of this approach has not been demonstrated. Nonreassuring fetal heart rate tracings have been reported to be more frequent with polyhydramnios by some, x 3 (...) , micrognathia, abnormalities that compress the trachea (neck, mediastinal, or lung masses, congenital high airway obstruction sequence, diaphragmatic hernia), gastrointestinal tract obstruction, and neurologic or muscular disorders such as myotonic dystrophy. Fetal abnormalities that cause a high-output cardiac state or heart failure may also lead to polyhydramnios, often associated with nonimmune hydrops fetalis (NIHF). Examples include sacrococcygeal teratoma, placental chorioangiomas, and other vascular

2019 Society for Maternal-Fetal Medicine

147. BSG consensus guidelines on the management of inflammatory bowel disease in adults

5.13.2 IBD-related cancer chemoprevention with mesalazine 168 5.13.3 IBD-related cancer chemoprevention with thiopurines 170 5.14 Anti-TNF, vedolizumab, ustekinumab and tofacitinib therapy during pregnancy 171 5.14.1 Fetal and infant exposure to anti-TNF drugs 171 5.14.2 Cessation of anti-TNF therapy in the second trimester in quiescent IBD 172 5.14.3 Continuation throughout pregnancy in IBD patients at high risk of flare 172 5.14.4 Risk to the fetus of continuing anti-TNF until delivery 172 5.14.5

2019 British Society of Gastroenterology

149. Syphilis in pregnancy

, transient accentuation of cutaneous lesions 47 , hypotension and tachycardia 38,40 · May precipitate uterine contractions (56–67%), decreased fetal movements (67%) and abnormal fetal heart rate (FHR) tracings (50%) 24 · In severely affected pregnancies preterm birth and stillbirth have been reported 24 Management · Do not delay treatment due to concerns about adequacy of monitoring · Offer information to women about JHR o Refer to Queensland Clinical Guideline Parent information · Advise women to: o (...) Abbreviations CSF Cerebrospinal fluid FHR Fetal heart rate GP General Practitioner HIV Human immunodeficiency virus IgM Immunoglobulin M IV Intravenous JHR Jarisch Herxheimer Reaction PCR Polymerase Chain Reaction POC Point of care QSSS Queensland Syphilis Surveillance Service SOP Standard operating procedure STI Sexually transmitted infection USS Ultrasound VDRL Venereal Diseases Research Laboratory Definition of terms Adequate treatment In a pregnant woman, treatment may be considered adequate if a stage

2019 Queensland Health

150. Clinical Practice Guidelines for the Perioperative Nutrition, Metabolic, and Nonsurgical Support of Patients Undergoing Bariatric Procedures

Director, Marie- Josée and Henry R. Kravis Center for Clinical Cardiovascular Health at Mount Sinai Heart; Director, Metabolic Support Divisions of Cardiology and Endocrinology, Diabetes, and Bone Disease, Icahn School of Medicine at Mount Sinai, New York, New York; Past President, AACE and ACE 2 Guideline Task Force Co-Chair (TOS); Professor of Medicine and Director, Nutrition and Weight Management, Boston University School of Medicine and Boston Medical Center, Boston, Massachusetts 3 Guideline Task (...) ). Several guidelines for treatment of obesity have also been published as a resource for clinicians since 2013. Most notable are the American Heart Association (AHA)/American College of Cardiology (ACC)/The Obesity Society (TOS) Guideline for the Management of Overweight and Obesity in Adults (12), The American Society of Clinical Endocrinologists (AACE) and the American College of Endocrinology (ACE) Clinical Practice Guidelines for Comprehensive Care of Patients with Obesity (13), the Obesity Medicine

2019 American Association of Clinical Endocrinologists

151. Clinical Guidelines and Standardization of Practice to Improve Outcomes

SR, Breizat AH, Dellinger EP, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. Safe Surgery Saves Lives Study Group. N Engl J Med 2009; 360:491–9. 10. Cabana MD, Rand CS, Powe NR, Wu AW, Wilson MH, Abboud PA, et al. Why don’t physicians follow clinical practice guidelines? A framework for improvement. JAMA 1999;282:1458–65. 11. Clark SL, Nageotte MP, Garite TJ, Freeman RK, Miller DA, Simpson KR, et al. Intrapartum management of category II fetal heart (...) rate tracings: towards standardization of care. Am J Obstet Gynecol 2013;209:89–97. 12. American College of Obstetricians and Gynecologists. Quality and safety in women’s health care. 2nd ed. Wash- ington, DC: American College of Obstetricians and Gyne- cologists; 2010. 13. Clark SL, Meyers JA, Frye DK, Perlin JA. Patient safety in obstetrics–the Hospital Corporation of America experi- ence. Am J Obstet Gynecol. 2001;204:283–7. 14. Weinberger SE, Lawrence HC, Henley DE, Alden ER, Hoyt

2019 American College of Obstetricians and Gynecologists

154. Primary postpartum haemorrhage

: abnormal CTG tracing, loss of fetal station · Postpartum presentation often associated with: o Pain, abdominal distension and persistent vaginal bleeding o Haematuria may occur if rupture extends into the bladder Treatment · Urgently transfer to OT · Confirm diagnosis (...) or · Hysterectomy (consider early) Unknown cause · Laparotomy – EUA Surgical procedures No Yes DRSABC (as relevant to circumstances) Assessment · Rate/volume of bleeding · Lie flat, oxygen 15 L/minute, keep warm · Continuous heart rate and SpO 2 , 15 minutely BP and temperature · Ensure routine third stage oxytocic given · 4Ts (tissue, tone, trauma, thrombin) Urgent bloods · FBC, Full chemistry profile (Chem20), coagulation profile, blood gas, · X-match if none current with laboratory · ROTEM® /TEG®

2019 Queensland Health

155. Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada

. Prebtani MD, FRCPC, Vincent Woo MD, FRCPC S190 Management of Acute Coronary Syndromes Jean-Claude Tardif MD, FRCPC, FACC, FCAHS, Phillipe L. L'Allier MD, David H. Fitchett MD, FRCPCCONTENTS (continued): April 2018 Volume 42 Supplement 1 S196 Treatment of Diabetes in People With Heart Failure Kim A. Connelly MBBS, PhD, FCCS, Richard E. Gilbert MBBS, PhD, Peter Liu MD, FRCPC, FACC S201 Chronic Kidney Disease in Diabetes Philip McFarlane MD, PhD, FRCPC, David Cherney MD, PhD, FRCPC, Richard E. Gilbert (...) CCFP Co-Chair, Dissemination & Implementation Committee Family Physician Women’s College Hospital, Clinician Scientist, Department of Family and Community Medicine, University of Toronto, Toronto, ON Ram Krishna MSc (Physics) Post Graduate Dip Bus Admin Informed Patient Representative Toronto, ON Peter J. Lin MD CCFP Advisor Director Primary Care Initiatives Canadian Heart Research Centre, Associate Editor, Elsevier WebPortal - PracticeUpdate Primary Care, Medical Director LinCorp Medical Inc

2018 Diabetes Canada

156. Canadian guidelines for controlled pediatric donation after circulatory determination of death-summary report

require full informed consent. A question that is often raised in pDCD considerations is if substitute decision makers or families can give valid consent for a procedure that might cause harm or discomfort to the donor while providing medical benefit only to the organ recipient. Several authors ( , , ), including the 2013 American shared position statement from the American Thoracic Society, the Society for Heart and Lung Transplantation, the Society of Critical Care Medicine, the Association of Organ (...) , defined as the absence of anterograde arterial circulation. See actionable recommendations 37 and 38 for the specifics of how to determine that absence. b) A hands-off period of continuous observation of circulatory arrest during which no interventions are undertaken to facilitate donation. See recommendation below for duration of hands-off period. c) At the end of this period, death is legally determined, and organ recovery may commence. 35) Recovery and transplantation of the heart in pDCD

2017 CPG Infobase

157. Management Of Haemophilia

& Trauma Surgeon Gleneagles Hospital, Kuala Lumpur Associate Professor Dr. Azlan Husin Consultant Physician & Clinical Haematologist Hospital Universiti Sains Malaysia, Kelantan Dr. Carol Lim Kar Koong Head of Department & Consultant Obstetrician & Gynaecologist (Maternal Fetal Medicine) Hospital Sultan Ahmad Shah, Pahang Ms. Haironi Ismail Physiotherapist Hospital Putrajaya, Putrajaya Ms. Halimah Hashim Physiotherapist Hospital Raja Perempuan Zainab II, Kelantan Dr. Jalil Ishak Family Medicine (...) ): 20 mg/kg stat, then15 mg/kg every 4 - 6-hourly Max: 60 mg/kg (up to 90 mg/kg for 48 hours) Selective Cox-2 Inhibitors Celecoxib Adults (oral): 100 - 400 mg, 12 - 24-hourly Max: 800 mg/day Not recommended in severe renal and/or hepatic impairment Initiate therapy at lowest recommended dose in elderly Ischaemic heart disease Cerebrovascular disease Contraindicated in hypersensitivity to sulfonamides Associated with a lower risk of serious upper gastrointestinal side effects compared to NSAIDs

2018 Ministry of Health, Malaysia

158. Regional Anesthesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy

of VTE, mechanical heart valves, and atrial fibrillation. In addition, patients with bare metal or drug-eluting coronary stents require antiplatelet therapy with aspirin and thienopyridine derivatives (eg, clopidogrel) for varying durations. These patients may present for elective or urgent surgical procedures. Perioperative management involves balancing the risks of surgical bleeding and thromboembolism. Minor procedures may not require interruption of antithrombotic or antiplatelet therapy. However

2018 American Society of Regional Anesthesia and Pain Medicine

160. CRACKCast E180 – Labor & Delivery

information, limited assistance with intrapartum decision making External electronic fetal monitoring uses tracings of the fetal heart rate and uterine activity. helps confirm true labor and may help diagnose fetal distress. In combination with clinical data, this can portend fetal distress due to hypoxia and provide a window for intervention. Uterine activity is measured transabdominally by a pressure transducer, creating a recording of the contraction frequency. Because the measurements are indirect (...) , the strength of the contractions correlates poorly with the tracing. The tracings are position and placement sensitive. Fetal heart rate tracings have several components that can be assessed—baseline heart rate, variability, accelerations, decelerations, and diagnostic patterns. Ultrasonography the gestational age, biophysical profile, amniotic fluid index, and a survey of fetal and placental anatomy may be obtained. What are the indications for foetal monitoring during labour? -> Labouring woman 4

2018 CandiEM

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