How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

1,021 results for

Fetal Heart Tracing

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

143. Practice bulletin no. 116: Management of intrapartum fetal heart rate tracings. (Abstract)

Practice bulletin no. 116: Management of intrapartum fetal heart rate tracings. Intrapartum electronic fetal monitoring (EFM) is used for most women who give birth in the United States. As such, clinicians are faced daily with the management of fetal heart rate (FHR) tracings. The purpose of this document is to provide obstetric care providers with a framework for evaluation and management of intrapartum EFM patterns based on the new three-tiered categorization.

2010 Obstetrics and Gynecology

144. Twin and triplet pregnancy

pregnancy or preterm babies. [2019] [2019] 1.11.2 Explain to the woman that continuous cardiotocography is used to monitor the babies' heartbeats and her labour contractions, and that: it allows simultaneous monitoring of both babies it might restrict her mobility normal traces show the babies are coping well with labour; if traces are not normal, there will be less certainty about the babies' condition it is normal to see changes to the fetal heart rate pattern during labour and this does (...) ). Page 26 of 59labour, involve a senior obstetrician in discussions with the woman and her family members or carers about how to monitor the fetal heart rates. [2019] [2019] 1.11.7 When carrying out cardiotocography: use dual channel cardiotocography monitors to allow simultaneous monitoring of both fetal hearts document on the cardiotocograph and in the clinical records which cardiotocography trace belongs to which baby monitor the maternal pulse electronically and display it simultaneously

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

145. Intrapartum care for women with existing medical conditions or obstetric complications and their babies

balance optimum fluid balance and how this might be achieved plans for risk assessment and monitoring. 1.3.20 Identify women with heart disease for whom fluid balance is critical to cardiac function. These include women with: severe left-sided stenotic lesions (for example, aortic stenosis and mitral stenosis) hypertrophic cardiomyopathy cardiomyopathy with systolic ventricular dysfunction pulmonary arterial hypertension Fontan circulation and other univentricular circulations Intrapartum care (...) for women with existing medical conditions or obstetric complications and their babies (NG121) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Last updated April 2019 Page 13 of 96NYHA class IV heart disease. 1.3.21 For women with heart disease in whom fluid balance is critical for optimal cardiac function, offer tailored monitoring and clinical review during the intrapartum period, and consider escalation as follows: hourly

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

146. Clinical care of severe acute respiratory infections – Tool kit

University School of Medicine, Nashville, TN, United States of America); Sabine Heinrich (Berlin, Germany); Michael Ison (Northwestern University, Chicago, IL, United States of America); Arjun Karki (Patan Academy of Health Sciences, Kathmandu, Nepal); John Luce (San Francisco General Hospital, San Francisco, California, United States of America); Lung Injury Knowledge Network, National Heart, Lung, and Blood Institute (Bethesda, MD, United States of America); Kirsten Lunghi (San Francisco General (...) unit for adults CDC Centers for Disease Control and Prevention (United States of America) CFR case fatality ratio CNS central nervous system CO cardiac output CO 2 carbon dioxide COPD chronic obstructive pulmonary disease CPAP continuous positive airway pressure CPOT Critical-Care Pain Observation Tool CR capillary refill CVC central venous catheter CVP central venous pressure DBP diastolic blood pressure DVT deep venous thrombosis ECG electrocardiogram ECMO extracorporeal membrane oxygenation EN

2020 WHO Coronavirus disease (COVID-19) Pandemic

147. Intervention for fetal distress among obstetricians, registered nurses, and residents: similarities, differences, and determining factors. (Abstract)

). However, compared with residents, registered nurses notified the attending obstetricians at an earlier stage and in response to different fetal heart rate tracing scenarios suggestive of fetal distress (P<.001). Personal or professional experience, type of clinical practice, and psychological traits did not affect the management of the standardized clinical scenario or the intervention index (P=.3-.9).Different providers practicing in the same environment may develop a similar approach in the setting (...) by a study investigator to labor and delivery personnel, including faculty obstetricians, residents, and registered nurses (N=52). An intervention index was calculated for each faculty by dividing the number of cesarean and operative deliveries for nonreassuring fetal status by the actual number of laboring patients supervised by each faculty in 2008.Selection of the timing of delivery and characterization of nonreassuring fetal heart rate patterns was not different among the different providers (P=.3

2011 Obstetrics and Gynecology

148. Towards integrated antenatal care for low-risk pregnancy

consists of a clinical evaluation, a technical examination (foetal heart auscultation and ultrasound), a haematological assessment, an assessment of infectious diseases and a screening for maternal clinical problems (such as gestational diabetes). All interventions regarding the clinical follow-up of low-risk pregnancies and their planning during the pregnancy are described in KCE report 248. 5 In low-risk pregnancies, all these interventions may be performed by gynaecologists, midwives (except (...) of the co-payment and the potential supplement. The supplement is the difference between the freely set fees by non-contracted providers and the negotiated fees. It falls outside the scope of the national health insurance and has to be paid by the patient. KCE Report 326 Towards integrated antenatal care for low-risk pregnancy 11 Preconception counselling The medical purpose of preconception counselling is the prevention of perturbation in the organogenesis of the main vital organs of the foetus

2020 Belgian Health Care Knowledge Centre

149. Bariatric surgery in Belgium: organisation and payment of care before and after surgery

of healthcare professionals 157 8 Bariatric surgery in Belgium KCE Report 329 Table 22 – Long term supplementation after bariatric surgery according to Farmaka 2016 49 and BMS 2015 50 162 Table 23 – Effects of bariatric surgery on maternal and foetal outcomes (EASO 2017) 38 163 Table 24 – List of 2014 not reimbursed costs for which reimbursement was requested according to BASO Currently not reimbursed costs for which reimbursement is requested in the future (minimal number of visits) 172 Table 25 – Data

2020 Belgian Health Care Knowledge Centre

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

-entrant tachycardia AVRT Atrioventricular re-entrant tachycardia BBB Bundle branch block b.p.m. Beats per minute CHA2DS2- VASc Cardiac failure, Hypertension, Age ≥75 (Doubled), Diabetes, Stroke (Doubled) – Vascular disease, Age 65–74 and Sex category (Female) CL Cycle length CMR Cardiac magnetic resonance CT Computed tomography CTI Cavotricuspid isthmus CV Conduction velocity CYP Cytochrome P450 DAD Delayed after-depolarization DC Direct current DCS Distal coronary sinus EA Enhanced automaticity EAD (...) 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

2019 European Society of Cardiology

151. Trial of Labour After Caesarean

of labour after Caesarean or elective repeat Caesarean section should be clearly stated, and documentation of the previous uterine scar should be clearly marked on the prenatal record (III-A). 26 The entire team should be made aware of the presence of a woman undergoing a trial of labour after Caesarean labouring in the birthing unit (III-A). 27 Continuous electronic fetal monitoring of women having a trial of labour after Caesarean is necessary, as changes to the fetal heart rate tracing are one (...) in a 4-part series on labour and delivery. DOI: To view the full text, please login as a subscribed user or . Click to view the full text on ScienceDirect. Abstract Objective To provide evidence-based guidelines for the provision of a trial of labour after Caesarean section. Outcomes Fetal and maternal morbidity and mortality associated with vaginal birth after Caesarean and repeat Caesarean section. Evidence MEDLINE database was searched for articles published from January 1, 1995, to October 31

2019 Society of Obstetricians and Gynaecologists of Canada

152. 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

153. 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

154. Labor Dystocia

will eventually have at least one child, 1 and the majority of these women will undergo labor. “Labor dystocia”— difficult or obstructed labor 2 —encompasses a variety of concepts, ranging from “abnormally” slow dilation of the cervix or descent of the fetus during active labor 3 to entrapment of the fetal shoulders after delivery of the head (“shoulder dystocia,” an obstetric emergency). For the purposes of this systematic review, we assume that “labor dystocia” refers to “abnormal” labor progression during (...) (timing, choice of analgesic agents). • Variations in monitoring labor progress (such as frequency of cervical examination or use of intrauterine pressure catheters) and fetal well-being (fetal heart rate monitoring). • Variations in strategies for how oxytocin is used during labor augmentation including timing of augmentation relative to labor progress and variation in dosing regimens. • Variations in strategies for reducing the length of the second stage of labor (after cervical dilation is complete

2020 Effective Health Care Program (AHRQ)

155. Bariatric surgery: an HTA report on the efficacy, safety and cost-effectiveness

, overweight participants lost 1 disease-free year, the mildly obese 3 to 4 years, and the severely obese 7 to 8 years compared with normal-weight participants. 12 A non-exhaustive overview of the possible comorbidities and complications of obesity can be found in Table 1 Table 1 – Possible comorbidities and complications of obesity (non- exhaustive list) Risk factors-conditions Outcomes ‘Metabolic syndrome’ Coronary heart disease Type 2 diabetes (pre-diabetes) Coronary heart disease, stroke, peripheral (...) morbidity including type 2 diabetes mellitus (T2DM), cardiovascular disease (such as stroke and coronary artery disease), obstructive sleep apnoea, osteoarthritis, obesity related cancers and depression. 3, 6 The risk for these co-morbidities increases with increasing BMI. Especially people with obesity category II (BMI 35 to 30.0 kg/m²). 13 The increased prevalence of comorbidities results in a reduction of life expectancy, and thus a higher early mortality risk. 4, 5 In a recent epidemiologic study

2019 Belgian Health Care Knowledge Centre

156. Caplacizumab (Cablivi) - thrombotic thrombocytopenic purpura (aTTP)

dehydrogenase MAA MCB Marketing Authorization Application master cell bank MD multiple dose MedDRA Medical Dictionary for Regulatory Activities MTD maximally tolerated dose MW NOR molecular weight normal operating range od PAR once daily proven acceptable range OLE open-label extension PCI percutaneous coronary intervention PD Pharmacodynamics PE plasma exchange PIP Pediatric Investigation Plan PK Pharmacokinetics PP per protocol pre-Ab pre-existing antibodies PT prothrombin time RICO ristocetin-induced (...) as similarly described for other proteins and attributed to accumulation of iodine. When a complex of 125 I-caplacizumab and human vWF was injected into the mice, the majority of radioactivity was found in the liver and in blood with minor amounts in the kidney. The results suggest that vWF- bound caplacizumab targets the liver. In contrast, unbound caplacizumab appeared to distribute to the kidneys. In pregnant guinea pigs, exposure to traces of caplacizumab in foetuses was demonstrated Assessment Report

2018 European Medicines Agency - EPARs

157. Neratinib (Nerlynx) - Breast cancer, breast neoplasms

. Reductions in body weight and embryo- foetal viability were noted in the 6 mg/kg/day treatment group. Foetal changes were notable in the 20 mg/kg/day group, 10 foetuses experienced flexure/rotation anomalies, 3 foetuses from 1 litter displayed anasarca (generalised oedema) and 3 foetuses from another litter had abdominal discolouration and distention. In the 6 mg/kg/day group 1 foetus displayed a flexure/rotation anomaly which given the findings seen in the higher dose this can be considered (...) for heart rate) RR relative risk SAE(s) serious adverse event(s) SD standard deviation SOC(s) system organ classe(s) T-DM1 ado-trastuzumab emtansine TEAE(s) treatment-emergent adverse event(s) t½ half-life Tmax TTDR time to peak concentration time to distant recurrence ULN upper limit of normal US United States Vz/F or Vzss/F apparent distribution Assessment report EMA/CHMP/525204/2018 Page 6/169 1. Background information on the procedure 1.1. Submission of the dossier The applicant Puma Biotechnology

2018 European Medicines Agency - EPARs

158. 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

159. Rucaparib camsylate - Ovarian Neoplasms

were conducted. Additionally, cardiovascular, respiratory and central nervous system (CNS) safety pharmacology endpoints were incorporated into study designs for the pivotal repeat-dose toxicity studies in rat and dog. This approach is consistent with ICH S9, which specifies that stand-alone safety pharmacology studies are not generally required to support studies in patients with advanced cancer. The cardiac safety of rucaparib was evaluated in an in vitro assay for hERG activity, in a safety (...) repeat-dose study. At 75 mg/kg, the C max of 1680 and 2460 ng/mL for male and female dogs, respectively, was similar to the C max bound plasma concentration (1940 ng/mL) observed in patients treated with 600 mg BID rucaparib. Conversely, when rucaparib was given IV at 40 mg/kg for 5 days, ECG abnormalities described as persistent sinus tachycardia, atrioventricular nodal rhythm, were recorded in the dog. From the ECG tracings, the veterinary cardiologist concluded that nodal and ventricular

2018 European Medicines Agency - EPARs

160. Care around stillbirth and neonatal death

regional differences exist. In New Zealand, perinatal death consists of fetal death (the death of a fetus of from 20 weeks gestation or weighing at least 400 grams if gestation is unknown 7 ) and early neonatal death (the death of a liveborn baby that occurs before the 7 th day of life 5 ). Perinatal related mortality is fetal and neonatal deaths (up to 28 days) at 20 weeks or beyond, or weighing at least 400g if gestation is unknown. Fetal death includes stillbirth and termination of pregnancy 8 (...) , giving a PMR of 11.2 per 1000 (8.1 and 3.1/1000 for fetal and neonatal death rates respectively) 5 . For Indigenous and other disadvantaged women in both settings (similar to other high income settings), the risk of perinatal death is around double 5,6,9,17 . Using the PSANZ classification system the leading causes of stillbirth are congenital anomaly and spontaneous preterm. However in approximately 20-30% of stillbirths, a cause is never identified. Similarly, for neonatal mortality, the main cause

2019 Centre of Research Excellence in Stillbirth

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>