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High Pressure Injection Wound

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161. Cataracts in adults: management.

injection into the Internet Archive (or other archive sites). To use ArchiveBot, drop by #archivebot on EFNet. To interact with ArchiveBot, you issue commands by typing it into the channel. Note you will need channel operator permissions in order to issue archiving jobs. The dashboard shows the sites being downloaded currently. There is a dashboard running for the archivebot process at . ArchiveBot's source code can be found at . TIMESTAMPS Search Sign In Username or Email * Password * Remember Me Don't (...) of different intraocular lenses (see "Before Cataract Surgery," below) Types of anaesthesia The person's individual risk of complications during or after surgery (for example, the risk of postoperative retinal detachment in people with high myopia; also see "Risk Stratification," below) What to do and what to expect on the day of cataract surgery What to do and what to expect after cataract surgery What support might be needed after surgery Medicines after surgery (for example, eye drops) and medicines

2017 National Guideline Clearinghouse (partial archive)

162. Complex regional pain syndrome/reflex sympathetic dystrophy medical treatment guideline.

at, and it grabs all content under that URL, records it in a WARC, and then uploads that WARC to ArchiveTeam servers for eventual injection into the Internet Archive (or other archive sites). To use ArchiveBot, drop by #archivebot on EFNet. To interact with ArchiveBot, you issue commands by typing it into the channel. Note you will need channel operator permissions in order to issue archiving jobs. The dashboard shows the sites being downloaded currently. There is a dashboard running for the archivebot process (...) or be caused or exacerbated by opioid and hypnotic use. Refer to the Division's for more information on behavioral modifications to address sleep disturbances. Education/Informed/Shared Decision Making Evidence Statements Regarding Education/Informed Decision Making Some Evidence Information provided only by video is not sufficient education (Design: Prospective randomized controlled trial ). See the original guideline document for time to produce effect and frequency. Injections—Therapeutic For post

2017 National Guideline Clearinghouse (partial archive)

163. BTS guideline for oxygen use in adults in healthcare and emergency settings.

failure , aim at an oxygen saturation of 94% to 98% (or 88% to 92% if the patient is at risk of hypercapnic respiratory failure) ( grade D ). Continuous positive airway pressure (CPAP) with entrained oxygen or high-flow humidified nasal oxygen to maintain saturation 94% to 98% (or 88% to 92% if at risk of hypercapnia) should be considered as an adjunctive treatment to improve gas exchange in patients with cardiogenic pulmonary oedema who are not responding to standard treatment (or non-invasive (...) pressure ventilation) who do not have an alert card, it is recommended that low-concentration oxygen treatment should be started using a 24% Venturi mask at 2-3 L/min (or a 28% Venturi mask at 4 L/min or nasal cannulae at 1-2 L/min if a 24% mask is not available) with an initial target saturation of 88% to 92% pending urgent blood gas results. These patients should be treated as a high priority by emergency services and the oxygen concentration should be reduced if the saturation exceeds 92

2017 National Guideline Clearinghouse (partial archive)

164. Point prevalence survey of healthcare-associated infections and antimicrobial use in European acute care hospitals ? protocol version 5.3

of a patient’s care. In general, they feed, dress, bathe and groom patients, but they can also perform more medically oriented but basic duties such as measuring and recording temperature, blood pressure, and other vital signs. Other licensed health professionals such as dieticians, physiotherapists or speech or occupational therapists, logistic personnel, students of any kind or volunteers who provide basic patient care without pay should not be included. Provide current situation if possible (...) such as measuring and recording temperature, blood pressure, and other vital signs. Other licensed health professionals such as dieticians, physiotherapists or speech or occupational therapists, logistic personnel, students of any kind or volunteers who provide basic patient care without pay should not be included. Provide current situation if possible, or the situation for the earliest available year (specify year) and specify if the number of FTEs is given for the entire hospital or for the included wards

2016 European Centre for Disease Prevention and Control - Technical Guidance

165. Management of Brain Arteriovenous Malformations: A Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association

in both feeding arteries and draining veins and higher-than-normal pressure on the venous side. Other factors that contribute to complex vascular physiology include high flow rates and shear stress, venous outflow obstruction that can result from long-standing arterial flow rates, arterial steal, and compartmentalization. Anatomic features associated with hemorrhagic presentation include the presence of intranidal aneurysms ( ) or deep venous drainage (drainage into the galenic system), venous outflow (...) , magnified views, and multiple injections, which, together with CT studies and potential additional exposure from endovascular procedures, may lead to high doses to the head and lens of the eye. For these reasons and the highly specific angioarchitectural information (discussed below) obtained in these studies, DSA may be best performed by the members of the cerebrovascular team contemplating treatment. Angiographic features that have been associated with hemorrhage in retrospective studies comparing

2017 American Heart Association

166. Clinical Practice Guidelines for Healthcare-Associated Ventriculitis and Meningitis

), the subdural space, an intracranial cyst, or the lumbar subarachnoid space (lumbar drain). External ventricular drains are most useful for temporary management in patients with elevated intracranial pressure secondary to acute hydrocephalus caused by intracranial hemorrhage, neoplasm obstruction of the CSF circulation, or trauma. The distal end of the catheter is connected to a collecting system, which has a drip chamber, ports for measuring intracranial pressure, sampling and injection ports (used (...) of ventriculitis or meningitis in the setting of recent trauma or neurosurgery (strong, moderate). 11. Fever, in the absence of another clear source of infection, is suggestive of central nervous system (CNS) infection in the setting of recent head trauma or neurosurgery (weak, low). Intrathecal Infusion Pumps Recommendation 12. New fever and drainage from the surgical site in patients with intrathecal infusion pumps are suggestive of wound infection (weak, low). II. What are the Typical Cerebrospinal Fluid

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2017 Infectious Diseases Society of America

167. Clinical Practice Guideline for the Management of Anal Fissures

. The addition of an anocutaneous flap to botulinum toxin injection or to lateral internal sphincterotomy decreases postoperative pain and allows for primary wound healing. Grade of Recommendation: Weak rec- ommendation based on low-quality evidence, 2C. flap techniques for fissure coverage have the advantage of primary wound healing, faster pain relief, and poten- tially providing better functional results. small, noncom- parative studies have evaluated the outcomes of patients undergoing anocutaneous flap (...) Clinical Practice Guideline for the Management of Anal Fissures Copyright © The American Society of Colon & Rectal Surgeons, Inc. Unauthorized reproduction of this article is prohibited. 7 Diseases of the Colon & ReCtum Volume 60: 1 (2017) t he a merican s ociety of Colon and Rectal surgeons is dedicated to ensuring high-quality patient care by advancing the science, prevention, and manage- ment of disorders and diseases of the colon, rectum, and anus. t he Clinical Practice Guidelines

2017 American Society of Colon and Rectal Surgeons

168. 2017 SCAI Appropriate Use Criteria for Peripheral Arterial Interventions

: blood pressure improvement, renal function improvement or stabilization, and improved cardiac destabilization syndromes (heart failure and angina exacerbations) weighed against the risks of the procedure. For lower extremity arterial revascularization, the benefits included: survival or health outcomes such as symptom improvement, limb salvage, functional status and/or quality of life, weighed against the risks of the procedure. “Appropriate Care” implies that the benefits generally outweigh (...) Indeterminate 50–70% with Resting or hyperemic mean pressure gradient b Translesional gradient measured with a non‐obstructive catheter, i.e., ≤ 4 fr or with an 0.014‐in pressure wire (Pd/Pa). ≥10 mm Hg Significant 50–70% with Resting or hyperemic systolic pressure gradient ≥20 mm Hg c Hyperemia may be induced with intrarenal bolus of papaverine 30 mg or dopamine at 50 µg kg −1 . Excludes patients who have been on hemodialysis ≥ 3 months and those with non‐viable kidneys, i.e. a pole to pole length of ≤ 7

2017 Society for Cardiovascular Angiography and Interventions

169. Surgical Treatment of Female Stress Urinary Incontinence (SUI): AUA/SUFU Guideline

, analysts used the same processes as previously discussed. For non- comparative data, analysts considered three items: prospective design, consecutive enrollment, and objective measurement of outcome. If all three were clearly true, the study was high quality; if just one was false or unclear, the study was moderate quality. If two or three were false or unclear, the study was low quality. ? In reviewing contraindications for MUS and indications for injectables, analysts did not assess quality because (...) of interest. When sufficient evidence existed, the body of evidence for a particular treatment was assigned a strength rating of A (high), B (moderate) or C (low) for support of Strong, Moderate, or Conditional Recommendations. In the absence of sufficient evidence, additional information is provided as Clinical Principles and Expert Opinions. GUIDELINE STATEMENTS PATIENT EVALUATION 1. In the initial evaluation of patients with stress urinary incontinence desiring to undergo surgical intervention

2017 Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction

170. Diagnosis and Management of Noncardiac Complications in Adults With Congenital Heart Disease: A Scientific Statement From the American Heart Association

of wound infection or invasive procedures occurring at sites distant from the initial graft procedures, presumably by hematogenous spread. Extracardiac graft infection can be difficult to diagnose and requires a high degree of suspicion in patients who may have had vascular graft procedures months or years before clinical presentation. A full suite of imaging is usually required (echocardiography, MR, CT, positron emission tomography) to diagnose Downloaded from http://ahajournals.org by on March 27 (...) pulmonary angiograms with a standard protocol have significant swirling artifact, heterogeneous contrast en- hancement, and a high rate of false-positive results. 233 Nuclear lung perfusion scans are similarly unreliable be- cause of asymmetric pulmonary blood flow patterns. Multidetector CT angiography with simultaneous up- per and lower extremity contrast power injection with early- and late-phase image acquisition can improve diagnostic accuracy. 234 Thrombus in the pulmonary ve- nous atrium

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2017 American Heart Association

171. Improving Nasal Form and Function after Rhinoplasty

of life, medical consequences, motor vehicle accidents (estimated to cost $15.9 billion in 2000), and occupational losses. The estimated annual cost of treating the medical sequelae of OSA is $3.4 billion in the United States. Post-rhinoplasty, the burden of managing OSA can be challenging. For patients using nasal continuous positive airway pressure (CPAP) devices preoperatively, clinicians must consider the utility of nasal packing, wound care, and the timing to reinstatement of CPAP use (...) to complications, infections, or revision surgery may include the cost of long-term antibiotics, hospitalization, or lost revenue from hours/days of missed work. The resultant psychological impact of rhinoplasty can also be significant. Furthermore, the health care burden from psychological pressures of nasal deformities/aesthetic shortcomings, surgical infections, surgical pain, side effects from antibiotics, and nasal packing materials must also be considered for these patients. Prior to this guideline

2017 American Academy of Otolaryngology - Head and Neck Surgery

172. Management of Mesh and Graft Complications in Gynecologic Surgery

on SUI outcomes. Long-Term Voiding Dysfunction Referral to a clinician with appropriate training and experience, such as a female pelvic medicine and reconstructive surgery specialist, is recommended for suspected long-term voiding dysfunction (typically 3 months or longer) after a midurethral sling placement. Bladder outlet obstruction from a midurethral sling can result in high-pressure voiding that leads to ureteral reflux, upper tract dilation, deterioration of renal function, and detrusor (...) should include obtaining a postvoid residual volume. Noninvasive uroflow testing can assess voiding pattern and maximum flow rates. Filling cystometry can assess detrusor function during filling, and pressure-flow studies assess detrusor pressures during voiding. Low flow rates with high detrusor pressures are suggestive of bladder outlet obstruction. Voiding diagnoses that are based on multichannel urodynamic studies lack precision, so interpretation of these studies must be considered cautiously

2017 American College of Obstetricians and Gynecologists

173. Management of brain arteriovenous malformations

connections from artery to vein with no intervening capillary bed ( ). These connections consist of a tangle of abnormal dilated channels that are neither arterial nor venous. This tangle is called the nidus. Blood is shunted from artery to vein through the nidus, resulting in higher-than-normal flow in both feeding arteries and draining veins and higher-than-normal pressure on the venous side. Other factors that contribute to complex vascular physiology include high flow rates and shear stress, venous (...) with bAVMs compared with patients presenting with ischemic stroke. In addition to stroke risk, DSA entails radiation exposure with potential long-term consequences. bAVM DSA studies often require high frame rates, magnified views, and multiple injections, which, together with CT studies and potential additional exposure from endovascular procedures, may lead to high doses to the head and lens of the eye. For these reasons and the highly specific angioarchitectural information (discussed below) obtained

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2017 American Academy of Neurology

174. Healthcare-associated Ventriculitis and Meningitis Guideline, 5th Edition

), the subdural space, an intracranial cyst, or the lumbar subarachnoid space (lumbar drain). External ventricular drains are most useful for temporary management in patients with elevated intracranial pressure secondary to acute hydrocephalus caused by intracranial hemorrhage, neoplasm obstruction of the CSF circulation, or trauma. The distal end of the catheter is connected to a collecting system, which has a drip chamber, ports for measuring intracranial pressure, sampling and injection ports (used (...) of ventriculitis or meningitis in the setting of recent trauma or neurosurgery (strong, moderate). 11. Fever, in the absence of another clear source of infection, is suggestive of central nervous system (CNS) infection in the setting of recent head trauma or neurosurgery (weak, low). Intrathecal Infusion Pumps Recommendation 12. New fever and drainage from the surgical site in patients with intrathecal infusion pumps are suggestive of wound infection (weak, low). II. What are the Typical Cerebrospinal Fluid

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2017 Congress of Neurological Surgeons

175. Urotrauma

deceleration injuries; and when the trajectory of the penetrating injury is near the ureter, especially with high velocity gunshot wounds. 64,65 Absence of hematuria cannot be relied upon to exclude ureteral injury. 66 In stable patients not proceeding directly to exploratory laparotomy, IV contrast enhanced abdominal/pelvic CT with 10 minute delayed images should be obtained to evaluate for ureteral injury. Findings suggestive of ureteral injury include contrast extravasation, ipsilateral delayed (...) , the body of evidence for a particular treatment was assigned a strength rating of A (high), B (moderate) or C (low). In the absence of sufficient evidence, additional information is provided as Clinical Principles and Expert Opinions. In April 2017, the Urotrauma guideline underwent an amendment based on an additional literature search, which retrieved additional studies published between original publication and December 2016. Forty-one studies from this search provided data relevant to the management

2017 American Urological Association

176. Management of Type 2 Diabetes Mellitus

, and Treatment of High Blood Pressure (JNC 8) while =140/80 is recommended by the American Diabetes Association, although there is no level A evidence for the systolic BP goal. 15 UMHS Management of Type 2 Diabetes Mellitus June, 2017 Table 13. How to Use a Monofilament • Show the monofilament to the patient. Place the end of the monofilament on his/her hand or arm to show that the testing procedure will not hurt. • Ask the patient to turn his/her head and close his/her eyes or look at the ceiling. • Hold (...) ) should be screened for diabetes (USPSTF level B recommendation). In adults who have hypertension and diabetes, lowering blood pressure below conventional target values reduces the incidence of cardiovascular events and cardiovascular mortality and justifies screening. Screening may be reasonable for other at-risk subjects (e.g., those with obesity, history of gestational diabetes mellitus, family history, and high-risk ethnic minorities). Based on expert opinion the ADA recommends considering earlier

2017 University of Michigan Health System

177. Surgical Treatment of Female Stress Urinary Incontinence (SUI): AUA/SUFU Guideline

, which includes those with high-grade prolapse as well as geriatric patients. Topics covered include evaluation and patient counseling, minimally invasive surgery procedures, outcomes assessment, and overall bladder health. [pdf] [pdf] [pdf] Panel Members Kathleen C. Kobashi, MD, FACS, FPMRS; Michael E. Albo, MD; Roger R. Dmochowski, MD; David A. Ginsberg, MD; Howard B. Goldman, MD; Alexander Gomelsky, MD; Stephen R. Kraus, MD, FACS; Jaspreet S. Sandhu, MD; Tracy Shepler; Jonathan R. Treadwell, PhD (...) sufficient evidence existed, the body of evidence for a particular treatment was assigned a strength rating of A (high), B (moderate) or C (low) for support of Strong, Moderate, or Conditional Recommendations. In the absence of sufficient evidence, additional information is provided as Clinical Principles and Expert Opinions. Guideline Statements Patient Evaluation In the initial evaluation of patients with stress urinary incontinence desiring to undergo surgical intervention, physicians should include

2017 American Urological Association

178. Management of Osteoarthritis of the Hip

with consistent findings, or evidence from a single “High” quality study for recommending for or against the intervention. 7 INTRAARTICULAR INJECTABLES a) Strong evidence supports the use of intraarticular corticosteroids to improve function and reduce pain in the short-term for patients with symptomatic osteoarthritis of the hip. Strength of Recommendation: Strong Evidence Description: Evidence from two or more “High” strength studies with consistent findings for recommending for or against the intervention (...) Overall Strength of Evidence Description of Evidence Quality Strength Visual Strong Strong Evidence from two or more “High” quality studies with consistent findings for recommending for or against the intervention. Moderate Moderate Evidence from two or more “Moderate” quality studies with consistent findings, or evidence from a single “High” quality study for recommending for or against the intervention. Limited Low Strength Evidence or Conflicting Evidence Evidence from two or more “Low” quality

2017 American Academy of Orthopaedic Surgeons

179. Management of Diabetes Mellitus in Primary Care

with appropriate providers to ensure continuity of high-quality care and timely referral to an endocrinologist. E. Create a support system for patients with DM such as online groups, chats, other support groups, and diabetes education classes to enhance involvement and support among patients with DM. C. Conflict of Interest At the start of this guideline development process and at other key points throughout, the project team was required to submit disclosure statements to reveal any areas of potential COI (...) have examined the effect of intensive glycemic control compared to standard/conventional glycemic control in managing adults with T2DM and the recommendations in this guideline are consistent with the individual RCTs and follow-up studies.[59-61] Three medications—metformin, empagliflozin, and liraglutide—have demonstrated a medication- specific benefit on cardiovascular outcomes in patients with T2DM at high risk for cardiovascular events.[62-64] However, while each of these medications lower

2017 VA/DoD Clinical Practice Guidelines

180. Rehabilitation of Lower Limb Amputation

particular socket design, prosthetic foot categories, and suspensions and interfaces. Weak for Reviewed, New-added D. Prosthetic Training Phase 16. We recommend the use of valid, reliable, and responsive functional outcome measures, including, but not limited to, the Comprehensive High-level Activity Mobility Predictor, Amputee Mobility Predictor, 10-meter walk test, and 6-minute walk test. Strong for Reviewed, New-replaced 17. We suggest the use of a combination of measures with acceptable psychometric (...) of arteriosclerosis and diabetes, patients with these conditions are at high risk for further complications to their amputated residual limb and/or amputation of the contralateral limb. In addition, they are at higher risk for other health problems such as cardiovascular disease, cerebrovascular accident, renal disease, peripheral neuropathy, etc. While this guideline focuses on rehabilitation of patients with LLA, preservation of the residual and contralateral limb, as well as the patients’ general health

2017 VA/DoD Clinical Practice Guidelines

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