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Management of Severe Head Injury

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161. A Guideline for the Clinical Management of Opioid Use Disorder

to translating the best scientific evidence into practice and policy change, promoting evidence-based approaches to addiction, and training the next generation of leaders through our comprehensive education programs. British Columbia Centre on Substance Use and B.C. Ministry of Health. A Guideline for the Clinical Management of Opioid Use Disorder. Published June 5, 2017. Available at: http://www.bccsu.ca/care-guidance-publications/4 AUTHORS AND CONTRIBUTORS Provincial Opioid Use Disorder Treatment Guideline (...) management) to be coupled with treatments that have been proven to promote abstinence from heroin and other opioid use. This may be particularly valuable given the evidence in support of changing the environment of individuals who are seeking treatment for concurrent opioid and cocaine dependence, and who are severely addicted and actively using. 119,120 Of note, methadone doses may need adjustment as patients transition into and out of cocaine abstinence, as cocaine is a CYP inducer that can increase

2017 Clinical Practice Guidelines and Protocols in British Columbia

162. Using Clinical Laboratory Tests to Monitor Drug Therapy in Pain Management Patients

and limitations for detecting specific medications within a drug class to prevent incorrect interpretation and to determine when additional testing is necessary. Strength of Recommendation: B; Quality of Evidence: II Numerous articles have compared the accuracy of immuno- assays to mass-spectrometry-based assays. However, many ar- ticles do not include pain management patients or specifically correlate results with outcomes. Overall, laboratory-based im- munoassays across several populations (e.g., pain (...) and specificity. Strength of Recommendation: A; Quality of Evidence: II Several articles provide evidence that qualitative definitive assays such as GC-MS and LC-MS/MS are more sensitive and spe- cific than laboratory-based immunoassays. One may infer, there- fore, that these assays are superior at detecting adherence/com- pliance with or diversion/misuse of various drugs/drug classes in pain management. However, none of the studies examined any patient outcomes directly. All articles demonstrate that LC-MS

2018 American Academy of Pain Medicine

163. Management Of Haemophilia

these activities are preferably carried out within 24-hour of factor infusion. • Sports and physical fitness are important to maintain good muscle tone to protect the joints from the haemophilic-induced injuries, and these activities contribute to improvement in quality of life. 1 Management of Haemophilia 1. INTRODUCTION Haemophilia is a group of inherited blood disorders in which there is life-long defect in the clotting mechanism. The most common types of haemophilia are haemophilia A (factor VIII (...) Management of Haemophilia Table 1. Relationship of bleeding severity to clotting factor level in haemophilia Source: World Federation of Haemophilia. Guidelines for the Management of Haemophilia (2nd edition). Montréal: Blackwell Publishing Ltd; 2012 Severity Clotting factor level Bleeding manifestations 2 infusions for complete resolution Moderate No improvement within 12 hours or worsening of symptoms requiring >2 infusions for complete resolution Poor 12 Management of Haemophilia PWH with HIV

2018 Ministry of Health, Malaysia

164. Multidisciplinary guidelines for the management of paediatric tracheostomy emergencies Full Text available with Trip Pro

% of respondents were instructing families and carers of tracheostomised children in the recognition of respiratory distress, emergency management and tube replacement . However, comprehensive, universal guidance was not described in the published literature. We also reviewed local guidelines and policies for the management of paediatric tracheostomy emergencies that were known to the authors or retrieved through our search strategies. Most detailed tracheostomy care bundles and daily care, with little (...) instructors and participants. The Working Party invited formal reviews of the algorithm from several organisations with a stated interest in patient safety, airway management and professional guidelines in children. These included the Advanced Life Support Group, the Association of Paediatric Anaesthetists, the British Association of Paediatric Otolaryngologists, the Global Tracheostomy Collaborative, the Paediatric Intensive Care Society, the Resuscitation Council (UK) and the Royal College

2018 Association of Paediatric Anaesthetists of Great Britain and Ireland

165. Diagnosis, Evaluation, and Management of High Blood Pressure in Children and Adolescents

HTN in children impact long-term risk of HTN into adulthood? Among children and adolescents with systemic HTN, how does the presence and the severity of systemic HTN influence comorbidities such as dyslipidemia, obstructive sleep apnea syndrome (OSAS), and cognition? Search Strategy The epidemiologist and 2 librarians created a list of appropriate search terms and strategies (see Appendix A). Search terms included keywords and database-specific terminology (eg, medical subject headings terms (...) Diagnosis, Evaluation, and Management of High Blood Pressure in Children and Adolescents Diagnosis, Evaluation, and Management of High Blood Pressure in Children and Adolescents | From the American Academy of Pediatrics | Pediatrics '); document.write(''); } function OAS_AD(pos) { if (OAS_version >= 11 && typeof(OAS_RICH)!='undefined') { OAS_RICH(pos); } else { OAS_NORMAL(pos); } } //--> Search for this keyword Source User menu Sections Sign up for highlighting editor-chosen studies

2018 American Academy of Pediatrics

166. Stroke in childhood - clinical guideline for diagnosis, management and rehabilitation

Stroke in childhood - clinical guideline for diagnosis, management and rehabilitation Stroke in childhood Clinical guideline for diagnosis, management and rehabilitation May 2017 i Endorsement Association of Ambulance Chief Executives Association of Paediatric Chartered Physiotherapists British Association for Community Child Health British Academy of Childhood Disability British Association of General Paediatrics British Association of Stroke Physicians British Paediatric Neurology Association (...) does happen to children and young people and in showing that there are interventions that can make a difference. The first edition of these guidelines was published over 12 years ago, and one of the major conclusions then was a desperate need for more research into stroke in childhood. It is therefore disappointing that there has been so little progress in so many areas of stroke management. We are still in a position where most of the recommendations are based on expert consensus or weak evidence

2017 Royal College of Paediatrics and Child Health

167. Management of Pregnancy

factors, such as poor relationship satisfaction and low self- esteem.[ ] 22-24 Other VA/DoD CPGs provide guidance regarding care for the following conditions: • Screening and Management of Obesity and Overweight (VA/DoD Obesity CPG) 1 • Management of Posttraumatic Stress Disorder and Acute Stress Disorder (VA/DoD PTSD CPG) 2 • Management of Major Depressive Disorder (VA/DoD MDD CPG) 3 III. About this Clinical Practice Guideline This guideline represents an important step toward improving the treatment (...) Management of Pregnancy VA/DOD CLINICAL PRACTICE GUIDELINE FOR THE MANAGEMENT OF PREGNANCY Department of Veterans Affairs Department of Defense QUALIFYING STATEMENTS The Department of Veterans Affairs and the Department of Defense guidelines are based upon the best information available at the time of publication. They are designed to provide information and assist decision making. They are not intended to define a standard of care and should not be construed as one. Neither should

2018 VA/DoD Clinical Practice Guidelines

168. Guideline for the management of knee and hip osteoarthritis

questions for hip OA 691 Guideline for the management of knee and hip osteoarthritis Second edition Summary: Plain language Osteoarthritis (OA) is a chronic disease and the most common form of chronic arthritis. It is characterised by joint pain, stiffness and swelling, and mainly affects the hands, knees and hips. OA most frequently occurs in people aged >55 years, although younger people can also be affected. Risk factors for OA include joint injury, being overweight or obese, and older age (...) Guideline for the management of knee and hip osteoarthritis racgp.org.au Healthy Profession. Healthy Australia. Guideline for the management of knee and hip osteoarthritis Second editionGuideline for the management of knee and hip osteoarthritis. Second edition Disclaimer The information set out in this publication is current at the date of first publication and is intended for use as a guide of a general nature only and may or may not be relevant to particular patients or circumstances. Nor

2018 Clinical Practice Guidelines Portal

169. Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU Full Text available with Trip Pro

” the experiencing person says it is, existing “whenever” the experiencing person says it does ( ). Although the reference standard measure of pain is a patient’s self-report, the inability to communicate clearly does not negate a patient’s pain experience or the need for appropriate pain management ( ). Fortunately, validated behavioral pain scales provide alternative measures for pain assessment in those patients unable to self-report their pain . Severe pain negatively affects patient status (e.g., cardiac (...) Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU Clinical Practice Guidelines for the Prevention and Manageme... : Critical Care Medicine You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page. Login No user account? Lippincott Journals Subscribers , use your username or email along with your password to log in. Remember me

2018 Society of Critical Care Medicine

170. Perioperative Management of Obstructive Sleep Apnea and Obesity Hypoventilation Syndrome: A Workshop Report

andanincreaseintheapnea–hypopneaindex (AHI)inbothpatientswithandwithoutOSA (6). The most severe arterial oxygen desaturations and highest AHI occur on Night 3 postoperatively, and have been attributed in part to a gradual increase in rapid eye movement sleep and a reduction in the use of supplemental oxygen after the initial postoperative night (6). Numerous variablesin?uencesleep-disorderedbreathing in the perioperative period, including the anesthetic, upper airway injury after intubation,?uid shifts, pain (...) the basis for the SASM guidelines (1). During the creation of these guidelines, numerous limitations in our knowledge on how to identify and manage OSA perioperatively were identi?ed. An additional drive to better understand perioperative management of sleep-disordered breathing is that OSA-related perioperative complications are increasingly linked to malpractice lawsuits with severe ?nancial penalties (2, 13). Further research in this area is urgently needed. The purpose of this workshop

2018 American Thoracic Society

171. Management of Acute Myocardial Infarction in patients presenting with ST-segment elevation Full Text available with Trip Pro

Management of Acute Myocardial Infarction in patients presenting with ST-segment elevation 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 settings at any time. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation | European Heart Journal | Oxford Academic Search Account Menu Menu Navbar Search Filter Mobile Microsite (...) Search Term Close search filter search input Article Navigation Close mobile search navigation Article navigation 07 January 2018 Article Contents Article Navigation 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC) Borja Ibanez (Chairperson) (Spain) * Corresponding authors

2017 European Society of Cardiology

172. Management of Valvular Heart Disease Full Text available with Trip Pro

artery disease The use of stress tests to detect CAD associated with severe valvular disease is discouraged because of their low diagnostic value and potential risks. A summary of the management of associated CAD is given in section 3.1.3.1 (see table of recommendations on the management of CAD in patients with VHD) and is detailed in specific guidelines. 3.7.2 Atrial fibrillation Non-vitamin K antagonist oral anticoagulants (NOACs) are approved only for non-valvular atrial fibrillation (...) of evidence. Management of atrial fibrillation in patients with VHD LA = left atrial; NOAC = non-vitamin K antagonist oral anticoagulant; VHD = valvular heart disease; VKA = vitamin K antagonist. a Class of recommendation. b Level of evidence. Key points Precise evaluation of the patient’s history and symptomatic status as well as proper physical examination are crucial for the diagnosis and management of VHD. Echocardiography is the key technique to diagnose VHD and assess its severity and prognosis

2017 European Society of Cardiology

173. Consensus Guidelines on the Use of Intravenous Ketamine Infusions for Acute Pain Management Full Text available with Trip Pro

is the burgeoning effort to reduce the risk of chronic opioid use after acute exposure and its subsequent complications, including addiction. Ketamine is increasingly being administered in inpatient settings with acute pain service guidance and in outpatient settings under a variety of models. Although interest clearly exists, the details of implementation and management have not been defined, and clinicians and patients have questions with yet-to-be-determined answers. Some of the questions revolve around (...) variability in patient selection, drug-dosing regimens, and management protocols. To date, few recommendations are available to guide this emerging acute pain therapy. The variability in patient selection, drug dosing, monitoring, and management protocols speaks to the need for guidance. The purpose of these guidelines is therefore to provide a framework for safe use of ketamine in the acute pain setting. | METHODS OF DEVELOPMENT This was a joint effort launched in November 2016 by the American Society

2018 American Society of Regional Anesthesia and Pain Medicine

174. Management of Acute Pancreatitis in the Pediatric Population: A Clinical Report From the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition Pancreas Committee

recommendations rely on adult published guide- lines. Pediatric-speci?c recommendations are needed. Methods: The North American Society for Pediatric Gastroenterology, Hepatology and Nutrition Pancreas committee performed a MEDLINE review using several preselected key terms relating to management considerations in adult and pediatric AP. The literature was summarized, quality of evidence reviewed, and statements of recommendations developed. The authorship met to discuss the evidence, statements, and voted (...) recognized to be the 2 primary AP risk factors (4). Most of the literature regarding management of AP describes adult experience. Recommendations for fluid resuscitation, prog- nosis based on markers of severity/signs of multiorgan failure, and management thereof are all based on adult criteria and experience, What Is Known Pediatric acute pancreatitis incidence is increasing. A subset of children develop local and systemic complications of acute pancreatitis. No guidelines exist for management

2018 North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition

175. Management of Immune-Related Adverse Events in Patients Treated With Immune Checkpoint Inhibitor Therapy Full Text available with Trip Pro

(irAEs) with close monitoring. However, moderate to severe irAEs may be associated with severe declines in organ function and quality of life, and fatal outcomes have been reported; hence, these toxicities require early detection and proper management. Use of ICPis in patients with preexisting autoimmune disease or history of prior organ transplant requires an especially thoughtful discussion of potential risks and benefits. In recognition of an increasing need for guidance, ASCO and the National (...) of Washington, and the Fred Hutchinson Cancer Research Center, Seattle, WA; and Tanyanika Phillips, CHRISTUS St Frances Cabrini Cancer Center, Alexandria, LA. Abstract Section: Purpose To increase awareness, outline strategies, and offer guidance on the recommended management of immune-related adverse events in patients treated with immune checkpoint inhibitor (ICPi) therapy. Methods A multidisciplinary, multi-organizational panel of experts in medical oncology, dermatology, gastroenterology, rheumatology

2018 American Society of Clinical Oncology Guidelines

176. ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay

. 1.4. Scope of the Guideline The purpose of this ACC/AHA/HRS guideline is to provide guidance to clinicians for the management of patients with bradycardia, or symptoms thought to be associated with bradycardia or cardiac conduction system disorders. This guideline supersedes the pacemaker recommendations made in the “ACC/AHA/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities” (S1.4-1, S1.4-2) and “2012 ACCF/AHA/HRS Focused Update Incorporated Into the ACCF/AHA/HRS 2008 (...) ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay Accepted Manuscript 2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay Fred M. Kusumoto, MD, FACC, FAHA, FHRS, Chair, Writing Committee, Mark H. Schoenfeld, MD, FACC, FAHA, FHRS, Vice Chair, Writing Committee, Coletta Barrett, RN, FAHA, Writing Committee Member, James R. Edgerton, MD, FACC, FHRS, Writing Committee

2018 American College of Cardiology

177. Evaluation and Management of Testosterone Deficiency

Evaluation and Management of Testosterone Deficiency 1 Executive Summary Testosterone testing and prescriptions have nearly tripled in recent years; however, it is clear from clinical practice that there are many men using testosterone without a clear indication. 1-3 Some studies estimate that up to 25% of men who receive testosterone therapy do not have their testosterone tested prior to initiation of treatment. 2, 3 Of men who are treated with testosterone, nearly half do not have (...) landscape, the American Urological Association (AUA) identified a need to produce an evidence-based document that informs clinicians on the proper assessment and management of patients with testosterone deficiency. The AUA and the Testosterone Panel were committed to creating a Guideline that ensures that men in need of testosterone therapy are treated effectively and safely. Methodology A systematic review utilized research from the Mayo Clinic Evidence Based Practice Center and additional

2018 American Urological Association

178. Practical Assessment and Management of Vulnerabilities in Older Patients Receiving Chemotherapy Full Text available with Trip Pro

Hopkins University School of Medicine, Baltimore, MD; Harvey Jay Cohen, Duke University Medical Center, Durham; Judith O. Hopkins, Novant Health Oncology Specialists; Heidi D. Klepin, Wake Forest Baptist Comprehensive Cancer Center, Winston-Salem, NC; Holly M. Holmes, McGovern Medical School, Houston, TX; and Alok A. Khorana, Cleveland Clinic, Cleveland, OH. Abstract Section: Purpose To provide guidance regarding the practical assessment and management of vulnerabilities in older patients undergoing (...) with household chores), has had several recent falls without injury, and has no significant life-limiting comorbidities or medication issues. In addition, his Mini-Cog is abnormal (unable to perform three-word recall), Geriatric Depression Scale score is normal (< 5), and he has had no significant weight loss (body mass index, 29 kg/m 2 ). CARG Toxicity Score CARG toxicity score is 12, with an 82% risk of grade 3 to 5 toxicity with full-dose monotherapy based on inputted age (over 72), height and weight (180

2018 American Society of Clinical Oncology Guidelines

179. European Society of Endocrinology Clinical Practice Guidelines for the management of aggressive pituitary tumours and carcinomas Full Text available with Trip Pro

was developed for healthcare providers of patients with aggressive pituitary tumours but can also provide guidance as patient information material. 2.3 Aims The overall purpose of this guideline is to provide clinicians with practical guidance for identification and management of patients with aggressive pituitary tumours. It was prompted by the increasing use of temozolomide (TMZ) in aggressive pituitary tumours. 2.4 Summary of methods used for guideline development The methods used have been described (...) with single session therapy compared to daily application of EBRT over several weeks. Importantly, there are no controlled trials comparing fractionated EBRT and SRS. Of note, SRS has been used as salvage therapy with some success in a small series of patients with persistent active tumour despite prior fractionated EBRT ( ). Stereotactic guidance by high-resolution imaging allows very precise delivery of radiation to the tumour and is also increasingly used with EBRT. There are different modalities

2018 European Society of Endocrinology

180. 2018 IDSA Clinical Practice Guideline for the Management of Outpatient Parenteral Antimicrobial Therapy

2018 IDSA Clinical Practice Guideline for the Management of Outpatient Parenteral Antimicrobial Therapy Outpatient Antimicrobial Parenteral Therapy Search Search 2018 IDSA Clinical Practice Guideline for the Management of Outpatient Parenteral Antimicrobial Therapy Published : 13 November 2018 Anne H Norris, Nabin K Shrestha, Genève M Allison, Sara C Keller, Kavita P Bhavan, John J Zurlo, Adam L Hersh, Lisa A Gorski, John A Bosso, Mobeen H Rathore, Antonio Arrieta, Russell M Petrak, Akshay Shah (...) . It does not offer recommendations on the treatment of specific infections. The reader is referred to disease- or organism-specific guidelines for such support. Executive Summary Outpatient parenteral antimicrobial therapy (OPAT) is defined as the administration of parenteral antimicrobial therapy in at least 2 doses on different days without intervening hospitalization. Recommendations made in the updated guideline for the prescription and management of OPAT are summarized below. The panel followed

2018 Infectious Diseases Society of America

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