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Neurogenic Shock

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61. Optimisation of RIZIV – INAMI lump sums for incontinence

management 59 2.7 MANAGEMENT OF FAECAL INCONTINENCE 62 2.7.1 Initial clinical assessment 62 2.7.2 Specialised management (primary or secondary care) 66 2.7.3 Surgery for faecal incontinence 66 KCE Report 304 Incontinence 3 2.7.4 Care pathway for the management of faecal incontinence in frail older women and men 69 2.8 MANAGEMENT OF NEUROLOGICAL INCONTINENCE 72 2.8.1 Management of neurogenic urinary incontinence 72 2.8.2 Management of faecal incontinence in neurological patients 76 3 REIMBURSEMENT (...) Figure 13 – ICS Conservative management of faecal incontinence 65 Figure 14 – ICS Surgical management of faecal incontinence 68 Figure 15 – ICS Management of faecal incontinence in frail older women and men 70 Figure 16 – ICS Initial management of neurogenic urinary incontinence 73 Figure 17 – ICS Specialised management of neurogenic urinary continence 75 Figure 18 – ICS Initial management of neurogenic faecal incontinence 78 Figure 19 – ICS Specialised management of neurogenic faecal incontinence 80

2019 Belgian Health Care Knowledge Centre

63. Adult and Pediatric Antibiotic Prophylaxis during Vascular and IR Procedures: A Society of Interventional Radiology Practice Parameter Update Endorsed by the Cardiovascular and Interventional Radological Society of Europe and the Canadian Association for

a contaminated or dirty procedure and carries a 7% risk of septic shock (147). Antibiotic prophylaxis is always recommended if the patient is not already receiving IVantibiotic therapy. On the contrary, the role of antibiotic prophylaxis before nephrostomy tube placement into an uninfected system is less clear and should be based on each patient’s risk factors. Advanced age, diabetes, bladder dysfunction, neurogenic bladder, previous ureteral manipulation (stents, ureterointestinal anastomosis (...) and systemic in?ammatory immune response, have inadequate sensitivity andspeci?city,leadingtodiscrepanciesinincidenceandobservedmortality (13). Newer de?nitions have been outlined in the Third International Consensus De?nitions for Sepsis and Septic Shock (“Sepsis 3”), including the sepsis-related organ failure assessment score to describe organ dysfunction/failure (13,14). Table 1 lists the surgical wound classi?cation scheme and de?nitions of infectious adverse events, de?ning relevant terms used

2019 Society of Interventional Radiology

65. The Utility and Practice of Electrodiagnostic Testing in the Pediatric Population: An AANEM Consensus Statement

the clinical need (potential benefits) of the testing while deferring a more detailed discussion of the actual test process to the physician performing the study. This clinician can describe the proposed testing (potential risks) using optimum vocabulary: “electrical pulses” rather than “shocks”, “wire probes” rather than “needles”. While there was individual variability, a formal prospective study of pediatric patients at Great Ormond Street Hospital in London demonstrated that children over the age of 4 (...) with localizing the site of injury which can include: muscle (e.g., nemaline rod myopathy), peripheral nerve (e.g., obstetrical trauma) or brainstem nuclei (e.g., brain stem dysgenesis). Normal values for facial nerve motor NCSs are available for age ranges throughout childhood 77 . Blink reflex testing evaluates integrity of the trigeminal and facial nerves as well as the pathways between their cranial nuclei. A supramaximal shock is applied to the supraorbital branch of the trigeminal nerve resulting

2019 American Association of Neuromuscular & Electrodiagnostic Medicine

66. Bladder Stones

laser cystolithotripsy in the treatment of pediatric bladder stones: a prospective randomized study. Pediatr Surg Int, 2016. 32: 609. 38. Bhatia, V., et al. A comparative study of cystolithotripsy and extracorporeal shock wave therapy for bladder stones. Int Urol Nephrol, 1994. 26: 27. 39. Deswanto, I.A., et al. Management of bladder stones: The move towards non-invasive treatment. Med J Indonesia, 2017. 26: 128. 40. Philippou, P., et al. Prospective comparative study of endoscopic management (...) cystoplasty in reconstructive urology. Neurourol Urodyn, 1995. 14: 297. 51. Hayashi, Y., et al. Review of 86 Patients With Myelodysplasia and Neurogenic Bladder Who Underwent Sigmoidocolocystoplasty and Were Followed More Than 10 Years. J Urol, 2006. 176: 1806. 52. Husmann, D.A. Long-term complications following bladder augmentations in patients with spina bifida: Bladder calculi, perforation of the augmented bladder and upper tract deterioration. Transl Androl Urol, 2016. 5: 3. 53. Nurse, D.E., et al

2019 European Association of Urology

67. Urolithiasis

. Scand J Urol Nephrol, 1990. 24: 205. 33. Leusmann, D.B. Whewellite, weddellite and company: where do all the strange names originate? BJU Int, 2000. 86: 411. 34. Kim, S.C., et al. Cystine calculi: correlation of CT-visible structure, CT number, and stone morphology with fragmentation by shock wave lithotripsy. Urol Res, 2007. 35: 319. 35. Wimpissinger, F., et al. The silence of the stones: asymptomatic ureteral calculi. J Urol, 2007. 178: 1341. 36. Ray, A.A., et al. Limitations to ultrasound (...) era? Clin Radiol, 2008. 63: 1131. 40. Worster, A., et al. The accuracy of noncontrast helical computed tomography versus intravenous pyelography in the diagnosis of suspected acute urolithiasis: a meta-analysis. Ann Emerg Med, 2002. 40: 280. 41. Wu, D.S., et al. Indinavir urolithiasis. Curr Opin Urol, 2000. 10: 557. 42. El-Nahas, A.R., et al. A prospective multivariate analysis of factors predicting stone disintegration by extracorporeal shock wave lithotripsy: the value of high-resolution

2019 European Association of Urology

70. Urological Infections

, Center for Drug Evaluation and Research (CDER). Complicated Urinary Tract Infections: Developing Drugs for Treatment Guidance for Industry 2018. 11. Johansen, T.E., et al. Critical review of current definitions of urinary tract infections and proposal of an EAU/ESIU classification system. Int J Antimicrob Agents, 2011. 38 Suppl: 64. 12. Singer, M., et al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA, 2016. 315: 801. 13. Bell, B.G., et al. A systematic (...) controlled trial. Obstet Gynecol, 1995. 86: 560. 149. Wing, D.A., et al. A randomized trial of three antibiotic regimens for the treatment of pyelonephritis in pregnancy. Obstet Gynecol, 1998. 92: 249. 150. Ulleryd, P., et al. Ciprofloxacin for 2 or 4 weeks in the treatment of febrile urinary tract infection in men: a randomized trial with a 1 year follow-up. Scand J Infect Dis, 2003. 35: 34. 151. Reyner, K., et al. Urinary obstruction is an important complicating factor in patients with septic shock due

2019 European Association of Urology

71. Male Sexual Dysfunction

shock wave therapy--a novel effective treatment for erectile dysfunction in severe ED patients who respond poorly to PDE5 inhibitor therapy. J Sex Med, 2012. 9: 259. 236. Olsen, A.B., et al. Can low-intensity extracorporeal shockwave therapy improve erectile dysfunction? A prospective, randomized, double-blind, placebo-controlled study. Scand J Urol, 2015. 49: 329. 237. Vardi, Y., et al. Can low-intensity extracorporeal shockwave therapy improve erectile function? A 6-month follow-up pilot study (...) in patients with organic erectile dysfunction. Eur Urol, 2010. 58: 243. 238. Kitrey, N.D., et al. Penile Low Intensity Shock Wave Treatment is Able to Shift PDE5i Nonresponders to Responders: A Double-Blind, Sham Controlled Study. J Urol, 2016. 195: 1550. 239. Hisasue, S., et al. Impact of aging and comorbidity on the efficacy of low-intensity shock wave therapy for erectile dysfunction. Int J Urol, 2016. 23: 80. 240. Clavijo, R.I., et al. Effects of Low-Intensity Extracorporeal Shockwave Therapy

2019 European Association of Urology

72. Asymptomatic Bacteriuria

of the 2005 guideline, includes new recommendations for populations not previously addressed, and, where relevant, addresses the interpretation of nonlocalizing clinical symptoms in populations with a high prevalence of ASB. Keywords. asymptomatic bacteriuria; bacteriuria; urinary tract infection; pyelonephritis; cystitis; diabetes; pregnancy; renal transplant; endourologic surgery; urologic devices; urinary catheter; older adults; nursing home; long-term care; spinal cord injury; neurogenic bladder

2019 Infectious Diseases Society of America

73. Erectile Dysfunction

, or urinary tract infec- tion. (Clinical Principle) 21. For young men with ED and focal pelvic/penile arterial occlusion and without documented generalized vascular disease or veno-occlusive dysfunction, penile arterial reconstruction may be considered. (Conditional Recom- mendation; Evidence Level: Grade C) 22. For men with ED, penile venous surgery is not recommended. (Moderate Recommendation; Evidence Level: Grade C) 23. For men with ED, low-intensity extracorporeal shock wave therapy (ESWT) should

2018 American Urological Association

74. CRACKCast E172 – Pediatric Gastrointestinal Disorders

. When bile is initially produced, it is bright yellow and turns green only with time and oxidative exposure. Differential colouring of bile-stained emesis, yellow versus green, is not predictive of a surgical condition. Infants usually appear quite ill and may present in shock. Management: Emergent Peds GenSx consultation with any infant/neonate with bilious vomiting In acute midgut volvulus, operative intervention must be rapid to save the bowel from necrosis. Intravenous (IV) access should (...) first usually develop feeding intolerance and bilious or nonbilious emesis. In the more advanced stages of the disease, infants may appear extremely ill, with hematemesis, hematochezia, fever, and shock Diagnosis: limited upper gastrointestinal contrast series NEC is characterized radiographically by diffusely dilated loops of small bowel and the presence of air within the bowel walls, termed pneumatosis intestinalis. Management: Airway management IV/IO access fluid/electrolyte replacement NG/OG

2018 CandiEM

75. CRACKCast E174 – Genitourinary and Renal Tract Disorders

is the engorgement of the dorsal corpora cavernosa, resulting in dorsal penile erection lasting more than 4 hours. Three main types: Low flow (ischemic, painful!!!, “limb” threatening!) Sickle cell disease (>50% of pts with SSD have at least one episode) Malignancy (lymphoma; leukemia) Medications Cocaine / drugs of abuse High flow (non-ischemic, not painful, scary!) Trauma, AVM, congenital disease Neurogenic (penis not threatened – harbinger of spinal cord injury) MANAGEMENT: LOW FLOW ***draw an ABG off (...) phenylephrine q 5 min after 1 hour, urology may consider placement of a surgical shunt. HIGH FLOW / NEUROGENIC Observation Refractory cases need cavernosal artery surger y [2] Describe the management of a paraphimosis. ALWAYS A PROBLEM Proximal foreskin cannot be returned to its anatomic position covering the glans penis, resulting in distal venous congestion. Paraphimosis can be caused by infection, masturbation, trauma, hair or clothing tourniquets, or failure to reduce the foreskin after a medical

2018 CandiEM

78. Urolithiasis

. Scand J Urol Nephrol, 1990. 24: 205. 33. Leusmann, D.B. Whewellite, weddellite and company: where do all the strange names originate? BJU Int, 2000. 86: 411. 34. Kim, S.C., et al. Cystine calculi: correlation of CT-visible structure, CT number, and stone morphology with fragmentation by shock wave lithotripsy. Urol Res, 2007. 35: 319. 35. Wimpissinger, F., et al. The silence of the stones: asymptomatic ureteral calculi. J Urol, 2007. 178: 1341. 36. Ray, A.A., et al. Limitations to ultrasound (...) era? Clin Radiol, 2008. 63: 1131. 40. Worster, A., et al. The accuracy of noncontrast helical computed tomography versus intravenous pyelography in the diagnosis of suspected acute urolithiasis: a meta-analysis. Ann Emerg Med, 2002. 40: 280. 41. Wu, D.S., et al. Indinavir urolithiasis. Curr Opin Urol, 2000. 10: 557. 42. El-Nahas, A.R., et al. A prospective multivariate analysis of factors predicting stone disintegration by extracorporeal shock wave lithotripsy: the value of high-resolution

2018 European Association of Urology

79. Urological Infections

, Center for Drug Evaluation and Research (CDER). Complicated Urinary Tract Infections: Developing Drugs for Treatment Guidance for Industry 2018. 11. Johansen, T.E., et al. Critical review of current definitions of urinary tract infections and proposal of an EAU/ESIU classification system. Int J Antimicrob Agents, 2011. 38 Suppl: 64. 12. Singer, M., et al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA, 2016. 315: 801. 13. Bell, B.G., et al. A systematic (...) controlled trial. Obstet Gynecol, 1995. 86: 560. 149. Wing, D.A., et al. A randomized trial of three antibiotic regimens for the treatment of pyelonephritis in pregnancy. Obstet Gynecol, 1998. 92: 249. 150. Ulleryd, P., et al. Ciprofloxacin for 2 or 4 weeks in the treatment of febrile urinary tract infection in men: a randomized trial with a 1 year follow-up. Scand J Infect Dis, 2003. 35: 34. 151. Reyner, K., et al. Urinary obstruction is an important complicating factor in patients with septic shock due

2018 European Association of Urology

80. Male Sexual Dysfunction

shock wave therapy--a novel effective treatment for erectile dysfunction in severe ED patients who respond poorly to PDE5 inhibitor therapy. J Sex Med, 2012. 9: 259. 236. Olsen, A.B., et al. Can low-intensity extracorporeal shockwave therapy improve erectile dysfunction? A prospective, randomized, double-blind, placebo-controlled study. Scand J Urol, 2015. 49: 329. 237. Vardi, Y., et al. Can low-intensity extracorporeal shockwave therapy improve erectile function? A 6-month follow-up pilot study (...) in patients with organic erectile dysfunction. Eur Urol, 2010. 58: 243. 238. Kitrey, N.D., et al. Penile Low Intensity Shock Wave Treatment is Able to Shift PDE5i Nonresponders to Responders: A Double-Blind, Sham Controlled Study. J Urol, 2016. 195: 1550. 239. Hisasue, S., et al. Impact of aging and comorbidity on the efficacy of low-intensity shock wave therapy for erectile dysfunction. Int J Urol, 2016. 23: 80. 240. Clavijo, R.I., et al. Effects of Low-Intensity Extracorporeal Shockwave Therapy

2018 European Association of Urology

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