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Occlusive Dressing

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182. 2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease

-reduction therapy for patients with coronary and other atherosclerotic vascular disease AHA/ACC 2011 25 Other related publications Atherosclerotic occlusive disease of the lower extremities guideline SVS 2015 26 Measurement and interpretation of the ankle-brachial index AHA 2012 27 Cardiac disease evaluation and management among kidney and liver transplantation candidates AHA/ACC 2012 28 Intensive glycemic control and the prevention of cardiovascular events ADA/ACC/AHA 2009 29 Influenza vaccination (...) to activity level or present at rest Modified from Norgren L et al. 35 PAD indicates peripheral artery disease. Table 7. Alternative Diagnoses for Nonhealing Wounds With Normal Physiological Testing (Not PAD-Related) Condition Location Characteristics and Causes Venous ulcer Distal leg, especially above medial mellolus Develops in regions of skin changes due to chronic venous disease and local venous hypertension Typically wet (ie, wound drainage) rather than dry lesion Distal small arterial occlusion

2017 American Heart Association

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

ruptured and unruptured bAVMs include the specific drainage patterns such as the number of veins, presence of subependymal venous involvement, and number of veins reaching a sinus. Additional features associated with prior hemorrhage include venous ectasia, venous reflux or occlusion, flow-related or nidal arterial aneurysms, angiopathy, angiogenesis, or pial-pial collaterals. , , Alexander et al, in a review of 519 patients with bAVMs, noted an association of only deep venous drainage (OR, 3.42; P

2017 American Heart Association

184. Management of Pregnancy in Patients With Complex Congenital Heart Disease: A Scientific Statement for Healthcare Professionals From the American Heart Association

of cardiac output is attenuated by effective epidural anesthesia. Maternal position modulates these hemodynamic responses. In the supine position, contractions are associated with an ≈15% rise in cardiac output; in the lateral position, cardiac output rises only ≈8% to 11%. , , In the supine position, compression of the inferior vena cava by the gravid uterus reduces venous return and cardiac output, whereas virtual occlusion of the distal aorta and its branches by the uterus results in a greater

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2017 American Heart Association

185. AIUM Practice Parameter for the Performance of Physiologic Evaluation of Extremity Arteries

? ?to ? ?the ? ?testing ? ?site ? ?with ? ?an ? ?overlying ? ?occlusive adhesive ? ?dressing ? ?that ? ?prevents ? ?exposure ? ?to ? ?room ? ?air. ? ?Transcutaneous ? ?oxygen ? ?tension measurements, ? ?when ? ?used ? ?for ? ?determination ? ?of ? ?ulcer ? ?healing, ? ?have ? ?had ? ?variable ? ?sensitivity ? ?and specificity. VI. Documentation Adequate ? ?documentation ? ?is ? ?essential ? ?for ? ?high-quality ? ?patient ? ?care. ? ?There ? ?should ? ?be ? ?a ? ?permanent record ? ?of ? ?the ? ?ultrasound (...) ? ?occlusive disease ? ?after ? ?peripheral ? ?vascular ? ?interventions. ? ??Vasa ?? ?2009; ? ?38:302–315. 4. DeLoach ? ?SS, ? ?Mohler ? ?ER ? ?III. ? ?Peripheral ? ?arterial ? ?disease: ? ?a ? ?guide ? ?for ? ?nephrologists. ? ??Clin ? ?J ? ?Am Soc ? ?Nephrol ?? ?2007; ? ?2:839–846. 5. Ono ? ?K, ? ?Tsuchida ? ?A, ? ?Kawai ? ?H, ? ?et ? ?al. ? ?Ankle-brachial ? ?blood ? ?pressure ? ?index ? ?predicts ? ?all-cause and ? ?cardiovascular ? ?mortality ? ?in ? ?hemodialysis ? ?patients. ? ??J ? ?Am ? ?Soc

2017 American Institute of Ultrasound in Medicine

186. Practice Advisory for the Prevention, Diagnosis, and Management of Infectious Complications Associated with Neuraxial Technique

/2017Copyright © 2017, the American Society of Anesthesiologists, Inc. Wolters Kluwer Health, Inc. Unauthorized reproduction of this article is prohibited. Anesthesiology 2017; 126:585-601 589 Practice Advisory PRACTICE PARAMETER Survey findings. Both the consultants and ASA members strongly agree that individual packets of skin preparation should always be used. Use of Sterile Occlusive Dressings at the Catheter Insertion Site. Literature findings. No comparative studies were found that indicate whether (...) the use of sterile occlusive dressings at the catheter insertion site reduces infectious complications. Observational studies indicate that positive cultures may still occur with the use of sterile occlusive dressings (Cat- egory B3-E evidence) 81,82 and case reports indicate similar outcomes (Category B4-E evidence). 29,63,83,84 Survey findings. Both the consultants and ASA members strongly agree that sterile occlusive dressings should be used at the catheter insertion site. Use of a Bacterial Filter

2017 American Society of Regional Anesthesia and Pain Medicine

187. Treatment and Outcome of Hemorrhagic Transformation After Intravenous Alteplase in Acute Ischemic Stroke: A Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association

, is not the only determinant of the risk of hemorrhagic transformation, which can also occur with persistent occlusion, as noted in autopsy and imaging studies. , Reperfusion injury may be exacerbated by or lead to elevated blood pressure. , In addition, postthrombolytic hemorrhage can occur in areas remote from the infarcted tissue, lending support to the notion that thrombolytics can contribute to hemorrhage by mechanisms other than reperfusion. These seemingly remote hemorrhages may be in locations

2017 American Heart Association

188. Practice Advisory for the Prevention, Diagnosis, and Management of Infectious Complications Associated with Neuraxial Techniques

examination and preprocedure laboratory evaluation, (2) use and selection of neuraxial technique, (3) prophylactic antibiotic therapy, (4) physician use of aseptic techniques, (5) selection of antiseptic solution, (6) use of individual antiseptic packets, (7) use of sterile occlusive dressings at the catheter insertion site, (8) use of a bacterial filter during continuous epidural infusion, (9) limiting disconnection and reconnection of neuraxial delivery systems, (10) management of an accidentally (...) to evidence of contamination found with previously opened multiple-use bottles ( Category B1-B evidence ). A case report indicated lumbar spondylodiscitis occurring in a patient whose skin was cleansed with povidone-iodine obtained from a multiple-use bottle ( Category B4-H evidence ). Survey findings. Both the consultants and ASA members strongly agree that individual packets of skin preparation should always be used. Use of Sterile Occlusive Dressings at the Catheter Insertion Site. Literature findings

2017 American Society of Anesthesiologists

189. Defining Quality in Cardiovascular Imaging: A Scientific Statement From the American Heart Association

to determine device selection and sizing to optimize procedural outcomes. In this setting, imaging of the noncircular aortic annulus allows improved sizing and thus reduces the occurrence of paravalvular regurgitation and mitigates complications such as annular rupture and coronary occlusion. In the definition of quality in imaging in interventional procedures, imaging is used as a tool to assist procedural performance and to guide therapeutic intervention. Isolating the impact of imaging on patient

2017 American Heart Association

190. 2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Gui

than monomorphic VT. Risk factors for VT/VF include prior history of hypertension, prior MI, ST-segment changes at presentation, and chronic obstructive pulmonary disease. A nationwide Danish study found that 11.6% of patients with ST-segment elevation MI who underwent PCI had VF prior to the PCI, and that VF was associated with alcohol consumption, preinfarction angina, anterior infarct location, and complete coronary occlusion at the time of coronary angiography. In a select group of patients

2017 American Heart Association

191. 2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Hea

with alcohol consumption, preinfarction angina, anterior infarct location, and complete coronary occlusion at the time of coronary angiography. In a select group of patients undergoing primary PCI in a clinical trial, 5.7% developed sustained VT or VF, with two thirds of these events occurring prior to the end of the catheterization, and 90% within 48 hours from the procedure. VT or VF after primary PCI was associated with lower blood pressure, higher heart rate, poor coronary flow at the end

2017 American Heart Association

196. Management of brain arteriovenous malformations

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 ruptured and unruptured bAVMs include the specific drainage patterns such as the number of veins, presence of subependymal venous involvement, and number of veins reaching a sinus. Additional features associated with prior hemorrhage include venous ectasia, venous reflux or occlusion, flow-related

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2017 American Academy of Neurology

198. Rehabilitation of Lower Limb Amputation

Reviewed, New-added 9. We suggest the use of a rigid or semi-rigid dressing to promote healing and early prosthetic use as soon as feasible post-amputation in transtibial amputation. Rigid post-operative dressings are preferred in situations where limb protection is a priority. Weak for Reviewed, Amended 10. We suggest performing cognitive screening prior to establishing rehabilitation goals, to assess the patient’s ability and suitability for appropriate prosthetic technology. Weak for Reviewed, New (...) development deficiency. The goal in treating musculoskeletal tumors with the lowest risk of recurrence is to remove the tumor and salvage the limb, while for tumors with high risk of local recurrence or metastasis, amputation is often indicated. Treatment of infection may require amputation when the initial treatment leads to vessel occlusion and extremity necrosis.[5] Chronic or recurring infection after total knee arthroplasty may also lead to transfemoral amputation.[6] Congenital limb deficiencies

2017 VA/DoD Clinical Practice Guidelines

199. Prioritizing Functional Capacity as a Principal End Point for Therapies Oriented to Older Adults With Cardiovascular Disease

and a minimal amount of time. The Katz Index of Independence in Activities of Daily Living is a widely used instrument that assesses an individual’s ability to perform 6 basic ADLs: bathing, dressing, use of toilet facilities, transferring, continence, and feeding. The Lawton-Brody Instrumental Activities of Daily Living questionnaire focuses on activities related to independent living beyond these basic ADLs, including preparing meals, managing money, shopping for groceries or personal items, performing

2017 American Heart Association

200. Treatment and outcome of hemorrhagic transformation after intravenous alteplase in acute ischemic stroke

red blood cell extravasation, whereas parenchymal hematoma is the a result of a single bleeding site in the blood vessel damaged by ischemia and reperfusion. Reperfusion of injured brain tissue, related to recanalization of the affected artery, provides the impetus for the development of hemorrhagic transformation. Recanalization of the affected artery, however, is not the only determinant of the risk of hemorrhagic transformation, which can also occur with persistent occlusion, as noted

2017 American Academy of Neurology

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