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Occlusive Dressing

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141. Diagnosis and Treatment of Non-Neurogenic Overactive Bladder (OAB) in Adults

are aggravated by cognitive problems, to ensure that they will be able to follow directions for behavioral therapy and/or to determine the degree of risk for cognitive decline with anti-muscarinic therapy. In the Panel's experience, the ability of the patient to dress independently is informative of sufficient motor skills related to toileting habits. Urinalysis. A urinalysis to rule out UTI and hematuria should be performed. A urine culture is not necessary unless indication of infection (i.e., nitrites

2019 American Urological Association

142. Global Vascular Guidelines for patients with chronic limb-threatening ischemia Full Text available with Trip Pro

trunk. CFA, Common femoral artery; CTO, chronic total occlusion; DFA, deep femoral artery; Pop, popliteal; SFA, superficial femoral artery. ---- | ---- Fig 5.3 Infrapopliteal (IP) disease grading in Global Limb Anatomic Staging System (GLASS). AT, Anterior tibial; CTO, chronic total occlusion; TP, tibioperoneal. ---- | ---- Fig 5.4 Representative angiograms of Global Limb Anatomic Staging System (GLASS) stage I disease patterns. The target arterial path (TAP) is outlined in yellow . Left panel , TAP (...) includes the anterior tibial (AT) artery. Femoropopliteal (FP) grade is 0. Infrapopliteal (IP) grade is 2 (3-cm chronic total occlusion; chronic total occlusion of AT artery and total length of disease <10 cm). Right panel , TAP includes the peroneal artery. FP grade is 2 (chronic total occlusion <10 cm; total length of disease <⅔). IP grade is 0. ---- | ---- Fig 5.5 Representative angiograms of Global Limb Anatomic Staging System (GLASS) stage II disease patterns. The target arterial path (TAP

2019 Society for Vascular Surgery

143. British Association of Dermatologists guidelines for the management of Stevens-Johnson syndrome/toxic epidermal necrolysis in children and young people Full Text available with Trip Pro

these with soft silicone tape instead. R42 (↑) Consider soft silicone tapes to attach essential clinical items, e.g. cannula and nasogastric/nasojejunal tube. R43 (↑) Consider silicone medical adhesive remover to remove adherent clothes or wound dressings. R44 (↑) Consider soft bandages or tubular bandage to secure dressings and cannulas. R45 (↑) Consider faecal management system in young people who are immobile and have diarrhoea, to prevent faecal soiling of wounds. R46 (↑↑) Take* swabs for bacterial (...) a day, in those who are conscious. R36 (↑↑) Administer* adequate analgesia to ensure comfort using intravenous opioid infusions in those not tolerating oral medication. R37 (↑↑) Administer* patient‐controlled analgesia where appropriate, with involvement of the acute pain team. R38 (↑) Consider sedation or general analgesia where appropriate, to address pain associated with patient handling, repositioning and dressing changes. R39 (↑) Consider keeping the child sedated and ventilated

2019 British Association of Dermatologists

144. ACR-ASNR-SIR-SNIS Practice Parameter for the Performance of Diagnostic Cervicocerebral Catheter Angiography in Adults

occurring within 24 hours of the procedure or any puncture-site infection should be reviewed as part of the institution-wide quality improvement program. Major Complications Reported Rates Suggested Threshold Contrast media–associated nephrotoxicity 0%-0.15% 0.2% Arterial occlusion requiring surgical 0%-0.4% 0.5% thrombectomy or thrombolysis Arteriovenous fistula/pseudoaneurysm 0.01%-0.22% 0.3% Hematoma requiring transfusion or surgery 0.26%-2% 2% Published rates for individual types of complications (...) for the determination of carotid artery stenosis, the final report should reflect the methodology and reference the criteria for percentage of stenosis outlined in the North American Symptomatic Carotid Endarterectomy Trial (NASCET). Care should be taken to avoid recognized pitfalls for NASCET-type measurements. Care should also be taken not to calculate percentage ratios in the presence of a poststenotic arterial diameter decrease (near occlusion). The percentage of stenosis must be calculated using the diameter

2019 American Society of Neuroradiology

145. ACR–ASNR–SNIS–SPR Practice Parameter for the Performance of Cervicocerebral Magnetic Resonance Angiography (MRA)

occurring within 24 hours of the procedure or any puncture-site infection should be reviewed as part of the institution-wide quality improvement program. Major Complications Reported Rates Suggested Threshold Contrast media–associated nephrotoxicity 0%-0.15% 0.2% Arterial occlusion requiring surgical 0%-0.4% 0.5% thrombectomy or thrombolysis Arteriovenous fistula/pseudoaneurysm 0.01%-0.22% 0.3% Hematoma requiring transfusion or surgery 0.26%-2% 2% Published rates for individual types of complications (...) for the determination of carotid artery stenosis, the final report should reflect the methodology and reference the criteria for percentage of stenosis outlined in the North American Symptomatic Carotid Endarterectomy Trial (NASCET). Care should be taken to avoid recognized pitfalls for NASCET-type measurements. Care should also be taken not to calculate percentage ratios in the presence of a poststenotic arterial diameter decrease (near occlusion). The percentage of stenosis must be calculated using the diameter

2019 American Society of Neuroradiology

146. ACR–ASNR–SIR–SNIS Practice Parameter for the Performance of Endovascular Embolectomy and Revascularization in Acute Stroke

and/or recommendations regarding performance and reporting of the endovascular procedure and periprocedural care, and v) recommendations on quality control and performance improvement. Every year in the United States, an estimated 795,000 people suffer an ischemic stroke. It is estimated that at least approximately 10%, or nearly 80,000, of these strokes will be caused by an emergent large-vessel occlusion (ELVO) affecting the intracranial internal carotid artery, the proximal middle cerebral artery (...) in select patients presenting with acute neurological symptoms attributable to a large-vessel occlusion within 6 hours from time of onset [2-6]. There are an estimated 24 ELVO strokes per 100,000 people per year in the United States. Some regions in the country are performing 10 to 12 endovascular stroke procedures per 100,000 population whereas the national average is between 3 to 6 endovascular stroke interventions per 100,000 people [7]. These estimates suggest a potential for significant growth

2019 American Society of Neuroradiology

147. Compression therapy after invasive treatment of superficial veins of the lower extremities

be used after surgical or thermal procedures to eliminate varicose veins. [GRADE - 2; LEVEL OF EVIDENCE - C] Guideline 1.2: Dose of compression after thermal ablation or stripping of the varicose veins. If compression dressings are to be used postprocedurally in patients undergoing ablation or surgical procedures on the saphenous veins, those providing pressures >20 mm Hg together with eccentric pads placed directly over the vein ablated or operated on provide the greatest reduction in postoperative (...) , and International Union of Phlebology were invited and included in the writing group. The literature search (MEDLINE, Embase, Cochrane Library, Scopus, Google Scholar, Ovid) included the terms “lower extremity veins,” “compression stockings,” “compression bandages,” “compression,” “compression therapy,” “sclerotherapy,” “vein surgery,” “high ligation,” “stripping,” “stab phlebectomies,” and “vein ablation.” The entire list was reviewed by the group, and publications that were found to be relevant were selected

2019 American Venous Forum

148. ACC/AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2019 Appropriate Use Criteria for Multimodality Imaging in the Assessment of Cardiac Structure and Function in Nonvalvular Heart Disease

Intervention for Structural Heart Disease ... .. - Table 6. Imaging for the Evaluation of TIA or Ischemic Stroke .. - 6.3.1. ImagingfortheEvaluationofPatentForamen Ovale or Atrial Septal Defect . - Table 7a. Preprocedural Evaluation for Closure of PFO or Atrial Septal Defect . .. - Table 7b. Intraprocedural Guidance for Closure of PFO or ASD .. - Table 7c. Assessment Following Closure of PFO or ASD .. .. - 6.3.2. Imaging for the Evaluation of Left Atrial Appendage Occlusion Device . - Doherty et al. JACC (...) VOL. -,NO. -,2019 AUC for Multimodality Imaging in Non–VHD -,2019:-–- 2Table 8a. Preprocedural Evaluation for LAA Occlusion - Table 8b. Intraprocedural Guidance for LAA Occlusion - Table 8c. Assessment Following LAA Occlusion .. - 7.DISCUSSION ... - 8.CONCLUSION ... ... - ACC PRESIDENT AND STAFF ... - REFERENCES ... - APPENDIX A Relationships With Industry and Other Entities . - ABSTRACT This document is the second of 2 companion appropriate use criteria (AUC) documents developed by the American

2019 Heart Rhythm Society

149. Management of Stroke in Neonates and Children Full Text available with Trip Pro

thrombosis (CSVT) or cortical vein thrombosis. In CSVT, occlusion of venous sinuses may or may not be accompanied by hemorrhage. In older infants and children, some literature uses the term silent stroke when asymptomatic infarcts are found on neuroimaging. However, this is a misnomer because the definition of stroke includes a clinical event; we use the term silent infarct in this review. However, silent infarcts are likely not truly silent; as in adults, a sufficient burden likely causes vascular (...) thrombectomy) are rarely considered in neonates with AIS because there is no evidence for their use. Although endovascular procedures such as mechanical thrombectomy are sometimes used in older children with an arterial occlusion, , , the small artery size of neonates precludes the use of current endovascular devices in these individuals. Outcomes The majority of neonates with AIS experience residual neurological deficits. Golomb et al summarized 111 children with perinatal stroke, including 67 who

2019 American Heart Association

151. British Association of Dermatologists and British photodermatology Group guidelines for topical photodynamic therapy

microneedling, skin vaporization with CO 2 laser or ablative fractional resurfacing. 57–61 A layer of prodrug cream approximately 1 mm thick is applied via spatula to the lesion and the surrounding 5–10 mm of skin. Treatment sites are covered with light-occlusive dressings, as full exposure to ambient light during the incubation period potentially increases activation of PpIX super?cially (bleach- ing), thereby reducing deeper prodrug or photosensitizer pen- etration before photoactivation. Occlusion (...) is standard practice for conventional PDT using MAL and nc-ALA. After the incubation time of 3 h the dressing is removed, with the remnant cream or gel wiped off with saline 09% solution. This is followed by illumination using red light of 570–670 nm, achieving a dose of 75 J cm 2 , or a narrow- spectrum 635-nm LED lamp with a distance from skin to lamp of 5–8 cm, achieving a dose of 37 J cm 2 with an intensity of approximately 50–80 mW cm 2 . The regimen for AK is one treatment, whereas for BCC and SCC

2019 British Association of Dermatologists

152. Optimal Exercise Programs for Patients With Peripheral Artery Disease: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

extremities. In patients who have not had a prior lower-extremity revascularization, clinical evidence of PAD includes typical limb symptoms with exercise and an ankle-brachial index (ABI) of ≤0.90. However, imaging evidence for significant occlusive disease is now more widely used to make the diagnosis, as are other noninvasive vascular laboratory tests. Some patients who have undergone a prior lower-extremity revascularization will have normal ABIs but still have PAD as the underlying disease (...) ; HRQOL, health-related quality of life; NA, not available; PAD, peripheral artery disease; PRWD, patient-reported walking distance; PWD, peak walking distance; PWT, peak walking time; QOL, quality of life; SET, supervised exercise therapy; and SFA, superficial femoral artery. SET Versus Revascularization Versus SET Plus Revascularization Lundgren et al randomized 75 patients with claudication resulting from above-the-knee occlusive disease to surgical revascularization, surgical revascularization

2019 American Gastroenterological Association Institute

153. Implementation of Supervised Exercise Therapy for Patients With Symptomatic Peripheral Artery Disease: A Science Advisory From the American Heart Association Full Text available with Trip Pro

. Montgomery PS, Gardner AW . The clinical utility of a six-minute walk test in peripheral arterial occlusive disease patients. J Am Geriatr Soc . 1998 ; 46:706–711. doi: 10.1111/j.1532-5415.1998.tb03804.x McDermott MM, Guralnik JM, Criqui MH, Liu K, Kibbe MR, Ferrucci L . Six-minute walk is a better outcome measure than treadmill walking tests in therapeutic trials of patients with peripheral artery disease. Circulation . 2014 ; 130:61–68. doi: 10.1161/CIRCULATIONAHA.114.007002 Ware JE, Sherbourne CD (...) Dress ™ DHHS, Go Red ™; AHA; National Wear Red Day ® is registered trademark.

2019 American Heart Association

154. Perfusion Assessment in Critical Limb Ischemia: Principles for Understanding and the Development of Evidence and Evaluation of Devices: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

cannot be obtained. In a large series of consecutive outpatients (n=17 485) who underwent noninvasive lower-extremity arterial testing at the Mayo Clinic over a decade, 2781 (16%) had noncompressible vessels. Interestingly, abnormal Doppler waveforms suggestive of occlusive PAD were found in 71% of those with noncompressible vessels, and CLI was more prevalent in those with noncompressible vessels than among those who had ABIs ≤0.90 (37% versus 18.5%, respectively). Noncompressible vessels were (...) associated with a lower likelihood of survival over a mean follow-up of 5.8 years compared with both those with normal and abnormal ABIs. In a smaller cohort of patients with diabetes mellitus at a tertiary teaching hospital referred for Doppler assessment of their lower extremities (n=403), noncompressible vessels were identified in 150 (37.2%). Of these 150 patients, 84 (56%) had abnormal Doppler assessments suggestive of occlusive PAD. Over 6.4 years of follow-up, noncompressible vessels were

2019 American Heart Association

157. Topical Photodynamic therapy

treatments, one week apart, with minimal pain with another research group demonstrating 90% clearance rate at 12 months in a study of 143 sBCC. 36-7 A novel light-emitting, fabric-based laser diode device has recently been shown to be as effective as conventional PDT in clearing AK but with minimal pain, with MAL applied under a transparent occlusive dressing for 30 minutes then fabric device is applied and switched on after 30 minutes, remaining on for 150 minutes. 38 2.3 Lesion preparation Protocols (...) application, residual nBCC was more often observed in lesions that were not debulked. 10 Under standardized conditions in a randomized clinical trial, PpIX accumulation was most enhanced after ablative fractional laser pretreatment, followed by microdermabrasion, microneedling, and curettage. 43 Practitioners typically cover treatment sites with light occlusive dressings, on the presumption that full exposure to ambient light during the incubation period will lead to increased activation of PpIX

2019 European Dermatology Forum

158. Evaluation and Management of the Child and Adult With Fontan Circulation: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

function and patient well-being. Decisions must therefore be made on an individual case-by-case basis as to the merits of fenestration closure or veno-venous collateral occlusion, weighing the tradeoff of cyanosis against the potential for deleterious hemodynamic effects. Patients with Fontan circulation, notably those with heterotaxy syndrome, may develop PAVMs with intrapulmonary shunting and progressive cyanosis. This is believed to result from the absence of an essential hepatic factor reaching

2019 American Heart Association

159. Paediatric Urology

during laparoscopic varicocelectomy on recurrence and the catch-up growth rate in adolescents. J Pediatr Urol, 2014. 10: 435. 310. Fayad, F., et al. Percutaneous retrograde endovascular occlusion for pediatric varicocele. J Pediatr Surg, 2011. 46: 525. 311. Thon, W.F., et al. Percutaneous sclerotherapy of idiopathic varicocele in childhood: a preliminary report. J Urol, 1989. 141: 913. 312. Locke, J.A., et al. Treatment of varicocele in children and adolescents: A systematic review and meta-analysis

2019 European Association of Urology

160. Urological Trauma

. Hammer, C.C., et al. Effect of an institutional policy of nonoperative treatment of grades I to IV renal injuries. J Urol, 2003. 169: 1751. 74. Jawas, A., et al. Management algorithm for complete blunt renal artery occlusion in multiple trauma patients: case series. Int J Surg, 2008. 6: 317. 75. Armenakas, N.A., et al. Indications for nonoperative management of renal stab wounds. J Urol, 1999. 161: 768. 76. Jansen, J.O., et al. Selective non-operative management of abdominal gunshot wounds: survey

2019 European Association of Urology

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