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Occlusive Dressing

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161. 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

162. 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

163. Urological Infections

. Contemporary diagnosis and management of Fournier’s gangrene. Ther Adv Urol, 2015. 7: 203. 277. Eke, N. Fournier’s gangrene: a review of 1726 cases. Br J Surg, 2000. 87: 718. 278. Subrahmanyam, U., et al. Honey dressing beneficial in treatment of fournier’s gangrene. Indian J Surg, 2004. 66: 75. 279. Jallali, N., et al. Hyperbaric oxygen as adjuvant therapy in the management of necrotizing fasciitis. Am J Surg, 2005. 189: 462. 280. Karian, L.S., et al. Reconstruction of Defects After Fournier Gangrene

2019 European Association of Urology

164. Guidance For: Prone Positioning in Adult Critical Care

of the leg General • Daily hygiene addressed, eg. mouthcare, washing, dressing, changing of stoma bags • Ventilator as close to the patient as possible on the appropriate side. The patient should be rolled towards the ventilator4. Procedures a. Supine to Prone Patients should be rolled towards the ventilator, ideally away from any central venous devices. Step 1 – Staffing • Minimum of 5 people including airway doctor • Team members to introduce themselves and state their role • Airway doctor positioned (...) swelling. This can cause • Acute primary angle closure glaucoma • Ischaemic optic neuropathy • Vascular occlusion • Orbital apex syndrome - visual loss from optic neuropathy with ophthalmoplegia involving multiple cranial nerves. Therefore pressure needs to be taken off the eyes where possible. (2) Lightman & Montgomery suggest performing an eye assessment prior to proning; cleaning the eyes, apply eye ointment, covering with eye pads and securing with tape to prevent corneal abrasion. (4) Close lids

2019 Faculty of Intensive Care Medicine

165. BSPGHAN Motility Working Group consensus statement- Anorectal manometry in children with defecation disorders Full Text available with Trip Pro

‐resolution manometry. In water‐perfused, the catheter is formed of multiple lumens that open at different parts of the catheter along its length according to catheter design. Water is perfused at a constant flow via a pneumohydraulic pump. External transducers detect the pressure generated by resistance to flow from lumen occlusion. In a solid‐state catheter, numerous microtranducers are built into the catheter, so that pressure changes directly influence the transducers to generate electrical signal (...) to notify the operator when they: first feel anything different (pressure, sensation) get an initial urge to defecate reach the maximum tolerable volume (when they can no longer hold on and need to open their bowels) 5.9. Once the ARM maneuvers are completed, the catheter is removed and the child allowed to dress. Figure 1 Pediatric awake high‐resolution anorectal manometry protocol (modified from adult practice for pediatric use) 2.6 How should ARM in children analyzed and reported The report for ARM

2020 British Society of Paediatric Gastroenterology Hepatology and Nutrition

166. Hyperbaric oxygen therapy for diabetic foot syndrome

a patient is suffering from a further concomitant disease, this may cause an additional delay in the wound healing process [2]. After diagnostic clarification, standard treatment is undertaken, depending on the location, size and depth of the wound. This comprises drug therapy, wound debridement, bandaging, off-loading, and surgical procedures [2,18]. In the event of vessel stenosis or occlusion, a revascularization procedure in often performed before wound debridement. HBOT is recommended (...) Gesundheitswesen (Institute for Quality and Efficiency in Health Care) OR odds ratio PAOD peripheral arterial occlusive disease RCT randomized controlled trial SF-36 Short Form 36 TcPO 2 transcutaneous oxygen partial pressure Extract of final report N15-02 Version 1.1 Hyperbaric oxygen therapy for diabetic foot syndrome 20 April 2016 Institute für Quality and Efficiency in Health Care (IQWiG) - 1 - 1 Background On 20 February 2015 the Federal Joint Committee (G-BA) wrote to the Institute for Quality

2017 Institute for Quality and Efficiency in Healthcare (IQWiG)

167. Immunoglobulin infusions: intravenous and subcutaneous

into the subcutaneous tissue ( ) ( ). The angle of insertion will depend on the needle type, length and amount of subcutaneous tissue. For a Neria needle insert quickly and confidently at 90° to reduce the risk of breakage and bending. The whole needle must lie within the numbed area of skin where local anaesthetic is used ( ). Secure the needle with tape or occlusive dressing as appropriate ( ). Loop the line to give additional security in case line is pulled. Assess the child's subcutaneous tissue to decide (...) or cryogesic spray may be applied to the venous access site ( ). Immunoglobulin product for intravenous use ( ). IV infusion pump ( ). IV infusion set. Saline flush. Cannula (22g/24g), extension set with female luer adaptor, alcohol wipes, such as chlorhexidine gluconate 0.5%, in 70% alcohol (peripheral infusion). Adhesive tape and/or clear dressing (to secure the cannula). Subcutaneous Local anaesthetic cream (LAC) may be applied to the infusion sites for a time prior to infusion (follow manufacturers

2017 Publication 1593

168. Peripheral venous cannulation of children

( )( ). Ensure that a detailed account of the event and materials used is entered should a reaction occur. Apply the cream to two suitable veins and leave in situ for the recommended time to prevent any adverse reactions ( )( ). Sterile polyurethane dressings are the method of choice for securing local anaesthetic creams ( ). Alternatively, a cling film dressing can be applied if preferred. It may be useful to also cover the dressing with a bandage if the child is likely to fiddle with the dressing or lick (...) reduce the risk of dislodgment and mechanical phlebitis ( ). Do not use opaque tapes or elastic adhesive plaster such as Elastoplast ® ( )( ). For extra security, particularly if the child is likely to sweat excessively or in the case of babies, wound closure strips such as Steri-Strips ® can be applied prior to the clear dressing ( ). Apply an appropriate size clean splint if necessary and bandage the entire area ( ). The child’s fingers and toes should remain visible ( ). Dispose of all sharps

2017 Publication 1593

169. Scleroderma Morphea

. Topical therapy Topical glucocorticoids Although no well-performed studies exist on the use of topical glucocorticoids, they are the mainstay of topical treatment in LS. Therapy with moderate-to-high potent glucocorticoids should be performed in the active phase of disease, and their application should be restricted to a total of 3 months. Longer application of topical glucocorticoids should be given as interval therapy. In order to increase the efficacy, an application under occlusion might (...) be considered. Intralesional glucocorticoid therapy might be performed in LS “en coup de sabre,” with injections into the active margin. Topical calcipotriol To date, two uncontrolled studies have been conducted on the use of topical calcipotriol in LS, one of which administered calcipotriol 0.005% along with low-dose UVA1 phototherapy. 56 In both studies, administration was performed twice daily. In the monotherapy study, calcipotriol 0.005% was applied under occlusion. 57 Calcipotriol 0.005% should

2018 European Dermatology Forum

170. Lichen Planus

are affected. 154, 155 Topical steroids applied to the involved sites, especially in occlusive dressing, appear to have good results in some patients. The following treatment modalities (table 13

2018 European Dermatology Forum

171. Atopic Eczema

. Information on unspecific irritants and their role in aggravating AE is a crucial 16 prerequisite for long-term management of patients with AE. Here also the adequate skin 17 care and hygiene procedures in cleansing and dressing have to be discussed with the 18 patient (see also, “Educational program, eczema school"). 19 Negative effects of air pollutants upon the development and maintenance of AE, like tobacco 20 smoke or volatile organic compounds (VOCs) in indoor environments and traffic exhaust in 21 (...) over standard of care treatment 22 (40). Too occlusive clothing inducing heat sensations should be avoided. 23 Obviously, contact allergens relevant to the patient should also be avoided. This is of special 24 relevance if type IV allergy to ingredients of emollients has been diagnosed by classical 25 patch tests. Emulsifiers, fragrances and preservatives are the main cause of contact allergy 26 to cosmetics (41). 27 28 Occupational aspects 29 Special recommendations must be given in individual

2018 European Dermatology Forum

172. 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

2018 European Association of Urology

173. 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

2018 European Association of Urology

174. Urological Infections

. Contemporary diagnosis and management of Fournier’s gangrene. Ther Adv Urol, 2015. 7: 203. 277. Eke, N. Fournier’s gangrene: a review of 1726 cases. Br J Surg, 2000. 87: 718. 278. Subrahmanyam, U., et al. Honey dressing beneficial in treatment of fournier’s gangrene. Indian J Surg, 2004. 66: 75. 279. Jallali, N., et al. Hyperbaric oxygen as adjuvant therapy in the management of necrotizing fasciitis. Am J Surg, 2005. 189: 462. 280. Karian, L.S., et al. Reconstruction of Defects After Fournier Gangrene

2018 European Association of Urology

175. 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

2018 Society of Interventional Radiology

176. Evaluation and Management of Right-Sided Heart Failure

is prevalent in ≈50% of patients with an acute inferior MI. A functionally-relevant acute RVMI generally requires disruption of blood flow to both the RV free wall and a portion of the interventricular septum. It typically occurs when a dominant right coronary artery is occluded proximally to the major RV branch(es), leading to reduced RV systolic function and acute RV dilation. A smaller proportion of patients have RVMI resulting from circumflex coronary artery occlusion in a left-dominant coronary system (...) and rarely in association with left anterior descending coronary artery occlusion, in which this artery supplies collaterals to an otherwise underperfused anterior portion of the RV free wall. RVMI is associated with hemodynamic compromise in 25% to 50% of patients presenting with this infarct pattern. Early mortality is highest among patients with evidence of hemodynamic compromise. , Patients with RVMI have a greater burden of arrhythmias, contributing to mortality. Most patients recover RV function

2018 International Society for Heart and Lung Transplantation

177. Cenegermin (Oxervate) - neurotrophic keratitis

factors. Non-pharmacological treatments for NK include therapeutic corneal or scleral (bandage) contact lenses in the event of PED. Contact lens wear may however increase the risk of secondary infections. Surgical treatments are reserved for refractory cases. Partial or total tarsorrhaphy is used to cover a PED and promote healing. Alternatively, closure of the eyelids can be achieved by using a palpebral spring or botulinum A toxin injection of the eyelid elevator muscle. Furthermore, conjunctival

2017 European Medicines Agency - EPARs

178. Guidelines for the use of hydroxycarbamide in children and adults with sickle cell disease Full Text available with Trip Pro

anaemia (SS), sickle cell/haemoglobin C (SC) sickle cell/βthalassemia (S/β thal) and other compound heterozygous conditions. SCD is characterised by the presence of the mutated β‐globin gene, HBB s (also termed β s ‐globin). On de‐oxygenation, this forms a polymeric structure resulting in deformed, rigid red blood cells, and is associated with a chronic haemolytic anaemia due to shortened red cell life span and vaso‐occlusion causing frequent episodes of severe bony pain (vaso‐occlusive crises (...) of HbF and acts via multiple mechanisms to improve blood flow and reduce vaso‐occlusion (Green & Barral, ). In part, this is due to decreased expression of integrins and other adhesion molecules on red cells, white blood cells (WBCs) and vascular endothelium. The interactions between these cells are involved in neutrophil migration and red blood cell flow and reduction of adhesion leads to decreased vaso‐occlusion. Nitric oxide (NO) levels are decreased in patients with SCD and stimulation

2018 British Committee for Standards in Haematology

179. Neonatal stabilisation for retrieval

tidal CO2 detector o Improved oxygenation · Tape securely o Apply hydrocolloid dressing to cheeks and use adhesive tape to secure ETT o Secure to middle of upper lip · Check ETT position on X-ray: o Correct position of ETT tip § Visible just below the medial ends of the clavicles 36,37 § Approximately at the level of the first to second thoracic vertebrae 38 § Mid trachea above the carina (1–2 cm) Ventilator settings · Peak inspiratory pressure (PIP)18–20 cm H2O o May need adjustment § To achieve (...) information Assistance · Procedures (e.g. use of dressing trolley) · Organisation of external services such as imaging, security Expressed breast milk (EBM) · Labelled and packaged in a container with ice to keep cold o Refer to Queensland Clinical guideline Establishing breastfeeding 73 11 Parents If retrieval or transfer is required, it is desirable but not always possible for one parent to travel with the baby. This will depend on: · Type of transport · Maternal medical condition (the women may

2018 Clinical Practice Guidelines Portal

180. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm Full Text available with Trip Pro

47 Type I endoleak 47 Type II endoleak 47 Type III endoleak 48 Type IV endoleak 48 Endotension 48 Device migration 48 Limb occlusion 48 Graft infection 49 Prevention of an aortic graft infection Incisional hernia 50 Para-anastomotic aneurysm 51 Recommendation for postoperative surveillance 51 Surveillance imaging modality 51 Surveillance outcomes 51 Summary 51 COST AND ECONOMIC CONSIDERATIONS IN ANEURYSM REPAIR 51 CARE OF THE PATIENT WITH AN AAA: AREAS IN NEED OF FURTHER RESEARCH 53 REFERENCES 53 (...) bilateral internal iliac artery occlusion by at least 1 to 2 weeks if required for EVAR. Level of recommendation 1 (Strong) Quality of evidence A (High) We suggest renal artery or superior mesenteric artery (SMA) angioplasty and stenting for selected patients with symptomatic disease before EVAR or OSR. Level of recommendation 2 (Weak) Quality of evidence C (Low) We suggest prophylactic treatment of an asymptomatic, high-grade stenosis of the SMA in the presence of a meandering mesenteric artery based

2018 Society for Vascular Surgery

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