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Postpartum Inpatient Management

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61. Evaluation and Management of Adult Patients Presenting to the Emergency Department With Acute Headache

Evaluation and Management of Adult Patients Presenting to the Emergency Department With Acute Headache PAIN MANAGEMENT/CLINICAL POLICY Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Acute Headache From the American College of Emergency Physicians Clinical Policies Subcommittee (Writing Committee) on Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department with Acute (...) . 2008;52:407-436.] ABSTRACT This clinical policy from the American College of Emergency Physicians is an update of a 2002 clinical policy on the evaluation and management of adult patients presenting to the emergency department (ED) with acute, nontraumatic headache. A writing subcommittee reviewed the literature to derive evidence-based recommendations to help clinicians answer the following 5 critical questions: (1) Does a response to therapy predict the etiology of an acute headache? (2) Which

2008 Congress of Neurological Surgeons

62. Guidelines for the management of hypertensive disorders of pregnancy 2008

be required for management of coagulopathy indicated by active bleeding and a prolonged APTT and INR. In this setting, fibrinogen levels should also be measured and cryoprecipitate administered if levels are low. Steroid therapy (other than for fetal lung maturation) is not indicated for the management of thrombocytopenia or hepatic dysfunction in women with preeclampsia (73). These abnormalities recover spontaneously postpartum within a few days of delivery, without specific treatment (74-77 (...) Guidelines for the management of hypertensive disorders of pregnancy 2008 GUIDELINES FOR THE MANAGEMENT OF HYPERTENSIVE DISORDERS OF PREGNANCY 2008CONTENTS 1. Definition of hypertension in pregnancy Page 3 2. Recording blood pressure in pregnancy Page 4 3. Classification of hypertensive disorders in pregnancy Page 4 4. Investigation of new onset hypertension in pregnancy Page 7 5. Management of preeclampsia and gestational hypertension Page 8 6. Fetal Surveillance Page 13 7. Resolution

2008 Clinical Practice Guidelines Portal

63. Position Statements: Management of Anal Fissure & Management of Acute Severe Colitis

Position Statements: Management of Anal Fissure & Management of Acute Severe Colitis Colorectal Disease Position Statements: Management of Anal Fissure Management of Acute Severe ColitisContents Position Statements 1 The Management of Anal Fissure: ACPGBI Position Statement K. L. R. Cross, E. J. D. Massey, A. L. Fowler, J. R. T. Monson 8 The Management of Acute Severe Colitis: ACPGBI Position Statement S. R. Brown, N. Haboubi, J. Hampton, B. George, S. P. L. TravisPosition statement (...) or patients. It typically causes pain during defaecation which may last for 1–2 h afterwards [1]. The most consistent ?nding on physical examination is spasm of the anal canal due to hypertonia of the internal anal sphincter. It has been postulated that this may either be due to or be the result of ischaemia [2]. All management options aim to reduce anal tone. They include general measures such as dietary ?bre supplements, adequate ?uid intake, and topical analgesics, medical treatments such as glyceryl

2008 Association of Coloproctology of Great Britain and Ireland

64. Optimisation of RIZIV – INAMI lump sums for incontinence

reviews and guidelines 20 2.2 DEFINITION INCONTINENCE 21 2.2.1 Urinary incontinence in children and adolescents 21 2.2.2 Urinary incontinence in women and men 22 2.2.3 Faecal incontinence 22 2 Incontinence KCE Report 304 2.3 CAUSES OF INCONTINENCE 23 2.3.1 Neurological causes 23 2.3.2 Non-Neurological causes 23 2.4 MANAGEMENT OF URINARY INCONTINENCE IN HEALTHY ADULTS 25 2.4.1 Conservative treatment 29 2.4.2 Pharmacological treatment 32 2.4.3 Surgical management 34 2.4.4 Cure rates 38 2.4.5 Initial (...) evaluation and management 40 2.4.6 Care pathway for the management of urine incontinence in men 41 2.4.7 Care pathway for the management of urine incontinence in women 45 2.5 MANAGEMENT OF URINARY INCONTINENCE IN THE FRAIL ELDERLY AND THE COGNITIVELY IMPAIRED 49 2.5.1 Conservative options 49 2.5.2 Pharmacological treatment 50 2.5.3 Surgical treatment in the frail older person 52 2.6 MANAGEMENT OF URINARY INCONTINENCE IN CHILDREN 56 2.6.1 Initial assessment 56 2.6.2 Initial management 57 2.6.3 Specialised

2019 Belgian Health Care Knowledge Centre

65. Review of effective strategies to promote breastfeeding

in disaster and emergency events, such as during the Christchurch earthquake in New Zealand. 29 A recent report in South Australia also points to the applicability of such quality standards of care for all birthing dyads as a support for human rights where the mother is incarcerated. 30 Here the opportunity for ongoing breastfeeding may be denied due to institutional policy, or lack of prison nursery access. 31 More commonly, learning skills and techniques to manage separation from the infant during (...) the breastfeeding period is relevant for mothers of infants working outside the home. This highlights that Step 5 helps avoid early separation and supplementation in health facilities, but other approaches are needed to avoid and manage separation in other settings post-discharge (see ANBS-E Strategy 10: Other strategies below). In Australia, several studies have shown shorter and less exclusive breastfeeding duration among mothers employed during the first 12 months postnatally. 32-34 The type of childcare

2018 Sax Institute Evidence Check

66. Treating Opioid Use Disorder During Pregnancy: Guideline Supplement

-informed Care 12 Integrated Medical Management 12 Harm Reduction During Pregnancy 12 Clinical Recommendations 14 Screening Assessments 14 Prenatal Treatment Considerations 14 Opioid Agonist Treatment 14 Methadone 15 Buprenorphine 16 Buprenorphine/naloxone 16 Slow release oral morphine 17 Injectable opioid agonist treatments 17 Residential treatment 18 Withdrawal management (i.e. detoxification) 18 Naltrexone 19 Intrapartum considerations 20 Postpartum considerations 21 Adjustment of OAT and pain (...) cases, it may be safe to continue split dosing until a new stable dose is determined. 76 The dosage of other OAT medications (i.e. buprenorphine/naloxone, slow release oral morphine, and injectable opioid agonists) may also be adjusted if necessary. Moderate levels of postpartum pain for individuals who deliver vaginally can be managed using a combination of NSAIDS and acetaminophen, as clinically indicated. Additional use of short-acting opioids may be consid- ered for some patients, particularly

2018 British Columbia Perinatal Health Program

67. Accountable care organisations

CCO Coordinated Care Organisation CMMI Centers for Medicare & Medicaid Services Innovation CMS Centers for Medicare & Medicaid Services DOH Department of Health EHR Electronic Health Record EM Electronic Medical Record ER Emergency Room ESRD End Stage Renal Disease FFS Fee for Service FLO Florence Simple Telehealth FY Financial Year HCP Health Care Partners HCH Health Care Homes HIT Health Information Technology HMO Health Maintenance Organisation iCMP integrated Care Management Program LHD Local (...) Health District MIG Medical Interoperability Gateway MSSP Medicare Shared Savings Program NCD Non-Communicable Disease NHS National Health Services PCMP Primary Care Providers PHM Population Health Management PHN Primary Health Network PRISM Profiling Risk Integration and Self-Management Model QI Quality Improvement RCCO Regional Care Collaborative Organisation SDAC Statewide Data & Analytics Contractor TMC Tucson Medical Centre ACCOUNTABLE CARE ORGANISATIONS | SAX INSTITUTE 7 Executive summary

2018 Sax Institute Evidence Check

68. Heart Disease and Stroke Statistics

(Nationwide) Inpatient Sample, hospitalizations for acute ischemic stroke increased significantly for both males and females and for certain racial/ethnic groups among younger adults aged 18 to 54 years. From 1995 through 2011 to 2012, stroke hospitalization rates almost doubled for males aged 18 to 34 and 35 to 44 years, with a 41.5% increase among males aged 35 to 44 years from 2003 to 2004 through 2011 to 2012. In analyses using data from the Global Burden of Disease Study, ≈90% of the stroke risk (...) disease. Admissions for endocarditis related to injection drug use have risen in recent years in parallel with the opioid drug crisis. The prevalence of documented intravenous drug use among people admitted to a hospital because of endocarditis in the National (Nationwide) Inpatient Sample rose from 4.3% in 2008 to 10% in 2014. Venous Thromboembolism (Deep Vein Thrombosis and Pulmonary Embolism), Chronic Venous Insufficiency, Pulmonary Hypertension (Chapter 22) Traditional atherosclerotic risk factors

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2019 American Heart Association

69. Lamotrigine

. We compared the risk of inpatient psychiatric admission within three months postpartum between women who used lamotrigine (N=55) versus lithium (N=59) during pregnancy. A logistic regression model was used 2017 18. Lamotrigine USE OF LAMOTRIGINE IN PREGNANCY 0344 892 0909 USE OF LAMOTRIGINE IN PREGNANCY (Date of issue: December 2014 , Version: 2 ) This is a UKTIS monograph for use by health care professionals. For case-specific advice please contact UKTIS on 0344 892 0909. To report an exposure (...) included if they had been on LTG-VPA combination therapy for at least 6 months. Patient demographics and information about epilepsy type, severity, and degree of medical intractability were obtained 2008 14. Pharmacokinetics, Safety and Tolerability of Repeat Dosing Lamotrigine in Healthy Chinese Subjects Pharmacokinetics, Safety and Tolerability of Repeat Dosing Lamotrigine in Healthy Chinese Subjects - Full Text View - Hide glossary Glossary Study record managers: refer

2018 Trip Latest and Greatest

70. Syphilis in pregnancy

inpatient management for higher risk groups (as above) o Supportive management relevant to symptoms (e.g. antipyretics, intravenous fluids, tocolysis) · If inpatient management not practical (e.g. in a remote setting) consider: o Outreach follow-up contact in the community (e.g. by phone, text or personal contact) o Fetal heart rate (FHR) auscultation or cardiotocography pre and post administration 31,50 Queensland Clinical Guideline: Syphilis in pregnancy Refer to online version, destroy printed copies (...) not address all elements of standard practice and accepts that individual clinicians are responsible for: · Providing care within the context of locally available resources, expertise, and scope of practice · Supporting consumer rights and informed decision making, including the right to decline intervention or ongoing management · Advising consumers of their choices in an environment that is culturally appropriate and which enables comfortable and confidential discussion. This includes the use

2019 Queensland Health

71. Placenta Accreta Spectrum

in the management of severe and refractory postpartum hemorrhage. Downsides are a risk of thrombosis and considerable cost. Two large case series that included some placenta accreta spectrum patients noted positive responses in 76–86% of cases. However, there were six thromboses in fewer than 200 patients (33, ). Thus, use in placenta accreta spectrum should be limited to posthysterectomy bleeding with failed standard therapy. Hypofibrinogenemia is the biomarker most predictive of severe postpartum hemorrhage (...) committee members and authors have submitted a conflict of interest disclosure statement related to this published product. Any potential conflicts have been considered and managed in accordance with ACOG’s Conflict of Interest Disclosure Policy. The ACOG policies can be found on For products jointly developed with other organizations, conflict of interest disclosures by representatives of the other organizations are addressed by those organizations. The American College of Obstetricians

2019 American College of Obstetricians and Gynecologists

72. Multiple Pregnancy Following Assisted Reproduction

embryo reduction may be considered to reduce the number of multiple births following IVF. The alarming rise in the multiple pregnancy rate resulting from the use of assisted reproductive technology (ART) has led to many publications highlighting the significant maternal, fetal and neonatal risks associated with these pregnancies. - Maternal complications include increased risk of pregnancy‐induced hypertension, gestational diabetes, peripartum haemorrhage, operative delivery, postpartum depression (...) . 15 Henderson, J , Hockley, C , Petrou, S , Goldacre, M , Davidson, L . Economic implications of multiple births: inpatient hospital costs in the first 5 years of life . Arch Dis Child Fetal Neonatal Ed 2004 ; 89 : F542 – 5 . 16 Ledger, WL , Anumba, D , Marlow, N , Thomas, CM , Wilson, EC ; Cost of Multiple Births Study Group (COMBS Group) . The costs to the NHS of multiple births after IVF treatment in the UK . BJOG 2006 ; 113 : 21 – 5 . 17 McKelvey, A , David, AL , Shenfield, F , Jauniaux, ER

2018 Royal College of Obstetricians and Gynaecologists

73. Chronic Pelvic Pain

guidelines on chronic pelvic pain. Eur Urol, 2010. 57: 35. 5. Engeler, D.S., et al. The 2013 EAU guidelines on chronic pelvic pain: is management of chronic pelvic pain a habit, a philosophy, or a science? 10 years of development. Eur Urol, 2013. 64: 431. 6. McMahon, S.B., et al. Visceral pain. Br J Anaesth, 1995. 75: 132. 7. Shoskes, D.A., et al. Clinical phenotyping of patients with chronic prostatitis/chronic pelvic pain syndrome and correlation with symptom severity. Urology, 2009. 73: 538. 8. Magri (...) prostatitis/chronic pelvic pain syndrome: A MAPP: Research Network Neuroimaging Study. Neuroimage Clin, 2015. 8: 493. 66. Abrams, P., et al. A new classification is needed for pelvic pain syndromes--are existing terminologies of spurious diagnostic authority bad for patients? J Urol, 2006. 175: 1989. 67. Baranowski, A., et al., Urogenital Pain in Clinical Practice. 2008, New York. 68. Baranowski, A.P., et al. Urogenital pain--time to accept a new approach to phenotyping and, as a consequence, management

2019 European Association of Urology

74. Canadian immunization guide chapter on influenza and statement on seasonal influenza vaccine for 2017-2018

without neurological conditions, among the groups for whom influenza vaccination is particularly recommended. This replaces and includes the previous recommendation for people with conditions that compromise the management of respiratory secretions and are associated with an increased risk of aspiration. From the preliminary review, it was noted that the odds ratios for influenza complications in patients with neurologic conditions in comparison to those without ranged from 1.57 (pneumonia; 95% CI (...) group presented with seizures more frequently than those with neurologic and neurodevelopment conditions and a vaccine indication (41.7% vs. 26.4%; P = 0.006) and required ICU admission (20.9% vs. 11.8%; P = 0.02) and mechanical ventilation (14.8% vs. 4.5%; P 0%) against medically attended laboratory-confirmed influenza in the outpatient or inpatient setting. The author’s conclusions in this review may be subject to interpretation because of the restrictive inclusion criteria that were used

2017 CPG Infobase

75. Regional Anesthesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy

users can save articles, searches, and manage email alerts. All registration fields are required. I have read & acknowledge the . I have read & accept the terms of the . You currently have no recent searches Enter your Email address: Wolters Kluwer Health may email you for journal alerts and information, but is committed to maintaining your privacy and will not share your personal information without your express consent. For more information, please refer to our Privacy Policy. Toggle navigation (...) Reference Manager Save my selection Regional Anesthesia and Pain Medicine: doi: 10.1097/AAP.0000000000000763 REGIONAL ANESTHESIA AND ACUTE PAIN: SPECIAL ARTICLE Free From the *Mayo Clinic, Rochester, MN; †Katholieke Universiteit, Leuven, Belgium; ‡Bielefeld Hospital, Bielefeld, Germany; §Massachusetts General Hospital, Boston, MA; and ∥Northwestern University, Chicago, IL. Accepted for publication January 21, 2018. Address correspondence to: Terese T. Horlocker, MD, Department of Anesthesiology

2018 American Society of Regional Anesthesia and Pain Medicine

76. Adolescents and Long-Acting Reversible Contraception: Implants and Intrauterine Devices

of insur- ance coverage for inpatient LARC insertion has been an obstacle to immediate postpartum LARC initiation; how- ever, since 2013 increasing numbers of state Medicaid programs have begun covering this service (74). For additional information, including clinical guidance, see Committee Opinion No. 670, Immediate Postpartum Long-Acting Reversible Contraception and Practice Bulletin No. 186, Long-Acting Reversible Contraception: Implants and Intrauterine Devices. Postabortal Long-Acting Reversible (...) their IUD with 42 former non-IUD users found no difference in pregnancy rates or time to pregnancy between the groups (40). Intrauterine Devices May Be Inserted Without Difficulty in Most Adolescents and Nulliparous Women Intrauterine device insertion has not been shown to be more difficult in adolescents compared with older as management of irregular or abnormal uterine bleeding and treatment of dysmenorrhea (17). Coercive provision of LARC has been used as a means of fertility control in marginalized

2018 American College of Obstetricians and Gynecologists

77. Practice Guideline Recommendations Summary: Disease-modifying Therapies for Adults with Multiple Sclerosis

with people with MS who are taking a DMT and attempt to manage these AEs, as appropriate. Clinicians should discuss a medication switch with people with MS for whom these AEs negatively influence adherence. Switching: Recommendation 5 Rationale Persistent laboratory abnormalities, such as elevated liver enzymes and decreased white blood cell counts, may prompt a discussion about switching DMT (see table e-2,©2018 American Academy of Neurology Level B Clinicians should (...) , clinicians should promptly discuss switching to an alternate DMT, especially for people with MS using azathioprine, methotrexate, mycophenolate, cyclophosphamide, fingolimod, teriflunomide, alemtuzumab, or dimethyl fumarate. People with MS with serious infections potentially linked to their DMT should switch DMTs (does not pertain to PML management in people with MS using DMT). Switching: Recommendation 8 Rationale Neutralizing antibodies may be produced against natalizumab and have been associated

2018 American Academy of Neurology

78. Comprehensive Systematic Review Summary: Disease-modifying Therapies for Adults with Multiple Sclerosis

In addition, in many people with MS, progression of the disease ultimately leads to severe disability. e16 Early studies suggested that most individuals with relapsing-remitting MS (RRMS) make the transition to secondary progressive MS (SPMS) if observed for long enough intervals. e17 These statistics challenge clinicians to manage and control disease activity in the interest of helping persons with MS maintain a vibrant and meaningful life. The 2002 American Academy of Neurology (AAN) clinical practice (...) interferons in 244 individuals with RRMS in terms of the ARR. Massacesi et al e36 (Class II owing to less than 80% completion) and Etemadifar et al e37 (Class II owing to unclear allocation concealment, more than 2 primary outcomes) studies allowed any of the interferon beta preparations for MS disease management. Meta-analysis of data from these studies shows a rate ratio of 0.64 (95% CI, 0.44?0.92), favoring azathioprine. One of these Class II studies e37 also evaluated the proportion of individuals

2018 American Academy of Neurology

79. Optimizing Support for Breastfeeding as Part of Obstetric Practice

. Committee on Fetus and Newborn, Task Force on Sudden Infant Death Syndrome. Pediatrics 2016;138:e20161889. Postpartum pain management. ACOG Committee Opinion No. 742. American College of Obstetricians and Gynecologists. Obstet Gynecol 2018;132:e35–43. Howard C, Howard F, Lawrence R, Andresen E, DeBlieck E, Weitzman M. Office prenatal formula advertising and its effect on breast-feeding patterns. Obstet Gynecol 2000;95:296–303. U.S. Department of Agriculture. WIC and the retail price of infant formula (...) , or consequential damages, incurred in connection with this publication or reliance on the information presented. All ACOG committee members and authors have submitted a conflict of interest disclosure statement related to this published product. Any potential conflicts have been considered and managed in accordance with ACOG’s Conflict of Interest Disclosure Policy. The ACOG policies can be found on For products jointly developed with other organizations, conflict of interest disclosures

2018 American College of Obstetricians and Gynecologists

80. Spontaneous Coronary Artery Dissection: Current State of the Science: A Scientific Statement From the American Heart Association

, and no angiographic or clinical predictors of acute worsening have been identified. Because of these findings, inpatient monitoring for an extended period is typically recommended as part of a conservative strategy for SCAD management. , , Conservative therapy may not be appropriate in high-risk patients with ongoing ischemia, left main artery dissection, or hemodynamic instability. In such cases, it is the consensus of the working group that urgent intervention with PCI or coronary artery bypass grafting (CABG (...) syndrome, myocardial infarction, and sudden death, particularly among young women and individuals with few conventional atherosclerotic risk factors. Patient-initiated research has spurred increased awareness of SCAD, and improved diagnostic capabilities and findings from large case series have led to changes in approaches to initial and long-term management and increasing evidence that SCAD not only is more common than previously believed but also must be evaluated and treated differently from

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2018 American Heart Association

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