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61. Consensus Guidelines on the Use of Intravenous Ketamine Infusions for Chronic Pain

, with higher dosages and more frequent infusions associated with greater risks. Larger studies, evaluating a wider variety of conditions, are needed to better quantify efficacy, improve patient selection, refine the therapeutic dose range, determine the effectiveness of nonintravenous ketamine alternatives, and develop a greater understanding of the long-term risks of repeated treatments. From the * Departments of Anesthesiology & Critical Care Medicine, Neurology, and Physical Medicine & Rehabilitation (...) presented to nor approved by either the American Society of Anesthesiologists Board of Directors or House of Delegates, it is not an official or approved statement or policy of the Society. Variances from the recommendations contained in the document may be acceptable based on the judgment of the responsible anesthesiologist. S.P.C. is funded in part by a Congressional Grant from the Center for Rehabilitation Sciences Research, Uniformed Services University of the Health Sciences, Bethesda, MD (SAP

2018 American Society of Regional Anesthesia and Pain Medicine

62. Consensus Guidelines on the Use of Intravenous Ketamine Infusions for Acute Pain Management

of Anesthesiology, University of Toronto, Toronto, Ontario, Canada; †† Procare Pain Solutions and Department of Anesthesiology, Michigan State University College of Human Medicine, Grand Rapids, MI; ‡‡ Departments of Anesthesiology and Psychiatry, Mayo College of Medicine, Rochester, MN; and §§ Departments of Anesthesiology and Critical Care Medicine, Neurology, and Physical Medicine and Rehabilitation, Johns Hopkins School of Medicine, and Uniformed Services University of the Health Sciences, Bethesda, MD (...) . Accepted for publication March 7, 2018. Address correspondence to: Steven P. Cohen, MD, 550 N Broadway, Suite 301, Baltimore, MD 21029 (e-mail: ). S.P.C. is funded in part by a Congressional grant from the Center for Rehabilitation Sciences Research, Uniformed Services University of the Health Sciences, Bethesda, MD (SAP grant 111726). The authors declare no conflict of interest. The opinions or assertions contained herein are those of the authors, the American Society of Regional Anesthesia and Pain

2018 American Society of Regional Anesthesia and Pain Medicine

63. Achilles Pain, Stiffness, and Muscle Power Deficits; Midportion Achilles Tendinopathy Revision

and function and soft tissue mobilization to increase range of motion for patients with midportion Achilles tendinopathy. INTERVENTIONS – PATIENT EDUCATION: ACTIVITY MODIFICATION B For patients with nonacute midportion Achilles tendinopathy, clinicians should advise that complete rest is not indicated and that they should continue with their recreational activity within their pain tolerance while participating in rehabilitation. INTERVENTIONS – PATIENT COUNSELING E Clinicians may counsel patients (...) recommendations to support evidence-based practice. The authors of this guideline revision worked with the CPG Editors and medical librarians for methodological guidance. The research librarians were chosen for their expertise in systematic review and rehabilitation literature search and to perform systematic searches for concepts associated with classification, examination, and intervention strategies for Achilles Pain, Stiffness, and Muscle Power Deficits: Midpor - tion Achilles Tendinopathy. 22 Briefly

2018 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

64. Society of Interventional Radiology Reporting Standards for Thoracic Central Vein Obstruction

thrombolysis for the treatment of deep vein thrombosis: initial clinical experience. J Vasc Interv Radiol 2008; 19:521–528. 63. Brunner L. The Lippincott Manual of Nursing Practice, 3rd edition. Phila- delphia: JB Lippincott, 1982. 64. Trayes KP, Studdiford JS, Pickle S, Tully AS. Edema: diagnosis and management. Am Fam Phys 2013; 88:102–110. 65. O’Sullivan SB, Schmitz TJ, editors. Physical rehabilitation: assessment and treatment, 5th ed. Philadelphia: F.A. Davis, 2007. 66. Guelph General Hospital (...) originates at the con?uence of the right and left BCVs. It may receive branches from intercostal, tracheal, esophageal, bronchial, pericardial, and mediastinal veins, but its largest tributary by far is the azygos vein. The azygos vein ascends anterior to the spine to therightofmidline,acceptingintercostalandhemiazygosbranches,thenarchesanteriorlyovertherightmainbronchustodraininto the posterior aspect of the superior (ie, distal) portion of the SVC. Although ?ow is usually toward the right atrium, when

2018 Society of Interventional Radiology

65. Low Back Pain, Adult Acute and Subacute

of corticosteroids • Trauma with neurological signs Note: There is not sufficient data on a history of osteoporosis as a specific risk factor. Infection An uncommon but serious cause for back pain is infection. A spinal infection such as vertebral osteomyelitis or spinal epidural abscess can present as back pain with a fever. Consideration of other non-spine origins Low back pain can be due to visceral disease. Examples include (Goldman, 2011): • Disease of pelvic organs (prostatitis, endometriosis, chronic (...) , and include test and measures that assess neurologic, musculoskeletal and biomechanical dysfunction. The following are components of the low back pain exam: • Neurologic evaluation, including reflex sensation, and neural tension and strength - straight leg raising - ability to walk on heels and toes - symmetrical great toe extensor strength • Palpation of related structures • Assessment of posture • Evaluation of lumbar spine range of motion (quantity and quality, asymmetry/inconsistency) • Evaluation

2018 Institute for Clinical Systems Improvement

66. All-Terrain Vehicle Injuries, Prevention of

intra-abdominal injuries and spine fractures. Recommendation There is very low-quality evidence with several limiters. As a result, we are unable to recommend either for or against non-helmet protective gear based on the current evidence. Results for Legislation to Lessen Injury Severity (PICO 4) TABLE 4. Evidence Table for Legislation and Injury Severity Of the 11 studies meeting inclusion criteria for PICO 4, most examined the outcomes of ATV injury or death, with four studying the outcome (...) of change between the two time periods. McBride et al. [ ] furthered investigated the outcomes of ATV legislation in North Carolina by comparing a larger time period (2003–2008), and found that children without helmets were five times more likely to have a head or neck injury ( p = 0.01). Passengers were five times more likely to die or require discharge to a rehabilitation facility ( p = 0.03) and 13 times more likely to suffer a head and neck injury ( p < 0.01) when compared to drivers. The authors

2018 Eastern Association for the Surgery of Trauma

67. Facet Neurotomy

affecting the spine AND The patient is over 17 years of age Segmental pain or tenderness at the level of the potentially involved unilateral facet joint AND The region involved is neurologically intact or if not, address the deficit in the treatment plan Diagnostic imaging ( e.g. CT, MRI) as needed to rule out any correctable structural lesion AND Two separate diagnostic medial branch blocks: 1. One short-acting, low-volume (=0.5 ml) local anesthetic 2. One long-acting, low-volume (=0.5 ml) local (...) structural causes of back pain ? There is no other pain syndrome affecting the spine AND The patient is over 17 years of age Segmental pain or tenderness at the level of the potentially involved unilateral facet joint AND The region involved is neurologically intact or if not, address the deficit in the treatment plan Diagnostic imaging (CT, MRI) as needed to rule out any correctable structural lesion AND Two different diagnostic medial branch blocks: 1) One short-acting, low-volume (=0.5 ml) local

2017 Washington State Department of Labor and Industries

68. Shaken baby syndrome or non-accidental head injury caused by shaking

. The following mechanisms and circumstances were examined: ? shaking without impact; ? mild head injury caused by a fall from a low height; ? play; ? childbirth; ? hypoxia or anoxia; ? resuscitation manoeuvres. The update looked at other mechanisms mentioned: vaccinations, dehydration, thrombosis of the intracranial venous sinuses and haemostasis disorders. 2.1 Shaking without impact Shaking is a highly violent action during which the cervical spine suffers brutal whiplash. Subdural bleeding and RH

2017 HAS Guidelines

69. Palliative Care

if palliative care consultation is not available. z Optimal palliative care requires an interdisciplinary team of physicians, nurses, and psychosocial and rehabilitation providers. z Optimal care requires trauma physicians and nurses to have basic competencies in primary palliative care, pain and symptom management, and end-of-life care. Palliative care is a philosophy of care focused on improving the quality of life for patients with serious illness and their families. While commonly thought

2017 American College of Surgeons

70. AIM Clinical Appropriateness Guidelines for Interventional Pain Management

):CD010712. 2 Bicket MC, Horowitz JM, Benzon HT, et al. Epidural injections in prevention of surgery for spinal pain: systematic review and meta-analysis of randomized controlled trials. The spine journal : official journal of the North American Spine Society. 2015;15(2):348-62. 3 Chou R, Loeser JD, Owens DK, et al. Interventional therapies, surgery, and interdisciplinary rehabilitation for low back pain: an evidence-based clinical practice guideline from the American Pain Society. Spine. 2009;34(10 (...) injections should be accompanied by participation in an ongoing active rehabilitation program, home exercise program, or functional restoration program. Ultrasound-guidance ? Ultrasound is the only imaging-guidance appropriate for use during pregnancy Exclusions Indications other than those addressed in this guideline are considered not medically necessary, including but not limited to the following: ? Intraarticular sacroiliac joint injections performed on the same day as other spine injection

2017 AIM Specialty Health

71. Hip Pain and Mobility Deficits ? Hip Osteoarthritis

: International Classification of Diseases and Related Health Problems ICF: International Classification of Functioning, Disability and Health IR: internal rotator or rotation ISS: ischial spine sign JOSPT: Journal of Orthopaedic & Sports Physical Therapy KL: Kellgren-Lawrence radiographic score LEFS: Lower Extremity Functional Scale LISH: Lequesne Index of Severity for Osteoarthritis of the Hip MCID: minimal clinically important difference MDC: minimal detectable change MRI: magnetic resonance imaging NSAID (...) with respect to their conclusions. The recommendation is based on these conflicting studies E Theoretical/ foundational evidence A preponderance of evidence from animal or cadaver studies, from conceptual models/ principles, or from basic science/bench research supports this conclusion F Expert opinion Best practice based on the clinical experience of the guidelines development team GUIDELINE REVIEW PROCESS AND VALIDATION Identified reviewers who are experts in hip OA management and rehabilitation reviewed

2017 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

72. Pelvic Girdle Pain in the Antepartum Population: Physical Therapy Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health From the Section on Women's Health and the Orthopaedic Section of the America

—Brigham and Women's Hospital, Boston, Massachusetts David A. Hoyle, PT, DPT, MA, OCS, MTC, CEAS—National Director of Clinical Quality: WorkStrategies, Select Medical, Mechanicsburg, Pennsylvania Zacharia Isaac, MD, Board certified in physical medicine and rehabilitation and pain management Division Chief of Spine Care and Pain Management, Spaulding Rehabilitation Hospital, Charlestown, Massachusetts Associate Chairman, Department of Physical Medicine and Rehabilitation, Brigham and Woman's Hospital (...) are not associated with the described clinical course of PGP, impairments are failing to normalize, and the symptoms are worsening with increased disability. This should include the presence of transient osteoporosis and diastasis rectus abdominis (DRA) as possible comorbidities in this population, as well as the presence of pelvic floor muscle, hip, and lumbar spine dysfunctions. (Recommendations are based on strong evidence.) Imaging Studies: F In the absence of good evidence, expert opinion and foundation

2017 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

73. Imaging Program Guidelines: Pediatric Imaging

Imaging Program Guidelines: Pediatric Imaging Clinical Appropriateness Guidelines: Advanced Imaging Imaging Program Guidelines: Pediatric Imaging Effective Date: November 20, 2017 Proprietary Guideline Last Revised Last Reviewed Administrative 07-26-2016 07-26-2016 Head and Neck 11-01-2016 11-01-2016 Chest 08-27-2015 07-26-2016 Abdomen and Pelvis 11-01-2016 11-01-2016 Spine 08-27-2015 07-26-2016 Extremity 08-27-2015 07-26-2016 Copyright © 2017. AIM Specialty Health. All Rights Reserved 8600 W (...) Health. All Rights Reserved. 3 Spine Imaging 103 CT Cervical Spine – Pediatrics 103 MRI Cervical Spine – Pediatrics 106 CT Thoracic Spine – Pediatrics 110 MRI Thoracic Spine – Pediatrics 113 CT Lumbar Spine – Pediatrics 117 MRI Lumbar Spine – Pediatrics 120 MRA Spinal Canal – Pediatrics 124 Extremity Imaging 125 CT Upper Extremity – Pediatrics 125 MRI Upper Extremity (Any Joint) – Pediatrics 128 MRI Upper Extremity (Non-Joint) – Pediatrics 132 CTA and MRA Upper Extremity – Pediatrics 135 CT Lower

2017 AIM Specialty Health

74. Knee Stability and Movement Coordination Impairments: Knee Ligament Sprain

, such as those associated with knee extension range-of-motion loss. INTERVENTIONS – CRYOTHERAPY B Clinicians should use cryotherapy immediately after ACL reconstruction to reduce postoperative knee pain. INTERVENTIONS – SUPERVISED REHABILITATION B Clinicians should use exercises as part of the in-clinic super- vised rehabilitation program after ACL reconstruction and should provide and supervise the progression of a home-based exer- cise program, providing education to ensure independent performance (...) based on the clinical experience of the guidelines development team GUIDELINE REVIEW PROCESS AND VALIDATION Identified reviewers who are experts in knee ligament injury management and rehabilitation reviewed the content and methods of this CPG for integrity, accuracy, and to ensure that it fully represents the condition. Any comments, sugges- tions, or feedback from the expert reviewers were delivered to the authors and editors to consider and make appropri- ate revisions. These guidelines were also

2017 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

75. Neck Pain

advice, exercise instruction, and education • A comprehensive exercise program (including strength and/ or endurance with/without coordination exercises) • T ranscutaneous electrical nerve stimulation (TENS) F Clinicians should monitor recovery status in an attempt to identify those patients experiencing delayed recovery who may need more intensive rehabilitation and an early pain education program. Chronic For patients with chronic neck pain with movement coordination im- pairments (including WAD (...) test CCR: Canadian cervical spine rule CFRT: cervical flexion-rotation test CI: confidence interval CPG: clinical practice guideline CROM: cervical range of motion CT: computed tomography GRADE: Grading of Recommendations Assessment, Development and Evaluation ICC: intraclass correlation coefficient ICD: International Classification of Diseases and Related Health Problems ICF: International Classification of Functioning, Disability and Health Journal of Orthopaedic & Sports Physical Therapy®

2017 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

76. 2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease

Angiography and Interventions Representative. ¶ACC/AHA Task Force on Clinical Practice Guidelines Liaison. #Inter-Society Consensus for the Management of Peripheral Arterial Disease Representative. **Society for Vascular Medicine Representative. ††Society of Interventional Radiology Representative. ‡‡Society for Clinical Vascular Surgery Representative. §§Society for Vascular Surgery Representative. ? ?American Association of Cardiovascular and Pulmonary Rehabilitation Representative. ¶¶Society (...) College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2017;135:e726–e779. DOI: 10.1161/CIR.0000000000000471. Developed in Collaboration With the American Association of Cardiovascular and Pulmonary Rehabilitation, Inter-Society Consensus for the Management of Peripheral Arterial Disease, Society for Cardiovascular Angiography and Interventions, Society for Clinical Vascular Surgery, Society of Interventional Radiology, Society for Vascular Medicine

2017 American Heart Association

77. Evidence for Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management: A Scientific Statement for Healthcare Professionals From the American Heart Association (Full text)

(cerebrovas- cular accident) populations, (2) intervention studies limited to pharmacological management, (3) interventions that targeted only the provider or health professional, (4) organizational or systems interventions to improve delivery of care, (5) life- style modification or coronary artery disease (CAD) risk fac- tor modification in lieu of cardiac rehabilitation after an acute cardiac event (ACS, CABG or PCI), or (6) cardiac rehabilita- tion implementation and evaluation. Non-English published (...) of information (P<0.05) More prepared for discharge (P<0.01) Expressed greater intention for rehabilitation (P<0.01) Less anxiety (P<0.05) Fewer phone calls to GP (P<0.01) Return to baseline work status (P<0.05) Furuya et a 49 l (2014) PCI RCT N=90 I=45 C=45 Outpatient UC vs self-efficacy–based education focused on PCI and discharge Coaching re: self-care Print Coaching phone F/U at 1, 8, and 16 wk after discharge 16 wk Improved physiological or psychosocial functioning as measured by SF36: Physical

2017 American Heart Association

78. Management of Cardiac Involvement Associated With Neuromuscular Diseases: A Scientific Statement From the American Heart Association (Full text)

in severity but complicates the evaluation and management. Emery-Dreifuss Muscular Dystrophy EDMD is another nondystrophinopathy with associated cardiac involvement characterized by early-onset joint contractures (elbows, ankles, and cervical spine), slowly progressive muscle weakness, and cardiac conduction defects that increase the risk of sudden death. EDMD has significant clinical variability and is caused by mutations in genes that code for nuclear envelope proteins. X-linked EDMD, the prevalence

2017 American Heart Association

79. Diagnosis and Management of Noncardiac Complications in Adults With Congenital Heart Disease: A Scientific Statement From the American Heart Association (Full text)

in total lung capacity. 78,79 Baseline and annual chest x-ray with baseline pulmonary func- tion tests with diffusing capacity for carbon monoxide and high-resolution computed tomography (CT) as in- dicated can identify pulmonary disease in patients on amiodarone therapy. 80 Effective treatment options exist for patients with restrictive lung function. Pulmonary rehabilitation with endurance training is an evidence-based, multidisci- plinary, comprehensive intervention for patients with chronic (...) respiratory disease who are symptomatic and often have impaired ability to perform their activities of daily living. 81–83 Pulmonary rehabilitation has been shown to improve exercise endurance and the quality of life in patients with restrictive lung physiology of vari- ous pathogeneses and even decrease hospital admis- sions. 84–86 To date, specific trials looking at the benefit of pulmonary rehabilitation in adults with CHD with restrictive lung physiology are limited. Studies of su- pervised pulmonary

2017 American Heart Association

80. Benign Paroxysmal Positional Vertigo (BPPV)

offer (1) observation with follow-up as initial management for patients with BPPV and (2) vestibular rehabilitation, either self-administered or with a clinician, in the treatment of BPPV. Keywords , Differences from Prior Guideline This clinical practice guideline is as an update and replacement for an earlier guideline published in 2008 by the American Academy of Otolaryngology—Head and Neck Surgery Foundation (AAO-HNSF). An update was necessitated by new primary studies and systematic reviews

2017 American Academy of Otolaryngology - Head and Neck Surgery

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