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82. Society of Interventional Radiology Training Guidelines for Endovascular Stroke Treatment Full Text available with Trip Pro

gastrectomy. Obes Surg . 2014 ; 24 : 2021–2024 , x 55 Santok, G.D., Raheem, A.A., Kim, L.H. et al. Proctorship and mentoring: Its backbone and application in robotic surgery. Invest Clin Urol . 2016 ; 57 : S114–S120 ). Direct and indirect methods of supervised training are available for the interventionalist. Direct training would include hands-on participation in cases, whereas indirect training would include observing cases being performed. Ideally, supervised training would include robust, hands

2019 Society of Interventional Radiology

83. Guidance on establishing and delivering enhanced perioperative services

professionals involved in their care during admission to an EPC facility. • To receive information on their role in the perioperative pathway including, where indicated, the need for preoperative lifestyle modification, adherence to treatment for long term conditions, and participation in prehabilitation, postoperative rehabilitation and discharge planning. • To receive information to support their continuing recovery in hospital and in the community. • A COVID-19 compliant pathway. • Equity of access (...) based on physiological stability and no ongoing requirement for the defined EPC intervention. • All patients should have a discharge document, including reasons for providing EPC, treatments given and a plan for pain, surgical, medical and rehabilitation management. • Criterion-based discharge processes for routine discharges to normal postoperative wards, should improve patient flow. There should be identified routes for input from surgical or other medical decision makers if required. 4.4

2020 ICM Anaesthesia COVID-19

84. Appropriate Use Criteria: Interventional Pain Management

of the cervical or lumbar spine may be indicated when ALL of the following criteria are met: • Radicular pain (cervical or lumbar) or neurogenic claudication (lumbar) with associated functional impairment • Evidence of nerve root compression or spinal stenosis (central or foraminal) is seen on an initial advanced imaging study (MRI or CT) performed within the previous 12 months and correlates with the clinical findings* • The pain has not responded to at least 4 weeks of appropriate conservative management (...) , unless there is evidence of radiculopathy, in which case epidural steroid injection may be performed following 2 weeks of conservative management Interventional Pain Management Copyright © 2020. AIM Specialty Health. All Rights Reserved. 8 *Note: The initial epidural injection for a given episode of pain in the lumbar spine may be performed without confirmatory advanced imaging if the exam findings are clearly diagnostic of nerve root compression or spinal stenosis. Repeat Therapeutic Epidural

2020 AIM Specialty Health

85. Sacroiliac - Interim Decision

Invasive Sacroiliac Joint Fusion Using Triangular Titanium Implants vs Nonsurgical Management for Sacroiliac Joint Dysfunction: 12-month Outcomes. Neurosurgery, 2015. 77(5): p. 674-90. 8. Rudolf, L., Sacroiliac joint arthrodesis-MIS technique with titanium implants: report of the first 50 patients and outcomes. The open orthopaedics journal, 2012. 6: p. 495. 9. Rudolf, L., MIS Fusion of the SI Joint: Does Prior Lumbar Spinal Fusion Affect Patient Outcomes? The Open Orthopaedics Journal, 2013. 7: p. 163 (...) years for some forms of low back pain. While there are a number of reasons why pain could originate from the (SI) joint, the following criteria has been adopted by Labor and Industries as an interim coverage policy for consideration of SI Joint Fusion. Our statutory Industrial Insurance Medical Advisory Committee is anticipated to convene in early 2019 to conduct an evidence-based review of this and other spine surgery procedures. Sacroiliac joint fusion is accomplished through fusing the iliac bone

2018 Washington State Department of Labor and Industries

86. Thoracic Outlet Syndrome - Neurogenic

listed [Thoracic outlet syndrome, spinal cord tumors, nerve injuries, myelopathy, radiculopathy] are, by definition, not causes of neck pain. They cause symptoms, not in the neck, but in the upper limb. Furthermore, they cause loss of neurologic function rather than pain.” [14] Cervicobrachial syndrome may be treated with non-surgical treatments that are appropriate for the clinical presentation, including manual therapy, rehabilitation therapies, pain psychology, EMG biofeedback, and medication (...) . Effective October 1, 2010; Appendix for Cervicobrachial Syndrome added February 2019 3 II. Introduction This guideline is to be used by physicians, claim managers, occupational nurses, and utilization review staff. The emphasis is on accurate diagnosis and treatment that is curative or rehabilitative (see WAC 296-20-01002 for definitions). An electrodiagnostic worksheet and guideline summary are appended to the end of this document. This guideline was developed in 2010 by the Washington State's

2019 Washington State Department of Labor and Industries

87. Interventional Pain Management

be performed following 2 weeks of conservative management *Note: The initial epidural injection for a given episode of pain in the lumbar spine may be performed without confirmatory advanced imaging if the exam findings are clearly diagnostic of nerve root compression or spinal stenosis. Repeat Therapeutic ESI may be indicated when ALL of the following criteria are met: An injection is considered a repeat injection if the last injection was performed within the previous 12 months. If 12 months or more have (...) 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):1066-77. 4 Cohen SPH, S.; Semenov, Y et al. . Epidural steroid injections

2020 AIM Specialty Health

88. Appropriate Use Criteria: Level of Care for Musculoskeletal Surgery and Procedures

health : official journal of the American Rural Health Association and the National Rural Health Care Association. 2013;29 Suppl 1:s1-6. 37. Xing, D, Ma, JX, Ma, XL, et al. A methodological, systematic review of evidence-based independent risk factors for surgical site infections after spinal surgery. Eur Spine J. 2013;22(3):605-15. 38. Yen, D, Albargi, A. Results and limitations of outpatient and overnight stay laminectomies for lumbar spinal stenosis. Can J Surg. 2017;60(5):329-34. Codes CPT® (...) recess stenosis]), single vertebral segment; each additional segment, cervical, thoracic, or lumbar 63075 Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace 63076 Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure) 63265 Laminectomy for excision or evacuation

2020 AIM Specialty Health

89. Pressure Injury Prevention for Critically Ill Adults

for a Bariatric Patient 26 Table 9: Example St George Hospital Safe Work Practice for a slide sheet 29 FIGURES Figure 1: Unstageable heel pressure injury 10 Figure 2: Tissue distortion due to pressure. Taken from Takahashi et al, 2010 (28). Used with permission. 10 Figure 3: Factors associated with pressure injuries 11 Figure 4: Sacral pressure injury in elderly patient post spinal immobilisation. 12 Figure 5: Distribution of pressure injuries report in IIMS 2009-2011 13 Figure 6: Upper lip pressure injury (...) alternating from side to side or a 30° inclined recumbent position (2, 8, 13) . C 19. Patients in seated positions should ideally have pressure relief every 30-60 minutes. For specific patient groups (for example patients with spinal cord injuries) this may need to be more frequent (2, 15) . Consensus Infection prevention 20. Clinicians should undertake a risk assessment to identity the risk of contamination and mucosal or conjunctival splash injuries during pressure injury prevention and management

2020 Agency for Clinical Innovation

90. Intensive Care NSW Additional Resources - Care of Adult Patients in Acute Care Facilities with a Tracheostomy

and intervention for the patient. The literature review revealed an emerging evidence base suggesting that such teams are able to reduce time to decannulation; adverse events; and hospital LOS [6]. Additionally, there is an enhancement in the use of communication strategies. Importantly there is an improvement in outcomes for patients with spinal injuries [7] and severe head injuries [8] with significant cost savings. Teams are able to: ? review patients on a regular basis and coordinate care of the many

2020 Agency for Clinical Innovation

92. Scoliosis ? Child

of Procedures by Variant Variant 1: Child. Congenital scoliosis. Initial imaging. The body regions covered in this clinical scenario are the cervical, thoracic, and lumbar spine. These body regions might be evaluated separately or in combination as guided by physical examination findings, patient history, and other available information, including prior imaging. Radiography Complete Spine Congenital scoliosis, resulting from a failure of vertebral formation or segmentation, accounts for up to 10 (...) -known. Vertebral infections, such as tuberculosis, may also result in kyphoscoliosis [1,2]. Conditions with dysplastic skeletal development should also be clinically excluded, including osteogenesis imperfecta, neurofibromatosis type I, Marfan syndrome, Ehlers-Danlos syndrome, and achondroplasia. Clinical presentation and physical examination in idiopathic scoliosis are negative for cutaneous stigmata that suggest underlying spinal dysraphism (hemangioma, hairy patches, nevi, dermal appendages

2019 American College of Radiology

94. Patellofemoral Pain

- toms can recur and can persist for years. 74 Patients with PFP symptoms frequently present to health care professionals for diagnosis and treatment. 74,277 This CPG will allow physical therapists and other rehabilitation specialists to stay up to date with evolving PFP knowledge and practices, and help them to make evidence-based treatment decisions. 166 Content experts were appointed by the Academy of Ortho- paedic Physical Therapy, APTA, Inc to conduct a review of the literature and to develop (...) evidence A preponderance of evidence from animal or cadaver studies, from conceptual models/ principles, or from basic science/bench research supports this recommendation F Expert opinion Best practice based on the clinical experi- ence of the guidelines development team supports this recommendation DESCRIPTION OF GUIDELINE VALIDATION Identified reviewers who are experts in PFP management and rehabilitation reviewed this CPG content and methods for in- tegrity and accuracy and to ensure that they fully

2019 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

96. Guidelines for enhanced recovery after lung surgery: recommendations of the Enhanced Recovery After Surgery (ERAS) Society and the European Society of Thoracic Surgeons (ESTS) Full Text available with Trip Pro

nutrition may have a role in the malnourished patient postoperatively Low Weak Smoking cessation Smoking should be stopped at least 4 weeks before surgery High Strong Alcohol dependency management Alcohol consumption (in alcohol abusers) should be avoided for at least 4 weeks before surgery Moderate Strong Anaemia management Anaemia should be identified, investigated and corrected preoperatively High Strong Pulmonary rehabilitation and prehabilitation Prehabilitation should be considered for patients (...) at least 4 weeks before surgery High Strong Alcohol dependency management Alcohol consumption (in alcohol abusers) should be avoided for at least 4 weeks before surgery Moderate Strong Anaemia management Anaemia should be identified, investigated and corrected preoperatively High Strong Pulmonary rehabilitation and prehabilitation Prehabilitation should be considered for patients with borderline lung function or exercise capacity Low Strong Admission Preoperative fasting and carbohydrate treatment

2020 ERAS Society

97. Guidelines for Perioperative Care in Cardiac Surgery Enhanced Recovery After Surgery Society Recommendations

for the PREHAB study—Pre-operative Rehabilitation for Reduction of Hospitalization After Coronary Bypass and Valvular Surgery: a randomised controlled trial. BMJ Open . 2015;5(3):e007250. doi: Snowden CP, Prentis J, Jacques B, et al. Cardiorespiratory fitness predicts mortality and hospital length of stay after major elective surgery in older people. Ann Surg . 2013;257(6):999-1004. doi: Valkenet K, van de Port IG, Dronkers JJ, de Vries WR, Lindeman E, Backx FJ. The effects of preoperative exercise therapy (...) on postoperative outcome: a systematic review. Clin Rehabil . 2011;25(2):99-111. doi: Waite I, Deshpande R, Baghai M, Massey T, Wendler O, Greenwood S. Home-based preoperative rehabilitation (prehab) to improve physical function and reduce hospital length of stay for frail patients undergoing coronary artery bypass graft and valve surgery. J Cardiothorac Surg . 2017;12(1):91. doi: Orange ST, Northgraves MJ, Marshall P, Madden LA, Vince RV. Exercise prehabilitation in elective intra-cavity surgery: A role

2020 ERAS Society

98. Characteristics, Prevention, and Management of Cardiovascular Disease in People Living With HIV: A Scientific Statement From the American Heart Association

inflammation than uninfected individuals with similar cardiovascular risk factors. Arterial inflammation is associated with soluble CD163, a marker of monocyte activation, with visceral fat, and with high-risk coronary atherosclerotic plaque. Arterial inflammation is a process that appears to be independent of HIV disease activity as measured by inflammation seen in the lymph nodes. Stroke Pathophysiology and Presentation in HIV The phenotypes of extracranial (eg, carotid and vertebral) and intracranial

2019 American Heart Association

99. 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

. These copayments may vary by insurance provider, coverage plan, and geographic location. Patients who cannot afford the copayment for 36 sessions or who have other out-of-pocket expenses may be candidates to transition to a wellness setting such as a phase III cardiac rehabilitation program or a fitness center, where out-of-pocket payments may be less expensive than those for a traditional SET program. These patients, while still participating in SET, should be instructed on safety and on how to progress (...) , and objective measurement of balance and gait speed and width. Neurological diseases such as prior stroke, neuropathy, and Parkinson disease and orthopedic conditions such as spinal stenosis or arthritis should be evaluated because they may limit SET program participation feasibility. However, spinal stenosis and arthritis are common in patients with PAD and usually do not interfere with exercise. , If a patient with PAD desires to participate in SET, he or she should be encouraged to do so. If treadmill

2019 American Heart Association

100. Child Abuse, Elder Abuse, and Intimate Partner Violence

by the application of tests, examinations, history or other procedures which can be applied rapidly.” 1 A positive screen identifies patients with higher probability of abuse that require additional testing or evaluation. However, screening does not lead to a diagnosis of abuse, and an initial negative screen does not “rule out” abuse. Screening must occur across the trauma/emergency care continuum (emergency department [ED], intensive care unit [ICU], medical-surgical units, and rehabilitation

2019 American College of Surgeons


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