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141. Perinatal Cocaine Use: Care of the Mother

arrhythmias. 2) Sinus tachycardia and bradycardia. 3) Myocardial ischemia and infarction. 4) Seizures. 5) Stroke. 6) Lung damage, "crack lung" and asthma. 7) Sexually transmitted diseases. 8) Rhabdomyolysis (muscle breakdown that can lead to renal failure). 9) Psychosis. 10) Placental abruption. 11) Spontaneous abortion. 12) Death. FETAL / NEONATAL RISKS OF COCAINE EXPOSURE (See Substance Use Guideline 5B: Perinatal Cocaine Exposure, Care of the Newborn) Most women who abuse substances in pregnancy use (...) of other signs and symptoms related to norepinephrine release (Gold & Herkov, 1998). It is primarily the vasoconstriction in the placenta that puts the fetus in immediate danger with each cocaine use since this can produce ischemia and trigger abruption. The elevated sympathetic output can also lead to increased uterine tone and premature labour. Chronic use of cocaine can contribute to placental insufficiency and IUGR (Plessinger & Woods, 1998). It is thought that the vasoconstriction effects

1999 British Columbia Perinatal Health Program

142. Primary Prevention of ASCVD and T2DM in Patients at Metabolic Risk Full Text available with Trip Pro

Heart Attack (ALLHAT) trials. The recommendation for treatment with aspirin in this population has been eliminated due to a lack of sufficient evidence for its benefit. Subsequent data and a systematic review identified a relative risk (RR) reduction in nonfatal myocardial infarction (MI) but not in cardiovascular or all-cause mortality. The effects were modest and could be potentially outweighed by the risk of bleeding and other complications ( ). Dietary and exercise recommendations have been (...) Microsite Search Term Close search filter search input Article Navigation Close mobile search navigation Article Navigation September 2019 Article Contents Article Navigation Primary Prevention of ASCVD and T2DM in Patients at Metabolic Risk: An Endocrine Society Clinical Practice Guideline James L Rosenzweig Hebrew Rehabilitation Hospital, Boston, Massachusetts Correspondence: James L. Rosenzweig, MD, Hebrew Rehabilitation Hospital, 1200 Centre Street, Boston, Massachusetts 02131. E-mail: . Search

2019 The Endocrine Society

143. 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

144. Perioperative

and stroke. In patients with three or more RCRI risk factors (e.g., diabetes mellitus, HF, CAD, renal insufficiency, cerebrovascular accident), it may be reasonable to begin beta blockers before surgery. (ACC/AHA 2014 guideline recommendation) In patients with a compelling long-term indication for betablocker therapy but no other RCRI risk factors, initiating beta blockers in the perioperative setting as an approach to reduce perioperative risk is of uncertain benefit. (ACC/AHA 2014 guideline (...) including 371,594 patients with anemia found that Return to Index Table Return to Table of Contents Institute for Clinical Systems Improvement 18 Perioperative Sixth Edition /January 2020 anemia was associated with increased mortality, acute kidney injury, infection and increased incidence of red cell transfusion in anemic patients undergoing noncardiac or cardiac surgeries. In cardiac surgery, anemia was associated with increased risk for stroke but not myocardial infarction

2020 Institute for Clinical Systems Improvement

145. Sudden Cardiac Arrest Survivorship: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

cardiac arrest may linger for months or years. Systematic recommendations stop short of addressing partnerships needed to care for patients and caregivers after medical stabilization. This document expands the cardiac arrest resuscitation system of care to include patients, caregivers, and rehabilitative healthcare partnerships, which are central to cardiac arrest survivorship. Footnotes The American Heart Association makes every effort to avoid any actual or potential conflicts of interest that may (...) of the American Heart Association Emergency Cardiovascular Care Committee; Council on Cardiovascular and Stroke Nursing; Council on Genomic and Precision Medicine; Council on Quality of Care and Outcomes Research; and Stroke Council. Sudden cardiac arrest survivorship: a scientific statement from the American Heart Association. Circulation. 2020;141:e000–e000. doi: 10.1161/CIR.0000000000000747 The expert peer review of AHA-commissioned documents (eg, scientific statements, clinical practice guidelines

2020 American Heart Association

146. Treatment of Patients with Schizophrenia

and mortality among individuals with schizophrenia. About 4%-10% of persons with schizophrenia die by suicide, with rates that are highest among males in the early course of the disorder (Drake et al. 1985; Heilä et al. 2005; Hor and Taylor 2010; Inskip et al. 1998; Laursen et al. 2014; Nordentoft et al. 2011; Palmer et al. 2005; Popovic et al. 2014; Saha et al. 2007; Tanskanen et al. 2018). Additional causes of death also include other unnatural causes, such as accidents and traumatic injuries

2020 American Psychiatric Association

147. Clinical practice guideline for limb salvage or early amputation

or by downloading to your smartphone or tablet via the Apple and Google Play stores! View background material via the LSA CPG eAppendix Page4 Table of Contents SUMMARY OF RECOMMENDATIONS 6 BURDEN OF INJURY 6 PSYCHOSOCIAL FACTORS 7 REHABILITATION 7 NERVE INJURY 7 MASSIVE SOFT TISSUE AND MUSCLE DAMAGE 7 VASCULAR INJURY/LIMB ISCHEMIA 8 SMOKING 8 LOWER EXTREMITY INJURY SCORES 8 AMPUTATION/LIMB SALVAGE 9 GUIDELINE DEVELOPMENT GROUP ROSTER 10 Voting Members 10 Non-Voting Members 10 INTRODUCTION 11 METHODS 15 Best (...) the LSA CPG eAppendix VASCULAR INJURY/LIMB ISCHEMIA 32 SMOKING 34 LOWER EXTREMITY INJURY SCORES 36 AMPUTATION/LIMB SALVAGE 38 CONSENSUS STATEMENTS 40 Methodology 41 Orthotics/Prosthetics 42 Massive Muscle Damage 43 Comorbidities 45 APPENDICES 47 Appendix I – References for Included Literature 48 Appendix II - Guideline Development Group Disclosures 51 Non-Voting Oversight Chairs’ and Voting Members’ Disclosures 51 Appendix III – PICO Questions Used to Define Literature Search 53 Appendix IV

2020 American Academy of Orthopaedic Surgeons

149. Guidelines for the Management of Absolute Cardiovascular Disease Risk

time. While all care has been taken in preparing the content of this material, the National Vascular Disease Prevention Alliance and the funding body expressly disclaims and accepts no responsibility for any undesirable consequences arising from relying on the information or recommendations contained herein. Funding The National Stroke Foundation, on behalf of the National Vascular Disease Alliance, gratefully acknowledges the financial assistance provided by the Australian Government Department (...) of Health and Ageing. The Department did not have editorial rights in the development of the guidelines and this publication reflects the views of the authors and not necessarily the views of the Australian Government. Suggested citation National Vascular Disease Prevention Alliance. Guidelines for the management of absolute cardiovascular disease risk. 2012. ISBN: 978-0-9872830-1-6 © National Stroke Foundation 2012. Further information and resources are available from:

2012 Stroke Foundation - Australia

150. AIM Clinical Appropriateness Guidelines for Interventional Pain Management

injection of glucocorticoids, citing the risk for rare but serious adverse effects (loss of vision, stroke, paralysis, and death). The best evidence supporting its use comes from trials that looked specifically at patients with radiculopathy due to disc herniation, where short term benefit has been demonstrated. Injections may be performed as part of a diagnostic workup of radicular pain, or as a therapeutic modality when noninvasive treatment strategies have failed. Injections may be performed via (...) for spinal infection ? Comorbid conditions associated with increased risk of bleeding due to coagulopathy or treatment with anticoagulants ? Back pain in the setting of trauma Additional contraindications include the following conditions: ? Cauda equina syndrome ? Conus medullaris syndrome ? Epidural hematoma ? Subarachnoid hemorrhage ? Epidural mass ? Spinal cord ischemia ? Spinal fracture which occurred less than 6 weeks prior to injection ? Demyelinating disease or other CNS processes which predispose

2019 AIM Specialty Health

151. AIM Clinical Appropriateness Guidelines for Arterial Ultrasound.

cerebrovascular attack (CVA) and transient ischemic attack (TIA) do not apply specifically to either anterior or posterior circulation ? For the purposes of this guideline, severity of vascular stenosis is defined as follows: ? Mild disease: 1.40) ? Duplex imaging is appropriate for patients with claudication who have normal, borderline, or inconclusive physiological testing (ABI> 0.90) ? Patients with resting ischemic pain ? Patients with evidence of atheroembolic disease of the lower extremities (ischemic (...) (more than would be expected for the procedure performed) at the vascular access site ? Patients with evidence of atheroembolic disease of the lower extremities (ischemic or discolored toes, livedo reticularis etc.) Miscellaneous indications for duplex imaging (any one of the following) ? Following limb trauma when there is suspicion of vascular injury ? For evaluation of suspected positional arterial obstructionDuplex Ultrasound Imaging of the Arteries of the Lower Extremities | Copyright © 2019

2019 AIM Specialty Health

153. Management of Venous Leg Ulcers: Clinical Practice Guidelines of the Society for Vascular Surgery and the American Venous Forum Full Text available with Trip Pro

Management of Venous Leg Ulcers: Clinical Practice Guidelines of the Society for Vascular Surgery and the American Venous Forum Management of venous leg ulcers: Clinical practice guidelines of the Society for Vascular Surgery® and the American Venous Forum - Journal of Vascular Surgery Email/Username: Password: Remember me Search JVS Journals Search Terms Search within Search Access provided by Volume 60, Issue 2, Supplement, Pages 3S–59S Management of venous leg ulcers: Clinical practice (...) guidelines of the Society for Vascular Surgery ® and the American Venous Forum x Thomas F. O’Donnell , MD , x Marc A. Passman , MD , x William A. Marston , MD , x William J. Ennis , DO , x Michael Dalsing , MD , x Robert L. Kistner , MD , x Fedor Lurie , MD, PhD , x Peter K. Henke , MD , x Monika L. Gloviczki , MD, PhD , x Bo G. Eklöf , MD, PhD , x Julianne Stoughton , MD , x Sesadri Raju , MD , x Cynthia K. Shortell , MD , x Joseph D. Raffetto , MD , x Hugo Partsch , MD , x Lori C. Pounds , MD , x Mary

2014 American Venous Forum

154. BTS Guideline for Bronchiectasis in adults

? 31 P ulmonary Rehabilitation 32 Inspiratory Muscle Training 32 Field Walking Tests 33 What is the role of surgery in managing bronchiectasis? 33 Lung transplantation for bronchiectasis 34 What is the role of influenza and pneumococcal vaccination in management of bronchiectasis 35 Treatment of respiratory failure 36 Bronchiectasis and other treatments Section 10 36 Do pathogens have an impact on prognosis in bronchiectasis? Section 11 37 What is the evidence for the role of viruses/ fungal

2019 British Thoracic Society

155. Professional Practice Guidelines for the Psychological Practice with Boys and Men

with their cultur- al heritages (Liu & Concepcion, 2010) and have been associated with poor psycholog- ical and physical health outcomes (Alvarez, Liang, & Neville, 2016). For instance, adult African American men in the United States are at greater risk for higher blood pressure, prostate cancer, cardiovascular disease, and stroke (Hammond, 2012; Hammond et al., 2016). Indeed, the relationship between racial discrimination and depressive symp- toms was found to be best explained by White, Eurocentric masculine

2019 American Psychological Association

156. 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 (...) , Originally published 13 Dec 2018 Circulation. 2018;139:e10–e33 Peripheral artery disease (PAD) is a progressive atherosclerotic disease that affects >8 million Americans. Symptoms of PAD are caused by insufficient arterial blood flow to the lower extremities, which often results in ischemia-induced, debilitating leg discomfort associated with walking. Claudication, which is cramping, aching, or pain in the calves, thighs, or buttocks, is the classic symptom of PAD. Claudication is defined

2019 American Gastroenterological Association Institute

157. 2018 Update on Diagnosis, Treatment, Chemoprophylaxis, and Institutional Outbreak Management of Seasonal Influenza Full Text available with Trip Pro

, with or without fever, should also be considered along with the patient’s underlying health and immune function (eg, fever without source in infants; new-onset neurologic signs and symptoms [seizures, altered mental status], more commonly in infants and young children, but possible in adults; new-onset cardiovascular events [heart failure, myocardial infarction or ischemia, cerebrovascular accident] in adults; and exacerbation of chronic medical conditions, with or without fever [particularly cardiac (...) complications associated with influenza in adults in a recent comprehensive review [63]. Exacerbation of chronic disease (eg, coronary artery disease, chronic pulmonary disease, asthma, heart failure) with influenza virus infection can result in severe illness [49, 63–69]. Influenza can trigger acute myocardial infarction [70]. Elderly persons with influenza may present without fever and milder systemic symptoms than younger patients, but with higher frequencies of altered mental status [71–75]. Data from

2019 Infectious Diseases Society of America

158. Statin Safety and Associated Adverse Events: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

. Welty , Originally published 10 Dec 2018 Arteriosclerosis, Thrombosis, and Vascular Biology. 2018;39:e38–e81 Abstract One in 4 Americans >40 years of age takes a statin to reduce the risk of myocardial infarction, ischemic stroke, and other complications of atherosclerotic disease. The most effective statins produce a mean reduction in low-density lipoprotein cholesterol of 55% to 60% at the maximum dosage, and 6 of the 7 marketed statins are available in generic form, which makes them affordable (...) transplants. The risk of statin-induced serious muscle injury, including rhabdomyolysis, is <0.1%, and the risk of serious hepatotoxicity is ≈0.001%. The risk of statin-induced newly diagnosed diabetes mellitus is ≈0.2% per year of treatment, depending on the underlying risk of diabetes mellitus in the population studied. In patients with cerebrovascular disease, statins possibly increase the risk of hemorrhagic stroke; however, they clearly produce a greater reduction in the risk of atherothrombotic

2019 American Gastroenterological Association Institute

159. Tobacco Cessation Treatment

CVD deaths are attributable to cigarette smoking (5). Tobacco smoking adversely affectsallphasesoftheatherothromboticdiseaseprocess, including endothelial dysfunction (6),plaquedevelop- ment and destabilization (7), and imbalances of antith- rombotic and prothrombotic factors (8,9), culminating in acute cardiovascular (CV) events (10,11). Clinically, tobacco smoking increases the risk of coronary heart disease (CHD) (including myocardial infarction [MI] and sudden death), cerebrovascular disease (...) of stop- ping smoking (e.g., ?nancial savings, health bene?ts, behavioral control, setting an example for others), rather than focusing solely on the harms of continued smoking. For smokers who are post–myocardial infarction, the clinician can emphasize the rapid reduction in the chance of future CV morbidity and mortality by saying, for example, “Quitting smoking now is the best way for you to avoid another heart attack.” After percutaneous coronary intervention, coronary artery bypass grafting

2019 American College of Cardiology

160. Age-Related Macular Degeneration

or progression of the disease. 35 6.3.2 Coronary and vascular disease People with AMD may be at increased risk of coronary heart disease (120, 125), stroke (126) and cardiovascular mortality (127, 128). However, findings have been inconsistent: and some studies have found no association between history of cardiovascular disease and AMD (118, 129). A systematic review (23) found a significant association when studies were pooled (OR 2.20; 95% CI 1.49 - 3.26), although what constituted cardiovascular disease (...) photography 5.3.2 Fundus Fluorescein angiography 5.3.3 Angiographic features of neovascular AMD 5.3.4 ICG angiography 5.3.5 Optical coherence tomography 5.3.6 Fundus autofluorescence 5.3.7 Structure and function 3 6. Risk factors 6.1 Ocular 6.1.1 Precursor lesions 6.1.2 Refractive status 6.1.3 Iris colour 6.1.4 Macular pigment 6.2 Lifestyle 6.2.1 Smoking habit 6.2.2 Alcohol intake 6.2.3 Diet and nutrition 6.2.4 Obesity 6.3. Medical 6.3.1 Hypertension 6.3.2 Coronary and vascular disease 6.3.3 Diabetes 6.4

2013 Royal College of Ophthalmologists


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