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the society of thoracic surgery practice guidelines

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https://www.readbyqxmd.com/read/27854541/what-exactly-is-a-centrally-located-lung-tumor-results-of-an-on-line-survey
#1
Roberto F Casal, Macarena R Vial, Russell Miller, Lakshmi Mudambi, Horiana B Grosu, George A Eapen, Carlos A Jimenez, Rodolfo C Morice, Lorraine Cornwell, David Ost
RATIONALE: Accurate mediastinal staging is cornerstone in the management of patients with lung cancer. For patients with radiographically normal mediastinum, current lung cancer guidelines recommend invasive mediastinal staging when tumors are centrally located. However, definitions of central tumors are non-specific and there are discrepancies among guidelines (e.g. some use the inner one third of the hemithorax while others use the inner two thirds). OBJECTIVES: To describe the definitions of central tumors used by pulmonologists and thoracic surgeons in their practice...
November 17, 2016: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/27759360/a-relook-of-cefuroxime-in-community-infections-an-option-still-beneficial
#2
V R Badhwar, S Ganapathy, P P Prabhudesai, N K Tulara, A Y Varaiya, D Vyas
In community and family practice, infections are a common OPD presentation. In the management of common bacterial infections seen in community especially RTI, UTI, SSTI; cefuroxime a second generation cephalosporin with a broad spectrum of activity can be used for empirical treatment. To know current place of cefuroxime in the management of infections, physicians, surgeons, microbiologist, chest physician, gynecologist and pediatrician came together to discuss and debate their experience with cefuroxime and its place in today's world...
July 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27645969/perceval-sutureless-valve-dysfunction-caused-by-valvular-thrombosis
#3
Andreas Vötsch, Wolfgang Weihs, Martin Asslaber, Otto Dapunt
Until now, to our knowledge no case of bioprosthetic valvular thrombosis after implantation of the sutureless Sorin Perceval valve has been reported. Although sutureless aortic valve replacement has become a powerful tool in our daily practice, recent guidelines from the European Society of Cardiology, the European Association for Cardio-Thoracic Surgery, the American College of Cardiology, and the American Heart Association do not give specific recommendations on postoperative anticoagulation therapy. We report the first case of valve dysfunction resulting from thrombosis 12 months after implantation with a possible link to postoperative cortisole therapy...
October 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27533913/pain-management-for-blunt-thoracic-trauma-a-joint-practice-management-guideline-from-the-eastern-association-for-the-surgery-of-trauma-and-trauma-anesthesiology-society
#4
Samuel Michael Galvagno, Charles E Smith, Albert J Varon, Erik A Hasenboehler, Shahnaz Sultan, Gregory Shaefer, Kathleen B To, Adam D Fox, Darrell E R Alley, Michael Ditillo, Bellal A Joseph, Bryce R H Robinson, Elliot R Haut
INTRODUCTION: Thoracic trauma is the second most prevalent nonintentional injury in the United States and is associated with significant morbidity. Analgesia for blunt thoracic trauma was first addressed by the Eastern Association for the Surgery of Trauma (EAST) with a practice management guideline published in 2005. Since that time, it was hypothesized that there have been advances in the analgesic management for blunt thoracic trauma. As a result, updated guidelines for this topic using the GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) framework recently adopted by EAST are presented...
November 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27354068/comparison-of-contemporary-preoperative-risk-models-at-predicting-acute-kidney-injury-after-isolated-coronary-artery-bypass-grafting-a-retrospective-cohort-study
#5
Shao-Wei Chen, Chih-Hsiang Chang, Pei-Chun Fan, Yung-Chang Chen, Pao-Hsien Chu, Tien-Hsing Chen, Victor Chien-Chia Wu, Su-Wei Chang, Pyng-Jing Lin, Feng-Chun Tsai
OBJECTIVES: Acute kidney injury (AKI) after coronary artery bypass grafting (CABG) is associated with short-term and long-term adverse outcomes. The European System for Cardiac Operative Risk Evaluation (EuroSCORE), EuroSCORE II, the Society of Thoracic Surgeons (STS) score and Age, Creatinine and Ejection Fraction (ACEF) score, have been widely used for predicting the operative risk of cardiac surgery. The aim of this study is to investigate the discriminant ability among current available models in predicting postoperative AKI...
2016: BMJ Open
https://www.readbyqxmd.com/read/27132702/variation-in-warfarin-use-at-hospital-discharge-after-isolated-bioprosthetic-mitral-valve-replacement-an-analysis-of-the-society-of-thoracic-surgeons-adult-cardiac-surgery-database
#6
Thomas A Schwann, Robert H Habib, Rakesh M Suri, J Matthew Brennan, Xia He, Vinod H Thourani, Milo Engoren, Gorav Ailawadi, Brian R Englum, Mark R Bonnell, James S Gammie
BACKGROUND: Anticoagulation with warfarin following bioprosthetic mitral valve replacement (BMVR) is recommended by multiple practice guidelines. We assessed practice variability and patient characteristics associated with warfarin prescription following BMVR. METHODS: We analyzed 7,637 patients in the Society of Thoracic Surgeons Database (January 1, 2008 to June 30, 2011) who were discharged following isolated primary nonemergent BMVR. Patients requiring preoperative warfarin, those with preoperative atrial fibrillation, or those with a contraindication to warfarin were excluded...
September 2016: Chest
https://www.readbyqxmd.com/read/27021033/variation-in-pulmonary-resection-practices-between-the-society-of-thoracic-surgeons-and-the-european-society-of-thoracic-surgeons-general-thoracic-surgery-databases
#7
Christopher W Seder, Michele Salati, Benjamin D Kozower, Cameron D Wright, Pierre-Emmanuel Falcoz, Alessandro Brunelli, Felix G Fernandez
BACKGROUND: Clinical guidelines are created to reduce variation in care practices, with the goal of improving patient outcomes. There is currently no international consensus on best practices for pulmonary resection. Our aim was to evaluate variation in treatment patterns and outcomes for pulmonary resection by comparing The Society of Thoracic Surgeons (STS) and the European Society of Thoracic Surgery (ESTS) general thoracic surgery databases (GTSDs). METHODS: An international collaboration was established between the STS and ESTS GTSD task forces...
June 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/26995623/surgery-for-aortic-dilatation-in-patients-with-bicuspid-aortic-valves-a-statement-of-clarification-from-the-american-college-of-cardiology-american-heart-association-task-force-on-clinical-practice-guidelines
#8
Loren F Hiratzka, Mark A Creager, Eric M Isselbacher, Lars G Svensson, Rick A Nishimura, Robert O Bonow, Robert A Guyton, Thoralf M Sundt
Two guidelines from the American College of Cardiology (ACC), the American Heart Association (AHA), and collaborating societies address the risk of aortic dissection in patients with bicuspid aortic valves and severe aortic enlargement: The "2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease" (J Am Coll Cardiol. 2010;55:e27-130) and the "2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease" (J Am Coll Cardiol...
April 2016: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/26926941/injury-grade-is-a-predictor-of-aortic-related-death-among-patients-with-blunt-thoracic-aortic-injury
#9
Gerald R Fortuna, Alexa Perlick, Joseph J DuBose, Samuel S Leake, Kristofer M Charlton-Ouw, Charles C Miller, Anthony L Estrera, Ali Azizzadeh
OBJECTIVE: The current Society for Vascular Surgery Clinical Practice Guidelines suggest urgent (<24 hours) thoracic endovascular aortic repair for grade (G) II to G IV blunt thoracic aortic injuries (BTAIs). The purpose of this study was to determine whether some patients may require more emergency treatment. METHODS: We reviewed imaging variables of prospectively collected BTAI patients between 1999 and 2014. We used computed tomographic angiography to classify BTAIs into four categories: G I, intimal tear; G II, intramural hematoma; G III, aortic pseudoaneurysm; and G IV, free rupture...
May 2016: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/26888677/does-surgical-correction-of-right-thoracic-scoliosis-in-syringomyelia-produce-outcomes-similar-to-those-in-adolescent-idiopathic-scoliosis
#10
COMPARATIVE STUDY
Shifu Sha, Yong Qiu, Weixiang Sun, Xiao Han, Weiguo Zhu, Zezhang Zhu
BACKGROUND: Practice guidelines for deformity correction in patients with syringomyelia-associated scoliosis (SMS) remain ill defined. Although surgeons experienced in treating adolescent idiopathic scoliosis (AIS) are commonly called on to treat SMS, no study has directly compared the results of surgical treatment between patients with SMS and those with AIS. The present study was performed to compare the radiographic and clinical outcomes of posterior spinal fusion between patients with right-thoracic SMS and those with right-thoracic AIS...
February 17, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/26816491/predicting-acute-kidney-injury-following-mitral-valve-repair
#11
Chih-Hsiang Chang, Cheng-Chia Lee, Shao-Wei Chen, Pei-Chun Fan, Yung-Chang Chen, Su-Wei Chang, Tien-Hsing Chen, Victor Chien-Chia Wu, Pyng-Jing Lin, Feng-Chun Tsai
BACKGROUND: Acute kidney injury (AKI) after cardiac surgery is associated with short-term and long-term adverse outcomes. Novel biomarkers have been identified for the early detection of AKI; however, examining these in every patient who undergoes cardiac surgery is prohibitively expensive. Society of Thoracic Surgeons (STS) and Age, Creatinine, and Ejection Fraction (ACEF) scores have been proven to predict mortality in bypass surgery. The aim of this study was to determine whether these scores can be used to predict AKI after mitral valve repair...
2016: International Journal of Medical Sciences
https://www.readbyqxmd.com/read/26810613/diagnosis-and-features-of-hospital-acquired-pneumonia-a-retrospective-cohort-study
#12
C D Russell, O Koch, I F Laurenson, D T O'Shea, R Sutherland, C L Mackintosh
BACKGROUND: Hospital-acquired pneumonia (HAP) is defined as radiologically confirmed pneumonia occurring ≥48h after hospitalization, in non-intubated patients. Empirical treatment regimens use broad-spectrum antimicrobials. AIM: To evaluate the accuracy of the diagnosis of HAP and to describe the demographic and microbiological features of patients with HAP. METHODS: Medical and surgical inpatients receiving intravenous antimicrobials for a clinical diagnosis of HAP at a UK tertiary care hospital between April 2013 and 2014 were identified...
March 2016: Journal of Hospital Infection
https://www.readbyqxmd.com/read/26658475/surgery-for-aortic-dilatation-in-patients-with-bicuspid-aortic-valves-a-statement-of-clarification-from-the-american-college-of-cardiology-american-heart-association-task-force-on-clinical-practice-guidelines
#13
Loren F Hiratzka, Mark A Creager, Eric M Isselbacher, Lars G Svensson, Rick A Nishimura, Robert O Bonow, Robert A Guyton, Thoralf M Sundt
Two guidelines from the American College of Cardiology (ACC), the American Heart Association (AHA), and collaborating societies address the risk of aortic dissection in patients with bicuspid aortic valves and severe aortic enlargement: the "2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease" (J Am Coll Cardiol 2010;55:e27-130) and the "2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease" (J Am Coll Cardiol 2014;63:e57-185)...
February 16, 2016: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/26637530/surgery-for-aortic-dilatation-in-patients-with-bicuspid-aortic-valves-a-statement-of-clarification-from-the-american-college-of-cardiology-american-heart-association-task-force-on-clinical-practice-guidelines
#14
Loren F Hiratzka, Mark A Creager, Eric M Isselbacher, Lars G Svensson, Rick A Nishimura, Robert O Bonow, Robert A Guyton, Thoralf M Sundt, Jonathan L Halperin, Glenn N Levine, Jeffrey L Anderson, Nancy M Albert, Sana M Al-Khatib, Kim K Birtcher, Biykem Bozkurt, Ralph G Brindis, Joaquin E Cigarroa, Lesley H Curtis, Lee A Fleisher, Federico Gentile, Samuel Gidding, Mark A Hlatky, John Ikonomidis, José Joglar, Richard J Kovacs, E Magnus Ohman, Susan J Pressler, Frank W Sellke, Win-Kuang Shen, Duminda N Wijeysundera
Two guidelines from the American College of Cardiology (ACC), the American Heart Association (AHA), and collaborating societies address the risk of aortic dissection in patients with bicuspid aortic valves and severe aortic enlargement: the "2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease" (Circulation. 2010;121:e266-e369) and the "2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease" (Circulation...
February 16, 2016: Circulation
https://www.readbyqxmd.com/read/26351333/treatment-of-small-cell-lung-cancer-american-society-of-clinical-oncology-endorsement-of-the-american-college-of-chest-physicians-guideline
#15
Charles M Rudin, Nofisat Ismaila, Christine L Hann, Narinder Malhotra, Benjamin Movsas, Kim Norris, M Catherine Pietanza, Suresh S Ramalingam, Andrew T Turrisi, Giuseppe Giaccone
PURPOSE: The American College of Chest Physicians (ACCP) produced an evidence-based guideline on treatment of patients with small-cell lung cancer (SCLC). Because of the relevance of this guideline to American Society of Clinical Oncology (ASCO) membership, ASCO reviewed the guideline, applying a set of procedures and policies used to critically examine guidelines developed by other organizations. METHODS: The ACCP guideline on the treatment of SCLC was reviewed for developmental rigor by methodologists...
December 1, 2015: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/26159937/america-vs-europe-and-the-2014-non-st-elevation-acute-coronary-syndrome-guidelines
#16
COMPARATIVE STUDY
Dimitri C Cassimatis, Nanette K Wenger
In August of 2014, the American Heart Association and American College of Cardiology (AHA/ACC) published a new guideline for the management of patients with non-ST-elevation acute coronary syndromes. With similar timing, the European Association for Cardio-Thoracic Surgery (EACTS) released new 2014 guidelines on myocardial revascularization, including a brief update on the 2011 European Society of Cardiology guidelines on the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation...
August 2015: Journal of Cardiovascular Translational Research
https://www.readbyqxmd.com/read/26113675/ers-task-force-statement-diagnosis-and-treatment-of-primary-spontaneous-pneumothorax
#17
REVIEW
Jean-Marie Tschopp, Oliver Bintcliffe, Philippe Astoul, Emilio Canalis, Peter Driesen, Julius Janssen, Marc Krasnik, Nicholas Maskell, Paul Van Schil, Thomy Tonia, David A Waller, Charles-Hugo Marquette, Giuseppe Cardillo
Primary spontaneous pneumothorax (PSP) affects young healthy people with a significant recurrence rate. Recent advances in treatment have been variably implemented in clinical practice. This statement reviews the latest developments and concepts to improve clinical management and stimulate further research.The European Respiratory Society's Scientific Committee established a multidisciplinary team of pulmonologists and surgeons to produce a comprehensive review of available scientific evidence.Smoking remains the main risk factor of PSP...
August 2015: European Respiratory Journal: Official Journal of the European Society for Clinical Respiratory Physiology
https://www.readbyqxmd.com/read/26105771/clinical-evaluation-of-quality-of-life-a-survey-among-members-of-european-society-of-thoracic-surgeons-ests
#18
Cecila Pompili, Nuria Novoa, Bram Balduyck
OBJECTIVES: Quality of life (QoL) has been recognized as an important postoperative outcome. Despite the growing interest in this topic, there is almost no information about the daily use of QoL questionnaires within European Society of Thoracic Surgery (ESTS). The aim of this paper is to present the results of a survey launched to know the current practice of collecting and using QoL data within the Society. METHODS: The survey was designed by the members of the QoL and Patient Safety ESTS committee and included 13 questions about different aspects of QoL assessment: time points of data collection, type and method of administration of questionnaires, dropouts, surgical-related symptoms and definition of the target population...
October 2015: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/26087024/an-interdisciplinary-education-initiative-to-promote-blood-conservation-in-cardiac-surgery
#19
Tamara S Goda, Brad Sherrod, Linda Kindell
Transfusion practices vary extensively for patients undergoing cardiac surgical procedures, leading to high utilization of blood products despite evidence that transfusions negatively impact outcomes. An important factor affecting transfusion practice is recognition of the importance of teams in cardiac surgery care delivery. This article reports an evidenced-based practice (EBP) initiative constructed using the Society of Thoracic Surgery (STS) 2011 Blood Conservation Clinical Practice Guidelines (CPGs) to standardize transfusion practice across the cardiac surgery team at a large academic medical center...
June 18, 2015: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
https://www.readbyqxmd.com/read/26030890/combined-endobronchial-and-esophageal-endosonography-for-the-diagnosis-and-staging-of-lung-cancer-european-society-of-gastrointestinal-endoscopy-esge-guideline-in-cooperation-with-the-european-respiratory-society-ers-and-the-european-society-of-thoracic-surgeons
#20
Peter Vilmann, Paul Frost Clementsen, Sara Colella, Mette Siemsen, Paul De Leyn, Jean-Marc Dumonceau, Felix J Herth, Alberto Larghi, Enrique Vazquez-Sequeiros, Enrique Vasquez-Sequeiros, Cesare Hassan, Laurence Crombag, Daniël A Korevaar, Lars Konge, Jouke T Annema
This is an official guideline of the European Society of Gastrointestinal Endoscopy (ESGE), produced in cooperation with the European Respiratory Society (ERS) and the European Society of Thoracic Surgeons (ESTS). It addresses the benefit and burden associated with combined endobronchial and esophageal mediastinal nodal staging of lung cancer. The Scottish Intercollegiate Guidelines Network (SIGN) approach was adopted to define the strength of recommendations and the quality of evidence.The article has been co-published with permission in the European Journal of Cardio-Thoracic Surgery and the European Respiratory Journal...
June 2015: Endoscopy
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