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https://www.readbyqxmd.com/read/29732180/bicaval-dual-lumen-cannula-in-adult-veno-venous-extracorporeal-membrane-oxygenation-clinical-pearls-for-safe-cannulation
#1
REVIEW
Chun-Wai Ngai, Pauline Yeung Ng, Wai-Ching Sin
Veno-venous extracorporeal membrane oxygenation (VV-ECMO) has been traditionally delivered with two independent cannulae at different venous insertion sites. The bicaval dual lumen cannula has gained popularity as a cannula for simultaneous venous drainage and reinfusion of blood via the internal jugular vein (IJV). Its insertion requires special attention to details to prevent the occurrence of serious complications. In this review, we discuss different techniques of cannula insertion and tips for troubleshooting...
March 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29716902/clinical-pearls
#2
EDITORIAL
(no author information available yet)
No abstract text is available yet for this article.
May 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/29669671/drug-induced-eosinophilia
#3
Christine Rauscher, Allison Freeman
BACKGROUND: Drug reactions have been associated with increased blood eosinophil levels. OBJECTIVE: To review clinical characteristics, the diagnosis, and the management of drug-induced eosinophilia. METHODS: Pertinent articles were selected and reviewed in relation to a case presentation of drug-induced eosinophilia. RESULTS: A case of asymptomatic eosinophilia in the setting of acetylsalicylic acid (aspirin) use was presented, followed by discussion of the clinical characteristics, diagnosis, and management of drug-induced eosinophilia...
May 1, 2018: Allergy and Asthma Proceedings:
https://www.readbyqxmd.com/read/29652744/clinical-pearls-part-3-anaesthetic-management-of-abnormally-invasive-placentation
#4
Vinod Patil, Gamunu Ratnayake, Galina Fastovets, D S Wijayatilake
PURPOSE OF REVIEW: Abnormal placentation is a clinical condition seen increasingly in the pregnant population. It is associated with significant morbidity and mortality, which may be mitigated through robust multidisciplinary care for these patients. The role of maternal critical care for these patients has largely been ignored in the literature. RECENT FINDINGS: Advances in pharmacological management of bleeding with recent publications of large multicentre trials in addition to new technologies in the management of massive obstetric haemorrhage (MOH) have revolutionized the management of abnormal placentation...
June 2018: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/29589174/asking-a-variety-of-questions-on-walk-rounds-a-pilot-study
#5
Helen M Shields, Stephen R Pelletier, Christopher L Roy, James P Honan
BACKGROUND: Morning walk rounds have lost some of their engagement while remaining a useful and valued practice. AIM: We created a pilot study to evaluate the impact on rounds of learning to asking a variety of different questions. SETTING: One-hour intervention sessions were voluntarily offered to members of the Department of Medicine and taught by an expert in the question, listen, and respond method. PARTICIPANTS: Participants included attendings and residents in Internal Medicine on medical teams...
March 27, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29567789/what-have-we-learned-about-exfoliation-syndrome-since-its-discovery-by-john-lindberg-100-years-ago
#6
REVIEW
Samir Nazarali, Faraz Damji, Karim F Damji
Exfoliation syndrome (XFS) is a systemic disease with significant ocular manifestations, including glaucoma and cataract. The disease impacts close to 70 million people globally and is now recognised as the most common identifiable cause of open-angle glaucoma. Since the discovery of XFS 100 years ago by Dr John G. Lindberg, there has been considerable advancement in understanding its pathogenesis and resulting clinical implications. The purpose of this paper is to summarise information regarding the epidemiology, pathophysiology, ocular manifestations and systemic associations of XFS with the objective of sharing clinical pearls to assist in early detection and enhanced management of patients...
March 22, 2018: British Journal of Ophthalmology
https://www.readbyqxmd.com/read/29496763/clinical-pearls
#7
EDITORIAL
Rhonda Board
No abstract text is available yet for this article.
March 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/29392464/primary-progressive-aphasia-a-clinical-approach
#8
Charles R Marshall, Chris J D Hardy, Anna Volkmer, Lucy L Russell, Rebecca L Bond, Phillip D Fletcher, Camilla N Clark, Catherine J Mummery, Jonathan M Schott, Martin N Rossor, Nick C Fox, Sebastian J Crutch, Jonathan D Rohrer, Jason D Warren
The primary progressive aphasias are a heterogeneous group of focal 'language-led' dementias that pose substantial challenges for diagnosis and management. Here we present a clinical approach to the progressive aphasias, based on our experience of these disorders and directed at non-specialists. We first outline a framework for assessing language, tailored to the common presentations of progressive aphasia. We then consider the defining features of the canonical progressive nonfluent, semantic and logopenic aphasic syndromes, including 'clinical pearls' that we have found diagnostically useful and neuroanatomical and other key associations of each syndrome...
February 1, 2018: Journal of Neurology
https://www.readbyqxmd.com/read/29383057/fantastic-learning-moments-and-where-to-find-them
#9
Alexander Y Sheng, Ryan Sullivan, Kara Kleber, Patricia M Mitchell, James H Liu, Jolion McGreevy, Kerry McCabe, Annemieke Atema, Jeffrey I Schneider
Introduction: Experiential learning is crucial for the development of all learners. Literature exploring how and where experiential learning happens in the modern clinical learning environment is sparse. We created a novel, web-based educational tool called "Learning Moment" (LM) to foster experiential learning among our learners. We used data captured by LM as a research database to determine where learning experiences were occuring within our emergency department (ED). We hypothesized that these moments would occur more frequently at the physician workstations as opposed to the bedside...
January 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29314260/approach-to-the-jewelry-aficionado
#10
Lauren A Ivey, Brittanya A Limone, Sharon E Jacob
Children's and teens' frequent use of inexpensive "costume" jewelry exposes them to a variety of contact allergens. Greater use heightens the risk of developing allergic contact dermatitis, especially in the setting of body piercings. Several clinical pearls, prevention strategies, and avoidance alternatives are provided in this article to guide clinicians and patients in the management of jewelry-related allergic contact dermatitis.
March 2018: Pediatric Dermatology
https://www.readbyqxmd.com/read/29232428/clinical-pearl-a-simple-and-effective-technique-for-improving-surgical-closures-for-the-early-learning-resident
#11
Sonal A Parikh, Brett Sloan
No abstract text is available yet for this article.
November 2017: Cutis; Cutaneous Medicine for the Practitioner
https://www.readbyqxmd.com/read/29156059/clinical-pearl-the-rule-of-8
#12
REVIEW
Kevin Lu Shen, Amit R Bhatt
Preschool-aged children typically perform worse than 20/20 on visual acuity testing in the absence of ocular or visual pathway abnormalities due to non-ocular issues, including concentration, cooperation, and/or confidence. As a result, vision screening for this age group can be a challenge. The "Rule of 8" is an easy-to-remember, highly effective mnemonic that clinicians can use to help differentiate children who are performing visual acuity testing at age-appropriate levels from those who may need further evaluation...
November 17, 2017: Journal of Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/29142340/clinical-pearls-etiologies-of-superscan-appearance-on-fluorine-18-fludeoxyglucose-positron-emission-tomography-computed-tomography
#13
REVIEW
John Joseph Manov, Patrick J Roth, Russ Kuker
The term "superscan" usually refers to a characteristic pattern on skeletal scintigraphy consisting of symmetrically intense and diffuse radiotracer uptake in the skeleton with absent or diminished visualization of the genitourinary system and soft tissues. Superscans and superscan-like appearances have also been described on fluorine-18-fludeoxyglucose positron emission tomography-computed tomography (18-F-FDG PET/CT). We review reported cases of 18-F-FDG PET/CT superscans and propose criteria for differentiating pathologic superscans from physiologic causes...
October 2017: Indian Journal of Nuclear Medicine: IJNM: the Official Journal of the Society of Nuclear Medicine, India
https://www.readbyqxmd.com/read/29121123/clinical-pearl-mastering-the-flexible-scalpel-blade-with-the-banana-practice-model
#14
Wesley Wu, Leonard Goldberg, Marc Rubenzik, Blake Zelickson
This article describes the various applications of the flexible scalpel blade (FSB), the utility of the banana as a convenient and exceptional training instrument, and the intricacies of mastering the technique for students of different training levels.
September 2017: Cutis; Cutaneous Medicine for the Practitioner
https://www.readbyqxmd.com/read/29092865/clinical-pearls
#15
EDITORIAL
Rhonda Board
No abstract text is available yet for this article.
November 2017: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/29054315/cord-topographical-anatomy-and-its-role-in-evaluating-intramedullary-lesions
#16
REVIEW
James Andrew Spain, Scott Cressman, Horia Marin, Suresh C Patel, John J Corrigan, Brent Griffith
Intramedullary spinal lesions present a wide differential diagnosis including infectious, inflammatory, traumatic, ischemic, benign, or malignant neoplastic etiologies. Using knowledge of anatomy and physiology within the spinal cord, many similar appearing entities can be parsed into a prioritized differential. The purpose of this article is to review anatomy and pathophysiology of the spinal cord, with subsequent discussion of how this knowledge can be used to differentiate several similar appearing intramedullary pathologic processes...
September 18, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28961303/pediatric-pearls-from-the-aad-annual-meeting
#17
Kate E Oberlin
This article summarizes novel pediatric dermatology clinical pearls and emerging literature highlights compiled from the 2017 Annual Meeting of the American Academy of Dermatology in Orlando, Florida.
August 2017: Cutis; Cutaneous Medicine for the Practitioner
https://www.readbyqxmd.com/read/28913813/pharmacotherapy-pearls-for-emergency-neurological-life-support
#18
Gretchen M Brophy, Theresa Human
The appropriate use of medications during Emergency Neurological Life Support (ENLS) is essential to optimize patient care. Important considerations when choosing the appropriate agent include the patient's organ function and medication allergies, potential adverse drug effects, drug interactions and critical illness and aging pathophysiologic changes. Critical medications used during ENLS include hyperosmolar therapy, anticonvulsants, antithrombotics, anticoagulant reversal and hemostatic agents, anti-shivering agents, neuromuscular blockers, antihypertensive agents, sedatives, vasopressors and inotropes, and antimicrobials...
September 2017: Neurocritical Care
https://www.readbyqxmd.com/read/28885377/clinical-pearls-in-venovenous-extracorporeal-life-support-for-adult-respiratory-failure
#19
REVIEW
Chee Kiang Tay, Kiick Sung, Yang Hyun Cho
Extracorporeal life support (ECLS) has been widely utilized to treat neonatal respiratory failure for two decades. However, its uptake in the case of adult respiratory failure has been slow because of a paucity of quality evidence and a sluggish tempo of ECLS-related technological advances. In recent years, interest in ECLS has been piqued after encouraging results were reported from its use during the 2009 H1N1 influenza pandemic. In a world constantly under threat from another influenza epidemic or deadly novel respiratory infection, e...
January 2018: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
https://www.readbyqxmd.com/read/28864430/clinical-pearls
#20
EDITORIAL
Rhonda Board
No abstract text is available yet for this article.
September 2017: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
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