keyword
MENU ▼
Read by QxMD icon Read
search

aspiration guideline

keyword
https://www.readbyqxmd.com/read/29669956/nosocomial-pneumonia-search-for-an-empiric-and-effective-antibiotic-regimen-in-high-burden-tertiary-care-centre
#1
Nitin Gupta, Manish Soneja, Yogiraj Ray, Monalisa Sahu, Kutty Sharada Vinod, Arti Kapil, Ashutosh Biswas, Naveet Wig, Rita Sood
The clinical practice guidelines on nosocomial pneumonia recommends an empirical regimen that would work in 95% of the patients based on the local antibiogram. The aim of the study was development of an antibiogram for guiding empiric therapy in settings with high prevalence of multi-drug resistant organisms. A retrospective review of electronic health records (e-hospital portal) was done to analyze all respiratory isolates from patients admitted in medical wards and intensive care unit between May 2016 and May 2017...
April 17, 2018: Drug Discoveries & Therapeutics
https://www.readbyqxmd.com/read/29656830/cairo-consensus-on-the-ivf-laboratory-environment-and-air-quality-report-of-an-expert-meeting
#2
D Mortimer, J Cohen, S T Mortimer, M Fawzy, D H McCulloh, D E Morbeck, X Pollet-Villard, R T Mansour, D R Brison, A Doshi, J C Harper, J E Swain, A V Gilligan
This proceedings report presents the outcomes from an international Expert Meeting to establish a consensus on the recommended technical and operational requirements for air quality within modern assisted reproduction technology (ART) laboratories. Topics considered included design and construction of the facility, as well as its heating, ventilation and air conditioning system; control of particulates, micro-organisms (bacteria, fungi and viruses) and volatile organic compounds (VOCs) within critical areas; safe cleaning practices; operational practices to optimize air quality while minimizing physicochemical risks to gametes and embryos (temperature control versus air flow); and appropriate infection-control practices that minimize exposure to VOC...
March 2, 2018: Reproductive Biomedicine Online
https://www.readbyqxmd.com/read/29652109/an-aspirational-diet-for-dialysis-patients-evidence-and-theory
#3
REVIEW
Jaime Uribarri
Dialytic renal replacement therapy is now entering into its sixth decade in the United States. Despite major advances in dialysis technology, regimens and protocols, and pharmacological treatments, patients' restricted dietary intake remains the lynchpin to their well-being and success. Herein, we review current guidelines that limit dietary intake of nutrients and minerals in dialysis patients and explore potential ways to use them in designing a daily food intake that is not only healthy, but also easy to implement and therefore patient friendly...
April 13, 2018: Seminars in Dialysis
https://www.readbyqxmd.com/read/29629797/comparison-of-performance-characteristics-of-american-college-of-radiology-ti-rads-korean-society-of-thyroid-radiology-tirads-and-american-thyroid-association-guidelines
#4
William D Middleton, Sharlene A Teefey, Carl C Reading, Jill E Langer, Michael D Beland, Margaret M Szabunio, Terry S Desser
OBJECTIVE: The American College of Radiology (ACR) Thyroid Imaging Reporting and Data System (TI-RADS) provides guidelines to practitioners who interpret sonographic examinations of thyroid nodules. The purpose of this study is to compare the ACR TI-RADS system with two other well-established guidelines. MATERIALS AND METHODS: The ACR TI-RADS, the Korean Society of Thyroid Radiology (KSThR) Thyroid Imaging Reporting and Data System (TIRADS), and the American Thyroid Association guidelines were compared using 3422 thyroid nodules for which pathologic findings were available...
April 9, 2018: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/29628847/bedside-ultrasound-assessment-of-gastric-content-in-children-noncompliant-with-preoperative-fasting-guidelines-is-it-time-to-include-this-in-our-practice
#5
Uma R Parekh, Niraja Rajan, Robyn C Iglehart, Patrick M McQuillan
Ultrasound assessment of gastric contents and volume is gaining popularity in adults and children. At present, a preoperative verbal check is used to determine the fasting status. Due to fear of delay or cancellation of surgery, parents may not disclose noncompliance with fasting guidelines. Pulmonary aspiration of gastric contents is a potential cause of morbidity and mortality. Ultrasound assessment of gastric contents is noninvasive and easy to learn. We present a series of three cases to demonstrate how the use of ultrasound to assess gastric contents in children can provide an objective means for decision-making and impact anesthetic management when preoperative fasting status is uncertain...
April 2018: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/29587955/-small-amounts-of-milk-added-to-coffee-or-tea-can-be-allowed-before-surgery
#6
Kenia S Miranda, Billy B Khristensen
The ingestion of milk is not allowed within six hours before elective procedures requiring anaesthesia or sedation, because milk is considered a solid food. However, the impact of milk suspended in coffee or tea consumed up to two hours before anaesthesia is less certain, yet fasting guidelines demand surgery to be delayed or rescheduled. Studies investigating ingestion of liquids with small amounts of milk have not demonstrated delayed emptying of the stomach, thereby increasing the risk of aspiration in elective procedures...
March 26, 2018: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/29579362/barriers-to-the-recognition-of-medullary-thyroid-carcinoma-on-fna-implications-relevant-to-the-new-american-thyroid-association-guidelines
#7
Kathryn S Dyhdalo, Deborah J Chute
BACKGROUND: The 2016 American Thyroid Association guidelines recommend multiple endocrine neoplasia testing and evaluation for pheochromocytoma before thyroidectomy after a thyroid fine-needle aspiration biopsy (FNA) is positive for medullary thyroid carcinoma (MTC). In the current study, the authors examined the reasons why FNA was unable to definitively diagnose MTC preoperatively, with attention to morphologic patterns that can be misleading. METHODS: Cases of MTC diagnosed on thyroid surgical resection for which there was a prior FNA and slides available for review were included (28 cases)...
March 26, 2018: Cancer Cytopathology
https://www.readbyqxmd.com/read/29570861/standardized-competencies-for-parenteral-nutrition-administration-the-aspen-model
#8
Peggi Guenter, Patricia Worthington, Phil Ayers, Joseph I Boullata, Kathleen M Gura, Neil Marshall, Beverly Holcombe, Denise S Richardson
Parenteral nutrition (PN) is a highly complex medication and its provision can be prone to a variety of errors. Safe administration of this therapy requires that the competency of clinicians, particularly nurses, be demonstrated using a standardized process. In this document, a standardized model for PN administration competency is proposed based on a competency framework, the ASPEN-published interdisciplinary core competencies, discipline-specific standards of practice, safe practice recommendations, and clinical guidelines...
March 23, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29565206/acquired-resistance-to-tyrosine-kinase-inhibitors-in-non-small-cell-lung-cancers-the-role-of-next-generation-sequencing-on-endobronchial-ultrasound-guided-transbronchial-needle-aspiration-samples
#9
Elena Guerini-Rocco, Antonio Passaro, Chiara Casadio, Valeria Midolo De Luca, Juliana Guarize, Filippo de Marinis, Davide Vacirca, Massimo Barberis
CONTEXT: - Molecular testing is essential for the diagnostic workup of patients with advanced non-small cell lung cancers. Cytology specimens from minimally invasive procedures, such as endobronchial ultrasound-guided transbronchial needle aspiration, are often the only available samples for these patients. The implementation of molecular diagnostic testing, and in particular next-generation sequencing-based testing, on these cytologic specimens is currently an evolving field for lung cytopathology...
April 2018: Archives of Pathology & Laboratory Medicine
https://www.readbyqxmd.com/read/29564549/call-for-action-how-to-improve-use-of-patient-reported-outcomes-to-guide-clinical-decision-making-in-rheumatoid-arthritis
#10
REVIEW
Bruno Fautrel, Rieke Alten, Bruce Kirkham, Inmaculada de la Torre, Frederick Durand, Jane Barry, Thorsten Holzkaemper, Walid Fakhouri, Peter C Taylor
Current guidelines for the management of rheumatoid arthritis (RA) recommend early treatment and a treat-to-target goal of remission or low disease activity. Over the past decade, this approach has been extremely successful in reducing disease activity and joint damage in patients with RA. At the same time, however, overall patient perception of well-being appears to have decreased with respect to outcome measures considered important by patients themselves, such as pain, fatigue, physical function and quality of life...
March 21, 2018: Rheumatology International
https://www.readbyqxmd.com/read/29548653/bacteriological-testing-and-recurrence-prevention-efforts-in-the-diagnosis-and-treatment-of-nursing-and-healthcare-associated-pneumonia-and-aspiration-pneumonia-a-questionnaire-survey-of-hospitals-across-japan
#11
Tsuneaki Kenzaka, Ayako Kumabe, Koki Kosami, Yasufumi Matsuoka, Kensuke Minami, Daisuke Ninomiya, Ayako Noda, Shinsuke Yahata
BACKGROUND: Clinical practice guidelines for nursing- and healthcare-associated pneumonia (NHCAP) were developed for pneumonia caused by drug-resistant bacteria and pneumonia in elderly patients, particularly aspiration pneumonia. The identification of pathogenic bacteria and implementation of efforts to prevent the recurrence of aspiration pneumonia are very important in clinical practice. This study examined the extent to which clinicians have established bacteriological testing and recurrence prevention efforts for NHCAP and aspiration pneumonia...
March 2018: Respiratory Investigation
https://www.readbyqxmd.com/read/29543048/ensuring-patient-safety-when-implementing-a-new-diagnostic-pathway-for-thyroid-nodules
#12
M Brimioulle, A Al-Lami, S Marzouk, H Emerson, A Balfour, V Dhar, I J Nixon
Introduction The aim of this study was to determine whether ultrasound alone is sufficient to safely exclude malignancy in thyroid nodules in a district general hospital setting, to comply with the latest British Thyroid Association guidelines. Methods This retrospective study investigated the quality of ultrasound reporting and the correlation between ultrasound report and histology for individual thyroid nodules. Cases were selected from the thyroid multidisciplinary meeting and included all patients having undergone surgery for a thyroid malignancy in a one-year period...
March 15, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29519668/ultrasonographic-evaluation-of-gastric-contents-in-term-pregnant-women-fasted-for-six-hours
#13
S Hakak, C L McCaul, L Crowley
BACKGROUND: Current fasting guidelines suggest six hours are adequate to minimise the aspiration risk after a light meal consumed by pregnant women undergoing elective caesarean section. We assessed gastric contents in non-labouring pregnant women, using ultrasonographic analysis. METHODS: In a prospective study, pregnant women ≥36 weeks' gestation, without conditions likely to influence gastric emptying, underwent ultrasonographic analysis of their gastric antrum, after six hours of fasting following a standardised light meal...
January 31, 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29510964/-surgical-management-of-endometrioma-different-alternatives-in-term-of-pain-fertility-and-recurrence-cngof-has-endometriosis-guidelines
#14
C Rubod, E Jean Dit Gautier, C Yazbeck
Surgical management of ovarian endometrioma is most often part of a global approach of endometriosis pathology. Isolated endometrioma are rare. Laparoscopic cystectomy is the gold standard for surgical management of endometrioma. Nevertheless, this technique impacts the ovarian function. The hemostasis of the ovarian cyst bed should be performed to conserve the ovarian stroma. Ultrasonography-guided cyst aspiration, laparoscopic drainage and simple bipolar coagulation are not recommended as first line of treatment...
March 3, 2018: Gynecologie, Obstetrique, Fertilite & Senologie
https://www.readbyqxmd.com/read/29503238/-endometrioma-and-management-by-assisted-reproductive-technology-cngof-has-endometriosis-guidelines
#15
C Chauffour, J-L Pouly, A-S Gremeau
Could the presence of an endometrioma change the management of Assisted Reproductive Technology? The presence of an endometrioma (<6cm) at the time of stimulation or an endometrioma operated prior to stimulation have no impact on the quality of the embryos and the final results of IVF about the pregnancy and live birth rates despite a possible decrease in the number of oocytes retrieved and potentially higher doses of gonadotropins used. The discovery of an endometrioma during IVF stimulation should not lead to an interruption of the attempt...
March 1, 2018: Gynecologie, Obstetrique, Fertilite & Senologie
https://www.readbyqxmd.com/read/29499838/thyroid-fine-needle-aspiration-successful-prospective-implementation-of-strategies-to-eliminate-unnecessary-biopsy-in-the-veteran-population
#16
Sean D Raj, Rohit Ram, David J Sabbag, Mark A Sultenfuss, Rebecca Matejowsky
OBJECTIVE: Thyroid nodules are prevalent in over half the general population. Several multidisciplinary societies have management recommendations. However, the majority of data to support these guidelines are derived from studies of predominantly younger and female populations. This study's aim was to evaluate characteristics of thyroid nodules in a largely older and male Veteran population and apply these findings prospectively to reduce unnecessary thyroid fine needle aspiration (FNA)...
January 6, 2018: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29486467/atypia-of-undetermined-significance-in-thyroid-fine-needle-aspirations-follow-up-and-outcome-experience-in-newfoundland-canada
#17
Polycarp Erivwo, Chandrani Ghosh
INTRODUCTION: The rates of atypia of undetermined significance (AUS) by fine-needle aspiration (FNA) and malignant outcomes have been estimated at < 7% and 5-15%, respectively. Initial AUS diagnosis is followed up clinically with serial ultrasounds, repeat FNA, molecular testing, or direct surgery. We investigated the incidence, follow-up modalities, and final outcomes of AUS in Newfoundland. METHODS: All cases of AUS diagnosed at the Eastern Health Cytology Laboratory between 1 January 2010 and 31 December 2013 were identified...
February 27, 2018: Acta Cytologica
https://www.readbyqxmd.com/read/29472802/preanalytics-of-urine-sediment-examination-effect-of-relative-centrifugal-force-tube-type-volume-of-sample-and-supernatant-removal
#18
Amalija Bunjevac, Nora Nikolac Gabaj, Marijana Miler, Anita Horvat
Introduction: Laboratories often modify procedures recommended by the European Urinalysis Guidelines for urine sediment analysis. The aim of this study was to compare the recommended protocol with our routine laboratory procedure and to evaluate the possible impact of modifications in the relative centrifugal force, type of tube, method of supernatant aspiration and urine volume on patient's results. Material and methods: Firstly, relative centrifugal force was investigated using 20 pairs of samples examined after centrifugation at 400xg and 1358xg...
February 15, 2018: Biochemia Medica: časopis Hrvatskoga Društva Medicinskih Biokemičara
https://www.readbyqxmd.com/read/29465333/us-fine-needle-aspiration-biopsy-for-thyroid-malignancy-diagnostic-performance-of-seven-society-guidelines-applied-to-2000-thyroid-nodules
#19
Eun Ju Ha, Dong Gyu Na, Jung Hwan Baek, Jin Yong Sung, Ji-hoon Kim, So Young Kang
Purpose To compare the diagnostic performance of ultrasonography (US)-based fine-needle aspiration biopsy (FNAB) criteria from seven international societies in the detection of thyroid malignancy. Materials and Methods This study included a total of 2000 consecutive thyroid nodules (≥1 cm) in 1802 patients with final diagnoses from January 2010 to May 2011. US features of the thyroid nodules were retrospectively reviewed and were classified according to the categories defined by the seven international society guidelines...
February 21, 2018: Radiology
https://www.readbyqxmd.com/read/29459597/prevalence-of-metallo-%C3%AE-lactamase-producing-non-fermentative-pseudomonas-species-from-clinical-isolates-in-dhaka-bangladesh
#20
M N Islam, D Ahmed, M A Hossain, C R Ahsan, M Yasmin
Antimicrobial drug resistance, a global concern, has been increasing unpredictably in microorganism causing human infections specially among Gram negative non-fermenting Pseudomonas spp. Carbapenems, a beta lactam antibiotics, are the most potent and effective drug usually kept reserved for treating the multi-drug resistant Psedomonas spp and other infections caused by organisms producing Extended Spectrum Beta Lactamase (ESBL) and AmpC. Clinical utility of carbapenem will reduce when resistant bacteria evolve due to production of carbapenem hydrolyzing Metallo-β-lactamase (MBL) which confers high-level resistance to all beta-lactam antibiotics except aztreonam...
January 2018: Mymensingh Medical Journal: MMJ
keyword
keyword
97918
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"