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portada - Sociedad Panamericana de Trauma
portada - Sociedad Panamericana de Trauma

... Adjacent branches of the gastroepiploic arcades along the greater curvature should be divided in order to facilitate a stapler closure which, when done longitudinally, will not compromise lumen size. The author routinely coagulates the staple line prior to inversion with interrupted 4/0 silk sutures ...
Nembutal Sales Aid - Akorn Pharmaceuticals
Nembutal Sales Aid - Akorn Pharmaceuticals

... been recommended to lessen the REM rebound and disturbed sleep which contribute to drug withdrawal syndrome (for example, decrease the dose from 3 to 2 doses a day for 1 week). In studies, secobarbital sodium and pentobarbital sodium have been found to lose most of their effectiveness for both induc ...
Viscosupplementation: managed care issues for osteoarthriti
Viscosupplementation: managed care issues for osteoarthriti

... conservative nonpharmacologic and pharmacologic therapy (e.g., exercise, weight loss, physician therapy, bracing/orthotics, NSAIDs, COX-2 inhibitors, and intra-articular glucocorticoids); (2) who have compromised gastrointestinal (GI) function or who are at risk for GI bleeding due to the adverse ev ...
Covering the Conditions final.pmd
Covering the Conditions final.pmd

... Hand washing sinks should be dedicated only for hand washing purposes and should remain clean. Avoid placing, cleaning, or draining used items in hand washing sinks. Used or contaminated items should be handled in designated utility sinks. (IG) The facility should have a sink available for patients ...
THERAPEUTICS MANUAL Methodist Healthcare – Memphis Hospitals
THERAPEUTICS MANUAL Methodist Healthcare – Memphis Hospitals

... Defined: any response to a drug that is noxious and unintended and that occurs at doses used in man for prophylaxis, diagnosis or therapy, excluding intentional and accidental overdose and drug abuse. Medication Errors/Occurrences: Briefly defined: any error in the medication use process (prescribin ...
EDEN protocol
EDEN protocol

... Trial progress will be evaluated by an independent Data and Safety Monitoring Board to determine if the study should stop for futility or efficacy. Interim analyses will be conducted after enrollment of approximately 100, 250, 500, and 750 patients. The study may be stopped if the difference between ...
Benzodiazepines (Tranquillisers and their risk)
Benzodiazepines (Tranquillisers and their risk)

... can inhibit psychological adjustment and reduce the normal mourning process. Benzodiazepines should not be used as first treatment options of anxiety disorder but only as temporary treatment during initial treatment while waiting for definitive therapy with longer term medications (eg. antidepressan ...
Management of Hazard Group 4 Viral Haemorrhagic Fevers
Management of Hazard Group 4 Viral Haemorrhagic Fevers

... This includes making an assessment of the risk of acquiring a VHF infection in a healthcare setting or other workplace. The purpose of risk assessment is to enable decisions to be made about the actions needed to control the risk and prevent spread of infection. Risk assessment therefore embraces bo ...
Heart Failure Management in Skilled Nursing Facilities
Heart Failure Management in Skilled Nursing Facilities

... (Table 2). Importantly, HF in the elderly is frequently multifactorial, and it is thus essential to identify all potentially treatable causes. Factors precipitating or contributing to HF exacerbations are outlined in Table 3. These precipitants may be particularly important for patients with HF who ...
Caring for vulnerable elders
Caring for vulnerable elders

... Harvard Medical School has long held the standard that its continuing medical education courses be free of commercial bias. In accord with the disclosure policy of the Medical School as well as standards set forth by the Accreditation Council for Continuing Medical Education, course planners, speake ...
Emerging treatment options for excessive sleepiness associated
Emerging treatment options for excessive sleepiness associated

... wake-promoting agent, is considered by the American Academy of Sleep Medicine in evidence-based guidelines to be a standard therapy for improving wakefulness in patients with narcolepsy [10]. Modafinil is the most studied medication in narcolepsy and has demonstrated efficacy for improving wakefulne ...
Practical QI - QITI | Powered by NSQIP
Practical QI - QITI | Powered by NSQIP

... to understand the art and science of quality improvement (QI) in surgery. While the desire to continuously improve the care that we provide to patients is simple, the concept of quality improvement has become very complicated and often intimidating. Furthermore, as surgeons, we are wired to master t ...
08_opoids
08_opoids

... when opioid use is discontinued or an antagonist is administered. Increased sympathetic discharge and adrenergic hyperactivity are responsible for the clinical symptoms and signs. In contrast to the typical toxidrome of opioid toxicity (CNS and respiratory depression and miosis), withdrawal is assoc ...
product monograph zyban
product monograph zyban

... The mechanism by which ZYBAN® (bupropion hydrochloride) enhances the ability of patients to abstain from smoking is unknown. However, it is presumed that this action is mediated by noradrenergic and/or dopaminergic mechanisms. ZYBAN is a weak inhibitor of the neuronal uptake of norepinephrine, serot ...
Laryngeal transplantation - Royal College of Surgeons
Laryngeal transplantation - Royal College of Surgeons

... documented human total laryngeal transplant, which continues to function more than 13 years after transplantation. Advances in tissue engineering, stem-cell technology and nanotechnology all offer the possibility of creating ‘off the shelf ’ tissues and organs, some time in the future. However, give ...
Strattera - Eli Lilly and Company
Strattera - Eli Lilly and Company

... A diagnosis of ADHD (DSM-IV) implies the presence of hyperactive-impulsive or inattentive symptoms that cause impairment and that were present before age 7 years. The symptoms must be persistent, must be more severe than is typically observed in individuals at a comparable level of development, must ...
Protocol - Respiratory Effectiveness Group
Protocol - Respiratory Effectiveness Group

... asthma population is due to a number of factors, such as tightly-controlled inclusion criteria for RCTs. There is, therefore, a need to carry out real-world observational studies to inform existing guidelines on the effectiveness of available treatments as used in every-day clinical practice in the ...
texas children`s hospital - Dell Children`s Medical Center of Central
texas children`s hospital - Dell Children`s Medical Center of Central

... used to build the pathway included: systematic literature review of relevant PICO (population, intervention, comparison, and outcome) questions, rapid cycle improvement occurring in multiple cycles with multidisciplinary feedback, and use of default consensus from pediatric experts where evidence wa ...
Successful Pregnancy in Recurrent Thin Endometrium
Successful Pregnancy in Recurrent Thin Endometrium

... second ICSI cycle were summarized in Table 1. In the tamoxifen cycle, her endometrial thickness was 5.2, 5.7, 6.1, and 7.7 mm on 3, 6, 9, and 11 days after tamoxifen withdrawal, respectively. Her serum E2 and LH concentrations on 6 days after tamoxifen withdrawal were 598.7 pg/mL and 11.8 mIU/mL, re ...
ASHP Guidelines on Surgery and Anesthesi
ASHP Guidelines on Surgery and Anesthesi

... by operating-room (OR) personnel, and documentation of controlled-substance use has often been handled by personnel other than those administering the drugs. More important, without direct pharmacist involvement, patient-related issues that are best addressed by a pharmacist usually have been handle ...
Aerosol Antibiotics in Cystic Fibrosis
Aerosol Antibiotics in Cystic Fibrosis

... we cannot take comfort that this approach will always be effective or safe for patients. A good example is contained in the package insert of intravenous doripenam (a carbapenem similar to meropenem and imipenem) that states, “When doripenem has been used investigationally via inhalation, pneumoniti ...
Acute Arterial Hypertension in Patients undergoing Neurosurgery
Acute Arterial Hypertension in Patients undergoing Neurosurgery

... result of intravascular volume overload from excessive intraoperative intravenous fluid therapy, and it may persist 24 to 48 hours until the fluid has been mobilized from the extravascular space. Blood pressure can also rise due to discontinuation of blood pressure medications postoperatively.3,4 Betw ...
PRACTICAL THERAPEUTICS Drugs 45 (6): 918
PRACTICAL THERAPEUTICS Drugs 45 (6): 918

... Potential variability in the response rates in different populations have usually not been considered. In particular, if potent drugs are available as over-the-counter (OTC) medications, the proportion of patients who have undergone previous empirical treatment might be large, and only those not ben ...
Fenylefrin Abcur solution for injection ENG SmPC
Fenylefrin Abcur solution for injection ENG SmPC

... coronary circulation. In patients with severe heart failure or cardiogenic shock, phenylephrine may cause a worsening of heart failure as a result of the vasoconstriction induced (increase in after-load). Frequent monitoring of vital signs and lower systemic blood pressure criteria for reversing or ...
Xylocaine Product Information
Xylocaine Product Information

... Toxic doses vary widely between patients and toxic effects may occur after any local anaesthetic procedure. Careful observation of the patient must therefore be maintained. It is recommended that the dose of lignocaine at any one time should not exceed 7mg/kg (adrenaline containing solutions). Howev ...
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Adherence (medicine)

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