New to Meducation?
Sign up
Already signed up? Log In

Category

Preview
0
0

Replacing heparin with saline to prevent complications in long term central venous catheters in children | Cochrane

A central venous catheter (CVC) is a long, thin, flexible tube which is inserted into a large central vein. This enables access to the blood stream for people with serious medical conditions to receive medications and fluids, as well as the collection of blood specimens. Long term central venous catheters are used to access the blood system in children with complex medical conditions like cancer. To stop the catheter from becoming blocked it is usual to use heparin, a drug that prevents clots forming, to flush the catheter. However, some studies have shown that heparin is not necessary, and that normal saline (a sterile salt water solution) can be safely used instead. Heparin may be associated with complications, such as bleeding and infection, along with higher costs for health care providers. While the complications such as infections and occlusions are uncommon, practices vary around the world and there are many inconsistencies regarding the best flush solution to use to prevent complications in long term catheters.  
cochrane.org
over 4 years ago
Preview
3
93

Abnormal Uterine Bleeding - ACOG

Abnormal uterine bleeding can have many causes: fibroids, endometrial hyperplasia, contraceptives such as IUDs, or infection. Find out more in this patient FAQ.<br/>  
acog.org
over 4 years ago
Preview
0
6

Surgery for complete rectal prolapse in adults | Cochrane

Complete, or full-thickness rectal prolapse is when the lower part of the intestine (the rectum) becomes loose and telescopes out of the anus when straining. It should not be confused with haemorrhoids (or piles), which is when the veins around the anus swell up. Rectal prolapse is most common in older people, especially women, although its cause is unclear. Rectal prolapse can cause complications, such as pain, ulcers, bleeding and faecal incontinence (inability to control bowel movements). Surgery is a common treatment for repairing the prolapse.  
cochrane.org
over 4 years ago
Preview
2
43

Preterm Premature Rupture of Membranes: Diagnosis and Management - American Family Physician

Preterm premature rupture of membranes is the rupture of membranes during pregnancy before 37 weeks' gestation. It occurs in 3 percent of pregnancies and is the cause of approximately one third of preterm deliveries. It can lead to significant perinatal morbidity, including respiratory distress syndrome, neonatal sepsis, umbilical cord prolapse, placental abruption, and fetal death. Appropriate evaluation and management are important for improving neonatal outcomes. Speculum examination to determine cervical dilation is preferred because digital examination is associated with a decreased latent period and with the potential for adverse sequelae. Treatment varies depending on gestational age and includes consideration of delivery when rupture of membranes occurs at or after 34 weeks' gestation. Corticosteroids can reduce many neonatal complications, particularly intraventricular hemorrhage and respiratory distress syndrome, and antibiotics are effective for increasing the latency period.  
aafp.org
over 4 years ago
Preview
0
1

ROCKET AF Reveals Higher GI Bleeding Rates With Rivaroxaban

"Patients with GI bleeding didn't have higher HAS-BLED scores compared with those who did not bleed, and they had the same CHA2DS2-VASc scores as well," say researchers about another of their findings.  
medscape.com
over 4 years ago
Preview
0
0

Are Patients with Atrial Fibrillation Being Optimally Treated? CME/CE

: New research indicates that primary care physicians underuse stroke and bleeding risk calculators for patients with atrial fibrillation but still aggressively prescribe warfarin.  
medscape.org
over 4 years ago
Preview
0
0

3D MRI Identifies Stroke Risk in Patients With Diabetes

In patients with type 2 diabetes, intraplaque hemorrhage detected with 3-dimensional MRI can help determine the risk for stroke before any signs of stenosis are evident, new research shows.  
medscape.com
over 4 years ago
Preview
0
0

Dec 4 Cardiology News

Rivaroxaban and GI bleeding, CT angiography for chest pain, long-term results of the COURAGE trial, bioprosthetic valve thrombosis, and EMR are reviewed in this week's podcast.  
medscape.com
over 4 years ago
Preview
0
0

Battlefield Wound Dressing (XSTAT) Okayed for Civilian Use

An expandable, multisponge dressing that controls severe bleeding will be available to civilian first responders on trauma scenes.  
medscape.com
over 4 years ago
Preview
0
0

FDA OKs First Recombinant von Willebrand Factor (Vonvendi)

The approval of Vonvendi provided an additional therapeutic option for the treatment of bleeding episodes in patients with von Willebrand disease, according to the FDA.  
medscape.com
over 4 years ago
Preview
0
0

Antithrombotics After GI Bleeding in Patients With AF

Is it safe to resume anticoagulation therapy in patients with non-valvular atrial fibrillation who have experienced GI bleeding?  
medscape.com
over 4 years ago
Preview
0
0

Three-Year Major Bleeding Risk Same With Watchman or Warfarin

Patients with AF face a similar 3-year bleeding risk if they undergo left atrial appendage closure with this device or stay on long-term warfarin therapy. The CMS cautionary approach is right, two experts say.  
medscape.com
over 4 years ago
Preview
0
2

NOACs in the ER: Bleeding Management and Reversal Strategies CME

This activity is intended for cardiologists, emergency department physicians, hematologists/oncologists, critical care physicians, and all those interested in the optimal management of venous thromboembolism (VTE). There are no prerequisites.  
medscape.org
over 4 years ago
Preview
0
6

EMA Panel Backs Two Octocog Alfa Products for Hemophilia A

Iblias and Kovaltry from Bayer Pharma AG are indicated for treatment and prevention of bleeding in patients with hemophilia A.  
medscape.com
over 4 years ago
Pharm logo 1400x1400
0
2

Resuscitative endovascular balloon occlusion of the aorta (REBOA): Comparison with immediate transfusion following massive hemorrhage in swine

REBOA- Who, What and Why- Deborah Stein from Social Media and Critical Care on Vimeo. Resuscitative endovascular balloon occlusion of the aorta (REBOA): Comparison with immediate transfusion following massive hemorrhage in swine  
prehospitalmed.com
over 4 years ago
Preview
0
3

Radial-Access Rare in STEMI Post-Lytic 'Rescue' PCI: NCDR

"Transradial rates are still surprisingly low for a population that you would expect to be at high risk for bleeding," say researchers, who attribute the finding to the "risk-treatment" paradox.  
medscape.com
over 4 years ago
Preview
0
6

Can Inpatient Proton Pump Inhibitors Raise Death Risk? CME/CE

: In this simulation study, routine application of proton pump inhibitors to prevent gastrointestinal tract bleeding among medical inpatients was linked with higher risks for hospital mortality.  
medscape.org
over 4 years ago
Preview
0
0

GI Bleeding in Patients With AF on Rivaroxaban or Warfarin

GI bleeding is a common complication of oral anticoagulation. How does the incidence of GI bleeding in AF patients taking rivaroxaban compare to those on warfarin?  
medscape.com
over 4 years ago
Preview
0
0

'Triple Therapy' Raises Bleed Risk After PCI for MI: Study

Regardless of P2Y12 receptor inhibitor used, the risk of bleeding complications went up by adding an oral anticoagulant to dual-antiplatelet therapy—maybe more so with one particular antiplatelet.  
medscape.com
over 4 years ago
Preview
0
0

Preop Anticoagulation Safe, Reduces DVTs in Cancer Patients

Preoperative use of anticoagulants did not increase the rate of major bleeding or transfusions in patients with cancer undergoing surgery; their use was associated with decreased risk for VTE.  
medscape.com
over 4 years ago