Risk Factors Identified for Transfusion-Related Acute Lung Injury in Critically Ill Patients
By Will Boggs, MDTransfusion factors and patient characteristics contribute to the risk of acute lung injury (ALI) following blood transfusions in critically ill patients, according to a report in the November 1st issue of the American Journal of Respiratory and Critical Care Medicine. "Critically ill patients, their families, and physicians need to be aware that […]
Characteristics of Patients Prescribed Angiotensin-Converting Enzyme Inhibitors
Characteristics of Patients Prescribed Angiotensin-Converting Enzyme Inhibitors, Angiotensin Receptor Blockers, or the Combination at an Urban Medical CenterGhania Masri, MD; Kristi Bledsoe, PharmD; Carlos Palacio, MD Abstract Background: The realization that angiotensin-converting enzyme (ACE) inhibitors do not provide complete blockade of angiotensin II synthesis has resulted in an increased use of combinations of ACE inhibitors […]
Guidelines Updated for Antiretroviral Therapy in Teens and Adults With HIV-1 Infection
News Author: Laurie Barclay, MDCME Author: Hien T. Nghiem, MD On December 1, the Department of Health and Human Services (DHHS) issued updated guidelines for the use of antiretroviral agents in teens and adults infected with human immunodeficiency virus type 1 (HIV-1).
Risk for Second Nonlymphoid Neoplasms in Chronic Lymphocytic Leukemia
Constantin A. Dasanu, MD, PhD; Doru T. Alexandrescu, MDAbstract Major advances have occurred in understanding the biology, immunology, and modalities of treatment of chronic lymphocytic leukemia (CLL) in the last decade. B-cell CLL is the most common type of leukemia occurring in the US and Western nations. B-cell CLL is characterized by progressive defects in […]
Opioid and Nonopioid Therapies for the Management of Pain
Lynn R. Webster, MD, FACPM, FASAM IntroductionThe evolving need of pain patients for safe, effective analgesia is driving research into new therapeutic modalities and fresh approaches to familiar treatments. Innovation, involving both opioid and nonopioid pain therapies, dominated discussion at the 23rd Annual Meeting of the American Academy of Pain Medicine held February 7-10 in […]
New Statement on Safety of MRI With CV Devices
News Author: Lisa NainggolanCME Author: Désirée Lie, MD, MSEd The American Heart Association has published a scientific statement on the safety of magnetic resonance imaging (MRI) in patients with cardiovascular devices, which has also been endorsed by the American College of Cardiology, the North American Society for Cardiac Imaging, and the Society for Cardiovascular Magnetic […]
Guidelines for Perioperative Cardiovascular Evaluation for Patients Considering Noncardiac Surgery
The American College of Cardiology (ACC) and American Heart Association (AHA) have issued a new guideline (last published in 2002) on the perioperative cardiovascular evaluation for patients considering noncardiac surgery. The new algorithm is simpler and gives clinicians more latitude in individualizing decisions, but does not apply to patients who require emergency surgery or who […]
Fatal Cardiac Tamponade as a Result of a Peripherally Inserted Central Venous Catheter
Fatal Cardiac Tamponade as a Result of a Peripherally Inserted Central Venous Catheter: A Case Report and Review of the Literature R. M. L'E. Orme; M. M. McSwiney; R. F. O. Chamberlain-WebberAbstract and IntroductionAbstract We present a case of fatal cardiac tamponade that occurred in association with a peripherally inserted central catheter (PICC) inserted from […]
An Evidence-Based Algorithm for the Treatment of Neuropathic Pain
Nanna B. Finnerup, MD; Marit Otto, MD; Troels S. Jensen, MD, PhD; Søren H. Sindrup, MD, PhD Abstract Objective: The purpose of this article is to discuss an evidence-based algorithm that can be implemented by the primary care physician in his/her daily clinical practice for the treatment of patients with neuropathic pain conditions. Method: A […]
Wastes from health-care activities
Health-care activities – for instance, immunizations, diagnostic tests, medical treatments, and laboratory examinations – protect and restore health and save lives. But what about the wastes and by-products they generate?
