- Surgical treatment of uncomplicated type B aortic dissection
- Endovascular techniques for malperfusion syndrome
- Standard practice of intravascular ultrasonography
- Importance of false lumen thrombosis
- Maneuvers to decrease the risk of spinal cord ischemia in open aortic surgery
Latest Updates
Initial Management of Life-Threatening Trauma
- Initial volume resuscitation should commence with 1 L isotonic crystalloid solution followed by blood products at 1:1:1 ratio (1 unit packed red blood cells to 1 unit fresh frozen plasma to 1 unit platelets) if the patient is not responsive to the initial fluid bolus.
- In patients with massive hemorrhage or evidence of fibrinolysis, tranexamic acid has demonstrated improved survival if administered within 3 hours of injury.
- Use of resuscitative endovascular balloon occlusion of the aorta may be an important adjunct in the control of life-threatening abdominal or pelvic hemorrhage.
- In cases of external hemorrhage of an extremity, a tourniquet should be used to control bleeding.
Scar Management: Scar Revision and Scar Resurfacing
- Improvements in transdermal drug delivery with use of fractional lasers/radiofrequency ablation combined with ultrasound therapy. Advances in nanotechnology will further improve the ability to deliver targeted therapies
- Improved understanding of signaling pathways in wound healing states will allow for future target-specific therapeutics. Some candidate drugs are being tested in animal models
- Tissue engineering and use of polysaccharide and protein scaffolds may eventually improve wound healing via delivery of growth factors, favorable cytokines, and improvement in tissue oxygenation
Approach to the Geriatric Patient
- 2016 EAST practice management guideline on prevention of fall-related injuries in the elderly
- 2016 CTF on Preventive Health Care recommendations on screening for cognitive impairment in older adults
- 2016 USPSTF recommendation statement on screening for depression in adults
- 2015 AGS Beers criteria for potentially inappropriate medication use in older adults
- 2016 AAO preferred practice guideline on comprehensive adult medical eye evaluation
Management of the Geriatric Patient
- Emphasis on the importance of exercise in interventions to prevent falls
Increasing research on interventions to improve frailty with promising work on interventions that include an exercise component as well as nutritional measures
Recommendation against vitamin D to prevent falls in patients without osteoporosis or vitamin D deficiency
- New and emerging therapies for pressure ulcers stress the importance of microclimate control, prophylactic dressings, and attention to reducing shear and friction in addition to pressure.
Management of the Geriatric Patient
- Emphasis on the importance of exercise in interventions to prevent falls
Increasing research on interventions to improve frailty with promising work on interventions that include an exercise component as well as nutritional measures
Recommendation against vitamin D to prevent falls in patients without osteoporosis or vitamin D deficiency
- New and emerging therapies for pressure ulcers stress the importance of microclimate control, prophylactic dressings, and attention to reducing shear and friction in addition to pressure.
Management of the Geriatric Patient
- Emphasis on the importance of exercise in interventions to prevent falls
Increasing research on interventions to improve frailty with promising work on interventions that include an exercise component as well as nutritional measures
Recommendation against vitamin D to prevent falls in patients without osteoporosis or vitamin D deficiency
- New and emerging therapies for pressure ulcers stress the importance of microclimate control, prophylactic dressings, and attention to reducing shear and friction in addition to pressure.
- Surgical treatment of uncomplicated type B aortic dissection
- Endovascular techniques for malperfusion syndrome
- Standard practice of intravascular ultrasonography
- Importance of false lumen thrombosis
- Maneuvers to decrease the risk of spinal cord ischemia in open aortic surgery
