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American Family Physician April 15, 2004 Mark H. Ebell, M.D., M.S. |
Preoperative Evaluation for Noncardiac Surgery The physician should assess the patient's preoperative risk factors and the risks associated with the planned surgery. |
American Family Physician March 1, 2007 Flood & Fleisher |
Preparation of the Cardiac Patient for Noncardiac Surgery Perioperative myocardial infarction (MI) is a major cause of morbidity and mortality in patients who have noncardiac surgery. |
American Family Physician July 15, 2000 Mitchell S. King |
Preoperative Evaluation The purpose of a preoperative evaluation is not to "clear" patients for elective surgery, but rather to evaluate and, if necessary, implement measures to prepare higher risk patients for surgery... |
Nursing March 2009 Kate J. Morse |
Focusing on the Surgical Patient with Cardiac Problems Learn about the latest guidelines for assessing cardiac risk and protecting his heart during noncardiac surgery. |
American Family Physician November 15, 2006 Fletcher, Mills & Taylor |
Update on Exercise Stress Testing Exercise stress testing is an important diagnostic tool for the evaluation of suspected or known cardiac disease. |
American Family Physician July 15, 2000 Valerie Palda |
Editorials PRE-OPportunity Knocks: A Different Way to Think About the Preoperative Evaluation... |
American Family Physician August 1, 2004 Wiviott & Braunwald |
Unstable Angina and Non-ST-Segment Elevation Myocardial Infarction: Part I. Initial Evaluation and Management, and Hospital Care Because of the scope of the problem, it is important for family physicians to understand the diagnosis, risk assessment, and treatment of this syndrome. |
American Family Physician October 15, 2002 Mahesh Krishnan |
Preoperative Care of Patients with Kidney Disease Preoperative attention to common medical problems that occur in patients with impaired renal function can lower some surgical risks. |
American Family Physician September 1, 2001 William E. Chavey |
Guideline for the Management of Heart Failure Caused by Systolic Dysfunction Part I: Guideline development, etiology and diagnosis... |
American Journal of Nursing May 2009 Kristen J. Overbaugh |
Acute Coronary Syndrome Coronary artery disease, in which atherosclerotic plaque builds up inside the coronary arteries and restricts the flow of blood (and therefore the delivery of oxygen) to the heart, continues to be the number-one killer of Americans. |
American Family Physician August 1, 2004 Wiviott & Braunwald |
Unstable Angina and Non-ST-Segment Elevation Myocardial Infarction: Part II. Coronary Revascularization, Hospital Discharge, and Post-Hospital Care In patients hospitalized with UA/NSTEMI, one of the most important decisions is the early strategy of care regarding coronary angiography and revascularization. |
American Family Physician October 15, 2000 Patricia A. Howard & Edward F. Ellerbeck |
Optimizing Beta-Blocker Use After Myocardial Infarction Although beta-adrenergic blockers can significantly reduce mortality after a myocardial infarction, these agents are prescribed to only a minority of patients... |
Nurse Practitioner September 2011 Wells & Kalman |
Women & Heart Disease: Symptoms and Treatment Guidelines Coronary heart disease is the leading cause of death for women. Nurse practitioners need to educate women about their risk and follow practice guidelines. |
American Family Physician November 15, 2005 William E. Cayley |
Diagnosing the Cause of Chest Pain Distinguishing between serious and benign causes of chest pain is imperative, and diagnostic and prognostic questions are important in making this determination. |
American Family Physician February 1, 2002 Robert J. Nied & Barry Franklin |
Promoting and Prescribing Exercise for the Elderly Physicians play a key role in motivating older patients and advising them regarding their physical limitations and/or comorbidities. Motivating patients to begin exercise is best achieved by focusing on individual patient goals, concerns, and barriers to exercise... |
American Family Physician July 1, 2005 Achar, Kundu & Norcross |
Diagnosis of Acute Coronary Syndrome Differentiating acute coronary syndrome from noncardiac chest pain is the primary diagnostic challenge. The initial assessment requires a focused history (including risk factor analysis), a physical examination, an ECG and, frequently, serum cardiac marker determinations. |
Nursing Management May 2011 Kirsten Drake |
SCIP core measures: Deep impact In August 2005, the SIP project grew to become a multiyear, national quality partnership of organizations called the Surgical Care Improvement Project, or SCIP, with the goal of decreasing surgical complication by 25% by 2010. |
American Family Physician December 1, 2004 Steven A. Dosh |
Diagnosis of Heart Failure in Adults The evaluation of symptomatic patients with suspected heart failure is directed at confirming the diagnosis, determining the cause, identifying concomitant illnesses, establishing the severity of heart failure, and guiding therapy. |
American Family Physician April 1, 2001 Joan Bedinghaus |
Coronary Artery Disease Prevention: What's Different for Women? Cardiovascular disease is the leading cause of death in women, as well as an important cause of disability, although many women and their physicians underestimate the risk... |
Nurse Practitioner November 2011 Tracy Brazziel et al. |
Stopping the Wave of PAD Early detection and diagnosis of atherosclerotic disease is imperative. Here, learn the risk factors, screening and diagnosis for this disease. |
American Family Physician June 15, 2005 Hanna & Wenger |
Secondary Prevention of Coronary Heart Disease in Elderly Patients A review of the scientific evidence for the secondary prevention of coronary heart disease in the elderly. |
American Family Physician November 15, 2004 Mark H. Ebell |
Prognosis for Patients Undergoing Coronary Angioplasty Several clinical decision rules have been developed and validated to estimate the likelihood of short-term, in-hospital complications such as death, myocardial infarction, and urgent coronary artery bypass graft surgery. |
American Journal of Nursing October 2011 Jeannette D. Crenshaw |
Preoperative Fasting: Will the Evidence Ever Be Put into Practice? Decades of research support the safety and health benefits of consuming clear liquids, including those that are carbohydrate rich, until a few hours before elective surgery or other procedures requiring sedation or anesthesia. |
American Family Physician January 1, 2003 Jennifer B. Marks |
Perioperative Management of Diabetes Diabetic patients who require surgery present special challenges in perioperative management. Special attention must be paid to prevention and treatment of metabolic derangements. |
American Family Physician June 15, 2002 A. Kesh Hebbar |
Management of Common Arrhythmias: Part II. Ventricular Arrhythmias and Arrhythmias in Special Populations Patients with established heart disease and premature ventricular complexes have a higher likelihood of developing ventricular tachycardia or fibrillation. |
American Family Physician October 15, 2001 Katherine L. Margo |
Spironolactone in Left-Sided Heart Failure: How Does It Fit In? The familiar diuretic spironolactone has taken on new life as a treatment for left-sided congestive heart failure. More research is necessary to determine the order and combinations of spironolactone and other medications in slowing the progression of this disease... |
American Family Physician August 15, 2000 James M. Lyznicki |
Cardiovascular Screening of Student Athletes Knowledge and understanding of physicians' recommendations can help physicians make informed decisions about the eligibility of an athlete to participate in a particular sport and encourage development of a more uniform preparticipation physical screening process. |
American Family Physician April 15, 2005 Karnani, Reisfield & Wilson |
Evaluation of Chronic Dyspnea Chronic dyspnea is defined as dyspnea lasting more than one month. Information is presented on diagnosis, assessment and treatment for chronic dyspnea. |
Nursing January 2009 Susan Gallagher Camden |
Shedding Health Risks with Bariatric Weight Loss Surgery More obese patients are turning to bariatric weight loss surgery, which is proving its worth by decreasing or eliminating dangerous comorbidities of obesity. Here's how to help prepare your patient for surgery and care for her afterward. |
American Journal of Nursing November 2011 Christine L. Cutugno |
The 'Graying' of Trauma Care: Addressing Traumatic Injury in Older Adults Evidence-based strategies for managing trauma and its complications in this population. |
American Journal of Nursing May 2012 Benson et al. |
Original Research: The Effects of Active Warming on Patient Temperature and Pain After Total Knee Arthroplasty Total knee arthroplasty is a procedure with associated risks of inadvertent perioperative hypothermia and significant postoperative pain. Hypothermia may affect patients' experience of postoperative pain, although the link is not well understood. |
American Family Physician April 15, 2006 Virji & Murr |
Caring for Patients After Bariatric Surgery Pulmonary emboli, anastomotic leaks, and respiratory failure account for 80% of all deaths 30 days after bariatric surgery; therefore, appropriate prophylaxis for venous thromboembolism and awareness of the symptoms of common complications are important. |
Nursing September 2011 Jacqueline Harden |
Take a cool look at therapeutic hypothermia Therapeutic hypothermia may help prevent or minimize neurologic impairment in certain patients after cardiac arrest. This article takes a look at when TH is used and how to care for patients who are undergoing this intervention. |
Nurse Practitioner December 2011 |
Managing pain in obese patients Obesity-related pain conditions can limit the patient's efforts at increasing activity and limit quality of life. This article will offer information on these conditions and treatment options. |
BusinessWeek July 18, 2005 |
A Coronary Conundrum Four medical experts weigh in on whether heart surgery prolongs patients' lives or only relieves suffering. |
American Journal of Nursing May 2008 Jacobson et al. |
Patients' Perspectives on Total Knee Replacement Patients' perspectives on total knee replacement (TKR) surgery have rarely been the topic of research. This study sought to describe their pre- and postoperative experiences. |
Nursing Management May 2010 Urbanowicz & Taylor |
Hybrid OR: Is it in your future? Having the availability of a hybrid suite creates new opportunities to combine endovascular and open surgery into one operative episode. |
American Journal of Nursing June 2007 Baugh et al. |
Wounds in Surgical Patients Who Are Obese Surgery, whether bariatric or not, puts this population at risk. Review the basics of prevention and care. |
Managed Care December 2004 Adler & Schukman |
The Role of Managed Care In Patient Safety & Error Reduction Patient safety and medical errors have become the focus of increasing attention from the public, policymakers, and accreditation agencies. Managed care organizations clearly are important stakeholders in this issue. |
Managed Care January 2006 Catherine M. Murphy-Barron |
Can We Design a Fair Benefit For Bariatric Surgery? Insurers need a coverage strategy that focuses on reducing post-surgical complications and avoiding adverse selection. |
BusinessWeek July 18, 2005 John Carey |
Is Heart Surgery Worth It? Physicians are questioning whether bypasses and angioplasties necessarily prolong patients' lives. |
Nursing Management November 2010 Penprase et al. |
Preoperative communication to improve safety: A literature review Nurses should take the lead in championing the introduction and assessment of preoperative briefings, and in supporting other perioperative personnel who may be tasked with implementing them. |
American Family Physician August 15, 2001 Thomas P. Guck |
Assessment and Treatment of Depression Following Myocardial Infarction Depression is an independent risk factor in the development of and mortality associated with cardiovascular disease in otherwise healthy persons... |
Nursing June 2011 Daniel A. Hussar |
New Drugs 2011: Part 2 In this article, you'll learn about seven recently approved drugs, including: fingolimod hydrochloride, an oral drug indicated to treat patients with relapsing forms of multiple sclerosis. |
Nursing September 2009 AnneMarie Palatnik |
Too fast, too slow, too ugly: Dysrhythmias that every nurse should recognize Learn how to recognize an abnormal cardiac rhythm and intervene appropriately. |
Nursing June 2010 Daniel A. Hussar |
New drugs 2010, part 2 In this article, you'll learn about 14 recently marketed new drugs. |
Nursing August 2010 Bartley & Shiflett |
Handle older trauma patients with care Your comprehensive understanding of how age-related changes can affect outcomes during and after trauma will help your patients recover to the fullest extent possible. |
Nursing February 2009 Daniel A. Hussar |
New Drugs 09: Part 1 Learn about 10 new drugs, including nebivolol HCl, the newest beta-adrenergic blocking agent for hypertension. |
American Family Physician August 1, 2004 Snyder, Doggett & Turkelson |
Treatment of Degenerative Lumbar Spinal Stenosis This article reviews the evidence for conservative and surgical treatments for the disease that causes leg pain and difficulty walking, usually in elderly patients. |
BusinessWeek June 9, 2009 John Carey |
Giving Patients the Data They Need A growing effort by doctors, insurers, and politicians helps people make better-informed medical decisions |