Patients are being discharged on home nutrition by TPN by way of PICC lines and Ports. The most common serious complication is line sepsis or blood clots. “In the non-specifically unwell patient a clinician should not be misled by a normal white cell count and apyrexia (no elevation of temperature)," states Anna Clare, author [...]
The CDC urges all US hospitals to establish sepsis programs and raise the bar on care standards, as they offers resources to enhance existing programs. “CDC is calling on all US hospitals to have a sepsis program and raising the bar on sepsis care…(and) For those hospitals that already have sepsis programs underway and [...]
In the JMIG study, 7 out of 125 women reported groin pain within 6 weeks of receiving an Altis Sling. “125 women underwent a midurethral single incision sling…In the hospital based Ambulatory Surgical Unit… 2 patients reported unanticipated Adverse Events (AE’s) …The office based Ambulatory Surgical Unit…7 patients reported unanticipated AEs”….The Journal of Minimally [...]
Misdiagnosis of thoracic epidural abscess can result in paraplegia, wheelchair dependence, bowel and bladder incontinence, and loss of sexual function. “Based on the results, investigators recommend an early MRI of the spine, laboratory workup, abscess culture followed by empiric antibiotics, and immediate surgical decompression when neurological deficits are present” … Michael Steinmetz, MD Greg [...]
Artificial stone manufacturing has led to a re-emergence of silicosis, and this has triggered new interest in the mechanism that silica damages the lung. “Lung transplantation is the main modality for the treatment of end-category silicosis, and it can help patients with end-category fibrosis to live longer…Pirfenidone…approved by the U.S. Food and Drug Administration [...]
Outbreaks of silicosis have occurred among workers in the artificial stone (AS) industry. “Outbreaks of silicosis have occurred among workers in the artificial stone (AS) industry, and there is currently no effective anti-fibrosis treatment for silicosis After treatment for 3-12 months...Tetrandrine can control and delay the progression of artificial stone associated silicosis”...Wen-hong Wu, MD, [...]
Dr. Greg Vigna, “The utility of the Coloplast Altis sling and Boston Scientific Solyx is questionable at best. The FDA still does not support their safety or efficacy despite the FDA’s Obstetrics and Gynecology Device panel recommending more studies of mini-slings for stress urinary incontinence in 2011. Their utility has been called to question [...]
Prevention of heel decubitus ulcers are paramount because this location is the most difficult of decubitus ulcers to manage. “In adults presenting with one or more heel pressure injuries stage IV complicated with bone infection involving surrounding tissues, a surgical approach must be performed to support the wound healing and prevent major amputation. Grade: [...]
The Coloplast Altis sling and the Boston Scientific Solyx sling remain on the market despite the continued FDA position. “Women have not been warned of the FDA’s current position that ‘The safety and effectiveness of mini-slings for female SUI have not been adequately demonstrated' which is a big problem for the implanting doctors," states [...]
Dry processing of artificial stone is a highly hazardous work practice that has been reported in association with silicosis in many countries. “Among 544 stone benchtop industry workers screened, 95% worked with artificial stone … 117 (28.2% were diagnosed with silicosis (median age at diagnosis 42.1 years), and all were male”… Ryan F. Hoy, [...]