Articles tagged "featured"

Which cirrhotic patients are at high risk for bleeding during hospital procedures?

by Joseph Esherick, M.D., FAAFP, FHM

This blog will offer some expert recommendations to help guide the safety of hospital procedures at different platelet and coagulation profiles.

Safety of Draining Patients Dry During Large Volume Thoracentesis

by Joseph Esherick, M.D., FAAFP, FHM

A historical myth in procedural medicine is the operator should limit removal of pleural fluid to 1.5 L during thoracentesis because of the risk of re-expansion pulmonary edema or pneumothorax. New evidence supports safety of large volume thoracentesis until no fluid remains.

Where Should I Place My Central Line?

by Joseph Esherick, M.D., FAAFP, FHM

The internal jugular or subclavian veins have fewer combined mechanical or infectious complications for central venous catheter insertions compared with femoral vein CVC placements.

Summary of EASL Guidelines on Ascites, SBP and HRS Management in Cirrhosis

by Joseph Esherick, M.D., FAAFP, FHM

This blog summarizes the recent European Association for the Study of the Liver (EASL) guidelines on the management of ascites, spontaneous bacterial peritonitis (SBP) and hepatorenal syndrome (HRS) in patients with cirrhosis.

Guidelines for Antiplatelet and Anticoagulation Discontinuation before a Lumbar Puncture

by Joseph Esherick, M.D., FAAFP, FHM

This blog summarizes the guidelines by the European Society of Anesthesiology (ESA), the American Society of Regional Anesthesiologists (ASRA) and the Association of British Neurologists regarding the timing of antiplatelet and anticoagulation discontinuation before a lumbar puncture.

Periprocedural Bleeding Risk for Thrombocytopenia, Coagulopathy, Antiplatelets and Anticoagulation

by Joseph Esherick, M.D., FAAFP, FHM

This blog summarizes the 2019 Society of Interventional Radiology for Periprocedural Management of Image-guided Procedures with regards to thrombocytopenia, coagulopathies, antiplatelets and anticoagulation

Ultrasound-guided Tube Thoracostomy Improves Optimal Insertion Site Selection

by Joseph Esherick, M.D., FAAFP, FHM

The optimal insertion site for tube thoracostomy is at the mid-axillary line in the triangle of safety. Ultrasound-guided localization of this site performed better than palpation

Predictors of and Pearls for Difficult Airway Management

by Joseph Esherick, M.D., FAAFP, FHM

Patients may have anatomically difficult airways or physiologically difficult airways. Both anatomical and physiological factors can lead to peri-intubation complications.

Open-Lung Recruitment Maneuvers Increased Mortality Compared with Standard PEEP titration for Moderate-Severe Acute Respiratory Distress Syndrome (ARDS)

by Joseph Esherick, M.D., FAAFP, FHM

Open Lung recruitment maneuvers using PEEP titration based on respiratory system compliance increased mortality compared with ARDSNet PEEP titration in moderate-severe ARDS.