Showing posts with label hematology. Show all posts
Showing posts with label hematology. Show all posts
Sunday, May 12, 2024

The patient with cirrhosis: poised to bleed or poised to clot?

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It turns out to be a little of both. A number of reviews have addressed this. [ 1 ] [ 2 ] [ 3 ]  Here are some of the key points: The old...
Saturday, January 20, 2024

Special circumstances where warfarin is favored over DOACs

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  When is warfarin favored over DOACs?  Valvular atrial fibrillation .  This term is becoming obsolete. For anticoagulation for stroke preve...
Saturday, July 27, 2019

Antiplatelet therapy reduces mortality in sepsis

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From a recent meta-analysis : Highlights Antiplatelet drugs can reduce the mortality rate in p...
Wednesday, March 27, 2019

Hospitalization rates and lengths of stay for VTE in Alberta Canada

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Since 2002 they have been sending a fair number of patients home from ER or clinic but once hunkered in patients stay awhile and these num...
Tuesday, March 26, 2019

Is thrombophilia testing helpful?

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Maybe in very restricted circumstances but not to determine the duration of anticoagulation after VTE .
Monday, March 25, 2019

Growing evidence challenges conservative transfusion dogma

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The last few years have seen quite a push toward restrictive transfusion strategies with conservative hemoglobin (less than s...

Thrombocytopenia developing in hospitalized patients

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Here’s a nice review .

What the hospitalist needs to know about the TTP-HUS spectrum

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This is the best review I’ve ever seen on this. Free full text .
Saturday, March 23, 2019

Be careful using a restrictive transfusion strategy in patients with cardiovascular disease

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From a recent review : There is biological plausibility that patients with CVD may benefit from higher transfusion t...

Unraveling the mystery of thrombotic storm

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This free full text article is worth reading in its entirety .
Thursday, March 21, 2019

Diagnosis of upper extremity DVT

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From a recent review : Highlights •The evidence on the diagnostic management of upper extremity deep vei...
Saturday, January 26, 2019

Treating portal vein thrombosis in patients with cirrhosis

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From a recently published study : Highlights •LMWH is effective in about 60% of LC with PVT patients. ...
Sunday, January 13, 2019

Post-thrombotic syndrome: prevention and treatment

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From a recent review : Highlights •PTS can be more easily prevented by preventing first or recurrent DVT...
Wednesday, January 09, 2019

Reinitiation of systemic anticoagulation after a head bleed

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From a recent study : Methods—We searched published medical literature to identify cohort studies involving adults w...

Epidemiology of post-thrombotic syndrome

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Here is a recent review . From the paper: Highlights •Post-thrombotic syndrome is the most frequent com...
Friday, December 21, 2018

Platelet transfusion is associated with hospital acquired infection in the critically ill

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Recent study .
Sunday, December 16, 2018

Thrombophilia history: not a good predictor in the peri procedure management of anticoagulation

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From a 2016 paper : Background Appropriate periprocedural management of the chronically anticoagulated patie...
Sunday, October 07, 2018

TAVR reverses the acquired Von Willebrand syndrome in severe aortic stenosis

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At least as evidenced in the test tube : Abstract Background In this study, we sought to analyze the...
Saturday, October 06, 2018

We could be treating more PE patients at home

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Via the green journal . Careful clinical assessment to determine which patients are at low risk is important but mayb...

Enoxaparin dose for VTE prophylaxis in obese patients

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Consider 60 mg as opposed to 40 mg in patients with BMI of 30 and above . The higher dose in obese patients was ass...