What's New | Decker

In growth-restricted fetuses, addition of Doppler velocimetry studies to standard antenatal surveillance improves outcomes.
There is standardized nomenclature for describing the features of electronic fetal monitoring aimed at improving communication of intermediate and abnormal tracings.
Fetal ST segment analysis is not a clinically useful adjunct to continuous electronic fetal monitoring.

New International Association of Pancreatology definition of BRPC in 3 domains: anatomic, biological, and conditional.
Neoadjuvant chemotherapy is preferred in BRPC and may become a standard approach for resectable tumors.
FOLFIRINOX or gemcitabine/nab-paclitaxel are the two preferred regimens in BPRC and LAPC.
Due to neoadjuvant chemotherapy, increased number of patients is eligible for resection +/- vein reconstruction.
PV resection is a safe method for achieving R0 resection in BRPC and highly-selected LAPC.

New International Association of Pancreatology definition of BRPC in 3 domains: anatomic, biological, and conditional.
Neoadjuvant chemotherapy is preferred in BRPC and may become a standard approach for resectable tumors.
FOLFIRINOX or gemcitabine/nab-paclitaxel are the two preferred regimens in BPRC and LAPC.
Due to neoadjuvant chemotherapy, increased number of patients is eligible for resection +/- vein reconstruction.
PV resection is a safe method for achieving R0 resection in BRPC and highly-selected LAPC.

Battery life has been a limiting factor; however, recent advances have increased battery life to up to 12 years.
Multisite pacing addresses the issue of nonresponse to resynchronization by stimulating multiple sites within one target structure.
Leadless pacemakers obviate the need for generator placement by placing the device directly into the ventricular wall.

Commonly used medications, such as propofol and inhalational agents, lead to vasodilation and decrease the threshold of vasoconstriction, leading to heat loss. It is important to decrease the incidence of hypothermia by using forced air convection in patients undergoing surgical procedures.
The MRI environment poses a unique stress on the thermoregulatory system due to the introduction of radiofrequency electromagnetic radiation, causing iatrogenic hyperthermia if dissipation of heat is not allowed.
Certain sites provide more accurate temperature readings of core body temperature. However, the selection of the most appropriate site depends additionally on the procedure being performed and the sites available.

Mechanical circulatory support devices are a major advancement in extending the life of patients with heart failure and can serve as a bridge to transplantation or long-term support for patients who are not transplantation candidates.
Patients requiring mechanical circulatory support are at high risk for malnutrition.
Mechanical circulatory support patients may require enteral or parenteral nutrition support depending on the degree of malnutrition, severity of disease, and gastrointestinal function.

Mechanical circulatory support devices are a major advancement in extending the life of patients with heart failure and can serve as a bridge to transplantation or long-term support for patients who are not transplantation candidates.
Patients requiring mechanical circulatory support are at high risk for malnutrition.
Mechanical circulatory support patients may require enteral or parenteral nutrition support depending on the degree of malnutrition, severity of disease, and gastrointestinal function.

Recognition that TNBC is heterogeneous, improving understanding of TNBC biology, potentially enabling more precise therapies.
Adding platinum salts and PARP inhibitors to neoadjuvant chemotherapy (NAC) significantly improves pathologic complete response.
Axillary pathologic complete response (nodal downstaging) following NAC can result in more conservative axillary surgery.
For residual disease post NAC, additional adjuvant therapy with capecitabine improves overall and disease-free survival.

OB Anesthesia