Latest Updates

Aortic Dissection

    • Surgical treatment of uncomplicated type B aortic dissection
    • Endovascular techniques for malperfusion syndrome
    • Standard practice of intravascular ultrasonography
    • Importance of false lumen thrombosis
    • Maneuvers to decrease the risk of spinal cord ischemia in open aortic surgery

Scar Management: Scar Revision and Scar Resurfacing

    • Improvements in transdermal drug delivery with use of fractional lasers/radiofrequency ablation combined with ultrasound therapy. Advances in nanotechnology will further improve the ability to deliver targeted therapies
    • Improved understanding of signaling pathways in wound healing states will allow for future target-specific therapeutics. Some candidate drugs are being tested in animal models
    • Tissue engineering and use of polysaccharide and protein scaffolds may eventually improve wound healing via delivery of growth factors, favorable cytokines, and improvement in tissue oxygenation

Complementary and Alternative Medicine: Is It Alternative or Mainstream for Managing Low Back Pain?

    • Complementary and alternative medicine therapies are now an important part of the management of chronic low back pain in patients.
    • Physical modalities such as yoga and tai chi aim for a mind-body connection effect to help treat chronic low back pain.
    • Acupuncture has been shown in some medical studies to be of benefit with chronic pain when combined with conventional treatments.
    • Herbal medicines are increasingly being used by patients to treat back pain. Regulation of this industry is required to ensure the safety and reliability of these agents.
    • Medical marijuana is being advocated by many for chronic low back pain; at present, research is not conclusive on the benefit of this herbal. Further research is required prior to universal recommendation. 

Approach to the Geriatric Patient

    • 2016 EAST practice management guideline on prevention of fall-related injuries in the elderly
    • 2016 CTF on Preventive Health Care recommendations on screening for cognitive impairment in older adults
    • 2016 USPSTF recommendation statement on screening for depression in adults
    • 2015 AGS Beers criteria for potentially inappropriate medication use in older adults
    • 2016 AAO preferred practice guideline on comprehensive adult medical eye evaluation

Management of the Geriatric Patient

    • Emphasis on the importance of exercise in interventions to prevent falls
    • Increasing research on interventions to improve frailty with promising work on interventions that include an exercise component as well as nutritional measures

    • Recommendation against vitamin D to prevent falls in patients without osteoporosis or vitamin D deficiency

    • New and emerging therapies for pressure ulcers stress the importance of microclimate control, prophylactic dressings, and attention to reducing shear and friction in addition to pressure.

Management of the Geriatric Patient

    • Emphasis on the importance of exercise in interventions to prevent falls
    • Increasing research on interventions to improve frailty with promising work on interventions that include an exercise component as well as nutritional measures

    • Recommendation against vitamin D to prevent falls in patients without osteoporosis or vitamin D deficiency

    • New and emerging therapies for pressure ulcers stress the importance of microclimate control, prophylactic dressings, and attention to reducing shear and friction in addition to pressure.

Management of the Geriatric Patient

    • Emphasis on the importance of exercise in interventions to prevent falls
    • Increasing research on interventions to improve frailty with promising work on interventions that include an exercise component as well as nutritional measures

    • Recommendation against vitamin D to prevent falls in patients without osteoporosis or vitamin D deficiency

    • New and emerging therapies for pressure ulcers stress the importance of microclimate control, prophylactic dressings, and attention to reducing shear and friction in addition to pressure.

Aortic Dissection

    • Surgical treatment of uncomplicated type B aortic dissection
    • Endovascular techniques for malperfusion syndrome
    • Standard practice of intravascular ultrasonography
    • Importance of false lumen thrombosis
    • Maneuvers to decrease the risk of spinal cord ischemia in open aortic surgery
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