What's New | Decker

Many iatrogenic withdrawal syndromes have been identified, the most common of which is opioid or benzodiazepine withdrawal. Generally speaking, the approach to treating opioid and/or benzodiazepine withdrawal is to provide enough medication to saturate target receptors, followed by a period of gradual dose reduction to allow the body to return to a state of homeostasis.
The Neonatal Abstinence Score (NAS) was designed to assess withdrawal symptoms in infants with multiple drug exposure during pregnancy. Because the NAS was validated in infants, it is not applicable in older children with iatrogenic withdrawal. In recent years, withdrawal assessment tools for pediatrics have been developed for iatrogenic withdrawal to provide an objective assessment of withdrawal.
There have been no randomized clinical trials that have compared the efficacy of various weaning strategies. However, a recent multicenter clinical trial, named the RESTORE trial, examined the effects of a standardized sedation protocol in pediatric intensive care units.

Updating consensus guideline recommendations up to January 2016
Adding a duplex scan image showing a deep vein thrombosis (DVT) in the diagnosis section
Adding a computed tomographic (CT) scan showing a pulmonary embolism (PE)
Showing the various types of approved inferior vena cava filters
Adding five separate flow-chart figures depicting a stepwise management algorithm for the evaluation and treatment of DVT and PE
Adding a section on catheter-associated upper extremity thrombosis
Adding a section on extended prophylaxis, the use of non–vitamin K antagonists, updates on stockings
Writing five new multiple-choice questions based on the review

To recognize and treat important cardiac arrhythmias in the surgical patient using the latest advances
Most up to date guidelines in management of Acute Coronary Syndrome (ACS) in Surgical Patients
Recent progress in management ofheart failure in postoperative and traumatic patients

Rocuronium-induced neuromuscular blockade is potentiated by a synergistic effect of gentamicin and clindamycin, which may delay recovery.
Penicillins form a complex with sugammadex, which may interfere with the therapeutically intended sugammadex-rocuronium complex.
Ondansetron can decrease the analgesic efficacy of acetaminophen at high doses.
Anesthesiologists are positioned to manage interactions between anesthetic agents and antimicrobials in the operating room.

Rocuronium-induced neuromuscular blockade is potentiated by a synergistic effect of gentamicin and clindamycin, which may delay recovery.
Penicillins form a complex with sugammadex, which may interfere with the therapeutically intended sugammadex-rocuronium complex.
Ondansetron can decrease the analgesic efficacy of acetaminophen at high doses.
Anesthesiologists are positioned to manage interactions between anesthetic agents and antimicrobials in the operating room.

To recognize and treat important cardiac arrhythmias in the surgical patient using the latest advances
Most up to date guidelines in management of Acute Coronary Syndrome (ACS) in Surgical Patients
Recent progress in management ofheart failure in postoperative and traumatic patients

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