What's New | Decker

Nonmydriatic fundus cameras with digital transmission enable efficient, remote retinopathy screening supervised by ophthalmologists.
Two-step approach: significant lesions in digital retinal photographs prompt full ophthalmologist examinations.
Cost-saving strategy for retinopathy screening, particularly beneficial in remote areas.
Newer drugs (SGTLT 2 inhibitors, GLP-1 agonists, MR antagonists) offer added cardiovascular and renal benefits in diabetes.
Chronic complications in diabetes require specialized management and consultation with appropriate specialists.

Nonmydriatic fundus cameras with digital transmission enable efficient, remote retinopathy screening supervised by ophthalmologists.
Two-step approach: significant lesions in digital retinal photographs prompt full ophthalmologist examinations.
Cost-saving strategy for retinopathy screening, particularly beneficial in remote areas.
Newer drugs (SGTLT 2 inhibitors, GLP-1 agonists, MR antagonists) offer added cardiovascular and renal benefits in diabetes.
Chronic complications in diabetes require specialized management and consultation with appropriate specialists.

Imaging modalities in the assessment of NAFLD
Controlled attenuation parameter as a point of care measure for hepatic steatosis
Proton density fat fraction as MRI based measure for hepatic steatosis
Liver stiffness measurement on elastography as a correlate of hepatic fibrosis or cirrhosis
Active clinical trials in phase 2b and 3, yet no FDA approved therapy
Intense lifestyle changes with 5-10% weight loss can improve fibrosis and steatosis

Constantine J Karvellas, MD, SM, FRCPC, R. Todd Stravitz, MD, FACP, FACG, FAASLD

Improved intensive care management of patients with acute liver failure (ALF) has decreased the incidence of cerebral edema/intracranial hypertension
High-volume plasma exchange improves overall survival in patients with ALF
Improved understanding of the abnormalities of global hemostasis in patients with ALF
Improved sanitation and mass vaccination has decreased the incidence of ALF due to hepatotrophic viruses

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

Lip Taping and nasoalveolar molding pre-operatively can greatly improve surgical outcomes.
3-Dimensional printing used to make nasoalveolar molding appliances

Early recognition of shock is difficult but essential for preservation of cellular and organ function and survival. The earliest clinical signs are nonspecific, with the initial inflammatory response including tachycardia, fevers, or cool or clammy skin.
The approach to shock ultimately requires understanding and correcting its etiology (eg, antibiotics and source control for sepsis, thrombectomy after massive pulmonary embolus, hemorrhage control after trauma, and so forth). However, until these are diagnosed and addressed directly, clinicians ultimately have three approaches in their armamentarium: volume expansion, vasopressors, and cardioactive agents.
The PAC was introduced in 1970. Its use increased over the next 3 decades and eventually was considered the standard of care for most critically ill patients. However, the use of PACs declined rapidly after the results of the randomized, controlled trial published in the New England Journal of Medicine revealing no benefit in high-risk surgical patients.

Indocyanine green based fluorescent imaging to assess vascular perfusion
Allograft dermal skin regeneration: Acellular dermal regeneration templates
Microvascular techniques for larger, deeper defects with skin and color matching

SAM Endocrinology & Metabolism