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  1. Article ; Online: Controversies in Venous Thromboembolism.

    Yadam, Suman / Popuri, Anand / Hattab, Yousef / Cheema, Tariq

    Critical care nursing quarterly

    2017  Volume 40, Issue 3, Page(s) 301–305

    Abstract: Numerous controversies exist in the diagnosis of venous thromboembolism despite all the guidelines that are currently available. Screening of malignancy in venous thromboembolism has been a debated issue, as it has not been shown to change mortality. ... ...

    Abstract Numerous controversies exist in the diagnosis of venous thromboembolism despite all the guidelines that are currently available. Screening of malignancy in venous thromboembolism has been a debated issue, as it has not been shown to change mortality. Calf vein thrombosis is also a controversial topic, but evidence points to risk stratifying those patients. Overdiagnosis, most notably from the finding of subsegmental pulmonary embolism, ultimately requires evaluating the risk and benefit for each patient. In addition, treatment of upper extremity deep vein thrombosis is a challenging scenario that is quite common in clinical practice. Finally, postthrombotic syndrome may be reduced by graduated compression stockings, but their use has not been validated for preventive use at this time and is still being discussed.
    MeSH term(s) Anticoagulants/therapeutic use ; Humans ; Neoplasms/diagnosis ; Postthrombotic Syndrome ; Pulmonary Embolism/diagnosis ; Pulmonary Embolism/drug therapy ; Pulmonary Embolism/mortality ; Venous Thromboembolism/diagnosis ; Venous Thromboembolism/drug therapy ; Venous Thromboembolism/mortality
    Chemical Substances Anticoagulants
    Language English
    Publishing date 2017-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639095-x
    ISSN 1550-5111 ; 0887-9303
    ISSN (online) 1550-5111
    ISSN 0887-9303
    DOI 10.1097/CNQ.0000000000000168
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: A Case of Carotid-Esophageal Fistula Masquerading as an Upper Gastrointestinal Bleed.

    Yadam, Suman / Rali, Parth / Balaan, Marvin / Lega, Mark

    American journal of respiratory and critical care medicine

    2016  Volume 194, Issue 3, Page(s) e2–3

    Language English
    Publishing date 2016-08-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1180953-x
    ISSN 1535-4970 ; 0003-0805 ; 1073-449X
    ISSN (online) 1535-4970
    ISSN 0003-0805 ; 1073-449X
    DOI 10.1164/rccm.201603-0467IM
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Acute Respiratory Distress Syndrome.

    Yadam, Suman / Bihler, Eric / Balaan, Marvin

    Critical care nursing quarterly

    2016  Volume 39, Issue 2, Page(s) 190–195

    Abstract: Acute respiratory distress syndrome (ARDS) is a serious inflammatory disorder with high mortality. Its main pathologic mechanism seems to result from increased alveolar permeability. Its definition has also changed since first being described according ... ...

    Abstract Acute respiratory distress syndrome (ARDS) is a serious inflammatory disorder with high mortality. Its main pathologic mechanism seems to result from increased alveolar permeability. Its definition has also changed since first being described according to the Berlin definition, which now classifies ARDS on a severity scale based on PaO2 (partial pressure of oxygen, arterial)/FIO2 (fraction of inspired oxygen) ratio. The cornerstone of therapy was found to be a low tidal volume strategy featuring volumes of 6 to 8 mL per kg of ideal body weight that has been shown to have decreased mortality as proven by the ARDSnet trials. There are other areas of treatment right now that include extracorporeal membrane oxygenation, as well for severe refractory hypoxemia. Other methods that include prone positioning for ventilation have also shown improvements in oxygenation. Positive end-expiratory pressure with lung recruitment maneuvers has also been found to be helpful. Other therapies that include vasodilators and neuromuscular agents are still being explored and need further studies to define their role in ARDS.
    MeSH term(s) Extracorporeal Membrane Oxygenation/methods ; Humans ; Hypoxia/etiology ; Positive-Pressure Respiration/methods ; Prone Position ; Pulmonary Edema ; Respiratory Distress Syndrome, Adult/physiopathology ; Respiratory Distress Syndrome, Adult/therapy ; Tidal Volume
    Language English
    Publishing date 2016-04
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 639095-x
    ISSN 1550-5111 ; 0887-9303
    ISSN (online) 1550-5111
    ISSN 0887-9303
    DOI 10.1097/CNQ.0000000000000111
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Consequences of Venous Thromboembolism, Including Chronic Thromboembolic Pulmonary Hypertension.

    Gandhi, Viral / Hewston, Matthew / Yadam, Suman / Ma, Kiet / Singh, Anil C / Cheema, Tariq

    Critical care nursing quarterly

    2017  Volume 40, Issue 3, Page(s) 260–275

    Abstract: Venous thromboembolism includes both deep vein thrombosis and pulmonary embolism. They pose a significant risk for morbidity and mortality. In an appropriate clinical setting, invasive interventions, including administration of thrombolytics, ... ...

    Abstract Venous thromboembolism includes both deep vein thrombosis and pulmonary embolism. They pose a significant risk for morbidity and mortality. In an appropriate clinical setting, invasive interventions, including administration of thrombolytics, anticoagulation, and placement of vena cava filter, are warranted. Bleeding, postthrombotic syndrome, recurrence, and filter-associated complications are few of the complications of this disease. More recently, chronic thromboembolic pulmonary hypertension has gained clinical interest in patients with pulmonary embolism and has warranted close follow-up.
    MeSH term(s) Anticoagulants/therapeutic use ; Hemorrhage/complications ; Humans ; Hypertension, Pulmonary/etiology ; Pulmonary Embolism/complications ; Recurrence ; Vena Cava Filters/utilization ; Venous Thromboembolism/complications ; Venous Thromboembolism/drug therapy ; Venous Thromboembolism/mortality
    Chemical Substances Anticoagulants
    Language English
    Publishing date 2017-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639095-x
    ISSN 1550-5111 ; 0887-9303
    ISSN (online) 1550-5111
    ISSN 0887-9303
    DOI 10.1097/CNQ.0000000000000164
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Pathogenesis and Epidemiology of Venous Thromboembolic Disease.

    Patel, Kaushal / Fasanya, Adebayo / Yadam, Suman / Joshi, Aditya A / Singh, Anil C / DuMont, Tiffany

    Critical care nursing quarterly

    2017  Volume 40, Issue 3, Page(s) 191–200

    Abstract: Venous thromboembolism is the formation of a blood clot in the vein. It mainly consists of 2 life-threatening conditions-deep venous thrombosis and pulmonary embolism. Deep venous thrombosis is a potentially dangerous condition with grave sequelae, the ... ...

    Abstract Venous thromboembolism is the formation of a blood clot in the vein. It mainly consists of 2 life-threatening conditions-deep venous thrombosis and pulmonary embolism. Deep venous thrombosis is a potentially dangerous condition with grave sequelae, the worst of which is pulmonary embolism. Venous thromboembolism can also lead to multiple other conditions with significant morbidity and mortality that include extension of thrombi, pulmonary hypertension, recurrence, and postthrombotic syndrome. An update on the epidemiology, etiology, and pathogenesis of venous thromboembolism will be reviewed in this article.
    MeSH term(s) Anticoagulants ; Humans ; Pulmonary Embolism/mortality ; Recurrence ; Venous Thromboembolism/epidemiology ; Venous Thromboembolism/etiology ; Venous Thromboembolism/physiopathology ; Venous Thrombosis/mortality
    Chemical Substances Anticoagulants
    Language English
    Publishing date 2017-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639095-x
    ISSN 1550-5111 ; 0887-9303
    ISSN (online) 1550-5111
    ISSN 0887-9303
    DOI 10.1097/CNQ.0000000000000158
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Diagnostic Considerations of Venous Thromboembolic Disease.

    Alhassan, Sulaiman / Leap, Jennifer / Popuri, Anand / Yadam, Suman / Singh, Anil C / Balaan, Marvin

    Critical care nursing quarterly

    2017  Volume 40, Issue 3, Page(s) 210–218

    Abstract: Venous thromboembolism (VTE) includes deep venous thrombosis (DVT) and pulmonary embolism (PE). The clinical presentation of VTE is nonspecific and requires confirmatory testing. The most common diagnostic tool for DVT is duplex ultrasonography since it ... ...

    Abstract Venous thromboembolism (VTE) includes deep venous thrombosis (DVT) and pulmonary embolism (PE). The clinical presentation of VTE is nonspecific and requires confirmatory testing. The most common diagnostic tool for DVT is duplex ultrasonography since it is a noninvasive test with high accuracy. Contrast venography is considered the gold standard modality to diagnose DVT, but it is an invasive test. Magnetic resonance venography and computed tomography venography are alternative diagnostic methods for DVT, which can be helpful in certain circumstances. Pulmonary embolism is commonly diagnosed by computed tomography pulmonary angiography. Ventilation perfusion scanning is an alternative imaging to diagnose PE in patients who cannot receive intravenous contrast. Pulmonary angiography is still the gold standard in the diagnosis of PE and is usually needed in specific conditions. D-dimer assay can be utilized in ruling VTE out in low-risk patients. Estimating the pretest clinical probability for having VTE is the key step in guiding the clinicians and nurses to the appropriate diagnostic method for patients with suspected DVT or PE.
    MeSH term(s) Angiography ; Humans ; Phlebography ; Pulmonary Embolism/diagnosis ; Pulmonary Embolism/diagnostic imaging ; Tomography, X-Ray Computed ; Ultrasonography, Doppler, Duplex ; Venous Thromboembolism/diagnosis ; Venous Thromboembolism/diagnostic imaging ; Venous Thrombosis/diagnosis ; Venous Thrombosis/diagnostic imaging
    Language English
    Publishing date 2017-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639095-x
    ISSN 1550-5111 ; 0887-9303
    ISSN (online) 1550-5111
    ISSN 0887-9303
    DOI 10.1097/CNQ.0000000000000163
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Advanced Therapies in Venous Thromboembolism.

    Yadam, Suman / Sharara, Rihab / Naddour, Mouhib / Beg, Moeezullah / Singh, Anil C / Balaan, Marvin

    Critical care nursing quarterly

    2017  Volume 40, Issue 3, Page(s) 251–259

    Abstract: Advanced therapies are available for both deep venous thrombosis and pulmonary embolism when anticoagulation alone is not sufficient to improve clinical outcomes. In some cases, clinical deterioration ensues despite anticoagulation, and this requires ... ...

    Abstract Advanced therapies are available for both deep venous thrombosis and pulmonary embolism when anticoagulation alone is not sufficient to improve clinical outcomes. In some cases, clinical deterioration ensues despite anticoagulation, and this requires unique techniques that can ameliorate the clinical course. Such advancements are described in this upcoming article.
    MeSH term(s) Anticoagulants/therapeutic use ; Catheters ; Hospitalization ; Humans ; Pulmonary Embolism/therapy ; Thrombolytic Therapy/methods ; Venous Thromboembolism/epidemiology ; Venous Thromboembolism/physiopathology ; Venous Thromboembolism/therapy ; Venous Thrombosis
    Chemical Substances Anticoagulants
    Language English
    Publishing date 2017-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639095-x
    ISSN 1550-5111 ; 0887-9303
    ISSN (online) 1550-5111
    ISSN 0887-9303
    DOI 10.1097/CNQ.0000000000000162
    Database MEDical Literature Analysis and Retrieval System OnLINE

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