Mininder Kocher

Practice Point 2.2.3 underscores using a 2-year kidney failure risk threshold of >40% to determine modality education and timing for KRT preparation, including vascular access planning or transplantation referral. Predicting the optimal timing for these interventions in individuals with declining GFR is challenging. Premature vascular access planning may lead to unnecessary fistula placement, while delayed planning risks central venous catheter overuse at dialysis initiation. Studies advocate for risk-based thresholds, demonstrating comparable efficacy to eGFR alone. While the KDOQI vascular access guideline suggests a >50% risk threshold or eGFR <15 ml/min per 1.73 m², a >40% risk or eGFR of 15 ml/min per 1.73 m² is deemed acceptable for initiating vascular access referral based on current evidence. Lower risk thresholds, like >20%, enhance sensitivity and can prompt modality education or presurgical vascular access planning, particularly in centers with extended wait times. Link to the 2024 KDIGO Guidelines: https://lnkd.in/gDVT83EE #KDIGO2024 #ClinicalPracticeGuideline #ESRD #CKD #ESKD #Kidneydisease #RenalFailure #RenalReplacment #dialysis #hemodialysis #KRT #KidneyReplacementTherapy #CKDCare #ModalityEducation #VascularAccess #TransplantReferral #HealthcareGuidelines #MedicalDecisionMaking #KidneyHealth #PatientOutcomes #HealthcareManagement

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Learn about the successful management of suspected acute respiratory distress secondary to detergent aspiration in an 11-week-old female Pembroke Welsh Corgi jav.ma/pod

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In 2020, for every 1,000 elective surgical procedures, an average of 3.8 adult patients developed postoperative sepsis. Those aged 65 and older faced a greater risk-for every 1,000 elective surgical procedures, an average of 4.3 patients developed sepsis. Learn more in the AHRQ 2024 Chartbook on #PatientSafety. https://lnkd.in/e7j66B_Y

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In 2020, for every 1,000 elective surgical procedures, an average of 3.8 adult patients developed postoperative sepsis. Those aged 65 and older faced a greater risk-for every 1,000 elective surgical procedures, an average of 4.3 patients developed sepsis. Learn more in the AHRQ 2024 Chartbook on #PatientSafety. https://lnkd.in/e7j66B_Y

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Let's dive into the latest health and tech trends. On the premiere episode of Spill, Austin Lee Chiang, MD MPH and Raj Thomas, VP & President of our Endoscopy business explore the current state of health and how technology is changing the way it's managed. Watch their full conversation on Medtronic YouTube. https://lnkd.in/garJ7pv5

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Unleash the power of data and transform your #ASC. Listen to the newest episode of ASCA’s Advancing Surgical Care Podcast to learn how!

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Excellent new pathway for management of acute HF hospitalization - from ACC. https://lnkd.in/eUu9fwtx

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Whether you're considering expanding shoulder arthroplasty into the ASC or refining your approach, there will be something for you at this live webinar. Gain insights from Miguel Ramirez, MD, Joshua Port, MD, Brian W Hill, MD, and Christopher Bayne, MD, who will share their experiences and strategies integrating shoulder arthroplasty into the ASC. Register here: https://lnkd.in/gNtr7hB2 For healthcare professionals only. #TotalShoulder #ShoulderArthroplasty #ShoulderReplacement #OutpatientSurgery #ASCSurgery

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🔍 New insights in FET surgery! 🩺 #CardiacSurgery #AorticSurgery #FrozenElephantTrunk Our latest review, "Head-to-head: Zone 2 vs. Zone 3 Frozen Elephant Trunk," dives into the evolving practice of total arch replacement, comparing outcomes between Zone 2 (Z-2-FET) and Zone 3 (Z-3-FET) techniques. 📊 💡 Findings highlight Z-2-FET as the leading approach for better clinical outcomes, faster operative times, and ease of access—despite slightly less optimal aortic remodeling. 🌐 Don’t miss out on a deep dive into Z-0-FET's future potential as well! Click to read, explore, and stay ahead in FET advancements. https://lnkd.in/gNjWyFuG Jonathan Frimpong-Ansah Eric S. Weiss Alexey Kudrinskiy Sivaraj Pillai Govindasamy Sachin Srinivasan Brad Taylor MD, MPH Attaullah Khan Niazi Scott Cameron M.D., Ph.D. Gianluca Torregrossa Dr. Majid Aized

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In this observational study, ACGME Milestone assessments of surgical trainees can be predictive of subsequent clinical outcomes in their early career. https://ja.ma/4bo8v0x

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Simplify Your Scheduling Workflow With SurgiCalendar

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The ALTO Stent Graft is Anatomically Adaptive and Uniquely Powerful. Explore a Pre and Post #EVAR case example here: https://lnkd.in/gMdHsAJQ #AAA #vascsurg #EVAR US Rx Only. ISI: https://lnkd.in/gvXdfxd3

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Carilion's Neurosurgery Research Eric Marvin, DO, neurosurgeon, is working on research that could reduce side effects and surgical interventions for older adults with chronic subdural hematomas. When older adults experience a head injury—even a relatively minor one—blood can collect between the skull and the surface of the brain, where it can cause symptoms ranging from headache to paralysis or coma. Dr. Marvin’s research could potentially lead to the development of a sustained local drug delivery release system for treating this condition. This new treatment option could help patients avoid additional surgeries after an initial operation. There is also potential to reduce hospital stays and improve patient outcomes. Dr. Marvin in collaboration with third year neurosurgery resident, Kristine Ravina, MD are recipients of our Research Acceleration Program (RAP) award, a grant that funds our employees to start clinical, biomedical or behavioral research projects. Stay tuned here on LinkedIn for more RAP recipient highlights. Learn more about our RAP grant program https://lnkd.in/grsYdh5x

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⭕️ Explore the JUNE 2024 issue of EFORT Open Reviews: https://bit.ly/eor_06_2024 This issue of the official journal of EFORT includes articles on: 📄 Bosworth ankle fracture-dislocation: current concept review 📄 Does earlier bathing increase the risk of surgical site infection? A meta-analysis of 11 randomized controlled trials 📄 Tranexamic acid may benefit patients with preexisting thromboembolic risk undergoing total joint arthroplasty: a systematic review and meta-analysis 📄 Systematic review and meta-analysis of single-stage versus two-stage revision for periprosthetic joint infection after knee arthroplasty: a call for a randomised trial 📄 Practical management of renal cell carcinoma: integrating current approaches with advances in bone metastasis treatment 📄 Reconstructive surgery after distal fibular resection due to bone tumors: a technical report on surgical strategies and results from the PROSPERO international register of systematic reviews 📄 Three-dimensional planning, navigation, patient-specific instrumentation and mixed reality in shoulder arthroplasty: a digital orthopedic renaissance 📄 Biceps tendon autograft augmentation for rotator cuff and instability procedures: a narrative review 📄 Is endoscopic technique an effective and safe alternative for lumbar interbody fusion? A systematic review and meta-analysis 📄 Meta-analysis of the clinical efficacy and safety of single versus dual plate in the treatment of comminuted distal femur fractures 📄 Complications after volar plate synthesis for distal radius fractures Want to stay up-to-date with the latest news and content published in EFORT #OpenReviews? Register for journal alerts and receive the latest issue directly to your inbox as soon as it is published 📩 https://lnkd.in/dRzJUrcN #ankle #dislocation #infection #arthroplasty #TJA #PJI #periprostheticjointinfection #knee #oncology #carcinoma #bonetumor #bonemetastasis #reconstructivesurgery #shoulder #autograft #rotatorcuff #biceps #tendon #endoscopy #spine #lumbar #fracture #orthopedics #othopaedics #traumasurgery #openaccess

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The #ACR24 Review Course will feature eight lectures covering a broad range of topics for practicing rheumatologists. Learn more in ACR Convergence Today → https://acr.tw/48KHaVD

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#Openaccess Carlton et al: Frequency & Risk Factors for ⬆️Healthcare Utilization #pedsICU #SurvivingSepsis 🖥️2016–2019 MarketScan Comm & Medicaid Link: https://ow.ly/YILQ50TO3OO Editorial: https://ow.ly/UwG350TO3OQ Society of Critical Care Medicine Fig: Risk factors predicting 3d of healthcare use 90d post-sepsis discharge

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