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2 Minute Medicine | September 30, 2014

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Fenoldopam ineffective for renal injury after cardiac surgery

September 29, 2014 |

1. Fenoldopam did not significantly improve mortality or reduce dialysis initiation in patients with acute kidney injury (AKI) after cardiac surgery.

2. The patients receiving fenoldopam had significantly higher rates of hypotension than the control group.

Evidence Rating Level: 1 (Excellent)

Study Rundown: Acute kidney injury (AKI) is a common post-operative complication … Read More

Continuous albuterol thought to be safe in floor setting

September 29, 2014 |

1. Children treated with continuous aerosolized albuterol (CAA) in a non-intensive care unit (ICU) setting had low rates of adverse events and clinical deterioration.

2. Concomitant pneumonia, history of previous hospitalizations, and severe symptoms at presentation were more likely to predict clinical deterioration in patients requiring CAA.

Evidence Rating Level: … Read More

Postresuscitation care may be needed regardless of PPV duration

September 29, 2014 |

1. Among infants born at > 35 weeks, the majority of neonates studied required postresuscitation care (PRC) including ventilator support, parenteral nutrition, or prolonged intensive care stay regardless of short (< 1 min) or prolonged (≥ 1 min) positive pressure ventilation (PPV) at birth.

2. Placental abruption, preterm and small … Read More

AAP policy update recommends first-line contraceptives, addresses special populations

September 29, 2014 |

1. The American Academy of Pediatricians (AAP) recommends that pediatricians offer long-acting reversible contraceptives (LARC) such as the IUD or progestin implants as first line contraceptive methods, given their efficacy and safety.

2. The APP continues to encourage physicians to consistently address sexual health and behavior with their patients and … Read More