MiMedx’s Post

Is delayed healing putting your patients at risk of an amputation? RCT outcomes have shown patients who received MIMEDX's Dehydrated Human Amnion/Chorion Membrane (DHACM) allografts had 2x to 3.8x faster wound closure in DFUs compared with the Standard of Care (SOC).¹,²* For VLUs, DHACM recipients had 60% more wound closure than the SOC at 16 weeks.³^ Learn more: https://bit.ly/41mNpLw 1. Zelen CM, et al. Int Wound J. 2013;10(5):502-507. 2. Zelen CM, et al. Int Wound J. 2015;12(6):724-732. 3. Bianchi C, et al. Int Wound J. 2018;15(1):114-122. *2x = based on mean time and 3.8x = based on median time, ^Per Protocol Group

Does your patient really need fluids and respond to fluid challenge? Physical assessment coupled with use of hemodynamic parameters drive determination of need.

💧 Maintenance Fluids Can Harm Critically Ill Patients 🏥 #CritBits Day 22 Key points on fluid management in hemodynamically unstable patients: 🔹 In healthy individuals: Only 25% of crystalloid fluids stay intravascular 🔹 In critically ill patients: As low as 5% remains intravascular 🔹 Excess interstitial fluid = increased organ edema and mortality risk 🚨 Important takeaways: 1. Hold maintenance fluids in unstable patients 2. Use boluses for volume resuscitation 3. Assess fluid responsiveness before administration (ultrasound, passive leg raise, etc.) What's your approach to maintenance fluids in critical care? Let's discuss! #CriticalCare #FluidManagement #MedicalEducation #ICU #emergencymedicine #shock #resuscitation

Perioperative #ECMO in liver #transplantation?? Feasible & encouraging outcomes! Largest reported series including VV (mostly), VA & VAV 🔍41.4% bridge to emergency #tx for acute liver failure or redo LT 🚨 13.3% intraoperative rescue VA #ECLS or #ECPR 🔎43.3% postoperative support ⚖️ 65.5% successfully weaned off, 51.7% survived to #ICU discharge 🫁 best results for VV, to be considered in select patients with refractory respiratory failure (if functioning graft) 🪦 poor outcome for intraop salvage, uncontrolled #sepsis, graft failure, bridge to emergency redo LT Open access #FOAMcc #FOAMecmo 🔓bit.ly/47S0fF7

Results from the 25-center study involving over 25,000 patients comparing the incidence of atrioesophageal fistulas (AEFs) - a highly serious and often fatal complication associated with RF cardiac ablations - before and after the implementation of proactive esophageal cooling™. What did the expert commentary by Douglas Kyrouac, MD, and James Daniels, MD, on PracticeUpdate say about it? "Based on this study, there appears to be a potentially significant beneficial effect to using esophageal cooling to avoid serious adverse complications with a minimal downside—an estimated 30-fold decreased risk of AEF compared with the current standard of care... Our center began using esophageal cooling more than 3 years ago, and we have reported additional patient and procedural advantages." See the full article by visiting: https://lnkd.in/eksR2r5P #ensoETM #PractiveCooling #PatientSafety #EPeeps

New findings in the Heart Rhythm Society Journal, Heart Rhythm, from the REAL AF registry show HFLTV ventilation improves outcomes in PsAF RF ablation. 210 patients undergoing index RF AF ablation with a PVI + posterior wall ablation strategy were included in the analysis. Patients undergoing ablation where HFLTV was used had a 43% relative risk reduction in the recurrence of atrial arrhythmias at 12 months compared to standard ventilation. HFLTV ventilation was also associated with shorter procedural times, reducing total radiofrequency time by nearly 8 minutes compared to standard ventilation, without increasing complication rates. https://lnkd.in/eJSd2zt3

💡Did you know catheter ablation is a non-surgical technique using a thin catheter to treat arrhythmias? NHCS performed the first radiofrequency catheter ablation in 1991 for a patient with Wolff-Parkinson-White syndrome, a congenital heart defect, marking a milestone in cardiac care. Today, over 400 ablation procedures are performed at NHCS yearly, helping patients improve symptoms and quality of life. #NHCSdidyouknow #CatheterAblation #Arrhythmias

HTN emergencies 🎯 #Avoid using rapidly acting sublingual #nifedipine and #captopril that may result in uncontrolled reduction of arterial pressure and marked organ hypoperfusion leading to catastrophic end-organ damage such as cerebral infarction, or acute myocardial infarction. 🎯#IV_diuretics should #not be used as initial therapy in a hypertensive crisis unless the patient presents in acute pulmonary oedema or there is evidence of extracellular volume expansion.

Use of the Saranas Early Bird Bleeding Monitoring System in patients undergoing high-risk percutaneous coronary intervention with mechanical circulatory support showed a significantly reduced rate of major bleeding against a prespecified historical incidence, a new study shows. Read more on #CRTonline. https://ow.ly/GiFP50R2mS6 #CRT2024

HTN emergencies 🎯 #Avoid using rapidly acting sublingual #nifedipine and #captopril that may result in uncontrolled reduction of arterial pressure and marked organ hypoperfusion leading to catastrophic end-organ damage such as cerebral infarction, or acute myocardial infarction. 🎯#IV_diuretics should #not be used as initial therapy in a hypertensive crisis unless the patient presents in acute pulmonary oedema or there is evidence of extracellular volume expansion.