Hospital Medicine Alert – December 1, 2010

December 1, 2010

• Transcatheter Aortic Valve Implantation for Aortic Stenosis

  There is no medical therapy for aortic stenosis (AS), and balloon aortic valvuloplasty (BAV) has sub-optimal long-term results.

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• Neurological Complications of H1N1 Influenza in Children

  Children with H1N1 influenza are more likely to have neurologic complications compared to those with non-N1H1 seasonal influenza.

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• Is Hyperoxia Harmful After Resuscitation from Cardiac Arrest?

  In this study from 120 hospitals in the Project IMPACT database, the presence of hyperoxia (arterial PO2 300 mm Hg or higher) in the first 24 hours after resuscitation from cardiac arrest was associated with a worse in-hospital mortality than either normoxia or hypoxia.

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• Type B Aortic Dissection

  Indications for surgical or interventional management in acute type B aortic dissection (ABAD) include malperfusion syndromes, progression of dissection, and aneurysm expansion.

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• Unilateral Pulmonary Edema

  Cardiogenic unilateral pulmonary edema is unusual and, if it is the presenting manifestation of heart failure, diagnosis and appropriate treatment may be delayed.

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