Radiation oncology emergencies. Hematol Oncol Clin N ; 6: Sverha J, Borenstein M. Emergency complications of malignancy. Geriatric Emergency Medicine. Mc Graw-Hill.

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Embeds 0 No embeds. No notes for slide. Febrile Neutropenia 9. Febrile neutropenia Time to treatment Resistance to antibiotics Empiric antifungals Prophylactic antibiotics Impact of time to antibiotics on survival in patients with severe sepsis or septic shock in whom early goal-directed therapy was initiated in the emergency department. Crit Care Med. HR: 0. Antimicrobial prophylaxis and outpatient management of fever and neutropenia in adults treated for malignancy: American Society of Clinical Oncology clinical practice guideline.

J Clin Oncol. VRE: linezolid or daptomycin. ESBL-producing Enterobacteriaceae: carbapenems. KPC-producing gram-negative bacteria: colistin or tigecycline. Akova M, Alp S. Management of febrile neutropenia in the era of bacterial resistance. Ther Adv Infect Dis.

Clin Infect Dis. Hospitalized allogeneic HSCT recipients should be placed in a protected environment to reduce mold exposure strong recommendation; low- quality evidence.

In hospitals in which a protected environment is not available, we recommend admission to a private room, no connection to construction sites, and not allowing plants or cut flowers to be brought into the patient's room strong recommendation; low-quality evidence.

We recommend reasonable precautions to reduce mold exposure among outpatients at high risk for IA, including avoidance of gardening, spreading mulch compost , or close exposure to construction or renovation strong recommendation; low-quality evidence. Herbrecht R et al. N Engl J Med ; Oncologic Metabolic Emergencies. Emerg Med Clin North Am.

Wagner J, Arora S. Ann Intern Med. Furosemide should only be used to reverse overaggressive fluid replacement or in patients who show signs of volume overload. Patients may not respond to or may relapse after iv bisphosphonate therapy. Denosumab may offer a new treatment option for HCM. Denosumab for Treatment of Hypercalcemia of Malignancy. J Clin Endocrinol Metab. Major P, et al.

Sindrome de lisis tumoral Coiffier B. Convulsiones pobremente controladas. Guidelines for the management of pediatric and adult tumor lysis syndrome: an evidence-based review. J Clin Oncol Control of plasma uric acid in adults at risk for tumor Lysis syndrome: efficacy and safety of rasburicasealone and rasburicase followed by allopurinol compared with allopurinol alone--results of a multicenter phase III study.

Time to plasma uric acid control in hyperuricemic patients was 4 hours for rasburicase, 4 hours for rasburicase plus allopurinol, and 27 hours for allopurinol. Rasburicase was well tolerated as a single agent and in sequential combination with allopurinol. A randomized trial of a single-dose rasburicase versus five-daily doses in patients at risk for tumor lysis syndrome.

Ann Oncol. Single-doserasburicase was effective in most patients; only a subset of high-risk patients required a second dose. Howard SC et al. New England Journal of Medicine. May; 19 Loblaw A. NICE Guidance. Radiosensible Radioresistente Linfoma. Ca de mama. Short-course versus split-course radiotherapy in metastatic spinal cord compression: results of a phase III, randomized, multicenter trial.

Local disease control after decompressive surgery and adjuvant high-dose single-fraction radiosurgery for spine metastases. J Neurosurg Spine. Stent vena cava superior. You just clipped your first slide! Clipping is a handy way to collect important slides you want to go back to later.

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2008, Número 4






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