Jones & Bartlett Learning Medicine Blog

    Tarascon Medical Procedures Pocketbook Now Available As An App

    Posted by Jennifer Sharp on Jul 30, 2013 5:17:04 PM

    The Tarascon Medical Procedures Pocketbook, a reference Doody's Review Service awarded 5 stars, has now been released as a mobile application for your Apple, Android and BlackBerry devices.

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    Topics: Google Play, iTunes, mobile medicine, Tarascon, primary care, esherick, General Medicine, mobile applications for doctors, mobile medicine, Tarascon Medical Procedures Pocketbook, blackberry world, Hospital Medicine Blog, medical procedures, mhealth

    Beta-Blockers: Beneficial For Older Patients with Chronic Obstructive Pulmonary Disease?

    Posted by Joseph Esherick on Jan 26, 2012 10:32:42 AM

    Dr. Joseph Esherick Monthly Blog – January 2012

    When I was in medical school in the early 1990’s, one of the principles that I learned was to never prescribe beta-blockers to patients with chronic obstructive pulmonary disease (COPD).  We knew that stimulation of beta-2 receptors caused bronchodilation and therefore the belief was that beta-blockers would cause bronchospasm and lead to COPD exacerbations.  This practice was analyzed in a Cochrane review by Salpeter et al. in 2005 which concluded that, “cardioselective beta-blockers, given to patients with COPD do not produce a significant short-term reduction in airway function or in the incidence of COPD exacerbations. “[1] Another study focusing on the treatment of systemic hypertension in patients with pulmonary disease also concluded that cardioselective beta-blockers (β1-selective antagonists) were safe to use in patients with stable COPD.[2] One final review of the available evidence came to the same conclusion that, “the use of cardioselective beta-blocker therapy in patients with cardiovascular disease and comorbid COPD [appears safe].”[3]

    These previous reviews attested to the safety of beta-blocker therapy in patients with stable, mild-moderate COPD.  However, a recent study analyzed the question whether beta-blockers in patients with COPD are beneficial if there is an indication for their use?[4]

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    Topics: cardiovascular disease, Dr. Joseph Esherick, Authors, Tarascon Medical Procedures Pocketbook, Tarascon Primary Care Pocketbook, beta-blocker therapy, beta-blockers, bronchospasm, Cardiology, chronic obstructive pulmonary disease, COPD, Hospital Medicine Blog, Tarascon Hospital Medicine Pocketbook

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