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Use of Intravenous Albumin Intravenous albumin is used in various clinical scenarios, such as volume resuscitation in hospitalized patients, complications of cirrhosis (ascites, SBP), and hypotension during dialysis.1 The goal of this guideline was to summarize the known benefits of intravenous albumin, and scenarios in which it is not helpful, to allow for judicious use of this therapy.1 Click here to view article and earn CME. Primary Care Behavioral Counseling Interventions to Support Breastfeeding The association between breastfeeding and health benefits in children has been previously well established; health benefits have also been found for women who breastfeed. However, breastfeeding rates in the US are relatively modest; as of 2021, 59.8% of infants at age 6 months are breastfed and 27.2% of infants at that age are exclusively breastfed. The US Preventive Services Task Force (USPSTF) commissioned a systematic review to evaluate the evidence on the benefits and harms of primary care behavioral counseling interventions to support breastfeeding. Click here to view article and earn CME. Long-Term Risk of Stroke After Transient Ischemic Attack or Minor Stroke A transient ischemic attack (TIA) or minor stroke is a critical warning event that provides an opportunity to prevent a more severe stroke.1 Research and clinical practice have primarily focused on secondary stroke prevention in the first 90 days after a TIA or minor stroke2-5 because the risk of a subsequent stroke is high during this period, with estimates reaching 17.3% after a TIA6 and 10.6% after a minor stroke.7 Modern secondary prevention strategies, including prompt diagnostic evaluation, early initiation of dual antiplatelet therapy for 21 to 90 days, and management of vascular risk factors, have been effective in reducing stroke risk in the short-term.8-11 However, the long-term prognosis of these patients is not well-defined. Click here to view article and earn CME.
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