Search results for "Perioperative care"


 
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Controversies in perioperative care

An anesthesiologist weighs in on whether to give carbohydrates before surgery and gabapentin after.
https://acphospitalist.acponline.org/archives/2025/03/19/controversies-in-perioperative-care.htm
19 Mar 2025

MKSAP quiz on perioperative care

These cases and commentary, which address perioperative care, are excerpted from ACP's Medical Knowledge Self-Assessment Program (MKSAP16).
https://acphospitalist.acponline.org/archives/2013/01/ty.htm
15 Jan 2013

Guiding perioperative care for bariatric surgery

Sleep apnea, diabetes among special concerns.
https://acphospitalist.acponline.org/archives/2008/03/surgery.htm
15 Mar 2008

New guidelines on perioperative evaluation and management

Cardiology experts released new guidelines on perioperative care of patients undergoing noncardiac surgery last week.
https://acphospitalist.acponline.org/weekly/archives/2014/08/06/1.htm
6 Aug 2014

The latest issue of ACP Hospitalist is online

The February issue of ACP Hospitalist is online. Featured stories examine the best use of ICU beds, how to teach residents to lead, and perioperative care of cancer patients.
https://acphospitalist.acponline.org/weekly/archives/2013/02/27/6.htm
27 Feb 2013

Letter from the Editor

This issue features stories on ICU care, resident training, and perioperative care for cancer patients, among others.
https://acphospitalist.acponline.org/archives/2013/02/lfe.htm
15 Feb 2013

Coding corner

Coding corner Billing for routine perioperative care by hospitalists may require modifiers.
https://acphospitalist.acponline.org/archives/2008/06/coding.htm
15 Jun 2008

MKSAP quiz on anticoagulation

Cases involving anticoagulants for afib after PCI, periprocedural anticoagulation, and others are presented.
https://acphospitalist.acponline.org/archives/2016/10/mskap-anticoagulation.htm
15 Oct 2016

MKSAP quiz on insulin

These cases and commentary, which focus on insulin, are excerpted from ACP's Medical Knowledge Self-Assessment Program (MKSAP16).
https://acphospitalist.acponline.org/archives/2014/04/ty.htm
15 Apr 2014

Over one-third of surgical inpatients experience adverse events, study suggests

Nearly two in five patients who underwent surgery at one of 11 hospitals in Massachusetts in 2018 experienced adverse events, 60% of which were considered potentially preventable.
https://acphospitalist.acponline.org/archives/2024/11/20/over-one-third-of-surgical-inpatients-experience-adverse-events-study-suggests.htm
20 Nov 2024

Low-risk patients can continue GLP-1 receptor agonists perioperatively, guideline says

Decision making about perioperative use of glucagon-like peptide-1 (GLP-1) receptor agonists should be collaborative and balance patients' metabolic need for the medication with their risk of delayed gastric emptying and aspiration, according to a new multisociety guideline.
https://acphospitalist.acponline.org/archives/2024/11/06/low-risk-patients-can-continue-glp-1-receptor-agonists-perioperatively-guideline-says.htm
6 Nov 2024

Periop cardiovascular guideline updated, calls for avoiding overscreening

The American College of Cardiology, American Heart Association, and other societies released new recommendations on evaluating and managing cardiovascular risk in patients undergoing noncardiac surgery.
https://acphospitalist.acponline.org/archives/2024/10/02/periop-cardiovascular-guideline-updated-calls-for-avoiding-overscreening.htm
2 Oct 2024

Safe to either continue or discontinue RAS inhibitors perioperatively, study finds

No differences in all-cause mortality or major postoperative complications were seen among patients whose renin-angiotensin system (RAS) inhibitors were continued or discontinued prior to major noncardiac surgery, though patients who continued the medications had a higher risk of hypotension during surgery, a trial in France found.
https://acphospitalist.acponline.org/archives/2024/09/11/safe-to-either-continue-or-discontinue-ras-inhibitors-perioperatively-study-finds.htm
11 Sep 2024

New appropriate use criteria offer framework for preop cardiac testing

The American College of Cardiology and other cardiology societies released a framework to guide the use of imaging in cardiovascular evaluation of patients undergoing nonemergent, noncardiac surgery.
https://acphospitalist.acponline.org/archives/2024/08/28/new-appropriate-use-criteria-offer-framework-for-preop-cardiac-testing.htm
28 Aug 2024

Postop afib that lasts 48 hours or longer associated with later recurrence

Cardiac surgery patients who had atrial fibrillation within four weeks of surgery had a 23% risk of recurrence at 12 months or later, which rose to 38% if the initial episode lasted at least 48 hours, a retrospective study found.
https://acphospitalist.acponline.org/archives/2024/07/31/postop-afib-that-lasts-48-hours-or-longer-associated-with-later-recurrence.htm
31 Jul 2024

Two common assessment methods highlight link between frailty and postoperative delirium

An analysis of elective surgery patients ages 70 years or older found that those assessed as frail by the frailty index or frailty phenotype had double the risk of postoperative delirium versus those who weren't frail.
https://acphospitalist.acponline.org/archives/2023/11/22/two-common-assessment-methods-highlight-link-between-frailty-and-postoperative-delirium.htm
22 Nov 2023

Buprenorphine, cannabis, and other periop challenges

Perioperative medication management is particularly tricky when it comes to patients who are already taking drugs for chronic pain.
https://acphospitalist.acponline.org/archives/2023/11/22/buprenorphine-cannabis-and-other-periop-challenges.htm
22 Nov 2023

Adding vancomycin to cefazolin didn't reduce infections among arthroplasty patients

Cefazolin plus vancomycin did not lead to lower surgical-site infection rates compared with cefazolin plus placebo in patients getting knee, hip, or shoulder replacement surgery, a randomized trial in Australia found.
https://acphospitalist.acponline.org/archives/2023/10/25/free/adding-vancomycin-to-cefazolin-didnt-reduce-infections-among-arthroplasty-patients.htm
25 Oct 2023

Use of preoperative cardiac testing varies problematically, can be changed, review finds

Patients who were older or had more comorbidities were more likely to get preoperative cardiac testing, but so were those seen by a preoperative clinic or a cardiologist rather than in primary care, according to a systematic review.
https://acphospitalist.acponline.org/archives/2023/09/27/use-of-preoperative-cardiac-testing-varies-problematically-can-be-changed-review-finds.htm
27 Sep 2023

Haloperidol, atypical antipsychotics carry similar risks for older patients after surgery

Low to moderate doses of haloperidol, olanzapine, quetiapine, or risperidone didn't differ in risk of inpatient mortality, arrhythmia, pneumonia, and stroke or transient ischemic attack, according to a retrospective study of postoperative patients ages 65 years and older.
https://acphospitalist.acponline.org/archives/2023/09/06/haloperidol-atypical-antipsychotics-carry-similar-risks-for-older-patients-after-surgery.htm
6 Sep 2023

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