Search results for "Perioperative care"
ACC releases decision pathway for periop anticoagulation in nonvalvular afib
The pathway, based on expert consensus, offers recommendations on whether and how to periprocedurally bridge and the process of restarting anticoagulation after a procedure.
https://acphospitalist.acponline.org/weekly/archives/2017/01/25/3.htm
25 Jan 2017
A different score and factor to consider before surgery
Hospitalists should think beyond the Revised Cardiac Risk Index when providing preoperative assessments, attendees at Internal Medicine Meeting 2022 learned.
https://acphospitalist.acponline.org/archives/2022/05/04/a-different-score-and-factor-to-consider-before-surgery.htm
4 May 2022
WHO issues first-ever global guidelines for prevention of surgical site infections
The guidelines recommend 29 precautions that clinicians should take before, during, and after surgery to reduce the risk of surgical site infections.
https://acphospitalist.acponline.org/weekly/archives/2016/11/16/3.htm
16 Nov 2016
DOACs better than heparin for periop thromboprophylaxis, review finds
The systematic review and network meta-analysis found lower rates of symptomatic venous thromboembolism in surgical patients given direct oral anticoagulants (DOACs) versus the standard dose of low-molecular-weight heparin, without a significant increase in bleeding.
https://acphospitalist.acponline.org/archives/2022/03/16/doacs-better-than-heparin-for-periop-thromboprophylaxis.htm
16 Mar 2022
Score predicts PCI complications for patients with chronic total occlusion
Researchers identified 3 factors that were independent predictors of complication: age older than 65 years, lesion length of 23 mm or longer, and use of the retrograde approach.
https://acphospitalist.acponline.org/weekly/archives/2016/10/19/3.htm
19 Oct 2016
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
Protocol for dabigatran management avoids bridging, showed low risk of bleeding
A protocol for perioperative management of dabigatran resulted in few bleeding or thromboembolic complications, a recent study found.
https://acphospitalist.acponline.org/weekly/archives/2015/05/20/4.htm
20 May 2015
New guideline released on periop management of antithrombotic therapy
The American College of Chest Physicians issued 44 recommendations, covering use of vitamin K antagonists, heparin bridging, direct oral anticoagulants, and antiplatelet drugs in patients undergoing surgeries or procedures.
https://acphospitalist.acponline.org/archives/2022/08/17/free/new-guideline-released-on-periop-management-of-antithrombotic-therapy.htm
17 Aug 2022
Antiplatelet, anticoagulation meds raise bleeding risk with cardiac device implantation
Kidney decline associated with higher mortality in patients with acute severe hypertension
https://acphospitalist.acponline.org/weekly/archives/2010/05/19/3.htm
19 May 2010
Recommendations on preventing surgical-site infections updated
The latest recommendations from the Society for Healthcare Epidemiology of America lowered the recommended postoperative target glucose level from less than 180 mg/dL to between 110 and 150 mg/dL, among other changes.
https://acphospitalist.acponline.org/archives/2023/05/10/recommendations-on-preventing-surgical-site-infections-updated.htm
10 May 2023