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Potassium chloride injections recalled

The FDA also announced the approval of the first generic version of rivaroxaban, among other actions.

Candida found in about 20% of patients who develop a BSI in the ICU

Patients diagnosed with a bloodstream infection (BSI) caused by Candida species were more likely than those with bacteremia to have been on invasive mechanical ventilation, vasopressors, or continuous renal replacement therapy at the time.

Outcomes similar with liberal, restrictive transfusion strategies in high-risk surgery

A trial randomized veterans with a hemoglobin level less than 10 g/dL after major vascular or general surgery to a transfusion trigger at a hemoglobin level less than 10 g/dL versus less than 7 g/dL and found no significant differences in mortality and complication rates.

Higher steroid doses not associated with improved outcomes in non-HIV PJP

In hypoxemic, immunocompromised patients with Pneumocystis jirovecii pneumonia (PJP) but not HIV, higher cumulative steroid doses were associated with higher 90-day mortality, a retrospective analysis found.

Professional coaching effective for managing physician burnout, review finds

Different interventions were effective for different health care professional roles, a review found, with mindfulness-based interventions reducing burnout among nurses and midwives but not physicians.

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Take a quiz about the Nov. 12 issue!

Every week, ACP Hospitalist posts a question about the previous week's issue. See how well you remember what you've read compared to other readers.

Photo courtesy of Dr Bressman

Tough questions for AI

A hospitalist researcher talks about what happens when large language models are asked to help with tricky care decisions.

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Bringing hospitalists to behavioral health

Hospitalists took on new part-time hybrid roles caring for patients in a psychiatric facility.

Thrombectomy superior to anticoagulation for PE in reducing RV/LV ratio, manufacturer trial shows

The proportion of pulmonary embolism (PE) patients who had a normalized right-to-left ventricular (RV/LV) diameter ratio at 48 hours was nearly threefold higher with computer-assisted vacuum thrombectomy compared with anticoagulation alone, according to a manufacturer-funded trial.

Clamping trials for chest drain removal didn't appear to reduce pneumothorax recurrence

About a third of patients requiring an intercostal chest drain for spontaneous pneumothorax underwent a clamping trial for drain removal, but the recurrence rate of pneumothorax was not significantly different with or without clamping, a retrospective British study found.

Levetiracetam linked to lower risk for recurrent poststroke seizure than valproic acid

Patients with a recent history of stroke who were admitted for a seizure were significantly less likely to be rehospitalized for another seizure if they were prescribed levetiracetam versus valproic acid before discharge, although their mortality risk did not differ, a retrospective study in Taiwan found.

More conservative dialysis strategy appeared to offer faster recovery from AKI

Patients with acute kidney injury (AKI) that had been treated with dialysis were randomized to a conservative strategy of dialysis only when metabolic or clinical indicators were met or a conventional strategy of thrice-weekly dialysis.

All aboard

Hospitalists look at standardizing the onboarding process.

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Chronic kidney disease

Many special considerations apply to coding of chronic kidney disease stages, including the need for a stable creatinine level to determine the patient's baseline.


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