Dealing with devices
Preoperative assessment can involve an increasingly long list of medical devices. Learn what to do with them.
Controversies in perioperative care
An anesthesiologist weighs in on whether to give carbohydrates before surgery and gabapentin after.
New guideline covers platelet, plasma transfusions in critically ill adults
The American College of Chest Physicians set thresholds for platelet transfusions in critically ill patients with thrombocytopenia with and without active bleeding, as well as offering guidance on prophylactic transfusions of platelets and fresh frozen plasma for common procedures in critical care.
Cardio society's consensus statement offers guidance on cardiogenic shock
A new statement from the American College of Cardiology includes a proposed road map for the first 24 hours of cardiogenic shock evaluation and management, as well as a mnemonic for initial diagnosis.
Research Summaries | March 19, 2025 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.
Awake prone positioning reduces intubation, mortality in COVID-19, review finds
Being prone for at least 10 hours per day during the first three days of hospitalization was associated with a significant improvement in survival without intubation for patients with COVID-19 and respiratory failure, according to a new meta-analysis.
Limited evidence supports continuing buprenorphine for acute pain in patients with OUD
Available evidence supports the current best practice of continuing buprenorphine during episodes of acute pain for people with opioid use disorder (OUD) already prescribed this medication, a systematic review of 115 studies concluded.
Take a quiz about the March 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.
Starting small
An infectious disease physician and epidemiologist explains why it's often OK to start with narrower-spectrum antibiotics and escalate as needed, based on a recent study.
First rapid-acting insulin biosimilar approved
The FDA approved a biosimilar to rapid-acting insulin aspart, among other recent actions.
Guidance issued on providing high-value, low-carbon care
The Canadian Society of Internal Medicine and Choosing Wisely Canada recently released eight recommendations for climate-friendly care aimed at general internal medicine physicians.
Hospital finds multiple cases of C. diff with reduced susceptibility to fidaxomicin
Clostridioides difficile isolates with a clinically relevant reduced susceptibility to fidaxomicin were found in six patients at one facility, indicating the potential of such isolates to spread in health care settings, according to the authors of a new study.
Forgoing fasting before PCI or angiography is safe, acceptable, meta-analysis finds
There were no significant differences in safety outcomes between patients who were randomized to fast or not before cardiovascular procedures, but nonfasting patients reported higher levels of satisfaction, a meta-analysis found.
Finerenone is effective for heart failure with mildly reduced or preserved ejection fraction
Baseline heart failure type did not modify the benefit of finerenone, according to a new industry-funded analysis.
Get up to speed on skin failure
Experts' understanding of pressure injuries has changed, and recent thinking highlights the importance of hospitalist involvement.
Pressure injuries
Knowing whether a pressure injury was present on admission is key to documentation.
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