
An old idea made new
Hospitalists are rediscovering the benefits of ordering subcutaneous opioids.

Hospitalists are rediscovering the benefits of ordering subcutaneous opioids.

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

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.

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

Hospitalists took on new part-time hybrid roles caring for patients in a psychiatric facility.
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.
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.
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.
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.
Hospitalists look at standardizing the onboarding process.

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.