
Building bridges to buprenorphine
Teaming substance use navigators with hospital clinicians helped one hospital better tackle substance use disorder.

Teaming substance use navigators with hospital clinicians helped one hospital better tackle substance use disorder.

The FDA also announced the first drug approval under its new priority voucher pilot program.
A very small trial compared measures of respiratory effort in the 24 hours after extubation by whether patients were randomized to high-flow nasal oxygen or conventional oxygen therapy and did not find statistically significant differences.
Hospitalists trained in point-of-care ultrasound (POCUS) found that left atrial anteroposterior diameter was a more specific and sensitive indicator of left atrial enlargement than visual assessment of the left atrium-to-aorta diameter, although both worked reasonably well.
The “social admissions” pathway at a hospital in Nova Scotia was often used for older adults with cognitive impairment, while younger adults admitted under this pathway frequently had alcohol use disorder and intellectual disabilities, a retrospective study found.
More than a third of patients hospitalized with acute heart failure had at least one cardiovascular-kidney-metabolic comorbidity, which the study defined as prior myocardial infarction, impaired kidney function, and diabetes.

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.

Point-of-care ultrasound (POCUS) is no longer the Wild West of academic internal medicine, with multiple recent guidance documents issued.

Routine use of cardiopulmonary point-of-care ultrasonography (POCUS) led to a 30.3% reduction in expected length of stay in patients with undifferentiated dyspnea.
A retrospective study of inpatients with possible community-acquired pneumonia (CAP) and a positive respiratory virus test found no difference in length of stay or mortality risk between those who got zero to two days of antibiotics versus those who got five to seven days.
Sepsis patients with macrophage activation-like syndrome or sepsis-induced immunoparalysis who were randomized to immunotherapy had greater reductions in their Sequential Organ Failure Assessment scores than those receiving standard care, according to a placebo-controlled trial.
Critically ill patients randomized to ketamine for anesthesia during tracheal intubation had similar inpatient mortality and higher risk of cardiovascular collapse during intubation than those who received etomidate, according to a new multicenter trial.
An algorithm developed by researchers in Switzerland shifted practice toward greater use of nonpharmacological interventions for delirium but did not reduce prevalence or duration of delirium on medical wards, a single-center study found.
Hospitalists should take a pat on the back, according to the authors of a study finding that inpatient mortality has resumed its prepandemic downward trend.

A little knowledge of history inspires caution and reflection about anticoagulation.