October 5, 2022
Catheters and other plumbing problems
A urologist offered his tips for hospitalists on catheter placement and additional urological issues in a recent lecture.
How am I doing?
Our humor columnist imagines his online reviews.
Opt-out protocol increased antibiotic discontinuations in suspected sepsis
Inpatients on broad-spectrum antibiotics despite negative blood cultures were screened with a 23-item safety check and then randomized to usual care or messages to their prescribing clinicians encouraging discontinuation of antibiotics.
Symptoms persist long after ECMO for COVID-19, study finds
An analysis of French ICU patients who underwent extracorporeal membrane oxygenation (ECMO) for COVID-19 found that at one year, 44% had significant anxiety, 42% had depression symptoms, 42% were at risk for post-traumatic stress disorder, and only 38% had returned to work.
Early invasive treatment for NSTEMI may not benefit patients with chronic kidney disease
Early treatment for non-ST-segment elevation myocardial infarction (NSTEMI) was associated with a 30% improvement in survival compared to delayed treatment, but the association was attenuated as renal function declined, a retrospective study in Israel found.
Hypothermic temperature control did not improve survival after in-hospital cardiac arrest
A randomized controlled trial in Germany that compared 24 hours of mild therapeutic hypothermia to normothermia in comatose resuscitated patients found no difference in survival to discharge or in all-cause survival and functional outcomes at 180 days.