Search results for "Perioperative care"
High-dose atorvastatin may not reduce AKI after cardiac surgery
The study's results do not support the initiation of statin therapy to prevent acute kidney injury following cardiac surgery but do provide evidence that continuing perioperative statin therapy is safe, said an accompanying editorial.
https://acphospitalist.acponline.org/weekly/archives/2016/03/09/4.htm
9 Mar 2016
Withholding antihypertensives around surgery didn't affect vascular complication rate
Patients who didn't take their hypertension medications before and for two days after surgery had a lower incidence of intraoperative hypotension, but no difference in hypotension after surgery compared to those who continued medications.
https://acphospitalist.acponline.org/archives/2023/04/26/withholding-antihypertensives-around-surgery-didnt-affect-vascular-complication-rate.htm
26 Apr 2023
Tranexamic acid did not increase risk of death, thrombotic complications after coronary artery surgery, study finds
In addition, researchers found that the antifibrinolytic agent was associated with a lower risk of bleeding complications and a higher risk of postoperative seizures compared to placebo.
https://acphospitalist.acponline.org/weekly/archives/2016/11/02/1.htm
2 Nov 2016
Haloperidol, atypical antipsychotics carry similar risks for older patients after surgery
Low to moderate doses of haloperidol, olanzapine, quetiapine, or risperidone didn't differ in risk of inpatient mortality, arrhythmia, pneumonia, and stroke or transient ischemic attack, according to a retrospective study of postoperative patients ages 65 years and older.
https://acphospitalist.acponline.org/archives/2023/09/06/haloperidol-atypical-antipsychotics-carry-similar-risks-for-older-patients-after-surgery.htm
6 Sep 2023
Similar outcomes in patients taking aspirin, placebo before coronary artery surgery
The primary outcome of the study was a composite of death and thrombotic complications within 30 days of surgery, but researchers also looked at rates of major hemorrhage leading to reoperation.
https://acphospitalist.acponline.org/weekly/archives/2016/03/02/3.htm
2 Mar 2016
Recommendations on preventing surgical-site infections updated
The latest recommendations from the Society for Healthcare Epidemiology of America lowered the recommended postoperative target glucose level from less than 180 mg/dL to between 110 and 150 mg/dL, among other changes.
https://acphospitalist.acponline.org/archives/2023/05/10/recommendations-on-preventing-surgical-site-infections-updated.htm
10 May 2023
Noncardiac surgery within six weeks of stent implantation raises complications risk
Non-conventional approach succeeds in extubating unweanable patients
https://acphospitalist.acponline.org/weekly/archives/2010/05/12/3.htm
12 May 2010
Antimicrobial prophylaxis guidelines often not followed after elective surgery
A retrospective cohort study of 521,091 inpatient surgeries at 825 U.S. hospitals found that vancomycin was the most frequently misused agent and its use was associated with increased rates of acute kidney injury.
https://acphospitalist.acponline.org/archives/2023/02/22/antimicrobial-prophylaxis-guidelines-often-not-followed-after-elective-surgery.htm
22 Feb 2023
Sedative premedication before surgery may not improve patient experience, outcomes
Patients who receive sedative premedication with lorazepam before elective surgery involving general anesthesia may not benefit, according to a new study.
https://acphospitalist.acponline.org/weekly/archives/2015/03/11/4.htm
11 Mar 2015
New guideline released on periop management of antithrombotic therapy
The American College of Chest Physicians issued 44 recommendations, covering use of vitamin K antagonists, heparin bridging, direct oral anticoagulants, and antiplatelet drugs in patients undergoing surgeries or procedures.
https://acphospitalist.acponline.org/archives/2022/08/17/free/new-guideline-released-on-periop-management-of-antithrombotic-therapy.htm
17 Aug 2022