Search results for "Perioperative Care"
Statins on day of heart surgery may improve survival, outcomes
After coronary artery bypass graft surgery, 30-day all-cause mortality was 1.7% in patients who took statins 24 hours or less before the operation, compared to 2.9% for those who took them 24 to 72 hours before and 3.8% for those who did not take them or whose last dose was more than 72 hours before surgery.
https://acphospitalist.acponline.org/weekly/archives/2017/03/22/3.htm
22 Mar 2017
Guidance released on acute care, periprocedural management of patients on NOACs
The American Heart Association's scientific statement offers recommendations on monitoring and reversal of non-vitamin K antagonist oral anticoagulants (NOACs), among other topics.
https://acphospitalist.acponline.org/weekly/archives/2017/02/15/4.htm
15 Feb 2017
ACC releases decision pathway for periop anticoagulation in nonvalvular afib
The pathway, based on expert consensus, offers recommendations on whether and how to periprocedurally bridge and the process of restarting anticoagulation after a procedure.
https://acphospitalist.acponline.org/weekly/archives/2017/01/25/3.htm
25 Jan 2017
WHO issues first-ever global guidelines for prevention of surgical site infections
The guidelines recommend 29 precautions that clinicians should take before, during, and after surgery to reduce the risk of surgical site infections.
https://acphospitalist.acponline.org/weekly/archives/2016/11/16/3.htm
16 Nov 2016
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
Score predicts PCI complications for patients with chronic total occlusion
Researchers identified 3 factors that were independent predictors of complication: age older than 65 years, lesion length of 23 mm or longer, and use of the retrograde approach.
https://acphospitalist.acponline.org/weekly/archives/2016/10/19/3.htm
19 Oct 2016
MKSAP quiz on anticoagulation
Cases involving anticoagulants for afib after PCI, periprocedural anticoagulation, and others are presented.
https://acphospitalist.acponline.org/archives/2016/10/mskap-anticoagulation.htm
15 Oct 2016
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
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
Acute kidney injury risk factors identified in orthopedic surgery patients
Researchers developed a risk score based on 7 factors: older age, male sex, diabetes, number of prescribed drugs, lower estimated glomerular filtration rate, use of angiotensin-converting enzyme inhibitors or angiotensin-receptor blockers, and higher American Society of Anesthesiologists grade.
https://acphospitalist.acponline.org/weekly/archives/2015/11/18/1.htm
18 Nov 2015