Search results for "Perioperative Care"
Postoperative mortality risk low by one month after COVID-19, study finds
An analysis of surgeries in England since COVID-19 vaccines were widely available found that surgery within two weeks of a positive SARS-CoV-2 test carried a 1.1% mortality rate, which declined to 0.3% by four weeks after infection.
https://acphospitalist.acponline.org/archives/2023/04/05/free/postoperative-mortality-risk-low-by-one-month-after-covid-19-study-finds.htm
5 Apr 2023
Caring for cancer patients
Knowledge about the effects of cancer treatments on organ systems and the potential risks of surgery unique to cancer patients is becoming key.
https://acphospitalist.acponline.org/archives/2013/02/cancer.htm
15 Feb 2013
ESKD patients more likely to survive procedures when dialysis done closer to surgery
The 90-day mortality rate after a surgical procedure was 5.2% in Medicare patients with end-stage kidney disease (ESKD) who last underwent dialysis three days prior to surgery, compared to 4.7% with dialysis two days prior and 4.2% with it one day prior, a retrospective study found.
https://acphospitalist.acponline.org/archives/2022/11/09/eskd-patients-more-likely-to-survive-procedures-when-dialysis-done-closer-to-surgery.htm
9 Nov 2022
Guidelines recommend universal screening for cannabinoids prior to surgery
New recommendations from the American Society of Regional Anesthesia and Pain Medicine aim to help clinicians make safe, evidence-based decisions regarding the perioperative management of patients who consume cannabis.
https://acphospitalist.acponline.org/archives/2023/01/11/free/guidelines-recommend-universal-screening-for-cannabinoids-prior-to-surgery.htm
11 Jan 2023
Gabapentin associated with delirium, pneumonia in older postop patients
A propensity-matched study found that patients ages 65 years and older who received gabapentin after surgery had a 3.4% risk of delirium and 1.3% risk of pneumonia, compared to 2.6% and 1.2%, respectively, in patients not taking the drug. Risk of in-hospital death was similar between groups.
https://acphospitalist.acponline.org/archives/2022/09/28/gabapentin-associated-with-delirium-pneumonia-in-older-postop-patients.htm
28 Sep 2022
Questions and answers in periop medicine
Michael J. Maniaci, MD, ACP Member, reviewed data on cardiac and pulmonary perioperative exams and insulin and aspirin management at the Mayo Clinic Hospital Medicine 2017 conference.
https://acphospitalist.acponline.org/archives/2018/01/questions-and-answers-in-periop-medicine.htm
15 Jan 2018
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
Frailty screening intervention linked to reduced mortality in year after elective surgery
A best practice alert identified patients with frailty and prompted surgeons to document a frailty-informed shared decision-making process and/or refer for additional evaluation by a multidisciplinary presurgery clinic or a primary care physician.
https://acphospitalist.acponline.org/archives/2023/03/01/frailty-screening-intervention-linked-to-reduced-mortality-in-year-after-elective-surgery.htm
1 Mar 2023
Study finds higher thresholds of troponin I associated with death after cardiac surgery
The troponin level one day after surgery associated with higher risk for death at 30 days was 218 times the upper reference limit (URL) after isolated coronary artery bypass grafting or aortic valve replacement or repair and 499 times the URL after other cardiac surgery.
https://acphospitalist.acponline.org/archives/2022/03/09/study-finds-higher-thresholds-of-troponin-I-associated-with-death-after-cardiac-surgery.htm
9 Mar 2022
Restrictive postop opioid protocols associated with changes in opioid prescribing, chronic use
Opioids prescribed after surgery and rates of conversion to long-term therapy decreased after a protocol limiting postop opioid prescriptions to three days or fewer was implemented at a tertiary care cancer center.
https://acphospitalist.acponline.org/archives/2023/01/11/restrictive-postop-opioid-protocols-associated-with-changes-in-opioid-prescribing-chronic-use.htm
11 Jan 2023