Search results for "Procedures"
IV fluid bolus during intubation does not improve outcomes in the critically ill
A randomized clinical trial at 11 U.S. ICUs found no significant difference in cardiovascular (CV) collapse or death at 28 days between critically ill adults who received a 500-mL IV bolus before induction of anesthesia for tracheal intubation and those who did not.
https://acphospitalist.acponline.org/archives/2022/06/22/iv-fluid-bolus-during-intubation-does-not-improve-outcomes-in-the-critically-ill.htm
22 Jun 2022
Enteral tubes, insulin recalled
The FDA also recently approved a first-in-class type 2 diabetes drug and generic versions of sodium phosphate injections, lactated Ringer's with 5% dextrose injections, dapagliflozin, and digoxin tablets.
https://acphospitalist.acponline.org/archives/2022/05/25/enteral-tubes-insulin-recalled.htm
25 May 2022
AHA/ASA guideline addresses management of patients with spontaneous intracerebral hemorrhage
The American Heart Association/American Stroke Association (AHA/ASA) guideline updated the previous 2015 guideline and provided recommendations for reversing anticoagulation, lowering blood pressure, handling decisions to end life-sustaining treatment, and more.
https://acphospitalist.acponline.org/archives/2022/05/25/AHA-ASA-guideline-addresses-management-of-patients-with-spontaneous-intracerebral-hemorrhage.htm
25 May 2022
Experiencing mistreatment by patients, families, visitors linked to higher physician burnout rates
A study of about 6,500 U.S. physicians found that mistreatment and discriminatory behaviors by patients, families, and visitors within the previous year were common, especially for female and racial/ethnic minority physicians, and were associated with higher burnout rates.
https://acphospitalist.acponline.org/archives/2022/05/25/free/experiencing-mistreatment-by-patients-families-visitors-linked-to-higher-physician-burnout-rates.htm
25 May 2022
Hypocoagulopathy
Correct coding and sequencing of codes for patients admitted with hypocoagulopathy can be tricky.
https://acphospitalist.acponline.org/archives/2022/05/18/coding-corner-hypocoagulopathy.htm
18 May 2022
Manage meds to treat GI bleeding before, after endoscopy
Care of inpatients with GI bleeding is complicated and multidisciplinary, but hospitalists can contribute by starting and stopping the right drugs, according to a speaker at Internal Medicine Meeting 2022.
https://acphospitalist.acponline.org/archives/2022/05/18/free/manage-meds-to-treat-gi-bleeding-before-after-endoscopy.htm
18 May 2022
One-quarter of hospitalized Medicare patients experienced harm, government report finds
A new report from the HHS Office of Inspector General found that 25% of Medicare patients experienced adverse events or temporary harm events during their hospital stays in October 2018, and 43% of these were deemed preventable.
https://acphospitalist.acponline.org/archives/2022/05/18/free/one-quarter-of-hospitalized-medicare-patients-experienced-harm.htm
18 May 2022
Tips on taking transfers from surgery
Talk directly to the surgeon, peek at the wound, and don't be afraid to call with questions, experts advised.
https://acphospitalist.acponline.org/archives/2022/05/11/free/tips-on-taking-transfers-from-surgery.htm
11 May 2022
Flying thrombectomy teams faster than transferring stroke patients
The median time from the decision to pursue endovascular thrombectomy to the start of the procedure was 58 minutes in patients who received thrombectomy from interventionists deployed to them by helicopter and 148 minutes in patients transferred to the hospital, a German study found.
https://acphospitalist.acponline.org/archives/2022/05/11/flying-teams-to-perform-thrombectomy-faster-than-transferring-stroke-patients.htm
11 May 2022
Functional limitations associated with higher mortality risk after emergency surgery
In an analysis of Medicare patients admitted for emergency general surgery in 1992 through 2013, the presence of chronic conditions or geriatric syndromes at baseline did not predict mortality, but patients who also had functional limitations had higher risk of death after surgery.
https://acphospitalist.acponline.org/archives/2022/05/04/functional-limitations-associated-with-higher-mortality-risk-after-emergency-surgery.htm
4 May 2022