Search results for "Procedures"
POCUS increased safety of paracentesis in patients with ascites, trainee study finds
Use of point-of-care ultrasound (POCUS) before paracentesis significantly changed the needle insertion location in two-thirds of studied cases, and six procedures were cancelled based on POCUS findings.
https://acphospitalist.acponline.org/weekly/archives/2021/08/11/3.htm
11 Aug 2021
Chief resident-led medical procedure service appears safe, successful
Internal medicine chief residents trained and supervised interns in ultrasound-guided procedures during a four-week rotation. Rates of overall procedure success, complications, and major complications were 94%, 2.6%, and 0.6%, respectively, according to analysis from 2011 to 2022.
https://acphospitalist.acponline.org/archives/2023/06/07/chief-resident-led-medical-procedure-service-appears-safe-successful.htm
7 Jun 2023
Study finds race, gender disparities in detection of substance use disorders in inpatients
Detection of alcohol use disorder was more likely among male compared to female patients and among White patients compared to Hispanic and Black patients.
https://acphospitalist.acponline.org/weekly/archives/2020/11/04/3.htm
4 Nov 2020
Spinal epidural abscess
A patient presented with acute-on-chronic lumbosacral back pain and new-onset urinary incontinence.
https://acphospitalist.acponline.org/archives/2023/11/01/free/spinal-epidural-abscess.htm
1 Nov 2023
Study finds early skill decay after paracentesis training in residency
In a study of internal medicine residents who underwent paracentesis simulation training, performance on the Paracentesis Competency Assessment Tool significantly declined three months later.
https://acphospitalist.acponline.org/weekly/archives/2020/09/30/3.htm
30 Sep 2020
October 26, 2022
ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2022/10/26/
Buprenorphine often discontinued around surgery despite risks
A retrospective cohort study of Veterans Affairs patients who were prescribed buprenorphine for the treatment of opioid use disorder in 2018 and hospitalized after major surgery found that about two-thirds experienced a perioperative buprenorphine dose hold.
https://acphospitalist.acponline.org/weekly/archives/2021/09/29/3.htm
29 Sep 2021
Medical procedure service trained residents with high success rate
Over a 4.5-year period at one academic medical center, 5,320 procedures were attempted, 58.7% by a supervised resident and 41.3% by an attending, with an overall success rate of 91.1% and a major complication rate of 0.8%.
https://acphospitalist.acponline.org/archives/2022/07/20/medical-procedure-service-trained-residents-with-high-success-rate.htm
20 Jul 2022
COVID-19 and obesity, AKI, DKA, antibiotics, symptom checkers, hospital prep
Acute kidney injury (AKI) and diabetic ketoacidosis (DKA) were worse with COVID-19, antibiotics were overused, and an online symptom checker didn't triage safely, but most hospitals had enough ICU beds and preprocedural COVID-19 testing showed that vaccinations reduced asymptomatic infections.
https://acphospitalist.acponline.org/weekly/archives/2021/03/17/1.htm
17 Mar 2021
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