Search results for "Opioids"
Opioid agonist therapy infrequently prescribed during hospitalization for veterans with opioid use disorder
About 15% of inpatients with opioid use disorder received methadone or buprenorphine in the hospital, and the vast majority of patients who were not on opioid agonist therapy prior to admission did not receive it during hospitalization.
https://acphospitalist.acponline.org/weekly/archives/2020/04/22/4.htm
22 Apr 2020
Considering ketamine
Evidence is limited, but low-dose ketamine may be an appropriate adjunct or alternative to opioids for certain patients in pain.
https://acphospitalist.acponline.org/archives/2023/08/02/free/considering-ketamine.htm
2 Aug 2023
Few internal medicine residency programs provide clinical opioid-related training
A 2019 survey of members of the Association of Program Directors in Internal Medicine found that while 82% of programs required some training in safe opioid prescribing and opioid use disorder treatment, few programs required clinical experiences.
https://acphospitalist.acponline.org/weekly/archives/2021/11/10/4.htm
10 Nov 2021
Team up to treat opioid addiction
Hospitalists can improve care even without the expertise of an addiction medicine consult service.
https://acphospitalist.acponline.org/archives/2021/09/team-up-to-treat-opioid-addiction.htm
15 Sep 2021
Prescription of opioids at hospital discharge may vary by race/ethnicity
A single-center, retrospective analysis of patients who received opioids in the last 24 hours of hospitalization found that Black patients were less likely than White or Asian patients to be prescribed opioids at discharge.
https://acphospitalist.acponline.org/weekly/archives/2021/09/22/3.htm
22 Sep 2021
Documenting opioid disorders
There are 11 different DSM-5 clinical criteria for opioid-related disorders, and severity is determined by the number of diagnostic criteria applicable to each patient.
https://acphospitalist.acponline.org/archives/2022/11/02/documenting-opioid-disorders.htm
2 Nov 2022
Opioid exposure linked to increased risk of delirium in critically ill adults
A Dutch study found that opioid use in the ICU increased the daily risk of delirium by 45% in a dose-dependent manner and that this increased risk was independent of the degree of pain present.
https://acphospitalist.acponline.org/weekly/archives/2021/04/21/5.htm
21 Apr 2021
Treating addiction behind bars
Incarcerated patients have a right to medication for opioid use disorder, and hospitalists can help them access it.
https://acphospitalist.acponline.org/archives/2023/05/31/treating-addiction-behind-bars.htm
31 May 2023
A closer look at HAP
Hospital-acquired pneumonia (HAP) is both more dangerous and more complex than previously thought, says the author of a recent study.
https://acphospitalist.acponline.org/archives/2023/07/12/a-closer-look-at-hap.htm
12 Jul 2023
Encouraging use of subcutaneous opioids reduces IV opioid prescribing, pilot study finds
One general medicine unit educated prescribers and nursing staff about subcutaneous opioid administration and successfully adopted a standard of practice preferring oral and subcutaneous opioids over IVs.
https://acphospitalist.acponline.org/weekly/archives/2018/05/23/2.htm
23 May 2018