Search results for "Perioperative care"
Withholding antihypertensives around surgery didn't affect vascular complication rate
Patients who didn't take their hypertension medications before and for two days after surgery had a lower incidence of intraoperative hypotension, but no difference in hypotension after surgery compared to those who continued medications.
https://acphospitalist.acponline.org/archives/2023/04/26/withholding-antihypertensives-around-surgery-didnt-affect-vascular-complication-rate.htm
26 Apr 2023
Noncardiac surgery within six weeks of stent implantation raises complications risk
Non-conventional approach succeeds in extubating unweanable patients
https://acphospitalist.acponline.org/weekly/archives/2010/05/12/3.htm
12 May 2010
DOACs better than heparin for periop thromboprophylaxis, review finds
The systematic review and network meta-analysis found lower rates of symptomatic venous thromboembolism in surgical patients given direct oral anticoagulants (DOACs) versus the standard dose of low-molecular-weight heparin, without a significant increase in bleeding.
https://acphospitalist.acponline.org/archives/2022/03/16/doacs-better-than-heparin-for-periop-thromboprophylaxis.htm
16 Mar 2022
Antiplatelet, anticoagulation meds raise bleeding risk with cardiac device implantation
Kidney decline associated with higher mortality in patients with acute severe hypertension
https://acphospitalist.acponline.org/weekly/archives/2010/05/19/3.htm
19 May 2010
New guideline released on periop management of antithrombotic therapy
The American College of Chest Physicians issued 44 recommendations, covering use of vitamin K antagonists, heparin bridging, direct oral anticoagulants, and antiplatelet drugs in patients undergoing surgeries or procedures.
https://acphospitalist.acponline.org/archives/2022/08/17/free/new-guideline-released-on-periop-management-of-antithrombotic-therapy.htm
17 Aug 2022
PPIs associated with risk for postop pneumonia after CABG, study indicates
Proton-pump inhibitors (PPIs) may be associated with a higher risk for postoperative pneumonia after coronary artery bypass grafting (CABG) than H2-receptor antagonists, according to a new study.
https://acphospitalist.acponline.org/weekly/archives/2013/10/02/3.htm
2 Oct 2013
Adding vancomycin to cefazolin didn't reduce infections among arthroplasty patients
Cefazolin plus vancomycin did not lead to lower surgical-site infection rates compared with cefazolin plus placebo in patients getting knee, hip, or shoulder replacement surgery, a randomized trial in Australia found.
https://acphospitalist.acponline.org/archives/2023/10/25/free/adding-vancomycin-to-cefazolin-didnt-reduce-infections-among-arthroplasty-patients.htm
25 Oct 2023
A different score and factor to consider before surgery
Hospitalists should think beyond the Revised Cardiac Risk Index when providing preoperative assessments, attendees at Internal Medicine Meeting 2022 learned.
https://acphospitalist.acponline.org/archives/2022/05/04/a-different-score-and-factor-to-consider-before-surgery.htm
4 May 2022
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
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