Search results for "Anticoagulation"
Buprenorphine, cannabis, and other periop challenges
Perioperative medication management is particularly tricky when it comes to patients who are already taking drugs for chronic pain.
https://acphospitalist.acponline.org/archives/2023/11/22/buprenorphine-cannabis-and-other-periop-challenges.htm
22 Nov 2023
Off-label dosing of DOACs at discharge common in afib patients
More than 10% of patients hospitalized with afib receive a direct-acting oral anticoagulant (DOAC) at less or more than the recommended dose at discharge, according to data from the Get With The Guidelines-Atrial Fibrillation registry.
https://acphospitalist.acponline.org/archives/2023/11/15/off-label-dosing-of-doacs-at-discharge-common-in-afib-patients.htm
15 Nov 2023
Catheter-directed thrombolysis reduced mortality versus anticoagulation alone in PE
For patients with acute pulmonary embolism, including those at intermediate risk, anticoagulation carried a lower risk of major bleeding than catheter-directed or systemic thrombolysis, a recent review also found.
https://acphospitalist.acponline.org/archives/2023/10/25/catheter-directed-thrombolysis-reduced-mortality-versus-anticoagulation-alone-in-pe.htm
25 Oct 2023
Switching to newer oral anticoagulant didn't benefit frail older patients with afib
A randomized trial that switched some frail atrial fibrillation patients from vitamin K antagonists (VKAs) to non-vitamin K oral anticoagulants found that such patients had more bleeding and no decrease in thromboembolic events compared to those who stayed on a VKA.
https://acphospitalist.acponline.org/archives/2023/09/06/switching-to-newer-oral-anticoagulant-didnt-benefit-frail-older-patients-with-afib.htm
6 Sep 2023
FDA provides info on stimulant shortage
Also, a sterilizer for 3D-printed medical devices, a drug for postpartum depression, and an RSV vaccine for pregnant patients were approved, among other recent FDA actions.
https://acphospitalist.acponline.org/archives/2023/08/30/fda-provides-info-on-stimulant-shortage.htm
30 Aug 2023
Chest physicians make 11 recommendations on antithrombotic therapy in COVID-19
The recommendations on prevention and management of arterial thrombosis and thromboembolism are not a major departure from prepandemic ones, according to an expert panel from the American College of Chest Physicians.
https://acphospitalist.acponline.org/archives/2023/07/05/free/chest-physicians-make-11-recommendations-on-antithrombotic-therapy-in-covid-19.htm
5 Jul 2023
Higher-dose prophylactic anticoagulation required to prevent thrombosis in hypoxemic COVID-19
Mortality and time to improvement didn't differ with twice the standard dose of heparin versus a standard or therapeutic dose, but there was a lower rate of new thromboembolic events with no increase in major bleeding, a French trial found.
https://acphospitalist.acponline.org/archives/2023/03/29/free/higher-dose-prophylactic-anticoagulation-needed-to-prevent-thrombosis-in-hypoxemic-covid-19.htm
29 Mar 2023
AHA issues scientific statement on managing atrial fibrillation during hospitalization
Acute manifestations of atrial fibrillation warrant clinical attention during hospitalization, at transitions of care, and over the long term, said the American Heart Association (AHA) statement, which reviewed triggers and treatments for the condition.
https://acphospitalist.acponline.org/archives/2023/03/22/free/aha-issues-scientific-statement-on-managing-atrial-fibrillation-during-hospitalization.htm
22 Mar 2023
Superior vena cava occlusion without malignancy
A patient with end-stage renal disease presented with one week of facial and left-arm edema.
https://acphospitalist.acponline.org/archives/2023/03/15/free/superior-vena-cava-occlusion-without-malignancy.htm
15 Mar 2023
Aspirin noninferior to LMWH for prophylaxis after traumatic fractures, trial finds
All-cause mortality at 90 days was similar in hospitalized patients randomized to aspirin versus low-molecular-weight heparin (LMWH), and rates of deep venous thrombosis and pulmonary embolism were also low in both groups.
https://acphospitalist.acponline.org/archives/2023/01/25/aspirin-noninferior-to-lmwh-for-prophylaxis-after-traumatic-fractures-trial-finds.htm
25 Jan 2023