Search results for "Perioperative care"
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
Haloperidol, atypical antipsychotics carry similar risks for older patients after surgery
Low to moderate doses of haloperidol, olanzapine, quetiapine, or risperidone didn't differ in risk of inpatient mortality, arrhythmia, pneumonia, and stroke or transient ischemic attack, according to a retrospective study of postoperative patients ages 65 years and older.
https://acphospitalist.acponline.org/archives/2023/09/06/haloperidol-atypical-antipsychotics-carry-similar-risks-for-older-patients-after-surgery.htm
6 Sep 2023
Antimicrobial prophylaxis guidelines often not followed after elective surgery
A retrospective cohort study of 521,091 inpatient surgeries at 825 U.S. hospitals found that vancomycin was the most frequently misused agent and its use was associated with increased rates of acute kidney injury.
https://acphospitalist.acponline.org/archives/2023/02/22/antimicrobial-prophylaxis-guidelines-often-not-followed-after-elective-surgery.htm
22 Feb 2023
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
10th Annual Top Hospitalists issue
Meet our 2017 Top Docs.
https://acphospitalist.acponline.org/archives/2017/11/10th-annual-top-hospitalists.htm
15 Nov 2017
Postop atrial fibrillation carries same stroke risk as other new-onset atrial fibrillation
Patients who first developed atrial fibrillation within 30 days of surgery were less likely to be prescribed an anticoagulant, despite similar risks of stroke and transient ischemic attack as other patients with atrial fibrillation, a study found.
https://acphospitalist.acponline.org/archives/2022/07/27/postop-atrial-fibrillation-carries-same-stroke-risk-as-other-new-onset-atrial-fibrillation.htm
27 Jul 2022
Postoperative mortality risk low by one month after COVID-19, study finds
An analysis of surgeries in England since COVID-19 vaccines were widely available found that surgery within two weeks of a positive SARS-CoV-2 test carried a 1.1% mortality rate, which declined to 0.3% by four weeks after infection.
https://acphospitalist.acponline.org/archives/2023/04/05/free/postoperative-mortality-risk-low-by-one-month-after-covid-19-study-finds.htm
5 Apr 2023
Caring for cancer patients
Knowledge about the effects of cancer treatments on organ systems and the potential risks of surgery unique to cancer patients is becoming key.
https://acphospitalist.acponline.org/archives/2013/02/cancer.htm
15 Feb 2013
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
Guidelines recommend universal screening for cannabinoids prior to surgery
New recommendations from the American Society of Regional Anesthesia and Pain Medicine aim to help clinicians make safe, evidence-based decisions regarding the perioperative management of patients who consume cannabis.
https://acphospitalist.acponline.org/archives/2023/01/11/free/guidelines-recommend-universal-screening-for-cannabinoids-prior-to-surgery.htm
11 Jan 2023