Search results for "Fluids"
A plan for paracentesis
A hospitalist launched a clinic to provide paracentesis to patients who repeatedly presented to the ED with ascites.
https://acphospitalist.acponline.org/archives/2024/05/22/free/a-plan-for-paracentesis.htm
22 May 2024
Neither rate nor type of fluid resuscitation affected outcomes in ICU patients, trial finds
A balanced solution was compared to a 0.9% saline solution in a large trial in Brazilian ICUs that also randomized the same patients to undergo fluid challenges at rates of either 333 mL/h or 999 mL/h.
https://acphospitalist.acponline.org/weekly/archives/2021/08/18/2.htm
18 Aug 2021
Physiologic assessment for shock associated with use of vasopressors but not fluids, study finds
The authors noted that physiologic assessment was not common in the first 24 hours after shock onset and was performed more often in sicker patients.
https://acphospitalist.acponline.org/weekly/archives/2020/07/08/3.htm
8 Jul 2020
Steward your fluids
Deresuscitation may be the next step in optimizing sepsis care.
https://acphospitalist.acponline.org/archives/2020/04/steward-your-fluids.htm
15 Apr 2020
Dynamic measures to guide fluid resuscitation may improve outcomes in septic shock
A randomized trial assigned patients with sepsis-associated hypotension to usual care or to assessment of fluid responsiveness with a passive leg raise before a fluid bolus was given or the vasopressor dose was increased.
https://acphospitalist.acponline.org/weekly/archives/2020/05/06/3.htm
6 May 2020
Sepsis and other inpatient emergencies
An intensivist offered hot tips for hospitalists during a precourse at Internal Medicine Meeting 2024.
https://acphospitalist.acponline.org/archives/2024/04/24/sepsis-and-other-inpatient-emergencies.htm
24 Apr 2024
June 22, 2022
ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2022/06/22/
More initial fluid didn't worsen outcomes in sepsis patients with heart, kidney, or liver disease
High-risk patients who received an IV crystalloid dosage of 30 mL/kg or more in the first six hours after sepsis diagnosis, as recommended by guidelines, had similar rates of respiratory failure as those who got less fluid, a retrospective study found.
https://acphospitalist.acponline.org/weekly/archives/2019/10/23/4.htm
23 Oct 2019
Fluid overload associated with adverse event risk in critically ill AKI patients
In a single-center retrospective study, those with fluid overload less than or equal to 10% were less likely to have major adverse kidney events than those with fluid overload greater than 10%.
https://acphospitalist.acponline.org/weekly/archives/2019/06/12/4.htm
12 Jun 2019
Antibiotic OKed for pneumonia, bloodstream, skin infections
In addition to approving ceftobiprole medocaril sodium for three different types of infection, the FDA authorized the first generic version of fidaxomicin, among other actions.
https://acphospitalist.acponline.org/archives/2024/04/10/antibiotic-oked-for-pneumonia-bloodstream-skin-infections.htm
10 Apr 2024