Search results for "Opioids"
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
Owning OUD in the hospital
Less than 15% of patients with opioid use disorder (OUD) receive treatment with buprenorphine or methadone during hospitalization. New recommendations for hospitalists aim to change that.
https://acphospitalist.acponline.org/archives/2022/11/02/free/owning-oud-in-the-hospital.htm
2 Nov 2022
Review finds uncertain benefit of opioids for treating musculoskeletal pain in ED
Opioids provided statistically but not clinically greater pain relief compared with placebo and paracetamol and were no more effective than some nonopioid options, particularly NSAIDs, according to a meta-analysis.
https://acphospitalist.acponline.org/archives/2022/10/19/review-finds-uncertain-benefit-of-opioids-for-treating-musculoskeletal-pain-in-ed.htm
19 Oct 2022
Gabapentin associated with delirium, pneumonia in older postop patients
A propensity-matched study found that patients ages 65 years and older who received gabapentin after surgery had a 3.4% risk of delirium and 1.3% risk of pneumonia, compared to 2.6% and 1.2%, respectively, in patients not taking the drug. Risk of in-hospital death was similar between groups.
https://acphospitalist.acponline.org/archives/2022/09/28/gabapentin-associated-with-delirium-pneumonia-in-older-postop-patients.htm
28 Sep 2022
AHA offers guiding principles to treat infective endocarditis in patients who inject drugs
In patients who inject drugs, management of infective endocarditis without addiction treatment “is failing to treat the underlying cause of illness, an ideal that is a principal tenet in all other medical conditions,” the American Heart Association (AHA) said in a scientific statement.
https://acphospitalist.acponline.org/archives/2022/09/07/aha-offers-guiding-principles-to-treat-infective-endocarditis-in-patients-who-inject-drugs.htm
7 Sep 2022
New recommendations on managing patients with opioid use disorder from SHM
The Society of Hospital Medicine (SHM) released a consensus statement on the management of opioid use disorder in inpatients, including identification and treatment of the condition, pain management in patients with it, and care transitions.
https://acphospitalist.acponline.org/archives/2022/08/03/free/new-recommendations-on-managing-patients-with-opioid-use-disorder-from-shm.htm
3 Aug 2022
SHM selected new Choosing Wisely recommendations with patient input
The latest advice from the Society of Hospital Medicine (SHM) on avoiding low-value care includes recommendations against waking patients at night for routine care and against routinely prescribing venous thromboembolism prophylaxis to all inpatients.
https://acphospitalist.acponline.org/archives/2022/06/15/free/shm-selected-new-choosing-wisely-recommendations-with-patient-input.htm
15 Jun 2022
Pulse ox less accurate in non-White patients, affects COVID-19 treatment
One study compared measures of oxygen saturation by pulse oximetry and arterial blood in COVID-19 patients by race, finding that overestimates may delay treatment for Black patients. Another study found potential overuse of opioids and benzodiazepines at discharge from COVID-19 hospitalization.
https://acphospitalist.acponline.org/archives/2022/06/08/free/pulse-ox-less-accurate-in-non-white-patients-affects-covid-19-treatment.htm
8 Jun 2022
Enteral tubes, insulin recalled
The FDA also recently approved a first-in-class type 2 diabetes drug and generic versions of sodium phosphate injections, lactated Ringer's with 5% dextrose injections, dapagliflozin, and digoxin tablets.
https://acphospitalist.acponline.org/archives/2022/05/25/enteral-tubes-insulin-recalled.htm
25 May 2022
Learn the art of sickle cell treatment
An expert offered a housestaff-friendly, nursing-friendly, patient-friendly approach to vaso-occlusive crises in the hospital.
https://acphospitalist.acponline.org/archives/2022/05/25/free/learn-the-art-of-sickle-cell-treatment.htm
25 May 2022