Search results for "Perioperative care"
Low-value preop screening frequently led to additional low-value care, study finds
Chest X-rays and EKGs of low-risk patients before low- or intermediate-risk surgery were followed by high rates of repeat tests, follow-up imaging, and follow-up visits, according to a retrospective analysis of Veterans Health Administration data.
https://acphospitalist.acponline.org/archives/2022/04/27/low-value-preop-screening-frequently-led-to-additional-low-value-care.htm
27 Apr 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
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
Weighing perioperative cardiac risk scores
Experts explain and compare the available tools, detailing which scores they prefer.
https://acphospitalist.acponline.org/archives/2021/03/weighing-perioperative-cardiac-risk-scores.htm
15 Mar 2021
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
MKSAP quiz on anticoagulation
Cases involving anticoagulants for afib after PCI, periprocedural anticoagulation, and others are presented.
https://acphospitalist.acponline.org/archives/2016/10/mskap-anticoagulation.htm
15 Oct 2016
Study finds higher thresholds of troponin I associated with death after cardiac surgery
The troponin level one day after surgery associated with higher risk for death at 30 days was 218 times the upper reference limit (URL) after isolated coronary artery bypass grafting or aortic valve replacement or repair and 499 times the URL after other cardiac surgery.
https://acphospitalist.acponline.org/archives/2022/03/09/study-finds-higher-thresholds-of-troponin-I-associated-with-death-after-cardiac-surgery.htm
9 Mar 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
A tale of two meetings
A tale of two meetings.
https://acphospitalist.acponline.org/archives/2008/01/meetings.htm
15 Jan 2008