April 26, 2023
Rural hospitalists face unique challenges, rewards
Hunting for beds in tertiary facilities and providing outpatient consults are among the diverse responsibilities of hospitalists in remote areas.
Huddle up
Hospital huddles are just the latest iteration in a long tradition.
Withholding antihypertensives around surgery didn't affect vascular complication rate
Patients who didn't take their hypertension medications before and for two days after surgery had a lower incidence of intraoperative hypotension, but no difference in hypotension after surgery compared to those who continued medications.
Sepsis scores perform poorly in COVID-19 patients, study finds
In the latest COVID-19 news, a retrospective analysis tested common inpatient risk scores using data from patients who presented to EDs early in the pandemic, and the FDA authorized additional boosters for older and immunocompromised patients.
Comparison of multiple blood cultures can accurately identify CLABSI, review finds
Differential time to positivity between central-line and peripheral cultures was both sensitive and specific for diagnosing central line-associated bloodstream infections (CLABSIs), although it worked less well when Staphylococcus aureus or Candida was present.
Noninvasive ventilation options appear to offer benefits over standard oxygen, review finds
Compared to standard oxygen therapy for patients with acute hypoxic respiratory failure, continuous positive airway pressure by helmet probably reduces mortality and high-flow nasal cannula probably reduces the need for invasive mechanical ventilation, according to moderate-certainty evidence.