Perioperative

Abstract Number: 259

THROMBOEMBOLIC AND BLEEDING EVENTS AFTER ANTICOAGULANT INTERRUPTION IN PATIENTS WITH MECHANICAL HEART VALVE HOSPITALIZED FOR EMERGENCY/URGENT NON-CARDIAC SURGERY

Background: Perioperative management of anticoagulant in mechanical valve patients is challenging, Current recommendations focus on management in patients undergoing elective surgery, while the data in patients hospitalized for emergency/urgency non-cardiac surgery is limited. We aimed [...]

By | 2019-03-11T14:22:06+00:00 March 11th, 2019|Hospital Medicine 2019, Perioperative, Research|Comments Off on THROMBOEMBOLIC AND BLEEDING EVENTS AFTER ANTICOAGULANT INTERRUPTION IN PATIENTS WITH MECHANICAL HEART VALVE HOSPITALIZED FOR EMERGENCY/URGENT NON-CARDIAC SURGERY

Abstract Number: 258

EFFECT OF INTRAVENOUS ACETAMINOPHEN ON POSTOPERATIVE OPIOID USE AND LENGTH OF STAY IN SURGICAL PATIENTS

Background: The use of opioids postoperatively is becoming common practice to achieve pain relief. The goal of the perioperative period is to relieve suffering, achieve early mobilization after surgery, and reduce length of stay (LOS). [...]

By | 2019-03-11T14:22:05+00:00 March 11th, 2019|Hospital Medicine 2019, Perioperative, Research|Comments Off on EFFECT OF INTRAVENOUS ACETAMINOPHEN ON POSTOPERATIVE OPIOID USE AND LENGTH OF STAY IN SURGICAL PATIENTS

Abstract Number: 257

THE OBESITY PARADOX AND ACUTE KIDNEY INJURY (AKI) IN ORTHOPEDIC SURGERY PATIENTS

Background: The Obesity Paradox postulates that obesity is a protective factor against mortality in certain chronic conditions such as chronic kidney disease (CKD) and congestive heart failure. Although this paradox is established in CKD, few [...]

By | 2019-03-11T14:22:03+00:00 March 11th, 2019|Hospital Medicine 2019, Perioperative, Research|Comments Off on THE OBESITY PARADOX AND ACUTE KIDNEY INJURY (AKI) IN ORTHOPEDIC SURGERY PATIENTS

Abstract Number: 256

DISCONTINUATION OF A COMANAGEMENT SERVICE: EFFECT ON LENGTH OF STAY, READMISSIONS, AND ECHOCARDIOGRAM UTILIZATION

Background: Based on the 2016 State of Hospital Medicine Report, 87% of hospital medicine groups provide surgical comanagement services. Despite its popularity, when studied, the benefits are inconsistent. The vast majority of comanagement research evaluates [...]

By | 2019-03-11T14:22:02+00:00 March 11th, 2019|Hospital Medicine 2019, Perioperative, Research|Comments Off on DISCONTINUATION OF A COMANAGEMENT SERVICE: EFFECT ON LENGTH OF STAY, READMISSIONS, AND ECHOCARDIOGRAM UTILIZATION

Abstract Number: 255

PREOPERATIVE ECHOCARDIOGRAM IN ACUTE HIP FRACTURES

Background: In 2014, the ACC/AHA released guidelines regarding indications for preoperative transthoracic echocardiogram (pre-op TTE) in patients undergoing noncardiac surgery. Studies indicate that the ordering of pre-op TTE in noncardiac surgery is not consistent with the [...]

By | 2019-03-11T14:22:00+00:00 March 11th, 2019|Hospital Medicine 2019, Perioperative, Research|Comments Off on PREOPERATIVE ECHOCARDIOGRAM IN ACUTE HIP FRACTURES

Abstract Number: 254

EFFECT OF INTRAOPERATIVE DEXAMETHASONE ADMINISTRATION ON POSTOPERATIVE HYPERGLYCEMIA IN PATIENTS WITH TYPE 2 DIABETES (T2D)

Background: The use of intraoperative dexamethasone has been on the rise because of its ability to reduce postoperative nausea, vomiting, pain and accelerate post-operative recovery. Use of intraoperative dexamethasone can result in uncontrolled hyperglycemia in [...]

By | 2019-03-11T14:21:58+00:00 March 11th, 2019|Hospital Medicine 2019, Perioperative, Research|Comments Off on EFFECT OF INTRAOPERATIVE DEXAMETHASONE ADMINISTRATION ON POSTOPERATIVE HYPERGLYCEMIA IN PATIENTS WITH TYPE 2 DIABETES (T2D)

Abstract Number: 253

INTERACTIVE SMART GUIDELINES WITH PARTICIPATORY DESIGN: APPLIED TO 2014 ACC/AHA PERIOPERATIVE CARDIOVASCULAR GUIDELINE

Background: Clinical practice guidelines (CPG) are a constructive response to the clinical situations providing systematically developed statements that include recommendations intended to optimize patient care. Despite their value, inadequate dissemination and implementation of the CPGs [...]

By | 2019-03-11T14:21:57+00:00 March 11th, 2019|Hospital Medicine 2019, Perioperative, Research|Comments Off on INTERACTIVE SMART GUIDELINES WITH PARTICIPATORY DESIGN: APPLIED TO 2014 ACC/AHA PERIOPERATIVE CARDIOVASCULAR GUIDELINE

Abstract Number: 252

CONTEMPORARY RATES OF PREOPERATIVE CARDIAC TESTING PRIOR TO INPATIENT HIP FRACTURE SURGERY

Background: Hip fracture is a common reason for urgent inpatient surgery. In the last few years, several professional societies have identified preoperative echocardiography and stress testing for non-cardiac surgeries as low-value diagnostics. Delaying hip fracture [...]

By | 2019-03-11T14:21:55+00:00 March 11th, 2019|Hospital Medicine 2019, Perioperative, Research|Comments Off on CONTEMPORARY RATES OF PREOPERATIVE CARDIAC TESTING PRIOR TO INPATIENT HIP FRACTURE SURGERY