Infectious Complications of Solid Tumor Malignancy
This article discusses the epidemiology, pathophysiology, diagnosis, and management of common infections encountered in hospitalized patients with solid tumor malignancy. (Source: Hospital Medicine Clinics)
Source: Hospital Medicine Clinics - May 11, 2016 Category: Internal Medicine Source Type: research
Being an Oncology Hospitalist
This article introduces the role of oncology hospitalists and highlights the challenges that they face. Skills and concepts that are likely beneficial to oncology hospitalists are also discussed, including potential areas of research and innovation. In addition, current models of oncology hospitalist groups are outlined. (Source: Hospital Medicine Clinics)
Source: Hospital Medicine Clinics - May 11, 2016 Category: Internal Medicine Source Type: research
Principles of Radiation Therapy
This article discusses how radiation therapy is applied in some common malignancies seen in the inpatient setting and how to manage common adverse reactions. (Source: Hospital Medicine Clinics)
Source: Hospital Medicine Clinics - May 11, 2016 Category: Internal Medicine Source Type: research
Blood Transfusions for Hospitalized Patients with Cancer
This article summarizes the available treatment options for cancer-related anemia and offers guidance for transfusion of red blood cells, platelets, and other blood products in patients with cancer. Given the frequent need for transfusion of various blood products in this population and the known risks associated with transfusion, a review of common transfusion-associated complications is included. Oncology patient populations warranting special management consideration are also highlighted. (Source: Hospital Medicine Clinics)
Source: Hospital Medicine Clinics - May 11, 2016 Category: Internal Medicine Source Type: research
Value in the Perioperative Period
This article provides an example in the area of sleep apnea in which perioperative teams can provide value uniquely by being part of the team making the diagnosis. (Source: Hospital Medicine Clinics)
Source: Hospital Medicine Clinics - February 27, 2016 Category: Internal Medicine Source Type: research
Surgical Site Infections
Publication date: Available online 26 February 2016 Source:Hospital Medicine Clinics Author(s): Jennifer R. Lyden, E. Patchen DellingerTeaser Surgical site infections are the most common nosocomial infections in operative patients and are associated with increased length of stay, morbidity, mortality, and health care expenditure. They result from a complex interplay between patient-related, procedure-related, and microbe-related factors. Maximal prevention requires a multidisciplinary approach between surgeon, anesthetist, and hospitalist. Knowledge of effective antibiotic prophylaxis, glycemic control, and wound m...
Source: Hospital Medicine Clinics - February 27, 2016 Category: Internal Medicine Source Type: research
Perioperative Assessment of and Care for the Elderly and Frail
Publication date: Available online 22 February 2016 Source:Hospital Medicine Clinics Author(s): Rebecca S. Starr, Mihaela S. StefanTeaser Older adults should undergo the standard risk stratification based on the history, physical examination, and diagnostic tests, but the assessment should be supplemented with geriatric-specific evaluations including frailty, cognitive status, nutrition, functional status, and risk of delirium. Management of frail older adults provides many challenges to the surgical team. A multidisciplinary patient-centered approach implementing evidence-based interventions and hands-on rather th...
Source: Hospital Medicine Clinics - February 23, 2016 Category: Internal Medicine Source Type: research
Risk Assessment and Perioperative Care for Patients with Renal or Liver Disease
Publication date: Available online 20 February 2016 Source:Hospital Medicine Clinics Author(s): Kara J. Mitchell, Maya NarayananTeaser Chronic kidney disease and cirrhosis are common in patients anticipating surgery. Chronic kidney disease leads to increased operative morbidity and mortality that are largely caused by associated cardiovascular disease, for which these patients are at high risk. The single greatest risk factor for the development of acute kidney injury around the time of surgery is underlying chronic kidney disease. The excess perioperative morbidity and mortality related to cirrhosis and hepatitis ...
Source: Hospital Medicine Clinics - February 22, 2016 Category: Internal Medicine Source Type: research
High-Value, High-Quality Perioperative Care—A Collaborative Opportunity for Hospitalists
Publication date: Available online 17 February 2016 Source:Hospital Medicine Clinics Author(s): Rachel E. Thompson (Source: Hospital Medicine Clinics)
Source: Hospital Medicine Clinics - February 17, 2016 Category: Internal Medicine Source Type: research
Venous Thromboembolism Prevention and Perioperative Management of Anticoagulants
Publication date: Available online 13 February 2016 Source:Hospital Medicine Clinics Author(s): Roselyn Mateo, Suparna Dutta, Amir K. JafferTeaser Venous thromboembolism is a common cause of preventable death in surgical patients. Recommendations on the need for VTE prophylaxis as well as management of chronic anticoagulation or bridging anticoagulation during the perioperative period should be based in the patient's thromboembolic and bleeding risks, as well as the surgical risk. Pharmacologic options for VTE prophylaxis and treatment include heparin, vitamin K antagonists, aspirin, and the novel anticoagulants....
Source: Hospital Medicine Clinics - February 14, 2016 Category: Internal Medicine Source Type: research
Medication Management for Patients on Rheumatologic Agents or Chronic Steroids
Publication date: Available online 13 February 2016 Source:Hospital Medicine Clinics Author(s): Divya Gollapudi, Paul J. GrantTeaser The decision to temporarily discontinue rheumatologic medications perioperatively should be guided by type of surgery, risk of postoperative infection or rheumatologic disease flare, and patient preference. In general, nonbiologic disease-modifying antirheumatic drugs can be continued during the perioperative period. Biologic agents should be held before surgery and restarted when there is adequate surgical wound healing and in the absence of infection. Perioperative adrenal crisis is...
Source: Hospital Medicine Clinics - February 14, 2016 Category: Internal Medicine Source Type: research
Diabetes and Hyperglycemia in the Surgical Setting
This article discusses the evidence around outcomes associated with hyperglycemia, risk factors for developing perioperative hyperglycemia, approaches to screening for hyperglycemia, and management of hyperglycemia, as well as ideal glycemic targets preoperatively, intraoperatively, and postoperatively. (Source: Hospital Medicine Clinics)
Source: Hospital Medicine Clinics - February 14, 2016 Category: Internal Medicine Source Type: research
Planning for Perioperative Pain Management
Publication date: Available online 13 February 2016 Source:Hospital Medicine Clinics Author(s): Rebecca Dale, Tiffany Chen, Jane BallantyneTeaser Preoperative visits should include the formulation of a pain control plan that is shared with the patient and individualized to the patient’s prior pain experiences, comorbidities, and surgical procedure. Multimodal strategies using regional anesthesia and opioid-sparing analgesics should be implemented when possible to improve pain control and minimize opioid use and the associated adverse effects. Patient controlled analgesia is a particularly useful strategy for pa...
Source: Hospital Medicine Clinics - February 14, 2016 Category: Internal Medicine Source Type: research
Anesthesia Considerations for the Hospitalist
This article discusses anesthesia considerations for the hospitalist, and focuses on the anesthesia primer, acute anesthesia sequelae, and the hospitalist-anesthesiologist collaboration. (Source: Hospital Medicine Clinics)
Source: Hospital Medicine Clinics - February 14, 2016 Category: Internal Medicine Source Type: research
Perioperative Cardiac Risk Assessment and Management for Noncardiac Surgery
This article highlights the recent American College of Cardiology/American Heart Association perioperative guidelines and discusses risk assessment tools and strategies that have been used in an attempt to reduce perioperative cardiac complications. (Source: Hospital Medicine Clinics)
Source: Hospital Medicine Clinics - February 14, 2016 Category: Internal Medicine Source Type: research
