Session Type
Meeting
Search Results for Perioperative
Abstract Number: 252
Hospital Medicine 2019, March 24-27, National Harbor, Md.
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 surgery beyond 48 hours leads to worse outcomes. We sought to describe the prevalence of preoperative cardiac testing for inpatient […]
Abstract Number: 254
Hospital Medicine 2019, March 24-27, National Harbor, Md.
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 the postoperative period especially in patients with a diagnosis of diabetes. The extent and duration of post-operative steroid-induced hyperglycemia is […]
Abstract Number: 274
SHM Converge 2021
Background: The elderly population is growing rapidly and those aged 65 and older comprise nearly 40 percent of hospitalized adults. As the population continues to age, this number is expected to rise. Promoting age-friendly care has been at the forefront of many health systems’ goals. Purpose: Our Hospital Medicine Group’s Orthopedic Hospitalist co-management program set […]
Abstract Number: 275
SHM Converge 2021
Background: Perioperative patient management in accordance with the clinical practice guidelines is effective only when followed. The ACC/AHA perioperative guidelines contain many recommendations which cannot be translated in electronic health record alerts or order sets. Purpose: We built an app to improve efficiency in preoperative evaluations based on the ACC/AHA guidelines. We present results of […]
Abstract Number: 353
SHM Converge 2023
Background: Novant Health is a leading healthcare provider in North Carolina, with 15 hospitals and 14 ambulatory surgery centers across the state. In the preoperative assessment arena, there are currently ten pre-admission testing clinics that are staffed by either hospitalists, anesthesia providers, or both. Variable preoperative assessment criteria exist for each surgical location, with no […]
Abstract Number: 367
Hospital Medicine 2020, Virtual Competition
Background: Perioperative co-management has become an increasingly important part of a hospitalist’s role. A new MSIV course was created to teach and showcase this unique aspect of hospital medicine to medical students. Perioperative co-management can provide excellent educational value and a new framework of thinking for medical students regardless of the specialty they pursue. Purpose: […]
Abstract Number: 374
SHM Converge 2024
Background: Background: As healthcare systems evolve to provide more efficient and patient-centered care, the utilization of ambulatory surgery centers (ASCs) has become increasingly common. These centers offer a convenient and cost-effective alternative to traditional inpatient hospitalization for a wide range of surgical procedures. However, proper preoperative evaluation and decision-making are critical to ensure patients are […]
Abstract Number: 375
SHM Converge 2024
Background: At Thomas Jefferson University Hospital (TJUH) in Philadelphia, Pennsylvania, 4th year medical students can complete an elective in Perioperative and Consultative Medicine. The Farber Hospitalist Division is a unique Hospital Medicine Division in the Department of Neurosurgery that runs the medicine consult service and specializes in neurosurgical co-management at both TJUH Main Campus and […]
Abstract Number: 695
SHM Converge 2024
Case Presentation: A 66-year old woman with a history of obesity and hypertension presented with a right femoral neck fracture after a mechanical fall. She underwent a right total hip arthroplasty and the anesthesiologist reported transient intraoperative hypoxia during cement placement. In the recovery room, the patient was hypotensive, tachycardic and hypoxic requiring up to […]
Abstract Number: 742
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 62 YO woman with PMHx significant for type 2 DM, HTN, CAD with a previous MI, and OSA was recovering as expected from elective decompressive laminectomy. On POD 4 she developed nausea, confusion, and lethargy. The hospitalist service was consulted, prompting a metabolic work-up that suggested anion gap metabolic acidosis. There were […]