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Search Results for catheter
Abstract Number: 350
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Hemorrhagic complications after cardiac catheterization (CC) and percutaneous coronary intervention (PCI) are associated with an increased risk of mortality. In review of a large catheterization registry, blood transfusions were required following 1.4% of radial access and 2.8% of femoral access PCIs, respectively. While there is a standardized protocol for obtaining a blood type and […]
Abstract Number: 357
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Catheter Associated Urinary Tract Infection (CAUTI) is the most common hospital acquired infection and constitutes upto 40% of all Healthcare Associated infections. Urinary catheter is used in 15% to 25% of hospitalized patients and often utilized for inappropriate indications. Daily risk of Urinary Tract Infection (UTI) is 3 to 7% with the use of […]
Abstract Number: 374
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Misdiagnosis of catheter associated asymptomatic bacteriuria as CAUTI leads to inappropriate use of antibiotics and related consequences, including medication side effects, antibiotic resistance, C. difficile infection, and potential financial penalties to hospitals. Purpose: To develop and implement an evidence-based pathway to improve evaluation of CAUTI in our academic health system. Description: Health system leadership […]
Abstract Number: 380
SHM Converge 2021
Case Presentation: A 75-year old female with controlled Type 2 Diabetes Mellitus and Stage 3 Chronic Kidney Disease was admitted to our hospital for anginal symptoms secondary to hypertensive emergency and subsequently diagnosed with NSTEMI. Blood pressure was 206/90 on admission and labs significant for troponin of 0.043 ng/mL that downtrended afterwards. Her symptoms resolved […]
Abstract Number: 383
Hospital Medicine 2020, Virtual Competition
Background: Catheter associated urinary tract infections (CAUTI) are one of the most common hospital acquired infections and cost on average $13,793 per case according to the AHRQ. Many quality and safety organizations including the Society of Hospital Medicine recommend reducing the prevalence of indwelling urinary catheters (IUC) as a means to reduce the incidence of […]
Abstract Number: 434
Hospital Medicine 2020, Virtual Competition
Background: Catheter occlusion is one of the most common complications associated with Peripherally Inserted Central Catheter (PICC) insertion, affecting 1 in every 8 PICCs placed. Occlusion may have important consequences for patients including inability to use the device, delays in tests or treatment, or if irreversible the need to remove and replace the device. Based […]
Abstract Number: 545
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: 85 year old female was admitted on account of lethargy and decreased oral intake for the previous week, and evidence of anemia. She had undergone a transcatheter aortic valve replacement(TAVR) 5 months prior for her management of her severe aortic valve stenosis. Additionally, she suffered from recurrent gastrointestinal bleeding due to arteriovenous malformations, […]
Abstract Number: 549
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 65-year-old male presented with sharp severe chest pain, worsened with respiratory movements. One day prior to admission, patient had catheter ablation due to persistent atrial fibrillation. He had no other medical history. Initial echocardiogram was normal and pericarditis treatment was started. Two days later, patient’s symptoms worsened: nausea and odynophagia. Repeat bedside […]
Abstract Number: 558
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 72 year old male presented with worsening shortness of breath and increasing oxygen requirement for six weeks. The patient had been on supplemental oxygen for the past 2 years for hypoxia. As an outpatient, right heart catheterization revealed a pulmonary arterial pressure (PAP) of 76/24 mmHg, mean PAP of 41 mmHg, wedge […]
Abstract Number: 644
SHM Converge 2024
Case Presentation: A 45-year-old female with a history of agammaglobulinemia, gastroparesis post G & J tubes, complicated by failure to thrive necessitating TPN via a Hickman catheter presents, 2 years after catheter placement, with confusion, weakness and abdominal pain. She was admitted to the ICU for septic shock.Blood cultures were positive for MRSA and Candida […]