Hospital Medicine Alert – November 1, 2010

November 1, 2010

• Aspirin and Clopidogrel Dose in ACS

  For patients presenting with acute coronary syndromes (ACS), the optimal doses of aspirin and clopidogrel remain unknown.

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• Preoperative Consultations

  Patients undergoing major surgery tend to be older individuals with more comorbidities than the general non-surgical population.

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• SVT and Ischemia

  Supraventricular tachycardia (SVT) is known to be associated with troponin leaks and ST-wave depression on ECG, both potential markers of ischemia. However, the exact significance of these findings is unclear.

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• Your Patients Live Longer When Discharged with Home Care After Hemiarthroplasty

  A Canadian study reveals that while a majority of elderly patients undergoing hemiarthroplasty did not receive home care upon discharge, those that did had longer short-term survival.

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• Is a Central Venous Blood Gas a Useful Surrogate for an Arterial Blood Gas?

  This observational study compared simultaneous arterial and central venous blood gases in a mixed patient population and found high agreement between normal gases after the application of a predefined adjustment algorithm.

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