Continuous Capnometry Should be Standard Practice for Moderate-Deep Procedural Sedation

Hospital Procedure Consultants
More Articles – Emergency Procedures, Featured Procedure, Procedural Sedation
More Tags – Capnometry, conscious sedation, featured procedure, HPC updates, procedural sedation, Sedation
Continuous Capnometry Should be Standard Practice for Moderate-Deep Procedural Sedation Continuous capnometry has been consistently proven to identify patients undergoing moderate-deep procedural sedation who have impaired ventilation well before hypoxia develops.  There have been at least 8 studies that have…
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How to Place a Chest Tube in a Safe and Humane Fashion

Hospital Procedure Consultants
More Articles – Cardiovascular diseases, Chest Tube, Featured Procedure, King Tube, medical procedures, Procedural Sedation
More Tags – chest tube, featured procedure, HPC updates, procedural sedation, tube thoracostomy
Chest tube placement, or tube thoracostomy, can be an anxiety-provoking procedure for both the patient AND the operator.  It can also be a very gratifying procedure for the operator when performed successfully and without patient discomfort. Here are a few…
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Las Vegas Conference 2017

Hospital Procedure Consultants
More Articles – Events, Gastrointestinal diseases, Hospital Procedures, Medical General, Travel
More Tags – Bellagio, conference, hospitalist, HPC, Las Vegas, Miracle Mile Shops, Planet Hollywood, travel blog
Landed in Las Vegas for Our Conference at the Amazing Planet Hollywood Resort and Hotel. It was great to see all the familiar faces and many new ones from across the country. Enjoyed walking along the trendy shops and playing the…
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Las Vegas in the Summer

Hospital Procedure Consultants
More Articles – Gastrointestinal diseases, Hospital Procedures, Medical General, Travel
More Tags – Conservatory at Bellagio, Las Vegas, M&M's World, Travel, travel blog
Las Vegas in the Summer Our second trip to Vegas this year was great. Our conference was held at Planet Hollywood Resort, July 23rd and 24th.  The summertime crowds had the casino buzzing and Britney was playing in every elevator. It was electric!…
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Nutrition in Acute Pancreatitis: Have We Come Full Circle?

Hospital Procedure Consultants
More Articles – Gastrointestinal diseases, Mechanical Ventilation, medical procedures
More Tags – HPC updates, Pancreatitis
Nutrition in Acute Pancreatitis: Have We Come Full Circle? Preface:  This randomized controlled trial demonstrated that early tube feeding is not superior to delayed initiation of oral feeds in patients with severe acute pancreatitis. Study: Current guidelines recommend early use…
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Avoid Routine Proton Pump Inhibitor Therapy for Prophylaxis in Hospitalized Patients

Hospital Procedure Consultants
More Articles – Mechanical Ventilation, Medical General, medical procedures
More Tags – HPC updates, Prophylaxis
Avoid Routine Proton Pump Inhibitor Therapy for Prophylaxis in Hospitalized Patients Preface:  A retrospective study at a Boston hospital examined the effect of routine proton pump inhibitor therapy in hospitalized stroke patients.  No clear benefit was seen and multivariate analysis…
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Optimal Location for Needle Decompression For A Tension Pneumothorax

Hospital Procedure Consultants
More Articles – Central line, Emergency Procedures, medical procedures, Needle Decompression, Respiratory diseases, Thoracentesis, Ultrasound-Guided Peripheral IV
More Tags – HPC updates, needle decompression, needle decompression 5th intercostal space, needle insertion, needle thoracostomy placement, obstructive shock, pneumothorax
Needle decompression location Traditionally, needle decompression for the emergent treatment of a tension pneumothorax is the second intercostal space in the mid-clavicular line.  This remains an option for needle insertion when you are treating a tension pneumothorax.  This insertion point…
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