Kevin R. Smith, MD, FACP, FAAP

News

Holding Chambers (Spacers) vs. Nebulizers for Acute Asthma

Author:: Kevin R. Smith, MD, FACP, FAAP

Publish date: October 27, 2014

Clinical question: Are beta-2 agonists as effective when administered through a holding chamber (spacer) as they are when administered by a nebulizer?...

News

Long-Term Cognitive Impairment after Critical Illness

Author:: Kevin R. Smith, MD, FACP, FAAP

Publish date: October 27, 2014

Clinical question: Are a longer duration of delirium and higher doses of sedatives associated with cognitive impairment in the hospital? Background...

News

Endoscopic vs. Surgical Cystogastrostomy for Pancreatic Pseudocyst Drainage

Author:: Kevin R. Smith, MD, FACP, FAAP

Publish date: October 27, 2014

Clinical question: How does endoscopic cystogastrostomy for pancreatic pseudocyst drainage compare to the standard surgical approach? Background: P...

News

Single vs. Dual Antiplatelet Therapy after Stroke

Author:: Kevin R. Smith, MD, FACP, FAAP

Publish date: October 27, 2014

Clinical question: Is dual antiplatelet therapy more beneficial or harmful than monotherapy after ischemic stroke? Background: It is recommended th...

News

New Oral Anticoagulants Increase GI Bleed Risk

Author:: Kevin R. Smith, MD, FACP, FAAP

Publish date: October 27, 2014

Clinical question: Do thrombin and factor Xa inhibitors increase the risk of gastrointestinal (GI) bleeding when compared to vitamin K antagonists and...

News

De-Escalating Antibiotics in Sepsis

Author:: Kevin R. Smith, MD, FACP, FAAP

Publish date: October 27, 2014

Clinical question: Does tailoring antibiotics based on known pathogens impact mortality for patients with severe sepsis or shock? Background: In pa...

News

Three-Month Dual Antiplatelet Therapy for Zotarolimus-Eluting Stents

Author:: Kevin R. Smith, MD, FACP, FAAP

Publish date: October 27, 2014

Clinical question: Is short-term, dual antiplatelet therapy noninferior to long-term therapy in zotarolimus-eluting stents? Background: Current gui...

News

Antibiotic Algorithm Can Guide Therapy in Healthcare-Associated Pneumonia

Author:: Kevin R. Smith, MD, FACP, FAAP

Publish date: October 27, 2014

Clinical question: Can an algorithm based on risk for multidrug-resistant (MDR) organisms and illness severity guide antibiotic selection in healthcar...

News

Adults Hospitalized for Respiratory Syncytial Virus Infections Have High Morbidity, Mortality Rates

Author:: Kevin R. Smith, MD, FACP, FAAP

Publish date: October 27, 2014

Clinical question: What are the complications and outcomes of respiratory syncytial virus (RSV) infection in adults requiring hospitalization? Back...

News

ICU Pressures Improve Transfers to the Floor

Author:: Kevin R. Smith, MD, FACP, FAAP

Publish date: October 27, 2014

Clinical question: Does ICU strain negatively affect the outcomes of patients transferred to the floor? Background: With healthcare costs increasin...

News

New Oral Anticoagulants Increase GI Bleed Risk

Author:: Kevin R. Smith, MD, FACP, FAAP

Publish date: April 2, 2014

Studies link thrombin, factor Xa inhibitors to higher incidence of gastrointestinal bleeding compared with vitamin K antagonists, heparin therapy

News

ICU Pressure Improves Patient Transfers to the Hospital Floor

Author:: Kevin R. Smith, MD, FACP, FAAP

Publish date: March 19, 2014

Rising costs, projected shortages in critical care staff have prompted physicians to use ICU services more efficiently: study

News

Hospitalist Reviews on Treatments for Acute Asthma, Stroke, Healthcare-Associated Pneumonia, and More

Author:: Kevin R. Smith, MD, FACP, FAAP

Publish date: March 1, 2014

Also reviewed this month: endoscopic cystogastrostomy for pancreatic pseudocyst drainage; long-term cognitive impairment after critical illness; an...