Specialties - Southern Medical Association

SMJ Article | Original Article

Novel Opiate-Free Anesthetic Technique for Major Urologic Procedures

Objectives: We postulated that an opiate-free (OF) general anesthesia (GA) technique could adequately control a patient’s pain without adversely affecting recovery. We compared patients undergoing major urologic procedures with and without opiate-based GA. Methods: A propensity-matched analysis was performed comparing hospital length of stay, postoperative nausea and vomiting, ileus occurrence,...

Posted in: Nephrology and Urology5

SMJ Article | Original Article

Association of Renal Clearance with Cerebral White Matter Vascular Disease in Hospitalized Veterans With and Without Delirium

Objectives: To assess the relation between renal function and delirium and to assess and compare the relation between cerebral white matter lesion (WML) and renal function as estimated by three formulas for the estimated glomerular filtration rate (eGFR) in older adult hospitalized veterans with and without delirium. Methods: Commonly used...

Posted in: Nephrology and Urology5 Vascular Disease1

SMJ Article | Original Article

Intravascular Iodinated Contrast Is an Independent Cause of Acute Kidney Injury Following Coronary Angiography

Objectives: Recent studies have questioned whether intravascular iodinated contrast remains an independent cause of acute kidney injury (AKI). We sought to assess whether iodinated contrast administered during coronary angiography is an independent cause of AKI.Methods: We identified all of the patients who underwent coronary angiography between July 1, 2015 and...

Posted in: Nephrology and Urology5

SMJ Article | Original Article

Noncarbapenems for the Treatment of Urinary Tract Infections Caused by Extended-Spectrum β-Lactamase-Producing Bacteria

 Objectives: Urinary tract infections (UTIs) caused by extended-spectrum β-lactamase (ESBL)-producing Enterobacteriaceae are resistant to many conventional therapies, including third-generation cephalosporins. Carbapenems are considered first-line agents for ESBL infections, but their use is associated with increased multidrug resistance and should be reserved when absolutely necessary. Because of the increased rates of...

Posted in: Urinary Tract Infections1

SMJ Article | Original Article

CME Article: Imaging in Acute Pyelonephritis: Utilization, Findings, and Effect on Management

Objectives: To determine the frequency, timing, and types of imaging obtained in patients with a discharge diagnosis of acute pyelonephritis, and how often imaging findings affect therapy. Methods: This was a retrospective chart review of 1062 adults with a diagnosis of acute pyelonephritis discharged from an urban, safety-net hospital between...

Posted in: Nephrology and Urology5 Other Kidney Disorders1