#422 LIVE! Inpatient Management of Sickle Cell Crisis, Acute Pain, RBC Transfusions & Acute Chest Syndrome

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 15 January 2024

⏱️ 57 minutes

🔗️ Recording | iTunes | RSS

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Summary

Learn practical tips for the inpatient management of patients with sickle cell disease and vaso-occlusive crisis from guest, Dr. Yoo Mee Shin (Emory). We cover acute pain management including adjuvant therapies, IV fluids, oxygen therapy, the management of acute chest syndrome, and when to perform simple vs exchange transfusions. Key takeaways include the importance of early triage and analgesia, addressing misconceptions about opioid use disorder in patients with sickle cell disease, and recognizing complications of vaso-occlusive crises.

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Show Segments

00:00 Intro
01:27 Getting to know our guest
07:48 Case Presentation and Initial Management of Sickle Cell Disease (SCD)
13:46 Misconceptions about opioid use disorder and sickle cell
17:02 Management of Acute Pain in Sickle Cell Disease
25:46 Adjuvant therapy for pain
29:04 Transition to outpatient care
32:46 General admission orders for sickle cell
38:44 Management of Acute Chest Syndrome
42:01 Simple vs exchange transfusion
47:08 Transfusion in preoperative and pregnant patients
48:03 Transitions and follow-up care
49:35 Key takeaways and Outro

Credits

Written and Produced by: Matthew Watto MD, FACP
Cover Art & Infographic: Matthew Watto MD, FACP
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Emi Okamoto MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Yoo Mee Shin MD

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Transcript

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0:00.0	Hey listeners, I wanted to give you a heads up that starting January 1st,
0:04.3	2024, VCO Health will start charging a small fee for each CME credit claimed.
0:10.4	And we will continue to offer CME through VU Health, though there will be this small fee going forward.
0:16.0	We understand that offering free CME credit is no longer sustainable for their organization,
0:21.0	and we thank VCU Health for all the years of free
0:23.7	CME that they provided to our curbsideers listeners.
0:26.5	You know Paul, the other day I put my Atlanta Baseball cap on the periodic table.
0:35.0	Tell me why you did that or why we're doing this.
0:40.0	So Paul, you can't say that I'm afraid to brave the elements.
0:44.3	Yeah, I hope the audio picks up the groans from the crowd.
0:48.4	One more Paul.
0:49.2	No, no, no, no.
0:52.0	Paul, the life of a red blood cell is futile.
0:57.0	Because they live their life in vain.
0:59.0	It's not bad.
1:01.0	Not bad. Okay.
1:12.6	The Curbsideers Podcast is for It's not bad. Not bad. Okay. Furthermore, the few statements expressed on this podcast solely those of the hosts and should not be interpreted to reflect official policy or position of any entity
1:14.3	aside from possibly cash like more hostile and affiliate outreach programs
1:16.6	if indeed there are any in fact there are none
1:18.4	pretty much we are responsible if you screw up
1:19.5	you should always do your own homework and let's know
1:20.6	legal role your own home and the snow player. Uh, welcome back to the curbsideers. I'm Dr. Matthew Frank Watto here with my great friend
	...

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