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

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

Transcript Disclaimer

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