The Curbsiders Internal Medicine Podcast

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

Jan 15, 2024

Dr. Yoo Mee Shin shares practical tips for managing patients with sickle cell disease in the hospital. Topics discussed include acute pain management, adjuvant therapies, IV fluids, oxygen therapy, acute chest syndrome, and simple vs exchange transfusions. Key takeaways include early triage and analgesia, addressing misconceptions about opioid use disorder, and recognizing complications of vaso-occlusive crises.

Ask episode

Chapters

Transcript

Episode notes

Introduction

00:00 • 2min

Introducing Dr. Yumi Shin: A Hospitalist's Life

01:47 • 14min

Pain Management in Patients with Sickle Cell Crisis

16:11 • 4min

Inpatient Management of Sickle Cell Crisis and Acute Pain

19:47 • 19min

Challenges of Stopping Daily Labs in an Inpatient Setting

39:16 • 2min

Inpatient Management of Sickle Cell Crisis, Acute Pain, and Acute Chest Syndrome

41:13 • 13min

Managing Patients with Sickle Cell Disease

54:35 • 4min

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.

Claim CME for this episode at curbsiders.vcuhealth.org!

Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME

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
We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content.

Sponsor: Green Chef

Go to greenchef.com/60curb and use code 60curb to get 60% off, plus 20% off your next two months.

Sponsor: NetSuite

Download NetSuite’s popular KPI Checklist, designed to give you consistently excellent performance -absolutely free, at NetSuite.com/CURBSIDERS