Acesso livre
Acesso livre

Anestesiologia

Controvérsias em “enhanced recovery” após cirurgia cardíaca.

3 Mai, 2022 | 16:01h

Controversies in enhanced recovery after cardiac surgery – Perioperative Medicine

Conteúdos relacionados:

Guidelines for Perioperative Care in Cardiac Surgery: Enhanced Recovery After Surgery Society Recommendations – JAMA Surgery

Expert Consensus of Data Elements for Collection for Enhanced Recovery After Cardiac Surgery – World Journal of Surgery

Enhanced Recovery After Cardiac Surgery (ERAS Cardiac) Recommendations: An Important First Step—But There Is Much Work to Be Done – Cardiothoracic and Vascular Anesthesia

Ver também: Enhanced Recovery After Surgery (ERAS) Society Guidelines

Estudo randomizado por cluster | Dispositivo supraglótico para via aérea vs. entubação traqueal no tratamento inicial de parada cardíaca fora do hospital.

27 Abr, 2022 | 16:29h

Supraglottic airway device versus tracheal intubation in the initial airway management of out-of-hospital cardiac arrest: the AIRWAYS-2 cluster RCT – Health Technology Assessment

Estudo relacionado: Effect of Placement of a Supraglottic Airway Device vs Endotracheal Intubation on Return of Spontaneous Circulation in Adults With Out-of-Hospital Cardiac Arrest in Taipei, Taiwan: A Cluster Randomized Clinical Trial – JAMA Network Open

Estudo randomizado | Desfechos de 10 anos de uma cirurgia de revascularização do miocárdio com circulação extracorpórea (CEC) vs. sem CEC.

27 Abr, 2022 | 16:11h

Ten-Year Outcomes of Off-Pump vs On-Pump Coronary Artery Bypass Grafting in the Department of Veterans Affairs: A Randomized Clinical Trial – JAMA Surgery (link para o resumo – $ para o texto completo)

Comentários:

ROOBY-FS: 10-Year Data Affirm On-Pump CABG as Default Strategy – TCTMD

10-Year Study Results Find Patient Outcomes Similar for Two CABG Procedures – Stony Brook University

 

Comentário no Twitter

 

Diretriz | Transtorno do uso de substâncias no anestesista.

27 Abr, 2022 | 15:34h

Substance use disorder in the anaesthetist: Guidelines from the Association of Anaesthetists – Anaesthesia

Diretriz de especialistas | Estratégias para prevenir infecções de corrente sanguínea por cateter central em hospitais de cuidado agudo.

21 Abr, 2022 | 12:41h

Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update – Infection Control & Hospital Epidemiology

 

Comentário no Twitter

Artigo sob licença de http://creativecommons.org/licenses/by/4.0/

Revisão sistemática | Complicações perioperatórias e práticas anestésicas no tratamento de pacientes quadriplégicos submetidos a cirurgia.

21 Abr, 2022 | 11:13h

Perioperative Complications and Anesthesia Practices in Managing Patients With Quadriplegia Undergoing Surgery: A Systematic Review – Frontiers in Medicine

Estudo randomizado | Em pacientes submetidos a artroplastia de joelho, a administração de bupivacaína lipossomal periarticular não melhorou a recuperação ou a dor pós-operatória em comparação com o cloridrato de bupivacaína isolado.

14 Abr, 2022 | 17:30h

Efficacy of Liposomal Bupivacaine and Bupivacaine Hydrochloride vs Bupivacaine Hydrochloride Alone as a Periarticular Anesthetic for Patients Undergoing Knee Replacement: A Randomized Clinical Trial – JAMA Surgery

M-A | Efeito clínico e segurança das novas diretrizes sobre o tempo de jejum pré-operatório para cirurgias eletivas.

14 Abr, 2022 | 16:54h

The clinical effect and safety of new preoperative fasting time guidelines for elective surgery: a systematic review and meta-analysis – Gland Surgery

Conteúdos relacionados:

An international multidisciplinary consensus statement on fasting before procedural sedation in adults and children – Anaesthesia

Does my hospitalized patient need an NPO-after-midnight order preoperatively?

ESPEN practical guideline: Clinical nutrition in surgery – “Preoperative fasting from midnight is unnecessary in most patients. Patients undergoing surgery, who are considered to have no specific risk of aspiration, shall drink clear fluids until 2 h before anesthesia. Solids shall be allowed until 6 h before anesthesia.”

Pro-Con Debate: 1- vs 2-Hour Fast for Clear Liquids Before Anesthesia in Children.

Editorial: The rationale for the recommendations of the European Pediatric Fasting Guideline – “the authors of the 2021 ESAIC pediatric guideline have found reasons to recommend reductions to the minimum fasting times for infant formula to 4 h, for breast milk to 3 h and for clear fluids to 1 h”.

Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures: An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration

Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology

Clear fluids fasting for elective paediatric anaesthesia: The European Society of Anaesthesiology consensus statement – European Journal of Anaesthesiology

Canadian Pediatric Anesthesia Society statement on clear fluid fasting for elective pediatric anesthesia – Canadian Journal of Anesthesia (gratuito)

Revisão da prática atual | Prevenção e tratamento de íleo pós-operatório.

14 Abr, 2022 | 16:24h

Prevention and Management of Postoperative Ileus: A Review of Current Practice – Cureus

Estudo randomizado | Peneiclidina inalatória profilática para prevenção de complicações pulmonares pós-operatórias em pacientes de alto risco.

14 Abr, 2022 | 16:22h

Prophylactic Penehyclidine Inhalation for Prevention of Postoperative Pulmonary Complications in High-risk Patients: A Double-blind Randomized Trial – Anesthesiology

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