Acesso livre
Acesso livre

Anestesiologia

Metanálise de estudos randomizados comparando estratégias de transfusão de hemácias intraoperatória.

14 Mar, 2022 | 14:07h

A Systematic Review and Meta-analysis of Randomized Controlled Trials Comparing Intraoperative Red Blood Cell Transfusion Strategies – Annals of Surgery

Conteúdos relacionados:

Systematic Review: Restrictive transfusion thresholds can safely decrease transfusions by 41% across a broad range of clinical contexts.

RCT: Among patients with acute MI and anemia, a restrictive transfusion strategy resulted in a noninferior rate of major cardiovascular events compared to a liberal transfusion strategy

Randomized trial: Liberal vs. restrictive transfusion thresholds in extremely low-birth-weight infants

Meta-Analysis: Effects of Restrictive vs. Liberal Transfusion Strategies on Longer-term Outcomes After Cardiac Surgery

Randomized Trial: In Patients Undergoing Cardiac Surgery, A Restrictive Transfusion Approach Does Not Increase the Risk of Acute Kidney Injury

Effects of restrictive red blood cell transfusion on the prognoses of adult patients undergoing cardiac surgery: a meta-analysis of randomized controlled trials – Critical Care

Research: Restrictive or Liberal Red-Cell Transfusion for Cardiac Surgery

Transfusion Requirements After Cardiac Surgery: The TRACS Randomized Controlled Trial – JAMA

Metanálise de estudos randomizados | Benefícios e prejuízos de anticoagulantes orais diretos e da heparina de baixo peso molecular para a tromboprofilaxia de pacientes submetidos a cirurgia não cardíaca.

10 Mar, 2022 | 15:52h

Benefits and harms of direct oral anticoagulation and low molecular weight heparin for thromboprophylaxis in patients undergoing non-cardiac surgery: systematic review and network meta-analysis of randomised trials – The BMJ

 

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Diretriz | Implementação de diretrizes avançadas no período perioperatório, incluindo planos para ressuscitação cardiopulmonar.

10 Mar, 2022 | 15:41h

Implementing advance care plans in the peri-operative period, including plans for cardiopulmonary resuscitation: Association of Anaesthetists clinical practice guideline – Anaesthesia

Estudo prospectivo de base populacional do Biobank do Reino Unido | Hemoglobina glicada e risco de complicações pós-operatórias em pacientes diabéticos.

10 Mar, 2022 | 15:29h

Glycated haemoglobin and the risk of postoperative complications in people without diabetes: a prospective population-based study in UK Biobank – Anaesthesia

Diretriz para o cuidado perioperatório de pessoas com fragilidade submetidas à cirurgias eletivas e de emergência.

9 Mar, 2022 | 13:40h

Guideline for Perioperative Care for People Living with Frailty Undergoing Elective and Emergency Surgery – British Geriatric Society

Revisão | Tratamento perioperatório de um paciente com doença de Cushing.

9 Mar, 2022 | 13:24h

Perioperative Management of a Patient With Cushing Disease – Journal of the Endocrine Society

Revisão | Tratamento perioperatório de feocromocitomas e paragangliomas.

9 Mar, 2022 | 13:23h

Perioperative Management of Pheochromocytomas and Sympathetic Paragangliomas – Journal of the Endocrine Society

Diretriz para o tratamento perioperatório de pacientes com doenças reumáticas inflamatórias.

8 Mar, 2022 | 18:24h

Perioperative management of patients with inflammatory rheumatic diseases – Zeitschrift für Rheumatologie

Diretriz atualizada | Momento da cirurgia eletiva e avaliação de risco após infecção por SARS-CoV-2 – “Mantemos a orientação de que os pacientes devem evitar cirurgias eletivas dentro de 7 semanas da infecção, a menos que os benefícios superem o risco de aguardar por tal período.”

1 Mar, 2022 | 15:38h

Timing of elective surgery and risk assessment after SARS-CoV-2 infection: an update – Anaesthesia

Conteúdos relacionados:

Perioperative cardiovascular considerations prior to elective noncardiac surgery in patients with a history of Covid-19.

Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery

Study from 116 countries suggests surgery should be delayed for at least seven weeks following a COVID-19 diagnosis to reduce mortality risk

BJS commission on surgery and perioperative care post-COVID-19.

The risk of postoperative complications following major elective surgery in active or resolved COVID-19 in the United States – Major, elective surgery 0–4 weeks after Covid-19 is associated with greatly increased risk of postoperative complications; surgery performed 4–8 weeks after infection is still associated with an increased risk of pneumonia.

ASA Guidance: Preoperative testing for COVID-19 is essential, regardless of vaccination.

Position statement: Perioperative management of post-COVID-19 surgical patients.

Cohort study: Postoperative in-hospital mortality of patients with COVID-19 infection was more than double that in patients without COVID-19

Revisão narrativa | Pré-habilitação, recuperação precoce após cirurgia ou ambas?

25 Fev, 2022 | 14:14h

Prehabilitation, enhanced recovery after surgery, or both? A narrative review – British Journal of Anaesthesia

Ver também: Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines (algumas diretrizes são de acesso gratuito)

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