Acesso livre
Acesso livre

Anestesiologia

Estudo randomizado | Em pacientes submetidos a artroplastia total de joelho, duas doses de dexametasona reduziram a intensidade da dor e o consumo de morfina.

11 Fev, 2022 | 14:18h

Effect of dexamethasone as an analgesic adjuvant to multimodal pain treatment after total knee arthroplasty: randomised clinical trial – The BMJ

Abordagem perioperatória para hipertensão pulmonar precapilar em cirurgia não cardíaca e não obstétrica.

10 Fev, 2022 | 13:32h

Perioperative approach to precapillary pulmonary hypertension in non-cardiac non-obstetric surgery – European Respiratory Review

Revisão | Transfusão sanguínea de emergência no trauma e na ressuscitação perioperatória.

10 Fev, 2022 | 12:46h

Emergency Blood Transfusion for Trauma and Perioperative Resuscitation: Standard of Care – Transfusion Medicine and Hemotherapy

Diretriz de consenso | Manejo pré-operatório de medicações para doenças neurológicas.

4 Fev, 2022 | 17:33h

Preoperative Management of Medications for Neurologic Diseases – Mayo Clinic Proceedings

Conteúdo relacionado: Consensus Statement: Preoperative management of medications for psychiatric diseases.

Meu paciente internado precisa de jejum absoluto após a meia-noite antes de uma cirurgia?

4 Fev, 2022 | 17:31h

Does my hospitalized patient need an NPO-after-midnight order preoperatively? – Cleveland Clinic Journal of Medicine

Conteúdos relacionados:

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”.

Diretriz de consenso | Manejo pré-operatório das medicações para doenças psiquiátricas.

4 Fev, 2022 | 16:54h

Preoperative Management of Medications for Psychiatric Diseases: Society for Perioperative Assessment and Quality Improvement Consensus Statement – Mayo Clinic Proceedings

Perspectiva | A contínua saga da salina normal vs. fluidos balanceados.

4 Fev, 2022 | 16:00h

The ongoing saga of normal saline versus balanced fluids – First10EM

Estudos originais:

RCT: In critically ill adults, using a balanced multielectrolyte solution did not lower the risk of death or acute kidney injury compared to standard saline.

Balanced Crystalloids versus Saline in Critically Ill Adults — A Systematic Review with Meta-Analysis – NEJM Evidence

Conteúdos relacionados:

BaSICS RCT: Among critically ill patients requiring fluid therapy, treatment with a balanced solution did not lead to reduced mortality compared to a 0.9% saline solution.

BaSICS RCT: Among critically ill patients requiring fluid therapy, there was no difference in mortality with slower (333 mL/h) vs. faster (999 mL/h) intravenous fluid bolus rates.

Cochrane Review: Buffered Solutions Do Not Improve Mortality in Critically Ill Adults and Children Compared to 0,9% Saline

Estudo randomizado por cluster | Em pacientes idosos submetidos a procedimentos cirúrgicos eletivos, um programa de prevenção não farmacológica multimodal reduziu a ocorrência de delirium pós-cirúrgico e os dias com delirium.

4 Fev, 2022 | 15:56h

Outcomes of a Delirium Prevention Program in Older Persons After Elective Surgery: A Stepped-Wedge Cluster Randomized Clinical Trial – JAMA Surgery

Entrevista com as autoras: Effective Delirium Prevention in Older Persons After Elective Surgery

 

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M-A | Vasopressina e glicocorticoides na parada cardíaca em pacientes internados.

4 Fev, 2022 | 14:56h

Vasopressin and glucocorticoids for in-hospital cardiac arrest: A systematic review and meta-analysis of individual participant data – Resuscitation

Conteúdo relacionado: RCT: Vasopressin + Methylprednisolone increase the likelihood of return of spontaneous circulation compared to placebo in patients with in-hospital cardiac arrest.

 

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Revisão | Tratamento multidisciplinar da lesão traqueobrônquica.

4 Fev, 2022 | 14:27h

Multidisciplinary management of tracheobronchial injury – European Respiratory Review

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