Acesso livre
Acesso livre

Anestesiologia

Estudo randomizado | Em pacientes idosos submetidos a cirurgia para fratura de quadril, a anestesia regional não reduziu a incidência de delirium pós-cirúrgico em comparação com a anestesia geral.

10 Jan, 2022 | 12:15h

Effect of Regional vs General Anesthesia on Incidence of Postoperative Delirium in Older Patients Undergoing Hip Fracture Surgery: The RAGA Randomized Trial – JAMA (link para o resumo – $ para o texto completo)

Comentário: China-wide study will boost understanding of fatal surgical complication – University of Birmingham

Conteúdos relacionados:

RCT: Spinal Anesthesia not Superior to General Anesthesia for Hip Surgery in Older Adults.

RCT: Similar long-term survival after combined epidural–general anesthesia vs. general anesthesia alone.

Delirium in Older Patients after Combined Epidural–General Anesthesia or General Anesthesia for Major Surgery: A Randomized Trial – Anesthesiology

Estudo randomizado | Em adultos criticamente doentes submetidos a entubação traqueal, o uso de bougie não aumentou significativamente a taxa de sucesso na primeira tentativa vs. uso de tubo endotraqueal com fio-guia.

9 Dez, 2021 | 15:30h

Effect of Use of a Bougie vs Endotracheal Tube With Stylet on Successful Intubation on the First Attempt Among Critically Ill Patients Undergoing Tracheal Intubation: A Randomized Clinical Trial – JAMA (gratuito por tempo limitado)

Conteúdo relacionado: Randomized Trial: Comparison of Intubation Techniques in Patients with Difficult Airways

Revisão | Questões atuais sobre o uso de opioides no tratamento da dor pós-operatória.

9 Dez, 2021 | 15:25h

Current Issues in the Use of Opioids for the Management of Postoperative Pain: A Review – JAMA Surgery (gratuito por tempo limitado)

Níveis-alvo de glicemia na terapia intensiva cirúrgica: tratamento e considerações especiais no paciente diabético.

9 Dez, 2021 | 15:18h

Blood Sugar Targets in Surgical Intensive Care – Deutsches Ärzteblatt International

Revisão | Tratamento da dor perioperatória em pacientes idosos submetidos a cirurgia.

8 Dez, 2021 | 13:01h

Perioperative Pain Management Issues Unique to Older Adults Undergoing Surgery: A Narrative Review – Annals of Surgery Open

Risco de complicações pós-operatórias após cirurgias eletivas em pacientes com COVID-19 ativa ou resolvida nos EUA – Cirurgia realizada de 0 a 4 semanas após Covid-19 está associada a risco bastante aumentado de complicações pós-cirúrgicas; cirurgia feita de 4 a 8 semanas depois da infecção ainda está associada com risco aumentado de pneumonia.

7 Dez, 2021 | 11:50h

The Risk of Postoperative Complications following Major Elective Surgery in Active or Resolved COVID-19 in the United States – Annals of Surgery

Conteúdos relacionados:

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

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 | Jejum pré-procedimento para TC com contraste – “O tradicional jejum preparatório para a TC com contraste carece de evidência metodologicamente aceitável.”

6 Dez, 2021 | 16:11h

Preprocedural fasting for contrast-enhanced CT: when experience meets evidence – Insights into Imaging

Editorial | O racional para as recomendações da European Pediatric Fasting Guideline – “Os autores da diretriz pediátrica ESAIC 2021 encontraram motivos para recomendar jejum mínimo de 4 horas para crianças usando fórmulas infantis, de 3 horas para crianças em aleitamento materno e de 1 hora para líquidos claros.”

6 Dez, 2021 | 16:10h

The rationale for the recommendations of the European Paediatric Fasting Guideline: Improving paediatric anaesthesia and perioperative medicine – European Journal of Anaesthesiology

Diretriz original: Pre-operative fasting in children: A guideline from the European Society of Anaesthesiology and Intensive Care – European Journal of Anesthesiology

Conteúdos relacionados:

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

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.”

Quantidade de carbono emitida na atmosfera (carbon footprint) na anestesia geral, regional e combinada nas cirurgias de artroplastia de joelho.

22 Nov, 2021 | 09:18h

Carbon Footprint of General, Regional, and Combined Anesthesia for Total Knee Replacements – Anesthesia

Conteúdos relacionados:

Global Consensus Statement: Principles of environmentally-sustainable anesthesia.

Environmental and Occupational Considerations of Anesthesia: A Narrative Review and Update.

Working toward the triple bottom line in surgery to limit the impact of surgery on the environment

Effects Of Surgery On A Warming Planet: Can Anesthesia Go Green? – NPR

Anaesthetic gases, climate change, and sustainable practice – The Lancet Planetary Health

Greenhouse gases: the choice of volatile anesthetic does matter – Canadian Journal of Anesthesiology

People, planet and profits: the case for greening operating rooms – Canadian Medical Association Journal

Diretriz | Cuidado pré-operatório na cirurgia de catarata – “Apesar das evidências questionando a utilidade de testes antes da cirurgia de catarata, estudos sugerem que exames e consultas médicas antes desse tipo de cirurgia continuam aumentando.”

17 Nov, 2021 | 12:59h

Preoperative Care for Cataract Surgery: The Society for Ambulatory Anesthesia Position Statement – Anesthesia & Analgesia

 

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