Acesso livre
Acesso livre

Anestesiologia

Estudo randomizado | Bloqueio neurolítico de nervo esplâncnico e alívio da dor, sobrevida e qualidade de vida no câncer pancreático irressecável.

1 Out, 2021 | 20:14h

Neurolytic Splanchnic Nerve Block and Pain Relief, Survival, and Quality of Life in Unresectable Pancreatic Cancer: A Randomized Controlled Trial – Anesthesiology

 

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Diretriz para o cuidado perioperatório de idosos com fragilidade submetidos a cirurgias eletivas e de emergência.

1 Out, 2021 | 19:22h

Comunicado de imprensa e infográfico: Perioperative Care of People Living with Frailty – Centre for Perioperative Care

Diretriz: Perioperative Care for People Living with Frailty Undergoing Elective and Emergency Surgery – British Geriatrics Society

 

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Considerações ambientais e ocupacionais da anestesia.

27 Set, 2021 | 13:07h

Environmental and Occupational Considerations of Anesthesia: A Narrative Review and Update – Anesthesia & Analgesia

Conteúdos relacionados:

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

Evolução do monitoramento e do suporte hemodinâmico.

27 Set, 2021 | 11:17h

Hemodynamic Monitoring and Support – Critical Care Medicine

 

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Revisão | Lesão pulmonar aguda relacionada à transfusão no perioperatório.

27 Set, 2021 | 10:39h

Transfusion-related Acute Lung Injury in the Perioperative Patient – Anesthesiology

Estudo randomizado | Corticosteroide profilático evita hipocalcemia e disfunção vocal em pacientes submetidos a tireoidectomia.

17 Set, 2021 | 11:48h

Use of Prophylactic Steroids to Prevent Hypocalcemia and Voice Dysfunction in Patients Undergoing Thyroidectomy: A Randomized Clinical Trial – JAMA Otolaryngology – Head & Neck Surgery (link para o resumo – $ para o texto completo)

Entrevista com o autor: Prophylactic Steroids for Postthyroidectomy Hypocalcemia and Voice Dysfunction

Comentário: IV Steroid Before Thyroidectomy Prevents Complications — One dose of dexamethasone reduced hypocalcemia, voice issues – MedPage Today (necessário cadastro gratuito)

 

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Estudo randomizado | Em pacientes submetidos a cirurgias de grande porte, ter como alvo uma anestesia mais leve reduziu o risco de delirium pós-operatório e comprometimento cognitivo em 1 ano.

12 Set, 2021 | 21:43h

Anaesthetic depth and delirium after major surgery: a randomised clinical trial – British Journal of Anaesthesia (link para o resumo – $ para o texto completo)

Debate | Jejum de 1 hora vs. de 2 horas para líquidos claros antes da anestesia em crianças.

3 Set, 2021 | 12:31h

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

Conteúdo relacionado: 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.”

Estudo randomizado | Entre pacientes criticamente doentes, a meta de oxigenação em um intervalo normal baixo vs. intervalo normal alto não resultou em redução na disfunção de órgãos.

3 Set, 2021 | 11:12h

Effect of Low-Normal vs High-Normal Oxygenation Targets on Organ Dysfunction in Critically Ill Patients: A Randomized Clinical Trial – JAMA (gratuito por tempo limitado)

Conteúdos relacionados:

M-A of randomized trials: Conservative oxygen therapy for critically ill patients.

Oxygen administration for patients with ARDS – Journal of Intensive Care

Randomized trial: Similar outcomes with lower vs. higher oxygenation targets for acute hypoxemic respiratory failure

Systematic Review: Higher vs. Lower Fraction of Inspired Oxygen or Targets of Arterial Oxygenation for Adults Admitted to the Intensive Care Unit

 

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Estudo mostra que pacientes com COVID-19 têm risco mais alto de desenvolver coágulos após cirurgia.

2 Set, 2021 | 11:46h

COVID-19 patients at higher risk of blood clots after surgery, study shows – CIDRAP

Estudo original: SARS-CoV-2 infection and venous thromboembolism after surgery: an international prospective cohort study – Anaesthesia

Conteúdos relacionados:

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

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

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

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

WSES Position Paper: The management of surgical patients in the emergency setting during COVID-19 pandemic

Preparing previously COVID-19-positive patients for elective surgery: A framework for preoperative evaluation

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