Cirurgia Geral e Trauma

Revisão | Tratamento da coagulopatia em pacientes hemorrágicos.

13 Jan, 2022 | 11:37h

Management of Coagulopathy in Bleeding Patients – Journal of Clinical Medicine

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Diretriz de posicionamento | Tratamento pré-hospitalar e cirúrgico de via aérea.

12 Jan, 2022 | 12:54h

Prehospital Surgical Airway Management: An NAEMSP Position Statement and Resource Document – Prehospital Emergency Care

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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

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Estudo randomizado | Cateter percutâneo 14-Fr de pequeno calibre (pigtail) foi tão efetivo quanto cateteres 28 a 32-Fr em sua capacidade de drenar hemotórax traumático, sem diferença nas complicações.

30 Nov, 2021 | 12:15h

The small (14 Fr) percutaneous catheter (P-CAT) versus large (28–32 Fr) open chest tube for traumatic hemothorax: A multicenter randomized clinical trial – Trauma and Acute Care Surgery (link para o resumo – $ para o texto completo)

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Revisão | O valor das revisões sistemáticas e metanálises em cirurgia.

25 Nov, 2021 | 14:57h

The Value of Systematic Reviews and Meta-Analyses in Surgery – European Surgical Research

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Perfuração intestinal: apresentações em departamentos de emergência, avaliação e tratamento.

23 Nov, 2021 | 15:34h

Bowel Perforation: ED presentations, evaluation, and management – emDocs

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Causas globais, regionais e nacionais da mortalidade infantil (menores de 5 anos) em 2000-2019: análise sistemática atualizada com implicações para as Metas de Desenvolvimento Sustentável.

19 Nov, 2021 | 13:07h

Global, regional, and national causes of under-5 mortality in 2000–19: an updated systematic analysis with implications for the Sustainable Development Goals – The Lancet Child & Adolescent Health

 

Comentário no Twitter

Progress is still needed to improve child health and end preventable deaths among children <5 years

New cause-specific estimates of infant mortality for 2000-19 are explored in this Article by Jamie Perin and colleagues @JohnsHopkinsSPH, @LSHTM & @WHO https://t.co/QJEDAd5jYT pic.twitter.com/Wis0v8YSav

— The Lancet Child & Adolescent Health (@LancetChildAdol) November 18, 2021

Pneumonia remains #1 postneonatal killer for children <5. Most deaths occur in children who live in poverty or humanitarian settings, have poor access to quality care, are malnourished & unimmunised. Many health centres don’t have antibiotics or O2. It’s 2021 not the Middle Ages. https://t.co/P7EhDN9KJ2

— Fiona Russell (@Fiona_M_Russell) November 18, 2021

 

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Mortalidade global, regional e nacional entre jovens de 10 a 24 anos, 1950–2019: uma análise sistemática do Global Burden of Disease Study 2019.

15 Nov, 2021 | 13:43h

Global, regional, and national mortality among young people aged 10–24 years, 1950–2019: a systematic analysis for the Global Burden of Disease Study 2019 – The Lancet

Comentários: Nearly two-thirds of those who died young in 2019 were male, research finds – The Guardian

 

Comentários no Twitter (fio – clique para saber mais)

✨🆕✨#GBDStudy 2019 analysis published by @TheLancet examined the global, regional, and national #mortality among young people aged 10-24 between 1950-2019, finding that mortality increased in 2019 with age globally🌎, particularly in males

Read here ⤵https://t.co/6gprq6gM0Z

— Institute for Health Metrics and Evaluation (IHME) (@IHME_UW) October 29, 2021

 

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Estudo de coorte sugere que tomografia computadorizada com dose baixa vs. dose padrão de radiação têm acurácia diagnóstica similar na suspeita de apendicite aguda.

15 Nov, 2021 | 13:39h

Comunicado de imprensa: Doctors can use CT scans with less radiation to diagnose appendicitis – Oxford University

Estudo original: Diagnostic accuracy using low-dose versus standard radiation dose CT in suspected acute appendicitis: prospective cohort study – British Journal of Surgery (link para o resumo – $ para o texto completo)

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Estudo randomizado pragmático mostra taxas similares de infecção de sítio cirúrgico em pele preparada com clorexidina alcoólica a 2% em comparação com iodopovidona, ou com suturas revestidas com triclosan em comparação a suturas não revestidas.

26 Out, 2021 | 11:27h

Reducing surgical site infections in low-income and middle-income countries (FALCON): a pragmatic, multicentre, stratified, randomised controlled trial – The Lancet

Comentários:

Prevention of surgical site infection in low-resource settings – The Lancet

Urgent changes needed to global guidelines designed to stop surgical infection – University of Birmingham

 

Comentário no Twitter

2% alcoholic chlorhexidine skin preparation and triclosan-coated sutures – no benefit in preventing surgical site infection in clean-contaminated or contaminated or dirty surgical woundshttps://t.co/QVkdYYmDvP pic.twitter.com/8hAO5lqFTV

— K Pavithran (@drkpavithran) October 25, 2021

 

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