Cirurgia Geral e Trauma

Estudo randomizado | Uso rotineiro de cateter urinário intraoperatório não reduz o risco de retenção urinária pós-operatória após reparo laparoscópico de hérnia inguinal.

19 Jun, 2022 | 17:22h

Effect of Intraoperative Urinary Catheter Use on Postoperative Urinary Retention After Laparoscopic Inguinal Hernia Repair: A Randomized Clinical Trial – JAMA Surgery (gratuito por tempo limitado)

Comentários: Urinary Catheters for Inguinal Hernia Repair—The Challenges of Deimplementation of Routine Procedures – JAMA Surgery (gratuito por tempo limitado)

Intraoperative Catheter Disappoints for Urinary Retention After Hernia Repair – MedPage Today (necessário cadastro gratuito)

Entrevista com os autores: Intraoperative Urinary Catheter Use and Urinary Retention After Laparoscopic Inguinal Hernia Repair – JAMA

Comentário no Twitter

In this study, intraoperative urinary catheters did not reduce the risk of postoperative urinary retention after laparoscopic inguinal hernia repair. https://t.co/6M06HxR51f

— JAMA Surgery (@JAMASurgery) June 15, 2022

Revisão | Ingestão de drogas ilícitas, embaladas ou não, relacionada ao tráfico: bombas relógio nos departamentos de emergências.

19 Jun, 2022 | 14:04h

Body Packers, Stuffers, and Pushers: Time Bombs in Our Eds – emDocs

Podcast | Dicas sobre doença da vesícula biliar.

19 Jun, 2022 | 14:00h

#340 Gallbladder Disease – The Curbsiders

M-A | Lesões em crianças e adolescentes relacionadas a centros de trampolim.

19 Jun, 2022 | 13:59h

Trampoline centre injuries in children and adolescents: a systematic review and meta-analysis – Injury Prevention

Comunicado de imprensa: Serious injuries more likely for kids using trampoline centers than home trampolines – British Medical Journal

Diretriz BSH para manejo hematológico de hemorragia de grande volume.

19 Jun, 2022 | 13:44h

A guideline for the haematological management of major haemorrhage: a British Society for Haematology Guideline – British Journal of Haematology

Seguimento de longo prazo de estudo randomizado | Craniectomia descompressiva vs. cuidado médico padrão para pacientes com hipertensão intracraniana traumática.

16 Jun, 2022 | 14:03h

Evaluation of Outcomes Among Patients With Traumatic Intracranial Hypertension Treated With Decompressive Craniectomy vs Standard Medical Care at 24 Months: A Secondary Analysis of the RESCUEicp Randomized Clinical Trial – JAMA Neurology (gratuito por tempo limitado)

Estudo original: Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension – New England Journal of Medicine

Conteúdos relacionados:

Partial removal of skull (decompressive craniectomy) to lower treatment-resistant high pressure in the skull and brain after traumatic brain injury – Cochrane Library

Consensus statement from the International Consensus Meeting on the Role of Decompressive Craniectomy in the Management of Traumatic Brain Injury – Acta Neurochirurgica

The Current Status of Decompressive Craniectomy in Traumatic Brain Injury – Current Trauma Reports

Comentário no Twitter

In this study, at 24 months, patients with posttraumatic refractory intracranial hypertension managed with a decompressive craniectomy had a sustained mortality reduction and higher rates of vegetative state, severe disability, and moderate disability. https://t.co/I8GqG885jh

— JAMA Neurology (@JAMANeuro) June 9, 2022

Comentário de estudo | Hemotórax traumático: pigtail vs. tubo torácico.

16 Jun, 2022 | 13:31h

Traumatic Hemothorax: Pigtail vs Chest Tube – RebelEM

Estudo original: 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)

Aplicação do sistema de classificação WSES para fraturas pélvicas abertas – validação e suplemento para um banco de dados nacional.

2 Jun, 2022 | 13:05h

The application of the WSES classification system for open pelvic fractures—validation and supplement from a nationwide data bank – World Journal of Emergency Surgery

Diretriz relacionada: Pelvic trauma: WSES classification and guidelines – World Journal of Emergency Surgery

Revisão sistemática e metanálise de estudos randomizados de alta qualidade | Preparação da pele com clorexidina alcoólica ou suturas cobertas por triclosan para reduzir infecções de sítio cirúrgico.

1 Jun, 2022 | 13:59h

Alcoholic chlorhexidine skin preparation or triclosan-coated sutures to reduce surgical site infection: a systematic review and meta-analysis of high-quality randomised controlled trials – The Lancet Infectious Diseases

Estudo relacionado: Reducing surgical site infections in low-income and middle-income countries (FALCON): a pragmatic, multicentre, stratified, randomised controlled trial – The Lancet E Comentário: Expensive antiseptics and sutures do not reduce the risk of surgical infections – National Institute for Health and Care Research

Comentário de um dos autores no Twitter (fio – clique para saber mais)

1. Today: our @TheLancetInfDis meta-analysis based on @FalconRct – triclosan sutures and alcoholic skin prep to reduce surgical site infection.

Link to open access PDF:https://t.co/cj7yFdbNpB pic.twitter.com/VkKRaxCAtm

— Aneel Bhangu (@aneelbhangu) May 27, 2022

Revisão sistemática | Fatores de risco associados a acidentes com quadriciclos.

1 Jun, 2022 | 13:42h

Risk factors associated with quadbike crashes: a systematic review – World Journal of Emergency Surgery