Cirurgia Geral e Trauma

Estudo randomizado | Antibioticoprofilaxia de longa duração na amputação de membro inferior.

18 Mai, 2022 | 16:49h

Extended-course antibiotic prophylaxis in lower limb amputation: randomized clinical trial – British Journal of Surgery (link para o resumo – $ para o texto completo)

 

Comentário no Twitter

In the May issue of BJS: Extended-course antibiotic prophylaxis in lower limb amputation: randomized clinical trial https://t.co/2H0TthufvZ @AmyLightnerMD @bplwijn @des_winter @ksoreide @MalinASund @evanscolorectal @nfmkok @robhinchliffe1 @young_bjs pic.twitter.com/taSa4Caibn

— BJS (@BJSurgery) April 30, 2022

 

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Revisão | Uso de corticosteroides em pacientes com lesão aguda de medula espinal e diretriz atualizada.

17 Mai, 2022 | 11:36h

Review: Steroid Use in Patients With Acute Spinal Cord Injury and Guideline Update – Korean Journal of Neurotrauma

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SUNBURN: protocolo para transmissão de más notícias em trauma e cirurgia de cuidado agudo.

4 Mai, 2022 | 13:51h

SUNBURN: a protocol for delivering bad news in trauma and acute care surgery – Trauma Surgery & Acute Care Open

 

Comentário no Twitter

#TSACOTuesday

Delivery of bad news can be a challenging tasks for practicing surgeons

Protocol-based delivery can provide support to help guide these difficult conversations

S-U-N-B-U-R-N protocol by @DrMentorA provides a framework

Read more: https://t.co/3H5AyT6125 pic.twitter.com/imJ9HuUQJ3

— Trauma Surgery & Acute Care Open (TSACO) (@TSACO_AAST) February 15, 2022

 

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M-A | Eficácia e segurança da laparoscopia para trauma abdominal pediátrico leve e moderado.

28 Abr, 2022 | 11:45h

Efficacy and Safety of Laparoscopy for Mild and Moderate Pediatric Abdominal Trauma: A Systematic Review and Meta-Analysis – Journal of Clinical Medicine

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Escorregadores gigantes e pernas quebradas: por que a mania mais recente do playground representa um perigo grave.

27 Abr, 2022 | 16:15h

Giant tube slides and broken legs: why the latest playground craze is a serious hazard – The Conversation

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Diretriz AAOS | Prevenção de infecções em sítio cirúrgico após trauma extenso em extremidades.

21 Abr, 2022 | 11:46h

Prevention of Surgical Site Infections After Major Extremity Trauma: Evidence-Based Clinical Practice Guideline – American Academy of Orthopaedic Surgeons

Revisão de evidência: Prevention of Surgical Site Infection After Extremity Trauma (2022)

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Incidência de lesões associadas ao uso de patinete elétrico na Finlândia de 2019 a 2021.

19 Abr, 2022 | 12:19h

Incidence of Electric Scooter–Associated Injuries in Finland From 2019 to 2021 – JAMA Network Open

 

Comentário no Twitter

This cross-sectional study found that actual incidence of any injury and major trauma was 18/100k and 5.9/100k trips taken with rental e-scooters in Finland. https://t.co/ZKz1j219vQ

— JAMA Network Open (@JAMANetworkOpen) April 14, 2022

 

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M-A | Efeito clínico e segurança das novas diretrizes sobre o tempo de jejum pré-operatório para cirurgias eletivas.

14 Abr, 2022 | 16:54h

The clinical effect and safety of new preoperative fasting time guidelines for elective surgery: a systematic review and meta-analysis – Gland Surgery

Conteúdos relacionados:

An international multidisciplinary consensus statement on fasting before procedural sedation in adults and children – Anaesthesia

Does my hospitalized patient need an NPO-after-midnight order preoperatively?

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”.

Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures: An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration

Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology

Clear fluids fasting for elective paediatric anaesthesia: The European Society of Anaesthesiology consensus statement – European Journal of Anaesthesiology

Canadian Pediatric Anesthesia Society statement on clear fluid fasting for elective pediatric anesthesia – Canadian Journal of Anesthesia (gratuito)

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Revisão sistemática | Tempo de administração antibiótica, debridamento de feridas e estágios da cirurgia reconstrutiva para fraturas expostas de ossos longos de membros superiores e inferiores.

6 Abr, 2022 | 12:21h

Timing of antibiotic administration, wound debridement, and the stages of reconstructive surgery for open long bone fractures of the upper and lower limbs – Cochrane Library

Resumo: The timing of treatment for broken bones in the legs and arms that also have open wounds – Cochrane Library

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Desenvolvimento de uma definição baseada em consenso da avaliação focada e sonográfica do trauma (Focused Assessment with Sonography for Trauma – FAST) em crianças.

1 Abr, 2022 | 13:06h

Development of a Consensus-Based Definition of Focused Assessment With Sonography for Trauma in Children – JAMA Network Open

Comentários:

New FAST Definitions May Improve Trauma Assessment of Children – Medscape (necessário cadastro gratuito)

Ultrasonographic views, landmarks, and patient-specific factors to consider in a consensus-based definition of the Focused Assessment With Sonography for Trauma in children with abdominal injury – Physician’s Weekly

 

Comentário no Twitter

Qualitative study describes the development of an expert definition for high-quality & accurate pediatric Focused Assessment with Sonography for Trauma (FAST), including recommended views, landmarks & imaging quality. @aaronkornblith @nkpluso @pocusnetwork https://t.co/4CTvGp2Rqs

— JAMA Network Open (@JAMANetworkOpen) March 18, 2022

 

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