Acesso livre
Acesso livre

Cirurgia Geral e Trauma

Eficácia e segurança do tratamento não cirúrgico da apendicite aguda não complicada em comparação à apendicectomia: uma revisão abrangente de revisões sistemáticas e metanálises.

11 Mar, 2022 | 14:58h

Efficacy and Safety of Non-Operative Management of Uncomplicated Acute Appendicitis Compared to Appendectomy: An Umbrella Review of Systematic Reviews and Meta-Analyses – World Journal of Surgery

Conteúdos relacionados:

Cohort Study: Patient factors associated with appendectomy within 30 days of initiating antibiotic treatment for appendicitis – the presence of an appendicolith was associated with a nearly 2-fold increased risk of undergoing appendectomy within 30 days.

Review: Diagnosis of uncomplicated and complicated appendicitis in adults.

Another RCT evaluating the efficacy and quality of life of antibiotic-only treatment of acute uncomplicated appendicitis.

A Randomized trial comparing antibiotics with appendectomy for appendicitis

Antibiotics alone for uncomplicated appendicitis: Oral Moxifloxacin almost as good as intravenous Ertapenem + oral Levofloxacin

Observational study: 67.1% success rate with nonoperative management of children with uncomplicated appendicitis

Randomized Trial: Quality of Life and Patient Satisfaction at 7-Year Follow-up of Antibiotic Therapy vs. Appendectomy for Uncomplicated Acute Appendicitis

Meta-Analysis: Antibiotic Treatment vs. Appendectomy for Uncomplicated Acute Appendicitis in Adults and Children

Nonoperative treatment for nonperforated appendicitis in children: a systematic review and meta-analysis – Pediatric Surgery International

Revisão | Colecistite aguda.

11 Mar, 2022 | 14:52h

Acute Cholecystitis: A Review – JAMA (gratuito por tempo limitado)

Entrevista com o autor: Acute Cholecystitis

Diretrizes de melhores práticas da ACS | Lesões na coluna.

9 Mar, 2022 | 13:52h

Spine Injury – American College of Surgeons

Comunicado de imprensa: New guidelines will help trauma centers treat spinal injury patients

Estudo randomizado | Em pacientes com choque hemorrágico relacionado a trauma recebendo cuidados pré-hospitalares, não houve benefício na ressuscitação com hemoderivados em comparação com o cloreto de sódio 0,9%.

9 Mar, 2022 | 13:49h

Resuscitation with blood products in patients with trauma-related haemorrhagic shock receiving prehospital care (RePHILL): a multicentre, open-label, randomised, controlled, phase 3 trial – The Lancet Haematology

Comentário convidado: Prehospital blood transfusion: who benefits? – The Lancet Haematology

 

Comentário no Twitter

 

Diretrizes WSES sobre lesão intestinal contusa e penetrante: diagnóstico, investigações e tratamento.

8 Mar, 2022 | 17:18h

WSES guidelines on blunt and penetrating bowel injury: diagnosis, investigations, and treatment – World Journal of Emergency Surgery

Análise sistemática | Causas nacionais, regionais e globais de mortalidade em pacientes de 5 a 19 anos de idade de 2000 a 2019.

3 Mar, 2022 | 16:48h

National, regional, and global causes of mortality in 5–19-year-olds from 2000 to 2019: a systematic analysis – The Lancet Global Health

Comentário convidado: Child and adolescent deaths: a call for strengthening mortality surveillance systems – The Lancet Global Health

M-A | Associação da administração de ácido tranexâmico com mortalidade e eventos tromboembólicos em pacientes com lesão traumática.

3 Mar, 2022 | 15:24h

Association of Tranexamic Acid Administration With Mortality and Thromboembolic Events in Patients With Traumatic Injury: A Systematic Review and Meta-analysis – JAMA Network Open

Conteúdos relacionados:

M-A: Prehospital Tranexamic Acid reduces mortality among bleeding trauma patients without increasing the risk of venous thromboembolism.

Tranexamic acid after traumatic brain injury: Exploratory analysis combining data from CRASH-2 and CRASH-3 trials suggests reduced mortality

Meta-analysis: Efficacy and safety of tranexamic acid in acute traumatic brain injury

Randomized trial: Tranexamic acid during prehospital transport in patients at risk for hemorrhage after injury

Randomized trial: Out-of-hospital tranexamic acid does not improve neurologic outcomes in patients with traumatic brain injury

Editorial: Is Tranexamic Acid Going to CRASH the Management of Traumatic Brain Injury?

Practice-Changing: Tranexamic Acid Reduces the Risk of Head Injury-related Death in Patients with Mild-to-moderate Head Injury

Grandes queimados – Parte 1 | Epidemiologia, fisiopatologia e tratamento inicial.

25 Fev, 2022 | 14:12h

Major burns: Part 1. Epidemiology, pathophysiology and initial management – BJA Education

Estudantes de cirurgia estão “perdendo sua destreza em suturar pacientes”.

22 Fev, 2022 | 14:44h

Surgery students ‘losing dexterity to stitch patients’ – BBC

Estudo randomizado | Dose subdissociativa de cetamina com haloperidol vs. fentanila na redução da dor em pacientes com dor aguda no departamento de emergência.

22 Fev, 2022 | 14:32h

Sub dissociative dose of ketamine with haloperidol versus fentanyl on pain reduction in patients with acute pain in the emergency department; a randomized clinical trial – The American Journal of Emergency Medicine (link para o resumo – $ para o texto completo)

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