Acesso livre
Acesso livre

Cirurgia Plástica

Diretriz | Mobilização precoce e reabilitação de pacientes queimados criticamente doentes.

2 Jun, 2022 | 13:54h

Clinical Practice Guideline: Early Mobilization and Rehabilitation of Critically Ill Burn Patients – Journal of Burn Care & Research

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)

 

Relatório estabelece projeto para enfrentar as questões éticas globais acerca dos transplantes faciais.

1 Jun, 2022 | 13:32h

Report sets out blueprint to tackle global ethical issues around face transplants – University of York

Relatório: AboutFace: A blueprint for sustainable face transplant policy & practice

Diretrizes para vestimentas no ambiente cirúrgico.

31 Mai, 2022 | 12:38h

Guidelines for clothing in the operating theatre, 2021 – Anaesthesia Critical Care & Pain Medicine

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)

Recomendações do consórcio de oncoplastia mamária para mastectomia e reconstrução mamária total em um cenário de radioterapia pós-mastectomia.

11 Abr, 2022 | 12:26h

Oncoplastic breast consortium recommendations for mastectomy and whole breast reconstruction in the setting of post-mastectomy radiation therapy – The Breast

Grandes queimados – Parte 2 | Anestesia, terapia intensiva e manejo da dor.

8 Abr, 2022 | 21:22h

Major burns: part 2. Anaesthesia, intensive care and pain management – BJA Education

Ver também: Major burns: Part 1. Epidemiology, pathophysiology and initial management.

Estudo randomizado | Debridamento de queimaduras hidrocirúrgico vs. convencional.

29 Mar, 2022 | 13:47h

Hydrosurgical and conventional debridement of burns: randomized clinical trial – British Journal of Surgery

 

Comentário no Twitter

 

Revisão | Quando operar após infecção por SARS-CoV-2?

23 Mar, 2022 | 12:02h

When to operate after SARS-CoV-2 infection? A review on the recent consensus recommendation of the DGC/BDC and the DGAI/BDA – Langenbeck’s Archives of Surgery

Conteúdos relacionados:

Guideline Update: Timing of elective surgery and risk assessment after SARS-CoV-2 infection – “The guidance remains that patients should avoid elective surgery within 7 weeks of infection, unless the benefits of doing so exceed the risk of waiting”.

Perioperative cardiovascular considerations prior to elective noncardiac surgery in patients with a history of Covid-19.

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

BJS commission on surgery and perioperative care post-COVID-19.

The risk of postoperative complications following major elective surgery in active or resolved COVID-19 in the United States – Major, elective surgery 0–4 weeks after Covid-19 is associated with greatly increased risk of postoperative complications; surgery performed 4–8 weeks after infection is still associated with an increased risk of pneumonia.

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

Recomendações WSES/GAIS/WSIS/SIS-E/AAST para pacientes com infecções cutâneas e de partes moles.

8 Mar, 2022 | 17:17h

WSES/GAIS/WSIS/SIS-E/AAST global clinical pathways for patients with skin and soft tissue infections – World Journal of Emergency Surgery

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