Cirurgia Torácica

Tratamento de pneumotórax espontâneo secundário: diretriz atual, controvérsias e avanços recentes.

17 Mar, 2022 | 13:07h

Management of the Secondary Spontaneous Pneumothorax: Current Guidance, Controversies, and Recent Advances – Journal of Clinical Medicine

Estudo multicêntrico de acurácia comparativa | Tomografia computadorizada dinâmica com contraste vs. tomografia por emissão de pósitrons para caracterizar nódulos pulmonares solitários.

16 Mar, 2022 | 17:32h

Resumo: Dynamic contrast-enhanced CT compared with positron emission tomography CT to characterise solitary pulmonary nodules: the SPUtNIk diagnostic accuracy study and economic modelling – Health Technology Assessment

Download: Full Report

Cuidado centrado no paciente na cirurgia torácica: uma abordagem holística – Revisão de protocolos ERAS (enhanced recovery after surgery), reabilitação, manejo da dor e medidas de desfechos reportados pelo paciente na cirurgia torácica.

15 Mar, 2022 | 12:55h

Patient-centred care in thoracic surgery: a holistic approach—A review of the subjects of enhanced recovery after surgery, rehabilitation, pain management and patient-reported outcome measures in thoracic surgery – Journal of Thoracic Disease

Revisão | Indicações cirúrgicas atuais para câncer pulmonar de não pequenas células.

11 Mar, 2022 | 14:35h

Current Surgical Indications for Non-Small-Cell Lung Cancer – Cancers

Estudo randomizado | Função da ultrassonografia torácica no seguimento da pleurodese para derrames pleurais malignos.

8 Mar, 2022 | 18:12h

Role of thoracic ultrasonography in pleurodesis pathways for malignant pleural effusions (SIMPLE): an open-label, randomised controlled trial – The Lancet Respiratory Medicine (link para o resumo – $ para o texto completo)

Comentário no Twitter

Thoracic ultrasonography-guided pleurodesis in patients with malignant pleural effusions results in shorter hospital stay without reducing the success rate of the procedure at 3 monthshttps://t.co/hof4Rd2nUt

— K Pavithran (@drkpavithran) March 2, 2022

Estudo randomizado | Em pacientes com câncer de pulmão em estágio inicial, lobectomia toracoscópica vídeo-assistida está associada com melhor recuperação da função física em 5 semanas em comparação com cirurgia aberta.

3 Mar, 2022 | 16:36h

Video-Assisted Thoracoscopic or Open Lobectomy in Early-Stage Lung Cancer – NEJM Evidence

Comentário no Twitter

For patients with early-stage #LungCancer, resection by video-assisted thoracoscopic surgery was superior to open resection with respect to postoperative recovery of physical function as shown in a randomized trial. @ekslim @RBandH #VATS #OncoAlert https://t.co/j23CgZp5U5 pic.twitter.com/UsIx3D8Zem

— NEJM Evidence (@NEJMEvidence) January 19, 2022

Diretrizes clínicas do SEOM-GECP-GETTHI para o tratamento de pacientes com tumores epiteliais tímicos.

3 Mar, 2022 | 15:34h

SEOM-GECP-GETTHI Clinical Guidelines for the treatment of patients with thymic epithelial tumours (2021) – Clinical and Translational Oncology

Diretriz atualizada | Momento da cirurgia eletiva e avaliação de risco após infecção por SARS-CoV-2 – “Mantemos a orientação de que os pacientes devem evitar cirurgias eletivas dentro de 7 semanas da infecção, a menos que os benefícios superem o risco de aguardar por tal período.”

1 Mar, 2022 | 15:38h

Timing of elective surgery and risk assessment after SARS-CoV-2 infection: an update – Anaesthesia

Conteúdos relacionados:

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

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

22 Fev, 2022 | 14:44h

Surgery students ‘losing dexterity to stitch patients’ – BBC

Revisão das atuais diretrizes e práticas | Efusões pleurais malignas.

10 Fev, 2022 | 12:44h

Malignant Pleural Effusions—A Review of Current Guidelines and Practices – Journal of Clinical Medicine

Conteúdo relacionado: Meta-Analysis: Interventions for the Management of Malignant Pleural Effusions