Cirurgia Torácica

Tratamento moderno da efusão pleural unilateral.

9 Dez, 2021 | 15:16h

Modern day management of a unilateral pleural effusion – Clinical Medicine Journal

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Mesotelioma pleural maligno: Diretrizes de Prática Clínica da ESMO para diagnóstico, tratamento e seguimento.

8 Dez, 2021 | 12:57h

Malignant pleural mesothelioma: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up – Annals of Oncology

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Risco de complicações pós-operatórias após cirurgias eletivas em pacientes com COVID-19 ativa ou resolvida nos EUA – Cirurgia realizada de 0 a 4 semanas após Covid-19 está associada a risco bastante aumentado de complicações pós-cirúrgicas; cirurgia feita de 4 a 8 semanas depois da infecção ainda está associada com risco aumentado de pneumonia.

7 Dez, 2021 | 11:50h

The Risk of Postoperative Complications following Major Elective Surgery in Active or Resolved COVID-19 in the United States – Annals of Surgery

Conteúdos relacionados:

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

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

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Estudo randomizado | Cateter percutâneo 14-Fr de pequeno calibre (pigtail) foi tão efetivo quanto cateteres 28 a 32-Fr em sua capacidade de drenar hemotórax traumático, sem diferença nas complicações.

30 Nov, 2021 | 12:15h

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)

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Diretriz CHEST | Rastreamento para câncer de pulmão.

29 Nov, 2021 | 10:56h

Resumo executivo: Screening for Lung Cancer: Chest Guideline and Expert Panel Report

Diretriz completa: Screening for Lung Cancer: CHEST Guideline and Expert Panel Report

Comunicado de imprensa: CHEST releases expert guidelines for lung cancer screening – Elsevier

Conteúdos relacionados:

USPSTF Statement: begin screening for lung cancer at age 50 years instead of 55 years for patients at risk

Meta-analysis: Lung cancer screening using low-dose computed tomography reduces lung cancer–specific mortality, albeit with a tradeoff of likely overdiagnosis

 

Comentário no Twitter

CHEST Guidelines and Expert Panel Report contains 16 evidence-based recommendations for the benefits, harms, and implementation of low-dose chest computed tomography (CT) screening. https://t.co/4mvjEOftQl #CHESTOnc #CHESTGuidelines #LungCancerAwarenessMonth pic.twitter.com/uyh9Pf0s5s

— CHEST® Journal (@journal_CHEST) November 23, 2021

 

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Revisão e algoritmo: disfagia aórtica.

16 Nov, 2021 | 12:23h

Dysphagia aortica – European Surgery

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Estudo randomizado pragmático mostra taxas similares de infecção de sítio cirúrgico em pele preparada com clorexidina alcoólica a 2% em comparação com iodopovidona, ou com suturas revestidas com triclosan em comparação a suturas não revestidas.

26 Out, 2021 | 11:27h

Reducing surgical site infections in low-income and middle-income countries (FALCON): a pragmatic, multicentre, stratified, randomised controlled trial – The Lancet

Comentários:

Prevention of surgical site infection in low-resource settings – The Lancet

Urgent changes needed to global guidelines designed to stop surgical infection – University of Birmingham

 

Comentário no Twitter

2% alcoholic chlorhexidine skin preparation and triclosan-coated sutures – no benefit in preventing surgical site infection in clean-contaminated or contaminated or dirty surgical woundshttps://t.co/QVkdYYmDvP pic.twitter.com/8hAO5lqFTV

— K Pavithran (@drkpavithran) October 25, 2021

 

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Risco de lesões sérias é maior para cavalgadas do que para futebol, corrida automobilística ou esqui – “O tórax é o sítio mais comum, mas lesões em cabeça e pescoço são mais letais.”

18 Out, 2021 | 08:35h

Comunicado de imprensa: Serious injury risk higher for horse riding than for football, motor racing, or skiing – BMJ

Estudo original: Hearing hoofbeats? Think head and neck trauma: a 10-year NTDB analysis of equestrian-related trauma in the USA – Trauma Surgery & Acute Care Open

Comentário: Horse Riding More Dangerous Than Skiis And Motorcycles, Injury Data Reveal – Science Alert

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Posicionamento científico sobre a ablação percutânea do câncer pulmonar de células não pequenas e doenças metastáticas para os pulmões.

8 Out, 2021 | 12:15h

Society of Interventional Radiology Multidisciplinary Position Statement on Percutaneous Ablation of Non-small Cell Lung Cancer and Metastatic Disease to the Lungs – Journal of Vascular and Interventional Radiology

Comentário: Society of Interventional Radiology issues guidance for minimally invasive lung cancer treatments – Health Imaging

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Novo robô para cirurgias é menor, mais ágil e mais barato, afirma o fabricante. Mas será melhor para os pacientes?

4 Out, 2021 | 09:55h

A new surgical robot is smaller, nimbler, and cheaper, its maker claims. But will it be better for patients? – STAT

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