Acesso livre
Acesso livre

Clínica Médica

Estudo mostra baixo risco de infarto agudo do miocárdio após procedimentos oftalmológicos, confirmando o conhecimento prévio de que a avaliação pré-operatória pode ser desnecessária para a maioria dos pacientes.

23 Mar, 2022 | 11:52h

Risk for Acute Myocardial Infarction After Ophthalmologic Procedures – Annals of Internal Medicine (link para o resumo – $ para o texto completo)

Resumo para pacientes: Summary for Patients: Risk for Heart Attack After Eye Procedures

Editorial: Preoperative Evaluation Can Delay Ophthalmologic Surgery Without Improving Outcomes ($)

Comentário: Ophthalmologic Procedures Not Tied to Increased AMI Risk – HealthDay

Conteúdos relacionados:

Position Statement: Preoperative Care for Cataract Surgery – “In spite of evidence debunking the utility of testing before cataract surgery, studies suggest that medical testing and the use of medical consultations before cataract surgery continue to increase”.

Study: Prevalence and Cost of Care Cascades After Low-Value Preoperative Electrocardiogram for Cataract Surgery

Evaluation of an Intervention to Reduce Low-Value Preoperative Care for Patients Undergoing Cataract Surgery

Systematic Review: Routine Preoperative Medical Testing for Cataract Surgery

Preoperative Medical Testing in Medicare Patients Undergoing Cataract Surgery – New England Journal of Medicine

 

Comentário no Twitter

 

Sinopse de diretriz | Tratamento do transtorno de uso abusivo de substâncias.

23 Mar, 2022 | 11:50h

The Management of Substance Use Disorders: Synopsis of the 2021 U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline – Annals of Internal Medicine

Propiciando a escolha do paciente: a opção de “decidir por não decidir” para idosos diante de decisões relacionadas à diálise.

23 Mar, 2022 | 11:40h

Enabling Patient Choice: The “Deciding Not to Decide” Option for Older Adults Facing Dialysis Decisions – Journal of the American Society of Nephrology

Comentário: The “Deciding Not to Decide” Option Can Improve Older Adult Patient Care – Rutgers University-New Brunswick

Investigação da cognição na meia-idade.

23 Mar, 2022 | 11:35h

Investigating cognition in midlife – Alzheimer’s & Dementia

Abordagem baseada em evidências para pancreatite aguda.

23 Mar, 2022 | 11:29h

Evidence-Based Disposition of Acute Pancreatitis – emDocs

Diretrizes relacionadas:

2019 WSES guidelines for the management of severe acute pancreatitis – World Journal of Emergency Surgery

American Gastroenterological Association Institute Guideline on Initial Management of Acute Pancreatitis

Pancreatitis – National Institute for Health and Care Excellence

Diretriz | Tratamento de dor lombar crônica, dor osteoartrítica e dor neuropática na atenção primária.

22 Mar, 2022 | 11:59h

PEER simplified chronic pain guideline: Management of chronic low back, osteoarthritic, and neuropathic pain in primary care – Canadian Family Physician

Diretrizes de prática clínica da EASL sobre prevenção e tratamento de sangramento e trombose em pacientes com cirrose.

22 Mar, 2022 | 11:58h

EASL Clinical Practice Guidelines on prevention and management of bleeding and thrombosis in patients with cirrhosis – Journal of Hepatology

Infográfico | Mapa de diretrizes da IDSA para tratamento de pacientes ambulatoriais com COVID-19.

22 Mar, 2022 | 11:56h

COVID-19 Outpatient Treatment Guidelines Roadmap – Infectious Diseases Society of America

 

Comentário no Twitter

 

Miocardite após 3ª dose de vacina da Pfizer em recrutas militares em Israel.

22 Mar, 2022 | 11:49h

Myocarditis Following a Third BNT162b2 Vaccination Dose in Military Recruits in Israel – JAMA

Conteúdos relacionados:

Myocarditis following COVID-19 BNT162b2 vaccination among adolescents in Hong Kong.

[Preprint] Post-marketing active surveillance of myocarditis and pericarditis following vaccination with COVID-19 mRNA vaccines in persons aged 12-39 years in Italy.

Myocarditis after BNT162b2 vaccination in Israeli adolescents.

Myocarditis cases reported after mRNA-Based COVID-19 vaccination in the US from December 2020 to August 2021.

A case-control study showed an increased risk of myocarditis after COVID-19 vaccination with a messenger RNA vaccine compared to an inactivated virus vaccine.

[Preprint] Risk of myocarditis following sequential COVID-19 vaccinations by age and sex.

Risks of myocarditis, pericarditis, and cardiac arrhythmias associated with COVID-19 vaccination vs. SARS-CoV-2 infection.

Case series with 139 adolescents and young adults with suspected myocarditis following mRNA vaccination showed most cases had a mild clinical course and rapid resolution of symptoms.

Heart-inflammation risk from Pfizer COVID vaccine is very low.

Large cohort study with over 2.5 million individuals showed the incidence of myocarditis after the Pfizer vaccine was 2.13 cases per 100,000 persons.

Study with over 5.1 million vaccinated individuals showed the incidence of myocarditis after the receipt of the Pfizer vaccine was low and more common after the second dose in young male recipients.

Large Observational study shows Pfizer Covid vaccine is mostly safe but is associated with increased risk of myocarditis, adenopathy, appendicitis, and herpes zoster.

Revisão | O desafio dos dogmas de tratamento sobre os quais as evidências são não existentes, fracas ou antigas.

22 Mar, 2022 | 11:48h

Challenging management dogma where evidence is non-existent, weak or outdated – Intensive Care Medicine (se o acesso a este link for pago, tente este)

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