Clínica Médica

Estudo randomizado | Cetamina é um tratamento eficaz no curto prazo para alguns pacientes com risco de suicídio no hospital.

4 Fev, 2022 | 17:37h

Comunicado de imprensa: Ketamine is a short-term effective treatment for some suicidal patients in hospital – BMJ

Artigo original: Ketamine for the acute treatment of severe suicidal ideation: double blind, randomised placebo controlled trial – The BMJ

Editorial: Ketamine for suicidal ideation – The BMJ

Conteúdos relacionados:

RCT: Ketamine induced remission in 46% of patients but was NOT non-inferior to electroconvulsive therapy for the treatment of hospitalized patients with unipolar depression.

Systematic Review: Ketamine for the treatment of mental health and substance use disorders.

Phase 2 RCT: Adjunctive ketamine with relapse prevention–based psychological therapy shows promise for the treatment of alcohol use disorder.

RCT: Effects of ketamine vs. midazolam on neurocognition at 24 hours in depressed patients with suicidal ideation.

Randomized trial: Repeated Ketamine administration for chronic posttraumatic stress disorder

Ketamine and Depression: A Narrative Review

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Diretriz de consenso | Manejo pré-operatório de medicações para doenças neurológicas.

4 Fev, 2022 | 17:33h

Preoperative Management of Medications for Neurologic Diseases – Mayo Clinic Proceedings

Conteúdo relacionado: Consensus Statement: Preoperative management of medications for psychiatric diseases.

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Meu paciente internado precisa de jejum absoluto após a meia-noite antes de uma cirurgia?

4 Fev, 2022 | 17:31h

Does my hospitalized patient need an NPO-after-midnight order preoperatively? – Cleveland Clinic Journal of Medicine

Conteúdos relacionados:

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”.

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Critérios de classificação ACR/EULAR 2022 para poliangiíte microscópica.

4 Fev, 2022 | 17:27h

2022 American College of Rheumatology/European Alliance of Associations for Rheumatology classification criteria for microscopic polyangiitis – Annals of Rheumatic Diseases (link para o resumo – $ para o texto completo)

 

Comentário no Twitter

🚨 # 2022 ACR/EULAR classification criteria for Rheumatology classification criteria for microscopic polyangiitis
1️⃣sensitivity 91%
2️⃣specificity 94%https://t.co/6pPHL8JGVH pic.twitter.com/NJdrS9c6gs

— ARD & RMD Open (@ARD_BMJ) February 2, 2022

 

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Critérios de classificação ACR/EULAR 2022 para granulomatose com poliangiíte.

4 Fev, 2022 | 17:26h

2022 American College of Rheumatology/European Alliance of Associations for Rheumatology classification criteria for granulomatosis with polyangiitis – Annals of Rheumatic Diseases (link para o resumo – $ para o texto completo)

 

Comentário no Twitter

🚨 # 2022 ACR/EULAR classification criteria for granulomatosis with polyangiitis
1️⃣sensitivity 93%
2️⃣specificity 94%https://t.co/pJzZydezBB pic.twitter.com/2PafF2pbzo

— ARD & RMD Open (@ARD_BMJ) February 2, 2022

 

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Critérios de classificação ACR/EULAR 2022 para granulomatose eosinofílica com poliangiíte.

4 Fev, 2022 | 17:25h

2022 American College of Rheumatology/European Alliance of Associations for Rheumatology Classification Criteria for Eosinophilic Granulomatosis with Polyangiitis – Annals of Rheumatic Diseases (link para o resumo – $ para o texto completo)

 

Comentário no Twitter

🚨 # 2022 ACR/EULAR classification criteria for Eosinophilic Granulomatosis with Polyangiitis
1️⃣ sensitivity 85%
2️⃣ specificity 99%https://t.co/WWNk6n8Q09 pic.twitter.com/y41VnP39P7

— ARD & RMD Open (@ARD_BMJ) February 2, 2022

 

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Diretriz | Tratamento da hipertensão e do bloqueio do sistema renina-angiotensina-aldosterona em adultos com doença renal diabética.

4 Fev, 2022 | 17:22h

Management of hypertension and renin-angiotensin-aldosterone system blockade in adults with diabetic kidney disease: Association of British Clinical Diabetologists and the Renal Association UK guideline update 2021 – BMC Nephrology

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Diretriz de prática clínica para o tratamento hemodialítico.

4 Fev, 2022 | 17:21h

Executive Summary of the Korean Society of Nephrology 2021 Clinical Practice Guideline for Optimal Hemodialysis Treatment – Kidney Research and Clinical Practice

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Recomendações do Choosing Wisely para geriatria na França.

4 Fev, 2022 | 17:20h

Geriatric Choosing Wisely choice of recommendations in France: a pragmatic approach based on clinical audits – BMC Geriatrics

Ver lista completa de práticas de baixo valor: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia E Choosing Wisely Canada

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Anafilaxia: destaques da nova diretriz.

4 Fev, 2022 | 17:18h

Anaphylaxis: Highlights from the practice parameter update – Cleveland Clinic Journal of Medicine

Artigo original: Anaphylaxis—a 2020 practice parameter update, systematic review, and Grading of Recommendations, Assessment, Development and Evaluation (GRADE) analysis – Journal of Allergy and Clinical Immunology

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