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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)

Mais dados sugerem que a variante Ômicron causa doença mais leve em comparação à variante Delta.

14 Abr, 2022 | 16:51h

Symptom prevalence, duration, and risk of hospital admission in individuals infected with SARS-CoV-2 during periods of omicron and delta variant dominance: a prospective observational study from the ZOE COVID Study – The Lancet

Comentário: Covid-19: Symptomatic infection with omicron variant is milder and shorter than with delta, study reports – The BMJ

Conteúdos relacionados:

Another study suggests a lower risk of hospitalization and death from infection with SARS-CoV-2 Omicron variant vs. Delta.

Perspective: Challenges in inferring intrinsic severity of the SARS-CoV-2 Omicron variant.

Early assessment of the clinical severity of the SARS-CoV-2 omicron variant in South Africa.

Cohort Study: Incidence rates and clinical outcomes of SARS-CoV-2 infection with the Omicron and Delta variants in children younger than 5 years in the US.

[Preprint] SARS-CoV-2 Omicron virus causes attenuated disease in mice and hamsters.

[Preprint] Study showed reduced clinical severity of Covid-19 patients admitted to hospitals in Gauteng, South Africa, during the Omicron-dominant fourth wave – “any combination of a less-virulent virus, comorbidities, high immunity from prior infection(s) or vaccination may be important contributors to this clinical presentation”.

Early data from South Africa hints Omicron variant may cause less severe Covid, but more research is needed.

Too early to tell, but preliminary information from doctors in South Africa suggests the new Covid variant Omicron may be associated with less severe disease.

Gravidade da COVID-19 em crianças infectadas pela variante Ômicron.

14 Abr, 2022 | 16:49h

COVID-19 Disease Severity in Children Infected with the Omicron Variant – Clinical Infectious Diseases

Conteúdo relacionado: Cohort Study: Incidence rates and clinical outcomes of SARS-CoV-2 infection with the Omicron and Delta variants in children younger than 5 years in the US.

 

Comentário no Twitter

 

Diretriz preliminar NICE recomenda manter a circunferência da cintura menor do que metade da altura.

12 Abr, 2022 | 12:50h

Keep the size of your waist to less than half of your height, updated NICE draft guideline recommends – National Institute for Health and Care Excellence

Comentários:

Expert reaction to updated NICE draft guideline on weight management, including the suggestion for people to keep their waist measurement to less than half their height – Science Media Centre

Keep your waist to less than half your height, guidance says – BBC

Diretriz preliminar: Obesity: identification and classification of overweight and obesity – National Institute for Health and Care Excellence

Atualização clínica sobre COVID-19 para o médico da emergência e terapia intensiva.

12 Abr, 2022 | 12:49h

Clinical update on COVID-19 for the emergency and critical care clinician: Medical management – American Journal of Emergency Medicine

Análise estatística | Estimativa global, regional e nacional de infecções diárias e cumulativas por SARS-CoV-2 até 14/11/2021.

12 Abr, 2022 | 12:48h

Estimating global, regional, and national daily and cumulative infections with SARS-CoV-2 through Nov 14, 2021: a statistical analysis – The Lancet

Invited Commentary: How to interpret the total number of SARS-CoV-2 infections – The Lancet

 

Comentário no Twitter (fio – clique para saber mais)

 

Revisão | Fibrilação atrial.

12 Abr, 2022 | 12:46h

Atrial fibrillation – Nature Reviews Disease Primers (se o acesso a este link for pago, tente este)

Infográfico: Atrial fibrillation – Nature Reviews Disease Primers (se o acesso a este link for pago, tente este)

 

Comentário no Twitter

 

Estudo randomizado | Para adultos vivendo com HIV, uma estratégia de tratamento de 4-dias-sim e 3-dias-não é não inferior ao tratamento padrão para manter a supressão viral.

12 Abr, 2022 | 12:45h

A 4-days-on and 3-days-off maintenance treatment strategy for adults with HIV-1 (ANRS 170 QUATUOR): a randomised, open-label, multicentre, parallel, non-inferiority trial – The Lancet HIV (link para o resumo – $ para o texto completo)

Comentário: Intermittent Treatment Strategy Is Effective for HIV – Consultant360

 

Comentário no Twitter

 

Revisão | Síndrome gastrintestinal pós-COVID-19 aguda.

12 Abr, 2022 | 12:43h

Gastrointestinal post-acute COVID-19 syndrome – Nature Reviews Gastroenterology & Hepatology

 

Comentário no Twitter

 

Estudo randomizado | Promoção no Twitter está associada a maiores taxas de citação de artigos cardiovasculares.

12 Abr, 2022 | 12:41h

Twitter promotion is associated with higher citation rates of cardiovascular articles: the ESC Journals Randomized Study – European Society of Cardiology (link para o resumo – $ para o texto completo)

Conteúdos relacionados:

Randomized Trial: Twitter Promotion Increases Citation Rates of Cardiovascular Articles

Does Tweeting Improve Citations? One-Year Results from the TSSMN Prospective Randomized Trial

A critical review on altmetrics: can we measure the social impact factor?

As scientists take to Twitter, study shows power of ‘visual abstract’ graphics

Riding the Twitter wave: Enthusiasm for the social media platform changed science communication during the pandemic—but will it last?

Optimizing the use of Twitter for research dissemination: The “Three Facts and a Story” randomized-controlled trial.

Perspective: How Twitter is Changing Medical Research

Keeping Up With Cardiology: Old-School Learning Versus the Twittersphere – TCTMD

Scientists on Twitter: Preaching to the choir or singing from the rooftops? – Facets

Rise of the Tweetorial – Precious Bodily Fluids

Social Medicine: Twitter in Healthcare – Journal of Clinical Medicine

University of Twitter? Scientists give impromptu lecture critiquing nutrition research – CBC

Twitter-Based Medicine: How Social Media is Changing the Public’s View of Medicine – The Health Care Blog

What’s your doctor reading? How social media is disrupting medical education – National Post

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