Acesso livre
Acesso livre

Emergências e Terapia Intensiva

Revisão | Compreensão e interpretação de inteligência artificial, aprendizado de máquina (machine learning) e aprendizado profundo (deep learning) na medicina de emergência.

12 Jul, 2022 | 11:26h

Understanding and interpreting artificial intelligence, machine learning and deep learning in Emergency Medicine – Emergency Medicine Journal (gratuito por tempo limitado)

 

M-A | Ressuscitação por fluidos com soluções balanceadas vs. salina normal em pacientes críticos.

12 Jul, 2022 | 11:24h

Fluid resuscitation with balanced crystalloids versus normal saline in critically ill patients: a systematic review and meta-analysis – Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Conteúdos relacionados:

Back to BaSICS – Annals of Emergency Medicine

Effect of Intravenous Fluid Treatment With a Balanced Solution vs 0.9% Saline Solution on Mortality in Critically Ill PatientsThe BaSICS Randomized Clinical Trial – JAMA

Effect of Slower vs Faster Intravenous Fluid Bolus Rates on Mortality in Critically Ill Patients: The BaSICS Randomized Clinical Trial – JAMA

The ongoing saga of normal saline versus balanced fluids – First10EM

Balanced Multielectrolyte Solution versus Saline in Critically Ill Adults – New England Journal of Medicine (link para o resumo – $ para o texto completo)

Balanced Crystalloids versus Saline in Critically Ill Adults — A Systematic Review with Meta-Analysis – NEJM Evidence

Buffered solutions versus 0.9% saline for resuscitation in critically ill adults and children – Cochrane Library

 

Breve revisão | Monitoramento da oxigenação cerebral em pacientes com lesão cerebral aguda.

12 Jul, 2022 | 11:16h

Monitoring cerebral oxygenation in acute brain-injured patients – Intensive Care Medicine (se o acesso a este link for pago, tente este)

 

Comentário no Twitter

 

Diretriz científica AHA | Escalonamento e de-escalonamento temporário de suporte circulatório mecânico no choque cardiogênico.

11 Jul, 2022 | 14:01h

Escalating and De-escalating Temporary Mechanical Circulatory Support in Cardiogenic Shock: A Scientific Statement From the American Heart Association – Circulation

Principais tópicos a saber: Escalating and De-escalating Temporary Mechanical Circulatory Support in Cardiogenic Shock– American Heart Association

Comentário: Guiding Cardiogenic Shock Management: Filling in the (Wide) Data Gaps – American Heart Association

 

Análise provisória | Sabizabulina oral para adultos de alto risco internados com Covid-19.

11 Jul, 2022 | 13:59h

Oral Sabizabulin for High-Risk, Hospitalized Adults with Covid-19: Interim Analysis – NEJM Evidence

 

Estudo randomizado | Plasma convalescente neutralizante de COVID-19 não traz benefícios a adultos internados com a doença.

11 Jul, 2022 | 13:58h

Neutralizing COVID-19 Convalescent Plasma in Adults Hospitalized with COVID-19: A Blinded Randomized Placebo-Controlled Trial – CHEST

Comentário: Study shows convalescent plasma doesn’t benefit severely ill patients hospitalized with COVID-19 – Vanderbilt University Medical Center

 

Estudo de coorte retrospectiva | Viés racial e reprodutibilidade da oximetria de pulso entre pacientes internados clínicos e cirúrgicos.

8 Jul, 2022 | 11:24h

Racial bias and reproducibility in pulse oximetry among medical and surgical inpatients in general care in the Veterans Health Administration 2013-19: multicenter, retrospective cohort study – The BMJ

Comunicado de imprensa: Pulse oximeters missed low oxygen levels in more Black veterans than white veterans – University of Michigan

Conteúdos relacionados:

Racial and Ethnic Discrepancy in Pulse Oximetry and Delayed Identification of Treatment Eligibility Among Patients With COVID-19 – JAMA Internal Medicine

Racial Bias in Pulse Oximetry Measurement – New England Journal of Medicine

Pulse Oximetry for Monitoring Patients with Covid-19 at Home — A Pragmatic, Randomized Trial – New England Journal of Medicine

Effectiveness and safety of pulse oximetry in remote patient monitoring of patients with COVID-19: a systematic review – The Lancet Digital Health

FDA issues alert on ‘limitations’ of pulse oximeters, without explicit mention of racial bias – STAT

Pulse Oximeter Accuracy and Limitations: FDA Safety Communication – U.S. Food & Drug Administration

 

Comentário no Twitter

 

Atualizações de 2021 sobre coagulação e transfusão.

8 Jul, 2022 | 11:09h

Coagulation and Transfusion Updates from 2021 – Journal of Cardiothoracic and Vascular Anesthesia

 

Perspectiva | O futuro da terapia intensiva: delirium não deveria mais ser uma questão.

8 Jul, 2022 | 11:03h

The future of intensive care: delirium should no longer be an issue – Critical Care

 

Comentário no Twitter

Sob licença de http://creativecommons.org/licenses/by/4.0/

 

Estudo randomizado | Alta dose de dexametasona e estratégias de suporte de oxigênio em pacientes na UTI com insuficiência respiratória hipoxêmica aguda grave por COVID-19.

7 Jul, 2022 | 12:23h

High-Dose Dexamethasone and Oxygen Support Strategies in Intensive Care Unit Patients With Severe COVID-19 Acute Hypoxemic Respiratory Failure: The COVIDICUS Randomized Clinical Trial – JAMA Internal Medicine

 

Comentário no Twitter

 

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