Emergências e Terapia Intensiva

Consenso | Potencial nefrotóxico de 167 medicamentos em adultos criticamente doentes.

31 Mai, 2022 | 12:36h

Consensus Obtained for the Nephrotoxic Potential of 167 Drugs in Adult Critically Ill Patients Using a Modified Delphi Method – Drug Safety (se o acesso a este link for pago, tente este)

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Breve revisão | Curativos de cateter.

31 Mai, 2022 | 12:17h

Catheter dressings – Intensive Care Medicine (se o acesso a este link for pago, tente este)

 

Comentário no Twitter

🧫 Dressing short-term intravascular catheters in #ICU one of most important risk factors for intravascular catheter infections, impacting on extraluminal route (colonization & subsequent infection of from dermal surface). How to manage?#FOAMcc #FOANed
📎 https://t.co/dwdDMPM3Q1 pic.twitter.com/YqQPbgqA8g

— Intensive Care Medicine (@yourICM) May 28, 2022

 

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Meningite bacteriana combinada com endocardite infecciosa: quando se deve pesquisar por uma se a outra é diagnosticada?

31 Mai, 2022 | 12:16h

Combined Bacterial Meningitis and Infective Endocarditis: When Should We Search for the Other When Either One is Diagnosed? – Infectious Diseases and Therapy

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M-A | Comparação de escores de risco para sangramento gastrintestinal baixo.

31 Mai, 2022 | 11:48h

Comparison of Risk Scores for Lower Gastrointestinal Bleeding: A Systematic Review and Meta-analysis – JAMA Network Open

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Insuficiência ventricular direita está fortemente associada com mortalidade em pacientes com síndrome da angústia respiratória aguda (SARA) relacionada a COVID-19 moderada a grave.

30 Mai, 2022 | 13:17h

Right ventricular failure is strongly associated with mortality in patients with moderate-to-severe COVID-19-related ARDS and appears related to respiratory worsening – Intensive Care Medicine

 

Comentário no Twitter

RV failure in moderate-to-severe #COVID19 #ARDS
➡️strong predictor of mortality
➡️significant worsening of PaO2/FiO2, PaCO2 & ventilatory ratio (⬆️ pulm vasoconstriction) & ⬆️ driving P could contribute#POCUS mandatory especially if resp deterioration.
📎 https://t.co/OE56BuxeWz pic.twitter.com/dNIeo1yHcP

— Intensive Care Medicine (@yourICM) May 16, 2022

 

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Diretrizes clínicas atuais para AVC: atualizações, desafios e oportunidades.

30 Mai, 2022 | 13:11h

Living clinical guidelines for stroke: updates, challenges and opportunities – The Medical Journal of Australia

Diretriz original: The Australian and New Zealand Clinical Guidelines for Stroke Management

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M-A | Eficácia de intervenções fisioterápicas sobre o desmame de ventilação mecânica em pacientes críticos.

30 Mai, 2022 | 12:56h

Efficacy of Physiotherapy Interventions on Weaning in Mechanically Ventilated Critically Ill Patients: A Systematic Review and Meta-Analysis – Frontiers in Medicine

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M-A | Tempo para a realização da cirurgia em pacientes com endocardite infecciosa e hemorragia intracraniana.

30 Mai, 2022 | 12:52h

Surgical Timing in Patients With Infective Endocarditis and With Intracranial Hemorrhage: A Systematic Review and Meta‐Analysis – Journal of the American Heart Association

 

Comentário do autor no Twitter

Check out the results of our meta-analysis regarding operation timing in endocarditis patients with intracranial hemorrhage.

An interesting highlight is the evident immortal-time bias present in most studies. See more: https://t.co/6YskZPIXWB@HrisKirov @MahmDiab @ToDoenst pic.twitter.com/HvcbjTQAjT

— Tulio Caldonazo, MD (@TulioCaldonazo) May 17, 2022

Sob licença de Creative Commons Attribution‐Noncommercial

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Estudo randomizado | Baricitinibe vs. dexametasona para adultos internados com COVID-19.

26 Mai, 2022 | 13:23h

Baricitinib versus dexamethasone for adults hospitalised with COVID-19 (ACTT-4): a randomised, double-blind, double placebo-controlled trial – The Lancet Respiratory Medicine

 

Comentário no Twitter

💥Just Out
ACTT-4 Trial👉First Double Placebo-Controlled Double-Blind Randomized-Stratified Head-to-Head#DEXAMETHASONE vs #BARICITINIB for hospitalized pts w/#COVID19 Low/High-Flow/NIV
Relevant👉Patient Care/Public Health/Guidelines
Our results
👇https://t.co/4Tmue7HK7V
🧵1/4 pic.twitter.com/aF1Y7BAdu3

— Andre Kalil, MD MPH (@DrAndreKalil) May 24, 2022

 

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Diretriz sobre lesão renal aguda associada a contraste.

26 Mai, 2022 | 13:18h

Canadian Association of Radiologists Guidance on Contrast Associated Acute Kidney Injury – Canadian Association of Radiologists Journal

Conteúdos relacionados:

Use of Intravenous Iodinated Contrast Media in Patients with Kidney Disease: Consensus Statements from the American College of Radiology and the National Kidney Foundation – Radiology

SIRM-SIN-AIOM: appropriateness criteria for evaluation and prevention of renal damage in the patient undergoing contrast medium examinations—consensus statements from Italian College of Radiology (SIRM), Italian College of Nephrology (SIN) and Italian Association of Medical Oncology (AIOM) – La radiologia medica

Association of Intravenous Radiocontrast With Kidney Function: A Regression Discontinuity Analysis – JAMA Internal Medicine

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