Emergências e Terapia Intensiva

Revisão | Complicações relacionadas a tatuagens no departamento de emergência.

12 Mai, 2022 | 14:32h

Metanálise de estudos randomizados controlados | Momento da estratégia invasiva na síndrome coronariana aguda sem elevação do segmento ST.

10 Mai, 2022 | 14:25h

Timing of invasive strategy in non-ST-elevation acute coronary syndrome: a meta-analysis of randomized controlled trials – European Heart Journal

Comentário no Twitter

Timing of invasive management of NSTE-ACS: is the time up for early management?

Timing of invasive strategy in #NSTEMI : a meta-analysis of randomized controlled trialshttps://t.co/XD074Lh94S @ESC_Journals @escardio @mmamas1973 @ALEX_MISCHIE @AnkurKalraMD @HeartOTXHeartMD pic.twitter.com/0XekZqvJop

— Henry Han, MBBS, MD (@HanCardiomd) May 6, 2022

Sob a licença de https://creativecommons.org/licenses/by-nc/4.0/

Breve revisão | Em busca do Santo Graal: identificando a melhor pressão expiratória final positiva (PEEP) em pacientes em ventilação mecânica.

10 Mai, 2022 | 14:24h

In search of the Holy Grail: identifying the best PEEP in ventilated patients – Intensive Care Medicine

Comentário no Twitter

Best PEEP on MV?? Individual-specific providing oxygenation (SpO2 >90%/no excessive FiO2 + acceptable PaCO2 (<50/55 mmHg) & minimal need for fluids/cardioactives. Start at 10-12 but stay alert to hemodynamic impact & as set, serially asses need/adequacy.
🖇https://t.co/wdK92bs8B9 pic.twitter.com/NlTzoxfwa5

— Intensive Care Medicine (@yourICM) May 5, 2022

Breve revisão | Metas de oxigênio.

10 Mai, 2022 | 14:23h

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

Conteúdos relacionados:

Thoracic Society of Australia and New Zealand Position Statement on Acute Oxygen Use in Adults: ‘Swimming between the flags’ – Respirology

Long-term mortality and health-related quality of life of lower versus higher oxygenation targets in ICU patients with severe hypoxaemia – Intensive Care Medicine

Oxygen Targets During Mechanical Ventilation in the ICU: A Systematic Review and Meta-Analysis – Critical Care Explorations

Effect of Low-Normal vs High-Normal Oxygenation Targets on Organ Dysfunction in Critically Ill Patients: A Randomized Clinical Trial – JAMA

Lower or Higher Oxygenation Targets for Acute Hypoxemic Respiratory Failure – New England Journal of Medicine

Comentário no Twitter

Oxygen targets in #ICU?? Supplemental O2 often required in critically ill, but balancing opposing risks hypo/hyperxaemia required to choose right amount to give. Hyperoxaemia associated with negative cellular/physiological effects: O2 can harm!#FOAMcc
🫧 https://t.co/F4r3Qg7hXg pic.twitter.com/EizwMNjjnc

— Intensive Care Medicine (@yourICM) May 7, 2022

Revisão sistemática | Tratamento ambulatorial vs. com paciente internado para embolia pulmonar aguda.

10 Mai, 2022 | 14:21h

Outpatient versus inpatient treatment for acute pulmonary embolism – Cochrane Library

Comentário: Is home or hospital treatment better for people with blood clots in the lungs? – Cochrane Library

Comentário no Twitter

#CochraneEvidence updated – Is home or hospital treatment better for people with blood clots in the lungs? #VTE #PE #CLOT https://t.co/6tubeADzUY @CochraneLibrary @CochraneUK @NIHRresearch @VSGBI @PERTConsortium @isth @APPTGThrombosis @accpchest @EuropeanTHA @ThrombosisCan pic.twitter.com/JDTio2KC1N

— CochraneVasc (@CochraneVasc) May 6, 2022

Atualização | Desafios clínicos do tratamento de infecções por Stenotrophomonas maltophilia.

10 Mai, 2022 | 14:15h

Clinical challenges treating Stenotrophomonas maltophilia infections: an update – JAC-Antimicrobial Resistance

Conteúdos relacionados:

Overcoming Stenotrophomonas maltophilia Resistance for a More Rational Therapeutic Approach – Open Forum Infectious Diseases

Risk Factors for Acquired Stenotrophomonas maltophilia Pneumonia in Intensive Care Unit: A Systematic Review and Meta-Analysis – Frontiers in Medicine

Trimethoprim-Sulfamethoxazole versus Levofloxacin for Stenotrophomonas maltophilia Infections: A Retrospective Comparative Effectiveness Study of Electronic Health Records from 154 U.S. Hospitals – Open Forum Infectious Diseases

Infectious Diseases Society of America Guidance on the Treatment of AmpC β-lactamase-Producing Enterobacterales, Carbapenem-Resistant Acinetobacter baumannii, and Stenotrophomonas maltophilia Infections – Clinical Infectious Diseases

Derivação e validação de um escore para prever desfechos neurocognitivos ruins no envenenamento agudo por monóxido de carbono.

10 Mai, 2022 | 14:08h

Derivation and Validation of a Score for Predicting Poor Neurocognitive Outcomes in Acute Carbon Monoxide Poisoning – JAMA Network Open

Estudo randomizado | Efeito de traqueostomia precoce vs. tratamento padrão sobre o desfecho funcional de 6 meses em pacientes com AVC grave sob ventilação mecânica.

10 Mai, 2022 | 12:41h

Effect of Early vs Standard Approach to Tracheostomy on Functional Outcome at 6 Months Among Patients With Severe Stroke Receiving Mechanical Ventilation: The SETPOINT2 Randomized Clinical Trial – JAMA (gratuito por tempo limitado)

Comentário no Twitter

In this study, among patients with severe stroke receiving mechanical ventilation, a strategy of early tracheostomy, compared with a standard approach to tracheostomy, did not significantly improve functional outcome at 6 months. https://t.co/bLZ4b6hBxr

— JAMA (@JAMA_current) May 4, 2022