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Acesso livre

Emergências e Terapia Intensiva

Revisão | Quando operar após infecção por SARS-CoV-2?

23 Mar, 2022 | 12:02h

When to operate after SARS-CoV-2 infection? A review on the recent consensus recommendation of the DGC/BDC and the DGAI/BDA – Langenbeck’s Archives of Surgery

Conteúdos relacionados:

Guideline Update: Timing of elective surgery and risk assessment after SARS-CoV-2 infection – “The guidance remains that patients should avoid elective surgery within 7 weeks of infection, unless the benefits of doing so exceed the risk of waiting”.

Perioperative cardiovascular considerations prior to elective noncardiac surgery in patients with a history of Covid-19.

Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery

Study from 116 countries suggests surgery should be delayed for at least seven weeks following a COVID-19 diagnosis to reduce mortality risk

BJS commission on surgery and perioperative care post-COVID-19.

The risk of postoperative complications following major elective surgery in active or resolved COVID-19 in the United States – Major, elective surgery 0–4 weeks after Covid-19 is associated with greatly increased risk of postoperative complications; surgery performed 4–8 weeks after infection is still associated with an increased risk of pneumonia.

ASA Guidance: Preoperative testing for COVID-19 is essential, regardless of vaccination.

Position statement: Perioperative management of post-COVID-19 surgical patients.

Cohort study: Postoperative in-hospital mortality of patients with COVID-19 infection was more than double that in patients without COVID-19

Avaliação de biomarcadores sanguíneos gliais e neuronais comparada às regras de decisão clínica na avaliação da necessidade de tomografia computadorizada em pacientes com lesão cerebral traumática leve.

23 Mar, 2022 | 11:46h

Evaluation of Glial and Neuronal Blood Biomarkers Compared With Clinical Decision Rules in Assessing the Need for Computed Tomography in Patients With Mild Traumatic Brain Injury – JAMA Network Open

 

Comentário no Twitter

 

Abordagem baseada em evidências para pancreatite aguda.

23 Mar, 2022 | 11:29h

Evidence-Based Disposition of Acute Pancreatitis – emDocs

Diretrizes relacionadas:

2019 WSES guidelines for the management of severe acute pancreatitis – World Journal of Emergency Surgery

American Gastroenterological Association Institute Guideline on Initial Management of Acute Pancreatitis

Pancreatitis – National Institute for Health and Care Excellence

Diretrizes de prática clínica da EASL sobre prevenção e tratamento de sangramento e trombose em pacientes com cirrose.

22 Mar, 2022 | 11:58h

EASL Clinical Practice Guidelines on prevention and management of bleeding and thrombosis in patients with cirrhosis – Journal of Hepatology

Infográfico | Mapa de diretrizes da IDSA para tratamento de pacientes ambulatoriais com COVID-19.

22 Mar, 2022 | 11:56h

COVID-19 Outpatient Treatment Guidelines Roadmap – Infectious Diseases Society of America

 

Comentário no Twitter

 

Revisão | O desafio dos dogmas de tratamento sobre os quais as evidências são não existentes, fracas ou antigas.

22 Mar, 2022 | 11:48h

Challenging management dogma where evidence is non-existent, weak or outdated – Intensive Care Medicine (se o acesso a este link for pago, tente este)

Revisão | Como abordar um estoma de alto débito.

22 Mar, 2022 | 11:41h

How to manage a high-output stoma – Frontline Gastroenterology

 

Comentário no Twitter

 

Debate Pró-Con | Transfusão sanguínea pré-hospitalar – deveria ser adotada para traumas em civis?

22 Mar, 2022 | 11:37h

Pro-Con Debate: Prehospital Blood Transfusion—Should It Be Adopted for Civilian Trauma? – Anesthesia & Analgesia

Infográfico: Pre-Hospital Blood Transfusion: A Pro-Con Debate – Anesthesia & Analgesia

Conteúdo relacionado: RCT: In patients with trauma-related hemorrhagic shock receiving prehospital care, there was no benefit from resuscitation with blood products compared to 0.9% sodium chloride.

Diretriz | Manejo de anticoagulantes e antiplaquetários durante sangramento gastrintestinal agudo e período periendoscópico.

21 Mar, 2022 | 16:38h

American College of Gastroenterology-Canadian Association of Gastroenterology Clinical Practice Guideline: Management of Anticoagulants and Antiplatelets During Acute Gastrointestinal Bleeding and the Periendoscopic Period – Journal of the Canadian Association of Gastroenterology

 

Comentário no Twitter

 

M-A | Posição prona para pacientes não entubados com insuficiência respiratória hipoxêmica aguda relacionada à COVID-19.

21 Mar, 2022 | 16:33h

Awake prone positioning for non-intubated patients with COVID-19-related acute hypoxaemic respiratory failure: a systematic review and meta-analysis – The Lancet Respiratory Medicine

Comentário convidado: The pandemic and the great awakening in the management of acute hypoxaemic respiratory failure – The Lancet Respiratory Medicine

Conteúdos relacionados:

[Preprint] RCT: In hypoxic but not critically ill patients with COVID-19, an intervention to increase prone positioning did not improve outcomes.

RCT: Awake prone positioning reduces the need for intubation in patients with COVID-19.

RCT: Awake prone positioning in patients with hypoxemic respiratory failure due to COVID-19 – no difference in intubation rates compared to standard care.

M-A: Prone positioning of nonintubated patients with Covid-19 improve oxygenation variables without any reported serious adverse events – randomized trials with patient-relevant outcomes such as the need for intubation or mortality rates are required

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