Acesso livre
Acesso livre

Emergências e Terapia Intensiva

Estudo randomizado e controlado por cluster | Uma rede inovadora de telemedicina para melhorar o tratamento de doenças infecciosas em pacientes críticos e ambulatoriais.

4 Fev, 2022 | 16:45h

An innovative telemedical network to improve infectious disease management in critically ill patients and outpatients: a stepped-wedge, cluster randomized controlled trial (TELnet@NRW) – Journal of Medical Internet Research

Conteúdos relacionados:

The “Choosing Wisely” initiative in infectious diseases – German Society of Infectious Diseases (link para o resumo – $ para o texto completo)

Infectious Diseases Society of America: Five Things Physicians and Patients Should Question

Perspectiva | As origens, o desenvolvimento e o contexto da Comissão do Lancet sobre o Valor da Morte – “A morte deixou de ser um evento familiar, social e cultural para se tornar, sobretudo, um evento médico.”

4 Fev, 2022 | 16:42h

The origins, development, and context of the Lancet Commission on the Value of Death – The BMJ

Conteúdo relacionado: The Lancet Commission: Experts warn of the increasing overmedicalization of death, call for radical rethink of how society cares for dying people.

Avaliação e tratamento do pneumotórax traumático: algoritmo de decisões críticas da Western Trauma Association.

4 Fev, 2022 | 16:38h

Evaluation and management of traumatic pneumothorax: A Western Trauma Association critical decisions algorithm – Journal of Trauma and Acute Care Surgery

Terapias ambulatoriais para COVID-19: como escolher?

4 Fev, 2022 | 16:07h

Outpatient Therapies for COVID-19: How do we choose? – Open Forum Infectious Diseases

Diretrizes atualizadas do NIH para COVID-19: tratamento de adultos não internados com COVID-19.

4 Fev, 2022 | 16:06h

Therapeutic Management of Nonhospitalized Adults With COVID-19 – NIH COVID-19 Treatment Guidelines

 

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M-A | Impacto da cetamina sobre o consumo de analgésicos-sedativos em pacientes críticos.

4 Fev, 2022 | 16:01h

Impact of Ketamine on Analgosedative Consumption in Critically Ill Patients: A Systematic Review and Meta-Analysis – Annals of Pharmacotherapy

Conteúdos relacionados:

RCT: Fentanyl vs. placebo with ketamine and rocuronium for patients undergoing rapid sequence intubation in the emergency department.

RCT: In patients undergoing emergency endotracheal intubation, 7-day survival was significantly lower with etomidate vs. ketamine (77.3% versus 85.1%), but 28 survival rates were not significantly different (etomidate 64.1% vs. ketamine 66.8%, p = 0.294).

Perspectiva | A contínua saga da salina normal vs. fluidos balanceados.

4 Fev, 2022 | 16:00h

The ongoing saga of normal saline versus balanced fluids – First10EM

Estudos originais:

RCT: In critically ill adults, using a balanced multielectrolyte solution did not lower the risk of death or acute kidney injury compared to standard saline.

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

Conteúdos relacionados:

BaSICS RCT: Among critically ill patients requiring fluid therapy, treatment with a balanced solution did not lead to reduced mortality compared to a 0.9% saline solution.

BaSICS RCT: Among critically ill patients requiring fluid therapy, there was no difference in mortality with slower (333 mL/h) vs. faster (999 mL/h) intravenous fluid bolus rates.

Cochrane Review: Buffered Solutions Do Not Improve Mortality in Critically Ill Adults and Children Compared to 0,9% Saline

Coagulação intravascular disseminada (CIVD) na gestação: fisiopatologia, características clínicas, escores diagnósticos e tratamentos.

4 Fev, 2022 | 15:46h

DIC in Pregnancy – Pathophysiology, Clinical Characteristics, Diagnostic Scores, and Treatments – Journal of Blood Medicine

Síndrome de Takotsubo: revisão de apresentação, diagnóstico e tratamento.

4 Fev, 2022 | 15:45h

Takotsubo Syndrome: A Review of Presentation, Diagnosis and Management – Clinical Medicine Insights: Cardiology

Conteúdos relacionados:

Middle-aged and older women are being diagnosed with Takotsubo Syndrome more frequently, up to 10 times more often, than younger women or men of any age.

International Expert Consensus Document on Takotsubo Syndrome

International Registry: 16.6% of Patients with Takotsubo Syndrome Have Underlying Malignancy

Systematic Review: Long-Term Prognosis and Outcome Predictors in Takotsubo Syndrome

Cohort Study: Hospital Readmission Following Takotsubo Syndrome

Estudo observacional sugere que ceftarolina tem eficácia comparável à daptomicina no tratamento da infecção de corrente sanguínea por Staphylococcus aureus meticilina-resistente.

4 Fev, 2022 | 15:23h

Multicenter Cohort Study of Ceftaroline versus Daptomycin for Treatment of Methicillin-Resistant Staphylococcus aureus Bloodstream Infection – Open Forum Infectious Diseases

 

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