Acesso livre
Acesso livre

Emergências e Terapia Intensiva

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

 

Comentário no Twitter

 

Comissão Lancet | Especialistas alertam para o aumento da supermedicalização da morte e fazem um chamado para repensar, radicalmente, o modo como a sociedade cuida das pessoas em fase final de vida.

4 Fev, 2022 | 15:16h

Comunicado de imprensa: THE LANCET: Experts warn of the increasing overmedicalization of death, call for radical rethink of how society cares for dying people

Página principal: Lancet Commission on the Value of Death (necessário cadastro gratuito para todos os artigos)

Report of the Lancet Commission on the Value of Death: bringing death back into life

The precariousness of balancing life and death

Ros Taylor: seeing palliative care as relational

Conteúdo relacionado: What would it take to die well? A systematic review of systematic reviews on the conditions for a good death – The Lancet Health Longevity

 

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Atualização do consenso de especialistas sobre a classificação SCAI SHOCK do choque cardiogênico.

4 Fev, 2022 | 15:14h

SCAI SHOCK Stage Classification Expert Consensus Update: A Review and Incorporation of Validation Studies: This statement was endorsed by the American College of Cardiology (ACC), American College of Emergency Physicians (ACEP), American Heart Association (AHA), European Society of Cardiology (ESC) Association for Acute Cardiovascular Care (ACVC), International Society for Heart and Lung Transplantation (ISHLT), Society of Critical Care Medicine (SCCM), and Society of Thoracic Surgeons (STS) in December 2021 – JSCAI

Comunicado de imprensa: SCAI releases updated expert consensus to SCAI SHOCK classification – Society for Cardiovascular Angiography and Interventions

Comentários:

SCAI SHOCK: Update Refines Cardiogenic Shock Classification – TCTMD

SCAI Releases Updated Expert Consensus to SCAI SHOCK Classification – American College of Cardiology

 

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Estudo observacional | Envolvimento farmacêutico no cuidado de pacientes críticos pode reduzir a utilização de recursos, os eventos adversos medicamentosos e os custos médicos.

4 Fev, 2022 | 15:11h

PHarmacist Avoidance or Reductions in Medical Costs in CRITically Ill Adults: PHARM-CRIT Study – Critical Care Explorations

 

Comentário do autor no Twitter (fio – clique para saber mais)

 

Consenso | Nefrotoxinas e lesão renal aguda.

4 Fev, 2022 | 15:01h

Nephrotoxins and acute kidney injury – The consensus of the Taiwan acute kidney injury Task Force – Journal of the Formosan Medical Association

M-A | Vasopressina e glicocorticoides na parada cardíaca em pacientes internados.

4 Fev, 2022 | 14:56h

Vasopressin and glucocorticoids for in-hospital cardiac arrest: A systematic review and meta-analysis of individual participant data – Resuscitation

Conteúdo relacionado: RCT: Vasopressin + Methylprednisolone increase the likelihood of return of spontaneous circulation compared to placebo in patients with in-hospital cardiac arrest.

 

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