Emergências e Terapia Intensiva

Diretriz prática | Bombas de insulina e sistemas fechados híbridos em ambiente hospitalar.

6 Dez, 2022 | 12:02h

Insulin Pumps and Hybrid Close Loop Systems Within Hospital: A Scoping Review and Practical Guidance From the Joint British Diabetes Societies for Inpatient Care – Journal of Diabetes Science and Technology

 

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Revisão | Tratamento da lesão renal aguda em pacientes com cirrose.

6 Dez, 2022 | 11:57h

Management of AKI in Patients with Cirrhosis – Current Treatment Options in Gastroenterology

Conteúdo relacionado: AGA Clinical Practice Update on the Evaluation and Management of Acute Kidney Injury in Patients With Cirrhosis: Expert Review – Clinical Gastroenterology and Hepatology

 

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Revisão | Manejo em UTI de pacientes com lesão cerebral traumática.

6 Dez, 2022 | 11:48h

Intensive Care Unit Management of Traumatic Brain Injury Patients – Journal of Neurointensive Care

 

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Consenso | Prevenção da síndrome de abstinência do álcool na UTI cirúrgica.

28 Nov, 2022 | 14:50h

Prevention of alcohol withdrawal syndrome in the surgical ICU: an American Association for the Surgery of Trauma Critical Care Committee Clinical Consensus Document – Trauma Surgery & Acute Care Open

 

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M-A | Pressão arterial mais alta vs. alvos de normotensão na prevenção de lesão renal aguda.

28 Nov, 2022 | 14:46h

Higher blood pressure versus normotension targets to prevent acute kidney injury: a systematic review and meta-regression of randomized controlled trials – Critical Care

 

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Buprenorfina iniciada no departamento de emergência: conceitos básicos, barreiras e além do departamento de emergência.

28 Nov, 2022 | 14:44h

ED-Initiated Buprenorphine: Basics, Barriers, and Beyond the ED – emDocs

 

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Estudos randomizados | Trombectomia melhorou a recuperação no AVC de artéria basilar, mas aumentou as complicações dos procedimentos e as hemorragias.

17 Out, 2022 | 14:13h

Estudo 1: Trial of Endovascular Treatment of Acute Basilar-Artery Occlusion – New England Journal of Medicine (link para o resumo – $ para o texto completo)

Estudo 2: Trial of Thrombectomy 6 to 24 Hours after Stroke Due to Basilar-Artery Occlusion – New England Journal of Medicine (link para o resumo – $ para o texto completo)

Conteúdos relacionados:

Registry-based cohort study: Endovascular treatment vs. best medical management in acute basilar artery occlusion strokes.

RCT: Endovascular therapy for stroke due to basilar-artery occlusion – “endovascular therapy and medical therapy did not differ significantly with respect to a favorable functional outcome”.

 

Comentário no Twitter

In 340 Chinese patients with basilar-artery occlusion, endovascular treatment resulted in better neurologic outcomes than medical care. Approximately one third of patients underwent intravenous thrombolysis. https://t.co/ZqHirYnjoH pic.twitter.com/fuRV3rFWX7

— NEJM (@NEJM) October 13, 2022

 

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Diretriz ACC 2022 sobre avaliação e disposição da dor torácica aguda no departamento de emergência.

17 Out, 2022 | 13:43h

2022 ACC Expert Consensus Decision Pathway on the Evaluation and Disposition of Acute Chest Pain in the Emergency Department: A Report of the American College of Cardiology Solution Set Oversight Committee – Journal of the American College of Cardiology

Comentário: Guideline Guidance: Practical Tips for Finding, Triaging Chest Pain in the ED – TCTMD

Conteúdos relacionados:

2021 AHA/ACC Guideline for the Evaluation and Diagnosis of Chest Pain.

High-sensitivity cardiac troponin and the 2021 AHA/ACC Guidelines for the evaluation and diagnosis of acute chest pain.

Navigating a Complicated World | Commentary of the new AHA/ACC Chest Pain Guidelines.

 

Comentário de um dos autores no Twitter (fio – clique para saber mais)

Now out in @JACCJournals, pleased to share our @ACCinTouch Expert Consensus Decision Pathway on the Evaluation of Acute Chest Pain in the ED led by Chair @Mikekontos1 and Vice-Chair Dr. James De Lemos.

Link: https://t.co/qFg2IGc0io

Thread👇

1/ pic.twitter.com/PFgryQE0HD

— Cian McCarthy (@CianPMcCarthy) October 12, 2022

 

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Revisão | Ataque isquêmico transitório e AVC leve: diagnóstico, estratificação de risco e tratamento.

17 Out, 2022 | 13:36h

Transient ischemic attack and minor stroke: diagnosis, risk stratification and management – Canadian Medical Association Journal

 

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Séries de caso e revisão sistemática | Arritmia cardíaca ameaçadora à vida e morte súbita durante a prática de jogos eletrônicos.

17 Out, 2022 | 13:35h

Life-threatening cardiac arrhythmia and sudden death during electronic gaming: An international case series and systematic review – Heart Rhythm

Editorial: Ventricular arrhythmias during electronic gaming: Sudden victory and sudden death – Heart Rhythm

Comunicado de imprensa: Electronic gaming can trigger potentially lethal heart rhythm problems in susceptible children – Elsevier

 

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