Hematologia Geral
Estudo randomizado | Administração de cetamina em pacientes em crise dolorosa aguda de doença falciforme foi efetiva no controle da dor e reduziu a dose cumulativa de morfina no departamento de emergência.
3 Set, 2021 | 10:58hKetamine Administration for Acute Painful Sickle Cell Crisis: A Randomized Controlled Trial – Academic Emergency Medicine (link para o resumo – $ para o texto completo)
Estudo mostra que pacientes com COVID-19 têm risco mais alto de desenvolver coágulos após cirurgia.
2 Set, 2021 | 11:46hCOVID-19 patients at higher risk of blood clots after surgery, study shows – CIDRAP
Estudo original: SARS-CoV-2 infection and venous thromboembolism after surgery: an international prospective cohort study – Anaesthesia
Conteúdos relacionados:
ASA Guidance: Preoperative testing for COVID-19 is essential, regardless of vaccination.
Position statement: Perioperative management of post-COVID-19 surgical patients.
Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery
Estudo mostra que há risco aumentado de sangramento gastrintestinal após tratamento concomitante com glicocorticoides orais em pacientes em uso de anticoagulantes orais não antagonistas da vitamina K.
20 Ago, 2021 | 12:07hGastrointestinal bleeding risk following concomitant treatment with oral glucocorticoids in patients on non-vitamin K oral anticoagulants – Heart (link para o resumo – $ para o texto completo)
Comentário no Twitter
In this @Heart_BMJ #Afib sdy @AndersHolt6 et al. found a X2 ⬆️ risk of GI bleeding w/ NOAC💊+oral glucocorticoids⚪ vs NOAC alone 💊
Authors recommend ☝️ close monitoring 👀 or other risk 🛑 mitigation when co-prescribing
📝 https://t.co/CgtgmvnD29#CardioTwitter #cardiology pic.twitter.com/95eCOWxozK
— Copenhagen Cardiovascular Research Center (@CopCard) August 15, 2021
Estudo do NIH mostra que não há nenhum benefício significativo do plasma convalescente para pacientes ambulatoriais de COVID-19 com sintomas iniciais.
19 Ago, 2021 | 12:29hEstudo original: Early Convalescent Plasma for High-Risk Outpatients with Covid-19 – New England Journal of Medicine
Comentário no Twitter
Convalescent plasma did not prevent disease progression in patients seen in EDs within 7 days after the onset #COVID19 symptoms. https://t.co/9gmIK3ntKH #IDTwitter pic.twitter.com/sirzn1uGL0
— NEJM (@NEJM) August 18, 2021
Linfo-histiocitose hemofagocítica secundária à COVID-19: uma série de casos.
19 Ago, 2021 | 12:19hHaemophagocytic lymphohistiocytosis secondary to COVID-19: a case series – The Lancet Rheumatology
Características clínicas da trombocitopenia e da trombose imunes induzidas por vacina.
12 Ago, 2021 | 12:21hComentário: Largest Study of VITT After COVID-19 Vaccination Digs Into Lab, Clinical Features – TCTMD
Conteúdos relacionados:
NICE COVID-19 rapid guideline: vaccine-induced immune thrombocytopenia and thrombosis.
Vaccine-induced immune thrombotic thrombocytopenia: what we know and do not know.
Very rare cases of thrombosis with thrombocytopenia syndrome (TTS) after AstraZeneca vaccine: a global safety database analysis – the estimated rate of TTS after the first dose was 8.1 per million vaccinees; after the second dose, the estimated rate was 2.3 per million vaccinees. (vários artigos e fontes sobre o tema)
Comentário no Twitter
The phenotypes of VITT were defined in 220 patients presenting a 14-day median after the first ChAdOx1 nCoV-19 dose. Mortality was 22%. https://t.co/ir0yG5X0BP #COVID19 #IDTwitter pic.twitter.com/iAfxs0I1Ce
— NEJM (@NEJM) August 11, 2021
Diretrizes de 2021 para tratamento de tromboembolismo na América Latina.
12 Ago, 2021 | 12:13hRevisão | Características clínicas e tratamento farmacológico da trombocitopenia trombótica com trombose de seio venoso cerebral desencadeada por vacina contra COVID-19.
11 Ago, 2021 | 10:53hConteúdos relacionados:
NICE COVID-19 rapid guideline: vaccine-induced immune thrombocytopenia and thrombosis.
Vaccine-induced immune thrombotic thrombocytopenia: what we know and do not know.
Very rare cases of thrombosis with thrombocytopenia syndrome (TTS) after AstraZeneca vaccine: a global safety database analysis – the estimated rate of TTS after the first dose was 8.1 per million vaccinees; after the second dose, the estimated rate was 2.3 per million vaccinees. (vários artigos e fontes sobre o tema)
Comentário no Twitter
Big day! Our paper is now published in JAMA Cardiology! @JAMA_current @JAMACardio @JAMANetwork
COVID-19 Vaccine-Induced Immune Thrombotic Thrombocytopenia with Cerebral Venous Sinus Thrombosis
Full-text: https://t.co/XoY0xoztXT pic.twitter.com/IfAmsxomPy
— John G. Rizk (@JohnGRizk) August 10, 2021
Diretriz | Endoscopia em pacientes em terapia antiplaquetária ou anticoagulante.
10 Ago, 2021 | 12:35hEstudo randomizado | Em pacientes não críticos hospitalizados com Covid-19, anticoagulação com heparina em dose terapêutica aumentou a probabilidade de sobrevivência à alta em comparação com a tromboprofilaxia usual.
5 Ago, 2021 | 12:02hEditorial: Surviving Covid-19 with Heparin?
Comentários:
Therapeutic-Dose Heparin in COVID-19: Who Benefits, Who Doesn’t – TCTMD
Comentário no Twitter
In noncritically ill patients with #COVID19, anticoagulation increased the probability of survival to hospital discharge without organ support. https://t.co/3JzKdmL3SB #IDTwitter pic.twitter.com/iDjSelp2HL
— NEJM (@NEJM) August 4, 2021