Medicina de Emergências

Estudo randomizado | Um pequeno estudo avaliou a segurança e a eficácia do levetiracetam profilático para prevenção de convulsões epilépticas na fase aguda da hemorragia intracerebral.

16 Ago, 2022 | 12:45h

Safety and efficacy of prophylactic levetiracetam for prevention of epileptic seizures in the acute phase of intracerebral haemorrhage (PEACH): a randomised, double-blind, placebo-controlled, phase 3 trial – The Lancet Neurology (link para o resumo – $ para o texto completo)

 

Comentário no Twitter (fio – clique para saber mais)

Small study that is not powered to answer this question but raises an interesting ❓ nonetheless: should we use prophylactic antiseizure 💊in #ich? Most recently updated guidelines recommend against this practice. https://t.co/NH45OCtzvv

— Richard Choi, DO (@rkchoi) August 11, 2022

 

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Revisão | Tratamento da insuficiência hepática aguda e transplante hepático.

16 Ago, 2022 | 12:32h

CAQ Corner: Acute liver failure management and liver transplantation – Liver Transplantation

 

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M-A | Acurácia diagnóstica de testes de antígeno urinário para pneumonia pneumocócica entre pacientes com pneumonia e insuficiência respiratória aguda.

15 Ago, 2022 | 13:26h

Diagnostic accuracy of urinary antigen tests for pneumococcal pneumonia among patients with acute respiratory failure suspected pneumonia: a systematic review and meta-analysis – BMJ Open

 

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M-A | Efeito da fluidoterapia direcionada a objetivos sobre a função renal em pacientes críticos.

15 Ago, 2022 | 13:21h

Effect of goal-directed fluid therapy on renal function in critically ill patients: a systematic review and meta-analysis – Renal Failure

 

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Revisão | Como a avaliação hemodinâmica ajuda na avaliação do status de volume?

12 Ago, 2022 | 18:14h

How can assessing hemodynamics help to assess volume status? – Intensive Care Medicine (gratuito por tempo limitado)

 

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Revisão | Máquinas que salvam vidas na UTI: máquina de ultrassonografia.

12 Ago, 2022 | 18:12h

Machines that save lives in the intensive care unit: the ultrasonography machine – Intensive Care Medicine (se o acesso a este link for pago, tente este no PMC)

 

Comentário no Twitter

Ultrasonography saves lives in #ICU!!
🖥 CCUS in constraints: utility in limited resource environment
🖥 machine design for under‐resourced vs well‐resourced ICU
🖥 training challenges
🖥 evidence: does CCUS really save lives?#POCUS #FOAMcc #FOAMus
🖇 https://t.co/Ht5tCPEyny pic.twitter.com/QacQcYYV4X

— Intensive Care Medicine (@yourICM) August 9, 2022

 

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Estudo randomizado | Em pacientes com estenose intracraniana sintomática, a adição de stent à terapia médica não é melhor a terapia médica isolada para a redução do risco de AVC ou morte.

12 Ago, 2022 | 17:40h

Effect of Stenting Plus Medical Therapy vs Medical Therapy Alone on Risk of Stroke and Death in Patients With Symptomatic Intracranial Stenosis: The CASSISS Randomized Clinical Trial – JAMA

Editorial: Therapeutic Strategies for Intracranial Atherosclerosis – JAMA (gratuito por tempo limitado)

Comentário: Stenting Hits Another Wall in Intracranial Stenosis Stroke – MedPage Today (gratuito por tempo limitado)

 

Comentário no Twitter

Findings of this #RandomizedClinicalTrial do not support the addition of percutaneous transluminal angioplasty and stenting to medical therapy for the treatment of patients with symptomatic severe intracranial atherosclerotic stenosis. https://t.co/X9qi3WQ0JC pic.twitter.com/rH6aDo4GjV

— JAMA (@JAMA_current) August 9, 2022

 

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Estudo randomizado | Em pacientes com AVC oclusivo de grandes vasos, tirofibam intravenoso antes da trombectomia endovascular não melhora os desfechos funcionais.

12 Ago, 2022 | 17:39h

Effect of Intravenous Tirofiban vs Placebo Before Endovascular Thrombectomy on Functional Outcomes in Large Vessel Occlusion Stroke: The RESCUE BT Randomized Clinical Trial – JAMA (gratuito por tempo limitado)

Ver também: Visual Abstract

Comentário: RESCUE BT: IV Tirofiban No Help During Stroke Thrombectomy – TCTMD

 

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Revisão | Desenvolvimentos na sedação para procedimentos em adultos.

12 Ago, 2022 | 17:16h

Developments in procedural sedation for adults – BJA Education

 

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Sinopse de diretriz | Tratamento da infecção por Clostridioides difficile.

10 Ago, 2022 | 14:38h

Treatment of Clostridioides difficile Infection – JAMA (gratuito por tempo limitado)

Diretriz original: ACG Clinical Guidelines: Prevention, Diagnosis, and Treatment of Clostridioides difficile Infections – American Journal of Gastroenterology

Diretrizes relacionadas:

Clinical Practice Guideline by the Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA): 2021 Focused Update Guidelines on Management of Clostridioides difficile Infection in Adults – Clinical Infectious Diseases

Prevention of Clostridioides difficile in hospitals: A position paper of the International Society for Infectious Diseases – International Journal of Infectious Diseases

Clostridioides difficile infection: antimicrobial prescribing – National Institute for Health and Care Excellence

Japanese Clinical Practice Guidelines for Management of Clostridioides (Clostridium) difficile infection – Journal of Infection and Chemotherapy

 

Comentário no Twitter

A summary of @AmCollegeGastro’s 2021 guidelines on treatment of Clostridioides difficile infection. https://t.co/QzrMa71ttu

— JAMA (@JAMA_current) August 8, 2022

 

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