Acesso livre
Acesso livre

Medicina de Emergências

Cuidado intensivo das infecções respiratórias agudas graves (adaptação para COVID-19, atualização 2022).

12 Abr, 2022 | 12:40h

Clinical care of severe acute respiratory infections – Tool kit – World Health Organization

 

Comentário no Twitter (fio – clique para saber mais)

 

M-A | Terapias profiláticas para morbidade e mortalidade após hemorragia subaracnóidea aneurismática.

12 Abr, 2022 | 12:11h

Prophylactic Therapies for Morbidity and Mortality After Aneurysmal Subarachnoid Hemorrhage: A Systematic Review and Network Meta-Analysis of Randomized Trials – Stroke (link para o resumo – $ para o texto completo)

Conteúdo relacionado: RCT: Effects of clazosentan on cerebral vasospasm–related morbidity and all-cause mortality after aneurysmal subarachnoid hemorrhage.

 

Comentário no Twitter

 

M-A | Avaliação do risco no ambiente pré-hospitalar em pacientes com suspeita de síndrome coronariana aguda sem elevação do segmento ST.

12 Abr, 2022 | 11:55h

Prehospital risk assessment in patients suspected of non-ST-segment elevation acute coronary syndrome: a systematic review and meta-analysis – BMJ Open

 

Comentário no Twitter

 

Revisão do estado de arte | Prognóstico e tomada de decisão compartilhada no cuidado neurocrítico.

11 Abr, 2022 | 13:02h

Prognostication and shared decision making in neurocritical care – The BMJ

 

Comentário no Twitter

 

M-A | Padrões de trombose e desfecho clínico da trombocitopenia trombótica imune induzida por vacina contra COVID-19.

11 Abr, 2022 | 12:58h

Thrombosis patterns and clinical outcome of COVID-19 vaccine-induced immune thrombotic thrombocytopenia: A Systematic Review and Meta-Analysis – International Journal of Infectious Diseases

Conteúdos relacionados:

Case series of Thrombosis with Thrombocytopenia Syndrome after Covid-19 vaccination in the US.

Review: Vaccine-induced immune thrombotic thrombocytopenia.

Vaccine induced immune thrombocytopenia and thrombosis: summary of NICE guidance.

Clinical features of vaccine-induced immune thrombocytopenia and thrombosis.

Review: Clinical characteristics and pharmacological management of COVID-19 vaccine–induced immune thrombotic thrombocytopenia with cerebral venous sinus 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)

M-A | Desempenho diagnóstico do CO-RADS para Covid-19.

11 Abr, 2022 | 12:53h

Diagnostic performance of CO-RADS for COVID-19: a systematic review and meta-analysis – European Radiology

Conteúdos relacionados: CO-RADS – A categorical CT assessment scheme for patients with suspected COVID-19: definition and evaluation – Radiology

AVC: avanços no tratamento dão esperança ao pacientes.

11 Abr, 2022 | 12:50h

Stroke: advances in treatment offer hope for patients – Evidently Cochrane

Comentário de estudo | Cateterização cardíaca imediata vs. tardia em pacientes pós-parada cardíaca sem infarto do miocárdio com elevação do segmento ST: o viés de sobrevivência é uma influência importante?

11 Abr, 2022 | 12:44h

Immediate Versus Delayed Cardiac Catheterization in Post-Arrest Patients Without ST Elevation Myocardial Infarction: Is Survivorship Bias an Important Influence? – Annals of Emergency Medicine

Estudo original: #ESCCongress – RCT: Immediate coronary angiography after out-of-hospital cardiac arrest without ST-segment elevation did not improve outcomes compared to delayed/selective angiography.

Comentário de estudo | De volta ao BaSICS (estudo que comparou solução balanceada com solução salina a 0,9% em pacientes críticos).

11 Abr, 2022 | 12:43h

Back to BaSICS – Annals of Emergency Medicine

Estudos originais:

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.

Conteúdos relacionados:

Perspective: The ongoing saga of normal saline vs. balanced fluids.

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

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

Comentário de estudo | Bougie vs. Stylet para entubação bem-sucedida na primeira passagem.

11 Abr, 2022 | 12:41h

To Bougie or Not to Bougie: Bougie versus Stylet for First-Pass Intubation Success – Annals of Emergency Medicine

Estudo original: RCT: In critically ill adults undergoing tracheal intubation, use of a bougie did not significantly increase the incidence of successful first attempt intubation vs. with use of an endotracheal tube with stylet.

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