Acesso livre
Acesso livre

Neurocirurgia

Estudo randomizado | Observação vs. rastreamento com ressonância magnética espinal e tratamento preemptivo da compressão de medula espinal em pacientes com câncer de próstata resistente à castração e metástases espinais.

16 Mar, 2022 | 17:15h

Observation versus screening spinal MRI and pre-emptive treatment for spinal cord compression in patients with castration-resistant prostate cancer and spinal metastases in the UK (PROMPTS): an open-label, randomised, controlled, phase 3 trial – The Lancet Oncology

 

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Estudo observacional | Comparação das medidas de pressão intracraniana antes e depois do tratamento com salina hipertônica vs. manitol em crianças com lesão cerebral traumática grave.

14 Mar, 2022 | 13:35h

Comparison of Intracranial Pressure Measurements Before and After Hypertonic Saline or Mannitol Treatment in Children With Severe Traumatic Brain Injury – JAMA Network Open

Comentário convidado: ADAPTing to a New Era of Comparative Effectiveness Research in Traumatic Brain Injury—Generating Evidence From Observational Data – JAMA Network Open

 

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Diretrizes de melhores práticas da ACS | Lesões na coluna.

9 Mar, 2022 | 13:52h

Spine Injury – American College of Surgeons

Comunicado de imprensa: New guidelines will help trauma centers treat spinal injury patients

Estudo piloto prospectivo | Alta hospitalar no mesmo dia após ressecção de tumor cerebral.

9 Mar, 2022 | 13:18h

Same-day discharge after brain tumor resection: a prospective pilot study – Journal of Neuro-Oncology

 

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Revisão sistemática | Acurácia de teste diagnóstico e custo-efetividade de testes para codeleção de braços cromossômicos 1p e 19q em pacientes com glioma.

8 Mar, 2022 | 18:08h

Diagnostic test accuracy and cost‐effectiveness of tests for codeletion of chromosomal arms 1p and 19q in people with glioma – Cochrane Library

Estudo randomizado | Aspirina e heparina não fracionada aumentam o risco de hemorragia intracraniana sintomática em pacientes submetidos a tratamento endovascular de AVC isquêmico.

3 Mar, 2022 | 16:50h

Safety and efficacy of aspirin, unfractionated heparin, both, or neither during endovascular stroke treatment (MR CLEAN-MED): an open-label, multicentre, randomised controlled trial – The Lancet (link para o resumo – $ para o texto completo)

Cefaleia pós-craniotomia: etiologias e tratamentos.

3 Mar, 2022 | 15:23h

Postcraniotomy Headache: Etiologies and Treatments – Current Pain and Headache Reports

Diretriz atualizada | Momento da cirurgia eletiva e avaliação de risco após infecção por SARS-CoV-2 – “Mantemos a orientação de que os pacientes devem evitar cirurgias eletivas dentro de 7 semanas da infecção, a menos que os benefícios superem o risco de aguardar por tal período.”

1 Mar, 2022 | 15:38h

Timing of elective surgery and risk assessment after SARS-CoV-2 infection: an update – Anaesthesia

Conteúdos relacionados:

Perioperative cardiovascular considerations prior to elective noncardiac surgery in patients with a history of Covid-19.

Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery

Study from 116 countries suggests surgery should be delayed for at least seven weeks following a COVID-19 diagnosis to reduce mortality risk

BJS commission on surgery and perioperative care post-COVID-19.

The risk of postoperative complications following major elective surgery in active or resolved COVID-19 in the United States – Major, elective surgery 0–4 weeks after Covid-19 is associated with greatly increased risk of postoperative complications; surgery performed 4–8 weeks after infection is still associated with an increased risk of pneumonia.

ASA Guidance: Preoperative testing for COVID-19 is essential, regardless of vaccination.

Position statement: Perioperative management of post-COVID-19 surgical patients.

Cohort study: Postoperative in-hospital mortality of patients with COVID-19 infection was more than double that in patients without COVID-19

Metanálise sugere que há baixo risco de hemorragia intracraniana tardia (depois de uma tomografia computadorizada negativa de cabeça) após traumatismo craniano contuso de baixa energia durante o uso de anticoagulantes orais diretos.

28 Fev, 2022 | 13:31h

Delayed Intracranial Hemorrhage Following Blunt Head Trauma While on Direct Oral Anticoagulants: A Systematic Review and Meta-analysis – Journal of the American College of Surgeons

Estudantes de cirurgia estão “perdendo sua destreza em suturar pacientes”.

22 Fev, 2022 | 14:44h

Surgery students ‘losing dexterity to stitch patients’ – BBC

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