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Revisão sistemática | Escolhas de tratamento baseadas em evidências para entorse lateral e agudo de tornozelo.

21 Abr, 2022 | 11:58h

Evidence-based treatment choices for acute lateral ankle sprain: a comprehensive systematic review – European Review for Medical and Pharmacological Sciences

Diretriz AAOS | Prevenção de infecções em sítio cirúrgico após trauma extenso em extremidades.

21 Abr, 2022 | 11:46h

Prevention of Surgical Site Infections After Major Extremity Trauma: Evidence-Based Clinical Practice Guideline – American Academy of Orthopaedic Surgeons

Revisão de evidência: Prevention of Surgical Site Infection After Extremity Trauma (2022)

Estudo randomizado | Em pacientes com ruptura aguda do tendão calcâneo (de Aquiles), uma estratégia não cirúrgica resultou em desfechos similares em comparação ao tratamento cirúrgico de rotina.

19 Abr, 2022 | 12:52h

Nonoperative or Surgical Treatment of Acute Achilles’ Tendon Rupture – New England Journal of Medicine (link para o resumo – $ para o texto completo)

Comentário: Heal Thyself: Most who tear Achilles tendon can skip surgery – Associated Press

Incidência de lesões associadas ao uso de patinete elétrico na Finlândia de 2019 a 2021.

19 Abr, 2022 | 12:19h

Incidence of Electric Scooter–Associated Injuries in Finland From 2019 to 2021 – JAMA Network Open

 

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Estudo randomizado | Entre pacientes que aguardam por um artroplastia total de joelho com IMC acima de 35, a cirurgia bariátrica antes do procedimento foi associada com risco reduzido de complicações.

19 Abr, 2022 | 12:17h

Effect of Bariatric Surgery on Risk of Complications After Total Knee Arthroplasty: A Randomized Clinical Trial – JAMA Network Open

Comentário: Bariatric Surgery Before TKA Cuts Complications in Obese Patients – HealthDay

 

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Estudo randomizado por cluster | Antibioticoprofilaxia mais curta (menos de 24 horas após a cirurgia) é não inferior a um regime mais estendido (24-48 horas) após cirurgia ortopédica limpa.

14 Abr, 2022 | 17:47h

Effect of Antimicrobial Prophylaxis Duration on Health Care–Associated Infections After Clean Orthopedic Surgery: A Cluster Randomized Trial – JAMA Network Open

 

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Estudo randomizado | Em pacientes submetidos a artroplastia de joelho, a administração de bupivacaína lipossomal periarticular não melhorou a recuperação ou a dor pós-operatória em comparação com o cloridrato de bupivacaína isolado.

14 Abr, 2022 | 17:30h

Efficacy of Liposomal Bupivacaine and Bupivacaine Hydrochloride vs Bupivacaine Hydrochloride Alone as a Periarticular Anesthetic for Patients Undergoing Knee Replacement: A Randomized Clinical Trial – JAMA Surgery

M-A | Efeito clínico e segurança das novas diretrizes sobre o tempo de jejum pré-operatório para cirurgias eletivas.

14 Abr, 2022 | 16:54h

The clinical effect and safety of new preoperative fasting time guidelines for elective surgery: a systematic review and meta-analysis – Gland Surgery

Conteúdos relacionados:

An international multidisciplinary consensus statement on fasting before procedural sedation in adults and children – Anaesthesia

Does my hospitalized patient need an NPO-after-midnight order preoperatively?

ESPEN practical guideline: Clinical nutrition in surgery – “Preoperative fasting from midnight is unnecessary in most patients. Patients undergoing surgery, who are considered to have no specific risk of aspiration, shall drink clear fluids until 2 h before anesthesia. Solids shall be allowed until 6 h before anesthesia.”

Pro-Con Debate: 1- vs 2-Hour Fast for Clear Liquids Before Anesthesia in Children.

Editorial: The rationale for the recommendations of the European Pediatric Fasting Guideline – “the authors of the 2021 ESAIC pediatric guideline have found reasons to recommend reductions to the minimum fasting times for infant formula to 4 h, for breast milk to 3 h and for clear fluids to 1 h”.

Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures: An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration

Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology

Clear fluids fasting for elective paediatric anaesthesia: The European Society of Anaesthesiology consensus statement – European Journal of Anaesthesiology

Canadian Pediatric Anesthesia Society statement on clear fluid fasting for elective pediatric anesthesia – Canadian Journal of Anesthesia (gratuito)

Diretriz clínica do Reino Unido para prevenção e tratamento de osteoporose.

12 Abr, 2022 | 12:33h

UK clinical guideline for the prevention and treatment of osteoporosis – Archives of Osteoporosis

Estudo randomizado | Efetividade clínica de injeção intra-articular guiada por ultrassonografia com corticosteroide e anestésico local para a osteoartrite de quadril.

8 Abr, 2022 | 21:39h

Clinical effectiveness of one ultrasound guided intra-articular corticosteroid and local anaesthetic injection in addition to advice and education for hip osteoarthritis (HIT trial): single blind, parallel group, three arm, randomised controlled trial – The BMJ

Comunicado de imprensa: Steroid injections may provide longer lasting benefits for hip pain than current best care – BMJ

 

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