Ortopedia

Estudo randomizado | Um protocolo pós-operatório multimodal para evitar opioides pode reduzir o consumo desses medicamentos após artroscopia de joelho ou ombro.

6 Out, 2022 | 12:58h

Effect of a Postoperative Multimodal Opioid-Sparing Protocol vs Standard Opioid Prescribing on Postoperative Opioid Consumption After Knee or Shoulder Arthroscopy: A Randomized Clinical Trial – JAMA (gratuito por tempo limitado)

Comunicado de imprensa: Orthopedic surgery patients do fine without opioid painkillers – McMaster University

Ver também: Visual Abstract

Nota do editor em vídeo: Effect of an Opioid-Sparing Protocol vs Standard Prescribing on Opioid Consumption After Knee or Shoulder Arthroscopy

 

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Diretriz | Cuidados perioperatórios de pacientes submetidos a cirurgias de instrumentação espinal grandes e complexas.

13 Set, 2022 | 12:01h

Perioperative Care of Patients Undergoing Major Complex Spinal Instrumentation Surgery: Clinical Practice Guidelines From the Society for Neuroscience in Anesthesiology and Critical Care – Journal of Neurosurgical Anesthesiology

 

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Opinião | Ácido tranexâmico para uma cirurgia mais segura: o momento é agora.

8 Set, 2022 | 14:21h

Tranexamic acid for safer surgery: the time is now – British Journal of Surgery

Conteúdos relacionados:

#ACC22 – RCT: Tranexamic acid reduces the risk of bleeding in patients undergoing noncardiac surgery.

Update on applications and limitations of perioperative tranexamic acid.

RCT | Effect of high- vs. low-dose tranexamic acid infusion on need for red blood cell transfusion and adverse events in patients undergoing cardiac surgery.

Safety of tranexamic acid in hip and knee arthroplasty in high-risk patients – this large observational study did not show an increased risk for venous thromboembolism, myocardial infarction, seizures, ischemic strokes, or transient ischemic attacks, irrespective of patient high-risk status at baseline

M-A: Intravenous tranexamic acid in surgical patients is not associated with increased risk of thromboembolic events and mortality

 

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M-A | Cirurgia primária vs. reabilitação primária no tratamento de lesões do ligamento cruzado anterior.

8 Set, 2022 | 13:58h

Primary surgery versus primary rehabilitation for treating anterior cruciate ligament injuries: a living systematic review and meta-analysis – British Journal of Sports Medicine

Comunicado de imprensa: Anterior cruciate ligament tear: Is an operation always necessary? – Judith Merkelt-Jedamzik, Hochschule für Gesundheit

Conteúdos relacionados:

RCT | Surgical reconstruction is superior to rehabilitation for patients with non-acute anterior cruciate ligament injury with persistent symptoms of instability.

Early surgical reconstruction versus rehabilitation with elective delayed reconstruction for patients with anterior cruciate ligament rupture: COMPARE randomised controlled trial – The BMJ

 

Comentário no Twitter

#NEW research: Surgery vs rehab for ACL injury ⚡️

What is the effectiveness of primary rehabilitation with optional surgical reconstruction compared to early surgical reconstruction for ACL rupture?

The findings are IN 💥

READ HERE ➡️ https://t.co/EWkeMnHP3s pic.twitter.com/Y9qf07mT4l

— British Journal of Sports Medicine (BJSM) (@BJSM_BMJ) August 30, 2022

 

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Perspectiva | Agendamentos em dobro, problemas em dobro: limitações e perigos de cirurgias sobrepostas.

29 Ago, 2022 | 17:48h

Double trouble with double-booking: limitations and dangers of overlapping surgery – British Journal of Surgery

Conteúdos relacionados:

Review | The effect of overlapping surgical scheduling on operating theatre productivity.

Study: Association of Overlapping Surgery with Perioperative Outcomes

 

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Revisão sistemática | Intervenções para prevenir tromboembolismo venoso em adultos submetidos a artroscopia de joelho.

29 Ago, 2022 | 17:36h

Interventions for preventing venous thromboembolism in adults undergoing knee arthroscopy – Cochrane Library

Resumo: Treatments for preventing venous thromboembolism in adults who have keyhole surgery of the knee – Cochrane Library

 

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Estudo randomizado | Enoxaparina (40 mg/dia) é superior à aspirina (100 mg/dia) para prevenção de tromboembolismo em pacientes submetidos a artroplastia de quadril ou joelho.

29 Ago, 2022 | 17:20h

Effect of Aspirin vs Enoxaparin on Symptomatic Venous Thromboembolism in Patients Undergoing Hip or Knee Arthroplasty: The CRISTAL Randomized Trial – JAMA (gratuito por tempo limitado)

Editorial: Thromboprophylaxis After Hip or Knee Arthroplasty – JAMA

 

Comentário no Twitter

In patients undergoing hip or knee arthroplasty for osteoarthritis, aspirin compared with enoxaparin resulted in a significantly higher rate of symptomatic venous thromboembolism (VTE), including below-knee VTE. #Research https://t.co/CdlbAgBttJ

— JAMA (@JAMA_current) August 23, 2022

 

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Tratamento da osteoartrite da mão: de uma diretriz médica norte-americana baseada em evidências para uma abordagem europeia centrada no paciente.

29 Ago, 2022 | 16:32h

Management of hand osteoarthritis: from an US evidence-based medicine guideline to a European patient-centric approach – Aging Clinical and Experimental Research

Conteúdos relacionados:

Erosive hand osteoarthritis: latest findings and outlook – Nature Reviews Rheumatology

Efficacy of corticosteroids for hand osteoarthritis – a systematic review and meta-analysis of randomized controlled trials – BMC Musculoskeletal Disorders

ACR Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee

#ACR19 – Randomized Trial: Low-Dose Corticosteroids for Short Periods Effective and Safe for Hand Osteoarthritis

#ACR19 – [Not Published Yet] Randomized Trial: Methotrexate May Reduce Joint Damage Progression in Erosive Hand Osteoarthritis

Research: Hydroxychloroquine Effectiveness in Reducing Symptoms of Hand Osteoarthritis

 

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Revisão sistemática | Não há evidências suficientes para recomendar tênis de corrida para prevenir lesões de membro inferior relacionadas a corrida em adultos.

29 Ago, 2022 | 13:50h

Running shoes for preventing lower limb running injuries in adults – Cochrane Library

Resumo: Running shoes for preventing lower-limb running injuries in adults – Cochrane Library

 

Comentário no Twitter

👟Running shoes have been proposed as one means of reducing injury risk….but are they effective? @CochraneBJMT authors looked at 12 trials that lasted 6-26 wks with 11,240 people. https://t.co/09bt9SzEkh pic.twitter.com/qi5qk7W1I1

— The Cochrane Library (@CochraneLibrary) August 22, 2022

 

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Estudo randomizado | Reconstrução cirúrgica é superior à reabilitação para pacientes com lesão de ligamento cruzado anterior não aguda com sintomas persistentes de instabilidade.

23 Ago, 2022 | 17:12h

Rehabilitation versus surgical reconstruction for non-acute anterior cruciate ligament injury (ACL SNNAP): a pragmatic randomised controlled trial – The Lancet

 

Comentário no Twitter

Surgical reconstruction of non-acute ACL injury with persistent symptoms of instability was superior in comparison with rehabilitation at 18 months (KOOS4 mean difference 7.9 (95% CI 2.5–13.2)): https://t.co/y2taBzHolU pic.twitter.com/n0qW3B6cMv

— Søren T. Skou (@STSkou) August 19, 2022

Sob licença de Creative Commons Attribution (CC BY 4.0)

 

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