Acesso livre
Acesso livre

Otorrinolaringologia/Cabeça e Pescoço

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)

M-A | Associação de comprometimento olfatório com mortalidade por todas as causas.

12 Abr, 2022 | 12:15h

Association of Olfactory Impairment With All-Cause Mortality: A Systematic Review and Meta-analysis – JAMA Otolaryngology-Head & Neck Surgery (gratuito por tempo limitado)

Comentário convidado: Olfactory Impairment and Mortality—Is Smell Loss Deadly? – JAMA Otolaryngology-Head & Neck Surgery (gratuito por tempo limitado)

 

Comentário no Twitter

 

M-A | Técnicas avançadas de localização com tomografia computadorizada para hiperparatireoidismo primário.

8 Abr, 2022 | 16:57h

Advanced Computed Tomographic Localization Techniques for Primary Hyperparathyroidism: A Systematic Review and Meta-analysis – JAMA Otolaryngology-Head & Neck Surgery (link para o resumo – $ para o texto completo)

Podcast | Abordagem das infecções profundas de pescoço em crianças.

1 Abr, 2022 | 12:05h

#47: Deep Dive into Deep Neck Infections with Dr. Travis Crook – The Cribsiders

Diretrizes clínicas da SEOM-TTCC para câncer de nasofaringe.

25 Mar, 2022 | 15:15h

SEOM-TTCC clinical guideline in nasopharynx cancer (2021) – Clinical and Translational Oncology

Consenso | Tratamentos minimamente invasivos para nódulos benignos na tireoide: recomendações para informação dos pacientes e encaminhamento médico.

25 Mar, 2022 | 14:45h

Minimally-invasive treatments for benign thyroid nodules: recommendations for information to patients and referring physicians by the Italian Minimally-Invasive Treatments of the Thyroid group – Endocrine

Posicionamento científico | Tratamento individualizado do câncer de tireoide diferenciado: o valor da cirurgia em combinação com exames de imagem e terapia com radioiodo.

25 Mar, 2022 | 14:42h

Individualized treatment of differentiated thyroid cancer: The value of surgery in combination with radioiodine imaging and therapy – A German position paper from Surgery and Nuclear Medicine – Nuclear Medicine

Conteúdo relacionado: RCT: In patients with low-risk thyroid cancer, thyroidectomy without ablation radioiodine was noninferior to thyroidectomy with ablation radioiodine at 3 years.

Revisão | Quando operar após infecção por SARS-CoV-2?

23 Mar, 2022 | 12:02h

When to operate after SARS-CoV-2 infection? A review on the recent consensus recommendation of the DGC/BDC and the DGAI/BDA – Langenbeck’s Archives of Surgery

Conteúdos relacionados:

Guideline Update: Timing of elective surgery and risk assessment after SARS-CoV-2 infection – “The guidance remains that patients should avoid elective surgery within 7 weeks of infection, unless the benefits of doing so exceed the risk of waiting”.

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

Estudo randomizado | Irradiação eletiva na parte superior do pescoço não envolvido vs. no pescoço inteiro para pacientes com carcinoma nasofaríngeo.

9 Mar, 2022 | 13:17h

Elective upper-neck versus whole-neck irradiation of the uninvolved neck in patients with nasopharyngeal carcinoma: an open-label, non-inferiority, multicentre, randomised phase 3 trial – The Lancet Oncology (link para o resumo – $ para o texto completo)

Comentários:

Elective Upper-Neck vs Whole-Neck Irradiation in Nasopharyngeal Carcinoma – The ASCO Post

Lower Neck-Sparing RT Succeeds in Nasopharyngeal Carcinoma— Phase III trial also shows that upper-neck irradiation leads to fewer late toxicities – MedPage Today (link para o resumo – $ para o texto completo)

Recomendações da OMS para evitar danos auditivos em eventos.

8 Mar, 2022 | 17:33h

WHO global standard for safe listening venues and events – World Health Organization

Perguntas & Respostas: Deafness and hearing loss: Safe listening – World Health Organization

Comentários:

WHO Releases New Noise Standard for Public Venues to Tackle Hearing Loss – Health Polity Watch

Obesity rates likely to double by 2030 with highest rises in lower-income countries – The Guardian

 

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