Terapia Intensiva

Revisão sistemática | Tratamento ambulatorial vs. com paciente internado para embolia pulmonar aguda.

10 Mai, 2022 | 14:21h

Outpatient versus inpatient treatment for acute pulmonary embolism – Cochrane Library

Comentário: Is home or hospital treatment better for people with blood clots in the lungs? – Cochrane Library

 

Comentário no Twitter

#CochraneEvidence updated – Is home or hospital treatment better for people with blood clots in the lungs? #VTE #PE #CLOT https://t.co/6tubeADzUY @CochraneLibrary @CochraneUK @NIHRresearch @VSGBI @PERTConsortium @isth @APPTGThrombosis @accpchest @EuropeanTHA @ThrombosisCan pic.twitter.com/JDTio2KC1N

— CochraneVasc (@CochraneVasc) May 6, 2022

 

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Atualização | Desafios clínicos do tratamento de infecções por Stenotrophomonas maltophilia.

10 Mai, 2022 | 14:15h

Clinical challenges treating Stenotrophomonas maltophilia infections: an update – JAC-Antimicrobial Resistance

Conteúdos relacionados:

Overcoming Stenotrophomonas maltophilia Resistance for a More Rational Therapeutic Approach – Open Forum Infectious Diseases

Risk Factors for Acquired Stenotrophomonas maltophilia Pneumonia in Intensive Care Unit: A Systematic Review and Meta-Analysis – Frontiers in Medicine

Trimethoprim-Sulfamethoxazole versus Levofloxacin for Stenotrophomonas maltophilia Infections: A Retrospective Comparative Effectiveness Study of Electronic Health Records from 154 U.S. Hospitals – Open Forum Infectious Diseases

Infectious Diseases Society of America Guidance on the Treatment of AmpC β-lactamase-Producing Enterobacterales, Carbapenem-Resistant Acinetobacter baumannii, and Stenotrophomonas maltophilia Infections – Clinical Infectious Diseases

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Derivação e validação de um escore para prever desfechos neurocognitivos ruins no envenenamento agudo por monóxido de carbono.

10 Mai, 2022 | 14:08h

Derivation and Validation of a Score for Predicting Poor Neurocognitive Outcomes in Acute Carbon Monoxide Poisoning – JAMA Network Open

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Estudo randomizado | Efeito de traqueostomia precoce vs. tratamento padrão sobre o desfecho funcional de 6 meses em pacientes com AVC grave sob ventilação mecânica.

10 Mai, 2022 | 12:41h

Effect of Early vs Standard Approach to Tracheostomy on Functional Outcome at 6 Months Among Patients With Severe Stroke Receiving Mechanical Ventilation: The SETPOINT2 Randomized Clinical Trial – JAMA (gratuito por tempo limitado)

 

Comentário no Twitter

In this study, among patients with severe stroke receiving mechanical ventilation, a strategy of early tracheostomy, compared with a standard approach to tracheostomy, did not significantly improve functional outcome at 6 months. https://t.co/bLZ4b6hBxr

— JAMA (@JAMA_current) May 4, 2022

 

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Diretriz de posicionamento sobre o uso de oxigênio em adultos com doença aguda.

10 Mai, 2022 | 12:35h

Thoracic Society of Australia and New Zealand Position Statement on Acute Oxygen Use in Adults: ‘Swimming between the flags’ – Respirology

Conteúdos relacionados:

Long-term mortality and health-related quality of life of lower versus higher oxygenation targets in ICU patients with severe hypoxaemia – Intensive Care Medicine

Oxygen Targets During Mechanical Ventilation in the ICU: A Systematic Review and Meta-Analysis – Critical Care Explorations

Effect of Low-Normal vs High-Normal Oxygenation Targets on Organ Dysfunction in Critically Ill Patients: A Randomized Clinical Trial – JAMA

Lower or Higher Oxygenation Targets for Acute Hypoxemic Respiratory Failure – New England Journal of Medicine

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Resumo de diretriz | Tratamento perioperatório do diabetes.

10 Mai, 2022 | 12:33h

New guidance on the perioperative management of diabetes – Clinical Medicine Journal

Diretriz original: Perioperative Care of People with Diabetes Undergoing Surgery

Conteúdos relacionados:

Perioperative Evaluation and Management of Endocrine Disorders – Mayo Clinic Proceedings

Recent advances in diabetes treatments and their perioperative implications – Current Opinion in Anesthesiology

Perioperative Management of Oral Glucose-lowering Drugs in the Patient with Type 2 Diabetes – Anesthesiology

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M-A | Posição corporal para evitar pneumonia associada a respirador em pacientes críticos.

10 Mai, 2022 | 12:12h

Body position for preventing ventilator-associated pneumonia for critically ill patients: a systematic review and network meta-analysis – Journal of Intensive Care

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10 dicas para melhorar o uso de vasopressores em pacientes críticos hipotensos.

6 Mai, 2022 | 17:46h

Ten tips to optimize vasopressors use in the critically ill patient with hypotension – Intensive Care Medicine (se o acesso a este link for pago, tente este)

 

Comentário no Twitter

Vasopressors in #ICU
1️⃣set MAP/DBP goals
2️⃣individualize
3️⃣may⬇️+ve fluid balance
4️⃣reassess fluid status/CO
5️⃣change mechanism as 2 line
6️⃣high doses?? hydrocortisone
7️⃣vasopressin in RV failure
8️⃣no MAX dose
9️⃣EN can be initiated
🔟can be safe in PVC
🖇 https://t.co/v6Q9nfy5KY pic.twitter.com/8YEDaOQBOQ

— Intensive Care Medicine (@yourICM) May 4, 2022

 

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Estudo de efetividade comparativa | Oxigenação extracorpórea venovenosa em pacientes com insuficiência respiratória associada a Covid-19 aguda.

6 Mai, 2022 | 17:42h

Venovenous extracorporeal membrane oxygenation in patients with acute covid-19 associated respiratory failure: comparative effectiveness study – The BMJ

 

Comentário no Twitter

In this international, registry based cohort study of patients with covid-19 associated acute respiratory failure, extracorporeal membrane oxygenation was associated with a reduction in mortality by 7.1% compared with conventional mechanical ventilation https://t.co/VkNFeRDQ3j

— The BMJ (@bmj_latest) May 4, 2022

 

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M-A | Efeito da posição inclinada sobre a entubação endotraqueal bem-sucedida na primeira tentativa.

6 Mai, 2022 | 17:27h

Effect of inclined positioning on first-pass success during endotracheal intubation: a systematic review and meta-analysis – Emergency Medicine Journal (link para o resumo – $ para o texto completo)

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