Terapia Intensiva
Estudo randomizado controlado por cluster | Cuidado baseado em algoritmo vs. cuidado usual para o reconhecimento precoce e o tratamento de complicações após ressecção pancreática.
6 Mai, 2022 | 16:56hAlgorithm-based care versus usual care for the early recognition and management of complications after pancreatic resection in the Netherlands: an open-label, nationwide, stepped-wedge cluster-randomised trial – The Lancet (link para o resumo – $ para o texto completo)
Comentário no Twitter
New research @TheLancet – Smits et al – Algorithm-based care vs usual care for early recognition and management of complications after pancreatic resection in the Netherlands: a stepped-wedge, cluster-randomised trialhttps://t.co/8BeKhtk0mV#SoMe4Surgery #pancsm @DPCG_official pic.twitter.com/atPcJk4O8r
— The Lancet Gastroenterology & Hepatology (@LancetGastroHep) April 29, 2022
Revisão | Manejo diagnóstico de gestantes com suspeita de embolia pulmonar.
6 Mai, 2022 | 16:38hRemdesivir e 3 outros medicamentos para pacientes internados com COVID-19: resultados finais do estudo randomizado WHO Solidarity e metanálise atualizada.
4 Mai, 2022 | 14:07hComentário convidado: When and which patients should receive remdesivir? – The Lancet
Ponto/Contraponto | Heparina terapêutica deveria ser administrada para pacientes críticos internados com COVID-19?
4 Mai, 2022 | 14:00hCONTRPONTO: Should Therapeutic Heparin Be Administered to Acutely Ill Hospitalized Patients With COVID-19? No – CHEST
Ver também: Rebuttal From Dr Tritschler et al – CHEST
Conteúdos relacionados:
Anticoagulants for people hospitalised with COVID‐19 – Cochrane Library
Perspectiva | Menos farmacoterapia é mais no delirium.
4 Mai, 2022 | 13:54hLess pharmacotherapy is more in delirium – Intensive Care Medicine (se o acesso a este link for pago, tente este)
Conteúdos relacionados:
Effectiveness of Bundle Interventions on ICU Delirium: A Meta-Analysis – Critical Care Medicine
Comentário no Twitter
⬇️ 💉Less medications (& ⬆️ awareness of behavioural interventions) is more in #delirium, common, challenging/costly (but often preventable) in #ICU. Despite lacking evidence, medications widely used.
Prevent/minimize addressing suspected contributors!
📎 https://t.co/fYWAsIcuiZ pic.twitter.com/DyC3agSP7w— Intensive Care Medicine (@yourICM) April 30, 2022
SUNBURN: protocolo para transmissão de más notícias em trauma e cirurgia de cuidado agudo.
4 Mai, 2022 | 13:51h
Comentário no Twitter
Delivery of bad news can be a challenging tasks for practicing surgeons
Protocol-based delivery can provide support to help guide these difficult conversations
S-U-N-B-U-R-N protocol by @DrMentorA provides a framework
Read more: https://t.co/3H5AyT6125 pic.twitter.com/imJ9HuUQJ3
— Trauma Surgery & Acute Care Open (TSACO) (@TSACO_AAST) February 15, 2022
Revisão | Controle glicêmico no paciente crítico: menos é mais.
4 Mai, 2022 | 13:49hGlycemic control in the critically ill: Less is more – Cleveland Clinic Journal of Medicine
Editorial: Glycemic targets in the ICU: A look back, and ahead – Cleveland Clinic Journal of Medicine
Breve revisão | Recrutamento pulmonar.
4 Mai, 2022 | 13:47hLung recruitment – Intensive Care Medicine
Comentário no Twitter
Lung recruitment
💨 what's it?
💨 how to explain variability in recruitability among pts?
💨 how can recruitment be measured? Directly &/or indirectly?
Knowing potential recruitability crucial to optimize MV: lot of questions, answers #FOAMcc on @yourICM
📎https://t.co/y3LizTsWWZ pic.twitter.com/9CNS382O9H— Intensive Care Medicine (@yourICM) May 2, 2022