Terapia Intensiva

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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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 | 16:56h

Algorithm-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

 

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Revisão | Manejo diagnóstico de gestantes com suspeita de embolia pulmonar.

6 Mai, 2022 | 16:38h

Diagnostic Management of Pregnant Women With Suspected Pulmonary Embolism – Frontiers in Cardiovascular Medicine

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Remdesivir e 3 outros medicamentos para pacientes internados com COVID-19: resultados finais do estudo randomizado WHO Solidarity e metanálise atualizada.

4 Mai, 2022 | 14:07h

Remdesivir and three other drugs for hospitalised patients with COVID-19: final results of the WHO Solidarity randomised trial and updated meta-analyses – The Lancet

Comentário convidado: When and which patients should receive remdesivir? – The Lancet

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Ponto/Contraponto | Heparina terapêutica deveria ser administrada para pacientes críticos internados com COVID-19?

4 Mai, 2022 | 14:00h

PONTO: Should Therapeutic Heparin Be Administered to Acutely Ill Hospitalized Patients With COVID-19? Yes – CHEST

CONTRPONTO: 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

Anticoagulation in Patients With COVID-19: JACC Review Topic of the Week – Journal of the American College of Cardiology

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Perspectiva | Menos farmacoterapia é mais no delirium.

4 Mai, 2022 | 13:54h

Less pharmacotherapy is more in delirium – Intensive Care Medicine (se o acesso a este link for pago, tente este)

Conteúdos relacionados:

Pharmacological interventions for the treatment of delirium in critically ill adults – Cochrane Library

Non‐pharmacological interventions for preventing delirium in hospitalised non‐ICU patients – Cochrane Library

Delirium in critical illness: clinical manifestations, outcomes, and management – Intensive Care Medicine

Distribution of delirium motor subtypes in the intensive care unit: a systematic scoping review – Critical Care

Pharmacological and non-pharmacological interventions to prevent delirium in critically ill patients: a systematic review and network meta-analysis – Intensive Care Medicine

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

 

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SUNBURN: protocolo para transmissão de más notícias em trauma e cirurgia de cuidado agudo.

4 Mai, 2022 | 13:51h

SUNBURN: a protocol for delivering bad news in trauma and acute care surgery – Trauma Surgery & Acute Care Open

 

Comentário no Twitter

#TSACOTuesday

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

 

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Revisão | Controle glicêmico no paciente crítico: menos é mais.

4 Mai, 2022 | 13:49h

Glycemic 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

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