Terapia Intensiva

Revisão | Índices de espaço morto relacionados à ventilação: ferramentas de uso à beira do leito para avaliar a relação entre ventilação e perfusão em pacientes com SARA

7 Fev, 2023 | 15:25h

Dead space ventilation-related indices: bedside tools to evaluate the ventilation and perfusion relationship in patients with acute respiratory distress syndrome – Critical Care

 

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Diretriz | Tratamento do trauma renal no adulto

31 Jan, 2023 | 12:44h

Management of adult renal trauma: a practice management guideline from the eastern association for the surgery of trauma – BMC Surgery

Conteúdos relacionados:

Kidney and uro-trauma: WSES-AAST guidelines – World Journal of Emergency Surgery

Urotrauma: AUA Guideline – The Journal of Urology

Urological Trauma – European Association of Urology

Renal trauma: the current best practice – Therapeutic Advances in Urology

 

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Estudo randomizado | Ressuscitação cardiopulmonar (RCP) extracorpórea precoce não melhorou os desfechos em pacientes com parada cardíaca refratária fora do ambiente hospitalar

31 Jan, 2023 | 12:43h

Early Extracorporeal CPR for Refractory Out-of-Hospital Cardiac Arrest – New England Journal of Medicine (link para o resumo – $ para o texto completo)

Comentário: Early Extracorporeal CPR for Out-of-Hospital Cardiac Arrest – American College of Cardiology

 

Comentário no Twitter

In a randomized trial, patients with out-of-hospital cardiac arrest who received extracorporeal CPR and those who received conventional CPR had similar results for survival and favorable neurologic outcomes. https://t.co/Irw8nrV8AA pic.twitter.com/lOPsBzhP3O

— NEJM (@NEJM) January 27, 2023

 

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Diretriz prática | Anticoagulação em pacientes adultos com suporte de ECMO

31 Jan, 2023 | 12:24h

Anticoagulation in adult patients supported with extracorporeal membrane oxygenation: guidance from the Scientific and Standardization Committees on Perioperative and Critical Care Haemostasis and Thrombosis of the International Society on Thrombosis and Haemostasis – Journal of Thrombosis and Haemostasis

Conteúdo relacionado: ELSO Guidelines for anticoagulation in adult and pediatric patients using extracorporeal membrane oxygenation (ECMO).

 

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M-A | Tempo ótimo de intervenções para reduzir a mortalidade da pancreatite necrotizante

31 Jan, 2023 | 12:13h

The optimal timing and intervention to reduce mortality for necrotizing pancreatitis: a systematic review and network meta-analysis – World Journal of Emergency Surgery

Conteúdos relacionados:

Long-term follow-up of a RCT | Endoscopic versus surgical step-up approach for infected necrotizing pancreatitis.

RCT: Immediate drainage did not improve outcomes compared to postponed intervention in patients with infected necrotizing pancreatitis.

An Endoscopic Transluminal Approach, Compared With Minimally Invasive Surgery, Reduces Complications and Costs for Patients With Necrotizing Pancreatitis – Gastroenterology

Research: Endoscopic or Surgical Step-up Approach for Infected Necrotising Pancreatitis

Evidence-Based Approach to the Surgical Management of Acute Pancreatitis – The Surgery Journal

Intravenous fluid therapy in patients with severe acute pancreatitis admitted to the intensive care unit: a narrative review – Intensive Care Medicine

Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis – New England Journal of Medicine (link para o resumo – $ para o texto completo)

Acute Pancreatitis: Diagnosis and Treatment – Drugs

Revised Clinical Practice Guidelines of the Korean Pancreatobiliary Association for Acute Pancreatitis – Gut and Liver

Guidelines for the management of patients with severe acute pancreatitis, 2021 – Anaesthesia Critical Care & Pain Medicine

Evidence-Based Disposition of Acute Pancreatitis – emDocs

2019 WSES guidelines for the management of severe acute pancreatitis – World Journal of Emergency Surgery

American Gastroenterological Association Institute Guideline on Initial Management of Acute Pancreatitis

Pancreatitis – National Institute for Health and Care Excellence

 

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Nutrição em busca da melhora no desfecho de pacientes críticos: como interpretar estudos randomizados recentes sobre alimentação?

31 Jan, 2023 | 12:11h

Toward nutrition improving outcome of critically ill patients: How to interpret recent feeding RCTs? – Critical Care

 

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Estudo randomizado | Aspiração simples vs. drenagem para pneumotórax completo

31 Jan, 2023 | 12:08h

Simple Aspiration Versus Drainage for Complete Pneumothorax: A Randomized Non-Inferiority Trial – Am J Respir Crit Care Med (link para o resumo – $ para o texto completo)

 

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M-A | Alvos de pressão arterial média e desfechos importantes para o paciente com doença crítica

23 Jan, 2023 | 13:40h

Mean Arterial Pressure Targets and Patient-Important Outcomes in Critically Ill Adults: A Systematic Review and Meta-Analysis of Randomized Trials – Critical Care Medicine (gratuito por tempo limitado)

 

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Escore atualizado do “equivalente da norepinefrina” na terapia intensiva como marcador de gravidade do choque

23 Jan, 2023 | 13:30h

An updated “norepinephrine equivalent” score in intensive care as a marker of shock severity – Critical Care

 

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Revisão sistemática | Mortalidade como medida do efeito do tratamento em estudos clínicos que recrutam pacientes críticos

23 Jan, 2023 | 13:21h

Mortality As a Measure of Treatment Effect in Clinical Trials Recruiting Critically Ill Patients – Critical Care Medicine (gratuito por tempo limitado)

 

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