Terapia Intensiva

Abordagem baseada em evidências para pancreatite aguda.

23 Mar, 2022 | 11:29h

Evidence-Based Disposition of Acute Pancreatitis – emDocs

Diretrizes relacionadas:

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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Diretrizes de prática clínica da EASL sobre prevenção e tratamento de sangramento e trombose em pacientes com cirrose.

22 Mar, 2022 | 11:58h

EASL Clinical Practice Guidelines on prevention and management of bleeding and thrombosis in patients with cirrhosis – Journal of Hepatology

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Revisão | O desafio dos dogmas de tratamento sobre os quais as evidências são não existentes, fracas ou antigas.

22 Mar, 2022 | 11:48h

Challenging management dogma where evidence is non-existent, weak or outdated – Intensive Care Medicine (se o acesso a este link for pago, tente este)

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Revisão | Como abordar um estoma de alto débito.

22 Mar, 2022 | 11:41h

How to manage a high-output stoma – Frontline Gastroenterology

 

Comentário no Twitter

Access the latest #FGPapers online here now:https://t.co/c1Eu6jpZCa

This includes the paper 'How to manage a high-output stoma" by Dr Jeremy Nightingale via https://t.co/8Oc3kS6YIG@RMBeattie50 @OTavabie @Dr_Dee_Kumar @AusDrGupta @jennie_clough @AlenkaBrooks @PaedsRH pic.twitter.com/9DRNNu0ui1

— Frontline Gastro (@FrontGastro_BMJ) February 11, 2022

 

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Diretriz | Manejo de anticoagulantes e antiplaquetários durante sangramento gastrintestinal agudo e período periendoscópico.

21 Mar, 2022 | 16:38h

American College of Gastroenterology-Canadian Association of Gastroenterology Clinical Practice Guideline: Management of Anticoagulants and Antiplatelets During Acute Gastrointestinal Bleeding and the Periendoscopic Period – Journal of the Canadian Association of Gastroenterology

 

Comentário no Twitter

BREAKING 🔥
Antiplatelets, anticoagulants and #Endoscopy

New CPG & dissemination tool.

An @AmCollegeGastro @CanGastroAssn co-production @AmJGastro and #JCAG@GriLeont @BryanGSauer @NeenaSAbrahamMD @alan_barkun @ThrombosisCan @LorenLaine2 #JenTelfordhttps://t.co/Ijs4jgOkPC pic.twitter.com/uUfN2zj3RS

— Journal of the Canadian Assn of Gastroenterology (@JCanAssnGastro) March 17, 2022

 

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M-A | Posição prona para pacientes não entubados com insuficiência respiratória hipoxêmica aguda relacionada à COVID-19.

21 Mar, 2022 | 16:33h

Awake prone positioning for non-intubated patients with COVID-19-related acute hypoxaemic respiratory failure: a systematic review and meta-analysis – The Lancet Respiratory Medicine

Comentário convidado: The pandemic and the great awakening in the management of acute hypoxaemic respiratory failure – The Lancet Respiratory Medicine

Conteúdos relacionados:

[Preprint] RCT: In hypoxic but not critically ill patients with COVID-19, an intervention to increase prone positioning did not improve outcomes.

RCT: Awake prone positioning reduces the need for intubation in patients with COVID-19.

RCT: Awake prone positioning in patients with hypoxemic respiratory failure due to COVID-19 – no difference in intubation rates compared to standard care.

M-A: Prone positioning of nonintubated patients with Covid-19 improve oxygenation variables without any reported serious adverse events – randomized trials with patient-relevant outcomes such as the need for intubation or mortality rates are required

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Estudo mostra baixo risco de complicações após colocação de cateter intravenoso ipsilateral em pacientes cirúrgicas de câncer de mama.

21 Mar, 2022 | 16:26h

Ipsilateral Intravenous Catheter Placement in Breast Cancer Surgery Patients – Anesthesia & Analgesia (link para o resumo – $ para o texto completo)

 

Comentário no Twitter

🙏🙏🙏 much-needed dogmalysis. I’ve seen situations where folks were afraid to even place a Bp cuff ipsilateral to prior mastectomy. this excessive fear impairs patient care. https://t.co/afjwjjseo7

— 𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊 (@PulmCrit) March 17, 2022

 

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Atualização | Hipertensão no paciente internado.

21 Mar, 2022 | 16:21h

Hypertension in the hospitalized patient: An update – Nefrología

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Estudo de coorte | Características e desfechos do infarto agudo do miocárdio tipo 2.

21 Mar, 2022 | 16:05h

Characteristics and Outcomes of Type 2 Myocardial Infarction – JAMA Cardiology (link para o resumo – $ para o texto completo)

Comentários:

Type 2 MI Not Uncommon in the Emergency Department – TCTMD

Type 2 Myocardial Infarction: Clinical Characteristics and Outcomes – American College of Cardiology

 

Comentário no Twitter

Among patients presenting with acute chest discomfort to the emergency department, tachyarrhythmias and hypertension are responsible for more than two thirds of type 2 myocardial infarction and result in a lower mortality compared to other triggers. https://t.co/ODMCmOjeQO

— JAMA Cardiology (@JAMACardio) March 10, 2022

 

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Estudo randomizado | Contezolida oral vs. linezolida em adultos com infecções cutâneas e de partes moles complicadas.

21 Mar, 2022 | 15:58h

A Phase III multicentre, randomized, double-blind trial to evaluate the efficacy and safety of oral contezolid versus linezolid in adults with complicated skin and soft tissue infections – Journal of Antimicrobial Therapy (link para o resumo – $ para o texto completo)

 

Comentário no Twitter

Phase III efficacy & safety of oral contezolid Vs linezolid in adults with c.SSTIs
📌Non inferior
📌Interestingly:Contezolid demonstrated significant lower incidence thrombocytopenia (0% Wow vs 2.3%) & leucopenia (0.3% vs 3.4%) than linezolid
📌QIDP https://t.co/wSvxUInnkZ

— Antibiotic Steward Bassam Ghanem (@ABsteward) March 11, 2022

 

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