Terapia Intensiva
Diretriz atualizada da Joint British Diabetes Society for Inpatient Care | Tratamento da cetoacidose diabética em adultos.
1 Mar, 2022 | 15:41hEstudo randomizado | Melatonina profilática não reduz a incidência de delirium em pacientes em UTI.
1 Mar, 2022 | 15:27hProphylactic melatonin for delirium in intensive care (Pro-MEDIC): a randomized controlled trial – Intensive Care Medicine (link para o resumo – $ para o texto completo)
Comentários no Twitter
Enteral prophylactic melatonin initiated early (within 48h of admission) & continued throughout #ICU (MAX 14 consecutive days) do not ⬇️#delirium prevalence vs placebo, Pro-MEDIC multicentre RCT
➡️12🇦🇺ICUs
➡️841 pts
➡️delirium-free assessments 79.2% vs 80%https://t.co/Gt5o1VuRo7 pic.twitter.com/gPRWxxmhHS— Intensive Care Medicine (@yourICM) February 28, 2022
In 841 ICU patients with expected stay >72h, 4 mg melatonin within 48h after admission for 14 days vs placebo made no sign. differences in delirium-free assessments, LoS, 90d mortality, nor quality & quantity of sleep
Good bye Melatonin, we had a good timehttps://t.co/d0dayil99W— Peter Nydahl (@NydahlPeter) February 28, 2022
Diretriz | Plasmaférese e dosagem de glicocorticoides para pacientes com vasculite associada a ANCA.
28 Fev, 2022 | 13:35h
Comentário no Twitter
New rapid recommendation makes a weak recommendation against plasma exchange in patients with low risk of end stage kidney disease, and a weak recommendation in favour of plasma exchange in patients with moderate-high risk of ESKD https://t.co/PeEjSuRIxI #BMJInfographic pic.twitter.com/YR55t6XYhS
— The BMJ (@bmj_latest) February 25, 2022
Grandes queimados – Parte 1 | Epidemiologia, fisiopatologia e tratamento inicial.
25 Fev, 2022 | 14:12hMajor burns: Part 1. Epidemiology, pathophysiology and initial management – BJA Education
Revisão | Extubação traqueal segura após anestesia geral.
25 Fev, 2022 | 14:11hSafe tracheal extubation after general anaesthesia – BJA Education
Revisão | O anestesista e procedimentos geradores de aerossol.
25 Fev, 2022 | 14:10hAerosol-generating procedures and the anaesthetist – BJA Education
Estudo randomizado | Em sobreviventes comatosos de parada cardíaca, uma estratégia de supressão da atividade eletroencefalográfica (EEG) rítmica e periódica com uso de medicação anticonvulsivante não melhorou os desfechos neurológicos.
24 Fev, 2022 | 15:54hTreating Rhythmic and Periodic EEG Patterns in Comatose Survivors of Cardiac Arrest – New England Journal of Medicine (link para o resumo – $ para o texto completo)
Comentário no Twitter
In trial of comatose patients after cardiac arrest, intensive antiseizure treatment adapted from protocols for status epilepticus did not result in fewer poor outcomes at 3 mos than standard treatment. https://t.co/dpH5cgwhvW pic.twitter.com/zVBHBYMRK9
— NEJM (@NEJM) February 23, 2022