Terapia Intensiva

Posicionamento científico SIMEU sobre suporte respiratório não invasivo na pneumonia por COVID-19.

17 Fev, 2022 | 15:28h

SIMEU position paper on non-invasive respiratory support in COVID-19 pneumonia – Internal and Emergency Medicine

Conteúdos relacionados:

RCT: CPAP improved outcomes in patients with acute hypoxemic respiratory failure due to COVID-19, but high-flow nasal oxygen was not better than conventional oxygen therapy.

RCT: In patients with severe Covid-19, high-flow oxygen therapy reduced the likelihood of invasive mechanical ventilation and decreased the time to clinical recovery compared to conventional oxygen therapy.

Non-invasive respiratory support in the management of acute COVID-19 pneumonia: considerations for clinical practice and priorities for research – “The two randomized controlled trials indicate superiority of non-invasive ventilation over high-flow nasal oxygen in reducing the need for intubation”.

Revisão sistemática | Tratamento do primeiro estágio de estado epiléptico convulsivo em adultos.

17 Fev, 2022 | 15:11h

Management of the first stage of convulsive status epilepticus in adults: a systematic review of current randomised evidence – Journal of Neurology

Posição prona durante oxigenação extracorpórea venovenosa (vv-ECMO) para síndrome da angústia respiratória aguda: análise de dados agrupados de pacientes individuais.

17 Fev, 2022 | 14:55h

Prone positioning during venovenous extracorporeal membrane oxygenation for acute respiratory distress syndrome: a pooled individual patient data analysis – Critical Care

Análise retrospectiva multicêntrica | Oxigenação extracorpórea venovenosa (VV-ECMO) na insuficiência respiratória grave em pacientes oncológicos adultos.

17 Fev, 2022 | 14:18h

Veno-venous extracorporeal membrane oxygenation (vv-ECMO) for severe respiratory failure in adult cancer patients: a retrospective multicenter analysis – Journal of Intensive Care

Comentário no Twitter

VV #ECMO in adults with cancer developing severe respiratory failure: survival remains poor, no significant advantage, carefully select! Low PLT, elevated lactate, disease status: adverse prognostic factors to be considered as deciding to provide #ECLS.
🖇️ https://t.co/igatEJH3VS pic.twitter.com/vl7UQKauB0

— Intensive Care Medicine (@yourICM) February 12, 2022

Perspectiva | Cuidado com compaixão na unidade de terapia intensiva.

17 Fev, 2022 | 14:05h

Providing Compassionate Care in the Intensive Care Unit – American Journal of Respiratory and Critical Care Medicine

Revisão sistemática | Eficácia das terapias antivirais para COVID-19.

15 Fev, 2022 | 11:42h

Efficacy of antiviral therapies for COVID-19: a systematic review of randomized controlled trials – BMC Infectious Diseases

Guia prático de avaliação do sangramento de intestino delgado.

15 Fev, 2022 | 11:35h

A Practical Guide to the Evaluation of Small Bowel Bleeding – Mayo Clinic Proceedings

Estudo randomizado | Uma cateterização de veia subclávia direita orientada por ultrassonografia supraclavicular foi não inferior em relação à segurança, comparada com uma abordagem orientada por ultrassonografia infraclavicular.

15 Fev, 2022 | 11:33h

Supraclavicular versus infraclavicular approach for ultrasound-guided right subclavian venous catheterisation: a randomised controlled non-inferiority trial – Anaesthesia (link para o resumo – $ para o texto completo)

Revisão | Hipertermia clássica e por esforço.

15 Fev, 2022 | 11:26h

Classic and exertional heatstroke – Nature Reviews Disease Primers (se o acesso a este link for pago, tente este)

Comentário no Twitter

Cooling of patients with #heatstroke includes evaporative strategies and conductive methods that aim to establishing the largest possible temperature gradient between the body core and the skin https://t.co/i53jyJBTl5 pic.twitter.com/tofUjiDJYG

— Nature Reviews Disease Primers (@DiseasePrimers) February 8, 2022

Estudo randomizado | Profilaxia primária com norfloxacino evita infecções bacterianas em pacientes com insuficiência hepática crônica agudizada.

14 Fev, 2022 | 16:05h

Primary Norfloxacin Prophylaxis for APASL-Defined Acute-on-Chronic Liver Failure: A Placebo-Controlled Double-Blind Randomized Trial – The American Journal of Gastroenterology (link para o resumo – $ para o texto completo)