Terapia Intensiva

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)

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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

 

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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)

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Consenso AAST | Rabdomiólise.

14 Fev, 2022 | 16:01h

Rhabdomyolysis: an American Association for the Surgery of Trauma Critical Care Committee Clinical Consensus Document – Trauma Surgery & Acute Care Open

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Estudo randomizado | Em pacientes com choque cardiogênico recebendo ECMO venoarterial, a hipotermia moderada não reduziu, de modo significativo, a mortalidade em 30 dias. No grupo de pacientes em hipotermia moderada, 42% morreram vs. 51% no grupo normotermia (OR ajustada, 0,71 [IC 95%, 0,45 a 1,13], P = 0,15).

14 Fev, 2022 | 15:56h

Effect of Moderate Hypothermia vs Normothermia on 30-Day Mortality in Patients With Cardiogenic Shock Receiving Venoarterial Extracorporeal Membrane Oxygenation: A Randomized Clinical Trial – JAMA (link para o resumo – $ para o texto completo)

Comentário: Hypothermia vs. Normothermia for Cardiogenic Shock Patients on VA-ECMO – American College of Cardiology

 

Comentário no Twitter

In this RCT, for patients with cardiogenic shock receiving venoarterial ECMO, moderate hypothermia for 24 hours compared with normothermia did not significantly decrease 30-day mortality. https://t.co/0LKYJ1bNB3 pic.twitter.com/KmXPAlvqh9

— JAMA (@JAMA_current) February 2, 2022

 

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Revisão | Tratamento do tromboembolismo venoso na gestação.

14 Fev, 2022 | 15:44h

Management of venous thromboembolism in pregnancy – Thrombosis Research

Conteúdos relacionados:

Management of high-risk pulmonary embolism in pregnancy.

Study: Diagnosis of Pulmonary Embolism During Pregnancy

Imaging is the only way to diagnose blood clots in pregnancy

Prevention and Treatment of Pregnancy-Associated Venous Thromboembolism: Critical Appraisal of International Guidelines

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Avaliação do sono em adultos com doença crítica: métodos estabelecidos e estratégias emergentes.

14 Fev, 2022 | 15:42h

Sleep Assessment in Critically Ill Adults: Established Methods and Emerging Strategies – Critical Care Explorations

 

Comentário no Twitter

#CritCareExplore @SCCM Critically ill patients sleep poorly while in the ICU with potential implications for several important outcomes. This review summarizes both current methods and new strategies to measure sleep in these challenging environments. https://t.co/2jtpHe4MKp pic.twitter.com/c5jnqwR3Mh

— Critical Care Explorations (@CritCareExplore) February 12, 2022

 

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Diretrizes IDSA e da ESCMID | Abordagens complementares direcionadas ao cuidado padrão de infecções por bactérias Gram-negativas multirresistentes.

11 Fev, 2022 | 14:25h

IDSA guidance and ESCMID guidelines: complementary approaches toward a care standard for MDR Gram-negative infections – Clinical Microbiology and Infection

Diretrizes originais:

European guidelines for the treatment of infections caused by Multidrug-resistant Gram-negative bacilli.

IDSA Guidance on the Treatment of Antimicrobial-Resistant Gram-Negative Infections.

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Estudo randomizado | Em pacientes com AVC agudo com ampla área isquêmica, a terapia endovascular resultou em melhores desfechos funcionais em comparação com a terapia médica isolada, mas foi associada com risco aumentado de hemorragia intracraniana.

11 Fev, 2022 | 14:24h

Endovascular Therapy for Acute Stroke with a Large Ischemic Region – New England Journal of Medicine (link para o resumo – $ para o texto completo)

Comentário: Endovascular Stroke Therapy Works for Large Infarcts: RESCUE-Japan LIMIT – TCTMD

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Diretriz científica AHA | Identificação das melhores práticas para a avaliação e o tratamento do AVC em hospital.

10 Fev, 2022 | 14:00h

Identifying Best Practices to Improve Evaluation and Management of In-Hospital Stroke: A Scientific Statement From the American Heart Association – Stroke

Comunicado de imprensa: Five elements to optimize treatment of in-hospital stroke – American Heart Association

 

Comentário no Twitter

Identifying Best Practices to Improve Evaluation and Management of In-Hospital #Stroke: A Scientific Statement From the American Heart Association #AHAJournals #ISC22 https://t.co/e6zcLMeyBZ @American_Heart @AHAScience pic.twitter.com/eBgLc7OrBK

— Stroke AHA/ASA (@StrokeAHA_ASA) February 9, 2022

 

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