Terapia Intensiva

Revisão sistemática | Ultrafiltração para insuficiência cardíaca aguda.

28 Jan, 2022 | 15:16h

Ultrafiltration for acute heart failure – Cochrane Library

Comentário: Fluid removal therapy in acute heart failure – Cochrane Library

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Revisão | Ultrassonografia “point-of-care” para o anestesiologista de trauma.

28 Jan, 2022 | 15:11h

Point-of-Care Ultrasound for the Trauma Anesthesiologist – Current Anesthesiology Reports (se o acesso a este link for pago, tente este)

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Estudo randomizado | CPAP melhora os desfechos em pacientes com insuficiência respiratória hipoxêmica aguda decorrente de COVID-19, mas cateter nasal de alto fluxo não é melhor que a oxigenoterapia convencional.

25 Jan, 2022 | 15:10h

Effect of Noninvasive Respiratory Strategies on Intubation or Mortality Among Patients With Acute Hypoxemic Respiratory Failure and COVID-19: The RECOVERY-RS Randomized Clinical Trial – JAMA

Editorial: Defining Optimal Respiratory Support for Patients With COVID-19 – JAMA

 

Comentário no Twitter

RCT of patients with acute hypoxemic respiratory failure due to #COVID19 found an initial strategy of CPAP, compared with conventional oxygen therapy, significantly reduced the composite outcome of tracheal intubation or mortality within 30 days. https://t.co/fznFigiFmu pic.twitter.com/b7mHssbfkp

— JAMA (@JAMA_current) January 24, 2022

 

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Nova diretriz de parada cardiorrespiratória leva em conta as variantes de COVID-19 mais contagiosas em meio a uma pandemia em evolução.

25 Jan, 2022 | 15:08h

Comunicado de imprensa: New CPR guidance addresses more contagious COVID-19 variants amidst evolving pandemic – American Heart Association

Ver diretriz: 2022 Interim Guidance to Healthcare Providers for Basic and Advanced Cardiac Life Support in Adults, Children, and Neonates with Suspected or Confirmed COVID-19: From the Emergency Cardiovascular Care Committee and Get With the Guidelines®-Resuscitation Adult and Pediatric Task Forces of the American Heart Association in Collaboration with the American Academy of Pediatrics, American Association for Respiratory Care, The Society of Critical Care Anesthesiologists, and American Society of Anesthesiologists

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Estudo randomizado | Fentanil vs. placebo com cetamina e rocurônio para pacientes submetidos à sequência rápida de intubação no departamento de emergência.

25 Jan, 2022 | 14:42h

Fentanyl versus placebo with ketamine and rocuronium for patients undergoing rapid sequence intubation in the emergency department: the FAKT study – a randomized clinical trial – Academic Emergency Medicine (link para o resumo – $ para o texto completo)

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Diretriz atualizada | Medicamentos e agentes biológicos recomendados para pacientes adultos com COVID-19.

25 Jan, 2022 | 12:04h

Clinical Practice Guideline Summary: Recommended Drugs and Biologics in Adult Patients with COVID-19 – Covid-19 Advisory for Ontario

 

Comentário no Twitter (fio – clique para saber mais)

🔥JUST RELEASED: New clinical guidelines for COVID now including #Paxlovid (nirmatrelvir/ritonavir).

A 🧵 on why Paxlovid is NOT first-line.https://t.co/h0puYpiFOK

— Andrew Morris (@ASPphysician) January 22, 2022

 

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Guia para imunoterapia na COVID-19.

25 Jan, 2022 | 11:57h

A guide to immunotherapy for COVID-19 – Nature Medicine

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Diretrizes perioperatórias sobre agentes antiplaquetários e anticoagulantes: atualização 2022.

21 Jan, 2022 | 15:48h

Perioperative Guidelines on Antiplatelet and Anticoagulant Agents: 2022 Update – Current Anesthesiology Reports

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M-A | Não há diferença nos desfechos com monoterapia com betalactâmico vs. terapia combinada nas infecções de corrente sanguínea ou pneumonia por P. aeruginosa.

21 Jan, 2022 | 15:37h

Beta-lactam monotherapy or combination therapy for bloodstream infections or pneumonia due to P. aeruginosa: a meta-analysis – International Journal of Antimicrobial Agents (link para o resumo – $ para o texto completo)

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M-A | Em sobreviventes de parada cardíaca em coma, a hipotermia não está associada com melhora na sobrevida ou com melhores desfechos neurológicos vs. normotermia.

21 Jan, 2022 | 15:30h

Targeted Hypothermia Versus Targeted Normothermia In Survivors of Cardiac Arrest: A Systematic Review and Meta-Analysis of Randomized Trials – American Journal of Medicine

Conteúdos relacionados:

RCT: In comatose survivors of out-of-hospital cardiac arrest, there was no difference in mortality and neurologic outcomes with mild (target temperature of 34 °C) vs. moderate therapeutic hypothermia (target temperature of 31 °C).

M-A: Targeted temperature management following out-of-hospital cardiac arrest – “Routine use of moderate or deep hypothermia in comatose survivors of OHCA may potentially be associated with more harm than benefit”.

RCT: In patients with coma after out-of-hospital cardiac arrest, targeted hypothermia did not improve outcomes.

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