Terapia Intensiva
Características clínicas da trombocitopenia e da trombose imunes induzidas por vacina.
12 Ago, 2021 | 12:21hComentário: Largest Study of VITT After COVID-19 Vaccination Digs Into Lab, Clinical Features – TCTMD
Conteúdos relacionados:
NICE COVID-19 rapid guideline: vaccine-induced immune thrombocytopenia and thrombosis.
Vaccine-induced immune thrombotic thrombocytopenia: what we know and do not know.
Very rare cases of thrombosis with thrombocytopenia syndrome (TTS) after AstraZeneca vaccine: a global safety database analysis – the estimated rate of TTS after the first dose was 8.1 per million vaccinees; after the second dose, the estimated rate was 2.3 per million vaccinees. (vários artigos e fontes sobre o tema)
Comentário no Twitter
The phenotypes of VITT were defined in 220 patients presenting a 14-day median after the first ChAdOx1 nCoV-19 dose. Mortality was 22%. https://t.co/ir0yG5X0BP #COVID19 #IDTwitter pic.twitter.com/iAfxs0I1Ce
— NEJM (@NEJM) August 11, 2021
Diretrizes de 2021 para tratamento de tromboembolismo na América Latina.
12 Ago, 2021 | 12:13hRevisão | Características clínicas e tratamento farmacológico da trombocitopenia trombótica com trombose de seio venoso cerebral desencadeada por vacina contra COVID-19.
11 Ago, 2021 | 10:53hConteúdos relacionados:
NICE COVID-19 rapid guideline: vaccine-induced immune thrombocytopenia and thrombosis.
Vaccine-induced immune thrombotic thrombocytopenia: what we know and do not know.
Very rare cases of thrombosis with thrombocytopenia syndrome (TTS) after AstraZeneca vaccine: a global safety database analysis – the estimated rate of TTS after the first dose was 8.1 per million vaccinees; after the second dose, the estimated rate was 2.3 per million vaccinees. (vários artigos e fontes sobre o tema)
Comentário no Twitter
Big day! Our paper is now published in JAMA Cardiology! @JAMA_current @JAMACardio @JAMANetwork
COVID-19 Vaccine-Induced Immune Thrombotic Thrombocytopenia with Cerebral Venous Sinus Thrombosis
Full-text: https://t.co/XoY0xoztXT pic.twitter.com/IfAmsxomPy
— John G. Rizk (@JohnGRizk) August 10, 2021
Estudo randomizado BaSICS | Em pacientes criticamente doentes que necessitam de fluidoterapia, o tratamento com solução balanceada não reduziu a mortalidade em comparação com solução salina a 0,9%.
11 Ago, 2021 | 10:48hEffect of Intravenous Fluid Treatment With a Balanced Solution vs 0.9% Saline Solution on Mortality in Critically Ill PatientsThe BaSICS Randomized Clinical Trial – JAMA (gratuito por tempo limitado)
Editorial: Does Crystalloid Composition or Rate of Fluid Administration Make a Difference When Resuscitating Patients in the ICU? – JAMA (gratuito por tempo limitado)
Vídeo: Balanced Solution vs. Saline in Intensive Care Study
Comentário no Twitter
Among critically ill patients requiring fluid challenges, treatment with a balanced solution compared with saline solution did not significantly reduce 90-day mortality https://t.co/LNDtsxxiwB
— JAMA (@JAMA_current) August 10, 2021
Estudo randomizado BaSICS | Em pacientes criticamente doentes que necessitam de fluidoterapia, não houve diferença nas taxas de mortalidade com bolus de fluido intravenoso em infusão lenta (333 mL/h) vs. rápida (999 mL/h).
11 Ago, 2021 | 10:46hEffect of Slower vs Faster Intravenous Fluid Bolus Rates on Mortality in Critically Ill Patients: The BaSICS Randomized Clinical Trial – JAMA (gratuito por tempo limitado)
Editorial: Does Crystalloid Composition or Rate of Fluid Administration Make a Difference When Resuscitating Patients in the ICU? – JAMA (gratuito por tempo limitado)
Vídeo: Balanced Solution vs. Saline in Intensive Care Study
Revisão: Hemodinâmica na insuficiência cardíaca.
11 Ago, 2021 | 10:40hHemodynamics for the Heart Failure Clinician: A State-of-the-Art Review – Journal of Cardiac Failure
Estudo randomizado | Tratamento hemodinâmico individualizado assistido por computador reduziu a hipotensão intraoperatória em cirurgias de risco intermediário e alto – são necessários estudos maiores com desfechos relevantes para o paciente.
11 Ago, 2021 | 10:31hVídeo: Computer-assisted individualized hemodynamic management reduces intraoperative hypotension
Atualização no tratamento médico da fratura de quadril aguda.
10 Ago, 2021 | 12:27hUpdate on medical management of acute hip fracture – Cleveland Clinical Journal of Medicine
Comentário no Twitter
Nice review of Periop mgmt for hip Fx. Uses a modified CCS guideline approach-no stress testing,bypass BNP as pts are high risk,postop co-mgmt +troponin. Also discusses other aspects. Major take home point – AVOID DELAYING SURGERY or mortality increases. https://t.co/5DATCuKuqU
— Steven Cohn, MD (@preopconsult) August 9, 2021
Relato de caso | Síndrome de vazamento capilar sistêmico após vacinação com a vacina da Oxford–AstraZeneca.
9 Ago, 2021 | 11:27hRevisão | Transmissão de infecções durante a ressuscitação cardiopulmonar.
9 Ago, 2021 | 11:05hTransmission of Infections during Cardiopulmonary Resuscitation – Clinical Microbiology Reviews