Arquivos do dia: Agosto 12, 2022

Estudo randomizado | Remoção de cálculos renais pequenos e assintomáticos e incidência de recorrência.

12 Ago, 2022 | 18:15h

Removal of Small, Asymptomatic Kidney Stones and Incidence of Relapse – New England Journal of Medicine (link para o resumo – $ para o texto completo)

 

Comentário no Twitter

Removal of small, asymptomatic kidney stones during surgery to remove ureteral or contralateral stones resulted in less relapse than nonremoval and in similar numbers of subsequent emergency department visits. https://t.co/MRgFUnF1C0 pic.twitter.com/19ahPuHyNS

— NEJM (@NEJM) August 10, 2022

 

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Revisão | Como a avaliação hemodinâmica ajuda na avaliação do status de volume?

12 Ago, 2022 | 18:14h

How can assessing hemodynamics help to assess volume status? – Intensive Care Medicine (gratuito por tempo limitado)

 

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Revisão | Máquinas que salvam vidas na UTI: máquina de ultrassonografia.

12 Ago, 2022 | 18:12h

Machines that save lives in the intensive care unit: the ultrasonography machine – Intensive Care Medicine (se o acesso a este link for pago, tente este no PMC)

 

Comentário no Twitter

Ultrasonography saves lives in #ICU!!
🖥 CCUS in constraints: utility in limited resource environment
🖥 machine design for under‐resourced vs well‐resourced ICU
🖥 training challenges
🖥 evidence: does CCUS really save lives?#POCUS #FOAMcc #FOAMus
🖇 https://t.co/Ht5tCPEyny pic.twitter.com/QacQcYYV4X

— Intensive Care Medicine (@yourICM) August 9, 2022

 

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Estudo randomizado | Em pacientes idosos submetidos a anestesia intravenosa total, o etomidato é não inferior ao propofol em relação ao risco de complicações pós-operatórias maiores.

12 Ago, 2022 | 18:10h

Effect of Etomidate vs Propofol for Total Intravenous Anesthesia on Major Postoperative Complications in Older Patients: A Randomized Clinical Trial – JAMA Surgery

 

Comentário no Twitter

General anesthesia with etomidate does not increase postoperative morbidity, as indicated by the rate of major in-hospital post-op complications, in elderly patients undergoing abdominal surgery, as compared with propofol. https://t.co/vjPvle3DQj pic.twitter.com/2k6eSLupbH

— JAMA Surgery (@JAMASurgery) August 10, 2022

 

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Atenção ao trauma em idosos: traçando um caminho em direção à excelência.

12 Ago, 2022 | 18:09h

Trauma care in older people: charting a path from outlier to excellence – Age and Ageing

 

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Estudo randomizado | Solução inalatória de tobramicina é efetiva em adultos com bronquiectasia e infecção por Pseudomonas aeruginosa.

12 Ago, 2022 | 18:08h

A Double-blind Randomized Placebo-controlled Phase-3 Trial of Tobramycin Inhalation Solution in Adults with Bronchiectasis with Pseudomonas aeruginosa Infection – CHEST

Comentário: Tobramycin Tames Infection in Bronchiectasis – Medscape (necessário cadastro gratuito)

Estudo relacionado: Testing the effects of combining azithromycin with inhaled tobramycin for P. aeruginosa in cystic fibrosis: a randomised, controlled clinical trial – Thorax

 

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Estudo de coorte | Risco de fratura de quadril entre pessoas que consomem carne, que só consomem peixes e em vegetarianos.

12 Ago, 2022 | 18:06h

Risk of hip fracture in meat-eaters, pescatarians, and vegetarians: results from the UK Women’s Cohort Study – BMC Medicine

Comunicado de imprensa: Vegetarian women are at a higher risk of hip fracture – University of Leeds

 

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Diretriz de consenso | Tratamento farmacológico da rinite alérgica.

12 Ago, 2022 | 18:04h

Pharmacological Management of Allergic Rhinitis: A Consensus Statement from the Malaysian Society of Allergy and Immunology – Journal of Asthma and Allergy

Conteúdos relacionados:

Pharmacologic Treatment of Seasonal Allergic Rhinitis: Synopsis of Guidance From the 2017 Joint Task Force on Practice Parameters – Annals of Internal Medicine

Chinese Society of Allergy Guidelines for Diagnosis and Treatment of Allergic Rhinitis – Allergy Asthma & Immunology Research

 

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Estudo randomizado | Efeito de dexmedetomidina versus midazolam intranasal para pré-medicação em casos de eventos adversos respiratórios em crianças submetidas a tonsilectomia e adenoidectomia.

12 Ago, 2022 | 18:02h

Effect of Intranasal Dexmedetomidine or Midazolam for Premedication on the Occurrence of Respiratory Adverse Events in Children Undergoing Tonsillectomy and Adenoidectomy: A Randomized Clinical Trial – JAMA Network Open

Comentários:

Perioperative Respiratory Adverse Events After Pediatric Adenotonsillectomy—Evaluating the Role of Preoperative Pharmacologic Anxiolysis – JAMA Network Open

Dexmedetomidine Cuts Perioperative Respiratory AEs in Tonsillectomy – HealthDay

 

Comentário no Twitter

Children often required sedatives before surgery due to anxiety and crying. In this RCT, intranasal midazolam increased the incidence of perioperative respiratory adverse events (PRAEs), while intranasal dexmedetomidine reduced PRAEs. #OrigInvestigation https://t.co/5AAILuzstM pic.twitter.com/WejpGkAGGs

— JAMA Network Open (@JAMANetworkOpen) August 9, 2022

 

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Estudo randomizado | Efeito da acupuntura adjunta no alívio da dor em pacientes de departamentos de emergência com cólica renal aguda decorrente de nefrolitíase.

12 Ago, 2022 | 18:00h

Effect of Adjunctive Acupuncture on Pain Relief Among Emergency Department Patients With Acute Renal Colic Due to Urolithiasis: A Randomized Clinical Trial – JAMA Network Open

Comentário: Adjunctive Acupuncture May Speed Relief From Pain of Renal Colic – HealthDay

 

Comentário no Twitter

In this #RCT of emergency department patients with renal colic who received IM NSAIDs, acupuncture provided additional fast short-term pain relief for compared with sham acupuncture. #OrigInvestigation https://t.co/7i2wk86hif pic.twitter.com/VHNDFqOcOx

— JAMA Network Open (@JAMANetworkOpen) August 9, 2022

 

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