Vacina para H1N1

Dada à controvérsia referente à vacina anti-H1N1, julgo oportuno a leitura deste pequeno texto do CDC dos EUA, em forma de perguntas e respostas, bastante esclarecedor:

2009 H1N1 Influenza and its Impact on People with Chronic Medical Conditions: Questions and Answers

The January 12, 2010 National Influenza Vaccination Week Webinar featured Dr. Nicole Lurie with the US Department of Health and Human Services; Dr. Anthony Fiore with Centers for Disease Control and Prevention; Dr. Otis Webb Brawley with American Cancer Society; Christine Tobin with American Diabetes Association; and Mary Partridge with the American Lung Association. During the webinar, the presenters answered questions from participants. This document contains additional questions and answers that followed this webinar.

Guia de Utilização de Anti-Infecciosos e Recomendações para a Prevenção de Infecções Hospitalares

 O Grupo e Subcomissões de Controle de Infecção Hospitalar do Hospital das Clínicas da FMUSP  editaram um Guia de Utilização de Anti-Infecciosos e Recomendações para a Prevenção de Infecções Hospitalares - 2009 / 2011. Está muito completo e de fácil consulta. A seção sobre "Prevenção de Infecções Hospitalares" merece uma atenção especial.

Vancomycin Therapeutic Guidelines: A Summary...

"Practice guidelines for therapeutic monitoring of vancomycin treatment for Staphylococcus aureus infection in adult patients were reviewed by an expert panel of the Infectious Diseases Society of America, the American Society of Health‐System Pharmacists, and the Society of Infectious Diseases Pharmacists. A literature review of existing evidence regarding vancomycin dosing and monitoring of serum concentrations, in addition to patient outcomes combined with expert opinion regarding the drug’s pharmacokinetic, pharmacodynamic, and safety record, resulted in new recommendations for targeting and adjustment of vancomycin therapy".

Vancomycin Therapeutic Guidelines: A Summary of Consensus Recommendations from the Infectious Diseases Society of America, the American Society of Health‐System Pharmacists, and the Society of Infectious Diseases Pharmacists.

Diagnóstico e Condutas nas Encefalites

"Guidelines for the diagnosis and treatment of patients with encephalitis were prepared by an Expert Panel of the Infectious Diseases Society of America. The guidelines are intended for use by health care providers who care for patients with encephalitis. The guideline includes data on the epidemiology, clinical features, diagnosis, and treatment of many viral, bacterial, fungal, protozoal, and helminthic etiologies of encephalitis and provides information on when specific etiologic agents should be considered in individual patients with encephalitis".

The Management of Encephalitis: Clinical Practice Guidelines by the Infectious Diseases Society of America.pdf

Airway Management of the Critically Ill Patient

"Advances in emergency airway management have allowed intensivists to use intubation techniques that were once the province of anesthesiology and were confined to the operating room. Appropriate rapid-sequence intubation (RSI) with the use of neuromuscular blocking agents, induction drugs, and adjunctive medications in a standardized approach improves clinical outcomes for select patients who require intubation. However, many physicians who work in the ICU have insufficient experience with these techniques to adopt them for routine use. The purpose of this article is to review airway management in the critically ill adult with an emphasis on airway assessment, algorithmic approaches, and RSI" (CHEST 2005; 127:1397–1412).

Rapid-Sequence Intubation.pdf

Recommendations for Imaging of Acute Ischemic Stroke, AHA, 2009.

Recommendations for Imaging of Acute Ischemic Stroke - A Scientific Statement From the American Heart Association.

Arquivo.PDF

Guideline rehabilitation after critical illness 2009

This guideline covers the care of adults who, as a result of critical illness, have stayed in critical care and need rehabilitation.

Rehabilitation after critical illness 2009.PDF

Nutrição no paciente crítico, revisão 2008-09.

Revisão sobre nutrição no paciente crítico.

Arquivo.PDF

Guideline Fisioterapia DPOC

A Sociedade Real Holandesa de Fisioterapia (Koninklijk Nederlands Genootschap voor Fysiotherapie, KNGF) desenvolveu um guia para a prática de fisioterapia em pacientes portadores de DPOC. São recomendações terapêuticas para o melhor tratamento possível, considerando as evidências disponíveis na atualidade.

Guideline Fisio DPOC 2009.pdf

ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2008

The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2008 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association of the ESC (HFA) and endorsed by the European Society of Intensive Care Medicine (ESICM).

Acute and Chronic Heart Failure (Diagnosis and Treatment) 2008

Medicina Baseada em Evidências

Um artigo bem simples, mas esclarecedor.

Arquivo.PDF

Complicações clínicas pós-AVCI

Uma das melhores revisões sobre o assunto. Publicado na Lancet Neurology. Vale a pena a leitura.

Arquivo.PDF

American Family Physician Table of Contents February 1, 2010

See the full table of contents at http://lyris.aafp.org/t/2334043/28476196/251/0/.

Feature Articles: Secondary Prevention of Coronary Artery Disease What are the risk factors for recurrent CAD, and how can it be prevented? FDA Boxed Warnings: How to Prescribe Drugs Safely Discussion boxed warnings process and safe prescribing strategies. Management of Erectile Dysfunction Overview of diagnosis and treatment options. Recognition and Management of Acute Medication Poisoning How to treat accidental and intentional toxic medication ingestions. POPULAR SECTIONS:Cochrane for Clinicains - VTE Prevention Practice Guidelines - Preventing Rheumatic Fever Editorials - FDA Boxed Warnings  Letters - Osteoporosis Testing

American Diabetes Association Revises Diabetes Guidelines

Laurie Barclay, MD

December 29, 2009 — The American Diabetes Association (ADA) revised clinical practice recommendations for diabetes diagnosis promote hemoglobin A1c (A1c) as a faster, easier diagnostic test that could help reduce the number of undiagnosed patients and better identify patients with prediabetes. The new recommendations are published December 29 in the January supplement of Diabetes Care.

CURRENT Diagnosis & Treatment Nephrology & Hypertension 2009

Qual a importância dos distúrbios hidro-eletrolíticos?

Artigo que discorre sobre o valor prognóstico das alterações do sódio (NA+) no paciente crítico.

Incidence and prognosis of dysnatremias present on ICU admission.

Hipercapnia

Seguem 2 artigos sobre hipercapnia em diferentes situações clínicas frequentemente observadas no paciente crítico.

Hypercapnia and Acidosis in Sepsis. A Double-edged Sword?

“Therapeutic Hypercapnia” after Ischemic Brain Injury. Is There a Potential for Neuroprotection?

Orientações gerais sobre coleta de exames laboratoriais

Aula ministrada pelo Dr. Danilo da Silva Santos (Enfermeiro), voltada aos profissionais da saúde, com informações gerais sobre coleta de exames laboratoriais.

Apresentação

ACLS/BLS

Orientações gerais sobre ACLS/BLS voltadas para profissionais da saúde que lidam com urgências e emergências médicas.

Aula ACLS

Miopatia e Neuropatia do Doente Crítico

A miopatia e neuropatia do doente crítico são complicações comuns, mas, por vezes, de difícil diagnóstico. São frequentemente relacionadas à falência do desmame da ventilação mecânica, sendo a fisioterapia motora precoce muito importante na redução de sua morbidade.

Presentation and management of ICU myopathy and neuropathy.