Intensicast

Nesse episodios vamos discutir as principais evidencias na intubaçao de pacientes criticos, quais suas suas principais complicaçoes e como maneja-las. Artigos citados no episodio: Russotto V, Myatra SN, Lafey JG, et al. Intubation practices and adverse peri-intubation events in critically ill patients from 29 countries. JAMA. 2021;325:1164–72. De Jong A, Molinari N, Terzi N, et al. Early identification of patients at risk for difficult intubation in the intensive care unit: development and validation of the MACOCHA score in a multicenter cohort study. Am J Respir Crit Care Med. 2013;187:832–9. Higgs A, McGrath BA, Goddard C, et al. Guidelines for the management of tracheal intubation in critically ill adults. Br J Anaesth. 2018;120:323–52 Janz DR, Casey JD, Semler MW, et al. Effect of a fluid bolus on cardiovascular collapse among critically ill adults undergoing tracheal intubation (PrePARE): a randomized controlled trial. Lancet Respir Med. 2019;7:1039–47. (ClinicalTrials.gov Identifier: NCT05318066 Mort TC, Waberski BH, Clive J. Extending the preoxygenation period from 4 to 8 mins in critically ill patients undergoing emergency intubation. Crit Care Med. 2009;37:68–71 Baillard C, Prat G, Jung B, et al. Effect of preoxygenation using non-invasive ventilation before intubation on subsequent organ failures in hypoxaemic patients: a randomized clinical trial. Br J Anaesth. 2018;120:36 Jhou HJ, Chen PH, Lin C, Yang LY, Lee CH, Peng CK. High-flow nasal cannula therapy as apneic oxygenation during endotracheal intubation in critically ill patients in the intensive care unit: a systematic review and meta-analysis. Sci Rep. 2020;10:3541. Casey JD, Janz DR, Russell DW, et al. Bag-mask ventilation during tracheal intubation of critically ill adults. N Engl J Med. 2019;380:811–21.

Nesse episodio vamos falar sobre os acessos vasculares tipo midlines, suas indicações, tipos de cateteres e cuidados necessarios para manter a patencia por longo tempo. Fontes pesquisadas: DOI: 10.1177/11297298211023274 http://dx.doi.org/10.1016/j.jemermed.2016.05.029