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Liga Acadêmica de Anestesiologia

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Fundada em Agosto de 2016, com o objetivo de aprofundar os conhecimentos adquiridos na Faculdade a respeito da Anestesiologia e despertar o interesse pela especialidade, que ainda é pouco abordada durante o curso de Medicina – Clique na imagem para saber mais.

Clube de Benefícios do Associado

O Meu Orientador Virtual agora é parceiro da Sociedade de Anestesiologia de Minas Gerais.

O objetivo da parceria é auxiliar os membros da SAMG no desenvolvimento de seus projetos de pesquisa e artigos científicos, otimizando o tempo e garantindo maior eficiência e qualidade!

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Desconto especial de 15% para os membros associados da SAMG!

Última atualização 04/11/2019

The Lung Point: Early Identification of Pneumothorax on Point of Care Ultrasound.
Anesthesiology. 2019 Nov;131(5):1148. doi: 10.1097/ALN.0000000000002843.
Abstract
Fiza B, Moll V, Ferrero N.
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Clinical practice guideline on prevention of rhabdomyolysis induced acute kidney injury: Endorsement by the Scandinavian Society of Anaesthesiology and Intensive Care Medicine.
Acta Anaesthesiol Scand. 2019 Nov;63(10):1280-1281. doi: 10.1111/aas.13458.
Abstract
Chew MS, Rehn M, Olkkola KT, Örn Sverrisson K, Yli-Hankala A, Møller MH.
The Scandinavian Society of Anaesthesiology and Intensive Care Medicine Clinical Practice Committee endorses the recent DASAIM/DSIT guideline for prevention of rhabdomyolysis-induced acute kidney injury. However, we emphasize the low quality of evidence with only weak recommendations for all interventions, highlighting that further research is very likely to have an important impact on the confidence in the estimate of effect and is likely to change the estimates.

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Pharmacogenetics of opioids: a narrative review.
Anaesthesia. 2019 Nov;74(11):1456-1470. doi: 10.1111/anae.14813.
Abstract
Kumar S, Kundra P, Ramsamy K, Surendiran A.
Advances in the field of pharmacogenomics have resulted in the discovery of some important single-nucleotide polymorphisms which are found to be associated with opioid dose variability. This, to a large extent, explains genetic variability in the analgesic dose of opioids. These polymorphisms are found in various areas relevant to pain perception, including the nociceptive and antinociceptive pathways, drug receptors, drug-metabolising enzymes and drug efflux molecules. An in-depth knowledge of single-nucleotide polymorphisms can help clinicians to address interindividual variability in opioid dosing and requirements. In the era of precision medicine, these genetic markers can also help us to design prognostic tools to accurately predict the analgesic dose of opioids.

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Beyond Anesthesia Toxicity: Anesthetic Considerations to Lessen the Risk of Neonatal Neurological Injury.
Anesth Analg. 2019 Nov;129(5):1354-1364. doi: 10.1213/ANE.0000000000004271.
Abstract
McCann ME, Lee JK, Inder T.
Infants who undergo surgical procedures in the first few months of life are at a higher risk of death or subsequent neurodevelopmental abnormalities. Although the pathogenesis of these outcomes is multifactorial, an understanding of the nature and pathogenesis of brain injury in these infants may assist the anesthesiologist in consideration of their day-to-day practice to minimize such risks. This review will summarize the main types of brain injury in preterm and term infants and their key pathways. In addition, the review will address key potential pathogenic pathways that may be modifiable including intraoperative hypotension, hypocapnia, hyperoxia or hypoxia, hypoglycemia, and hyperthermia. Each of these conditions may increase the risk of perioperative neurological injury, but their long-term ramifications are unclear.

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Society of Cardiovascular Anesthesiologists Clinical Practice Improvement Advisory for Management of Perioperative Bleeding and Hemostasis in Cardiac Surgery Patients.
Anesth Analg. 2019 Oct 9. doi: 10.1213/ANE.0000000000004355.
Abstract
Raphael J, Mazer CD, Subramani S, Schroeder A, Abdalla M, Ferreira R, et al.
Bleeding after cardiac surgery is a common and serious complication leading to transfusion of multiple blood products and resulting in increased morbidity and mortality. Despite the publication of numerous guidelines and consensus statements for patient blood management in cardiac surgery, research has revealed that adherence to these guidelines is poor, and as a result, a significant variability in patient transfusion practices among practitioners still remains. In addition, although utilization of point-of-care (POC) coagulation monitors and the use of novel therapeutic strategies for perioperative hemostasis, such as the use of coagulation factor concentrates, have increased significantly over the last decade, they are still not widely available in every institution. Therefore, despite continuous efforts, blood transfusion in cardiac surgery has only modestly declined over the last decade, remaining at ≥50% in high-risk patients. Given these limitations, and in response to new regulatory and legislature requirements, the Society of Cardiovascular Anesthesiologists (SCA) has formed the Blood Conservation in Cardiac Surgery Working Group to organize, summarize, and disseminate the available best-practice knowledge in patient blood management in cardiac surgery. The current publication includes the summary statements and algorithms designed by the working group, after collection and review of the existing guidelines, consensus statements, and recommendations for patient blood management practices in cardiac surgery patients. The overall goal is creating a dynamic resource of easily accessible educational material that will help to increase and improve compliance with the existing evidence-based best practices of patient blood management by cardiac surgery care teams.

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