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Referências encontradas : 134 [refinar]
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[PMID]:29444391
[Au] Autor:Loo MV; Sottiaux T
[Ti] Título:High Flow Nasal Cannula oxygenation for adult patients in the ICU: a literature review.
[So] Source:Acta Anaesthesiol Belg;67(2):63-72, 2016.
[Is] ISSN:0001-5164
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:Oxygenation using High Flow Nasal Cannula (HFNC) was initially described in neonatal medicine, but, gradually, its use has extended to adult patients. The efficacy of the device has been linked to higher flows of oxygen delivered to the patients, air tract humidification, alveolar recruitment through a positive end-expiratory pressure (PEEP) effect, prevention of nasopharyngeal collapse, and dead-space washout. Beside the fact that HFNC is a non-invasive way of delivering oxygen to ICU patients, and is well tolerated, results from various clinical trials tend to show positive outcomes for patients presenting with acute hypoxemic respiratory failure (AHRF), during intubation, or during the post-extubation period. However, controversy arose from recent publications, and larger trials are still required to clarify the position of HFNC in the ICU, and help define the subgroups of patients presenting with AHRF that are most likely to benefit from HFNC therapy.
[Mh] Termos MeSH primário: Cânula
Unidades de Terapia Intensiva
Oxigenoterapia/instrumentação
[Mh] Termos MeSH secundário: Adulto
Extubação
Seres Humanos
Oxigenoterapia/efeitos adversos
Oxigenoterapia/métodos
Respiração com Pressão Positiva
Insuficiência Respiratória/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180215
[St] Status:MEDLINE


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[PMID]:28459344
[Au] Autor:Goligher EC; Slutsky AS
[Ad] Endereço:1 Interdepartmental Division of Critical Care Medicine University of Toronto Toronto, Ontario, Canada.
[Ti] Título:Not Just Oxygen? Mechanisms of Benefit from High-Flow Nasal Cannula in Hypoxemic Respiratory Failure.
[So] Source:Am J Respir Crit Care Med;195(9):1128-1131, 2017 05 01.
[Is] ISSN:1535-4970
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Cânula
Oxigênio
[Mh] Termos MeSH secundário: Seres Humanos
Ventilação não Invasiva
Oxigenoterapia
Insuficiência Respiratória
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Nm] Nome de substância:
S88TT14065 (Oxygen)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171213
[Lr] Data última revisão:
171213
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.1164/rccm.201701-0006ED


  3 / 134 MEDLINE  
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[PMID]:28984772
[Au] Autor:Ju C; Li J; Zhou F; Song Q; Wu X; Huang C; Li S; Wang H
[Ad] Endereço:aDepartment of Ophthalmology bDepartment of Operating Room, Shandong University Qilu Hospital cSchool of Medicine, Shandong University, Jinan, Shandong, China.
[Ti] Título:Comparison of 2 modified methods for the active removal of silicone oil with a 23-gauge transconjunctival vitrectomy system.
[So] Source:Medicine (Baltimore);96(40):e8205, 2017 Oct.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:To report and compare 2 modified approaches for the active removal of silicone oil (ROSO) with a 23-gauge transconjunctival vitrectomy system.This prospective single blinded study was conducted from January 2015 to December 2016. Eighty-nine eyes of 86 patients who underwent silicone oil removal were enrolled. Patients were randomly divided into either group A or B. In group A, the fluid-air exchange tube was connected to a 1 mL syringe with the plunger removed and the tip was dilated with a hemostat so that it fit into the cap of the 23-gauge cannula to form a seal for oil drainage. In group B, the tip of the syringe was closely attached to the cap of the 23-gauge cannula by a tube adaptor, which was salvaged from a used silicone oil inject and aspirate pack and sterilized. Main outcome measures were time required for silicone oil removal, silicone oil residual, intraoperative and postoperative complications including hypotony, bleeding, and retinal redetachment.The mean time required was 6.08 ±â€Š0.31 minutes and 6.11 ±â€Š0.31 minutes for groups A and B, respectively. No silicone oil residual, severe hypotony, recurrence of retinal detachment, or impairment of visual acuity were observed in either group. Conjunctival injection and hyperemia were slightly more severe in group A, but spontaneously resolved in 2 to 3 days.Both methods described in this paper were demonstrated to be safe, effective, and cost-effective for the ROSO. The syringe dilation method caused more severe conjuntival irritation, thus we suggest using the tube adaptor method for hospitals equipped with cold sterilization equipment.
[Mh] Termos MeSH primário: Drenagem/instrumentação
Descolamento Retiniano/cirurgia
Óleos de Silicone
Vitrectomia/instrumentação
[Mh] Termos MeSH secundário: Cânula
Túnica Conjuntiva/cirurgia
Drenagem/métodos
Feminino
Seres Humanos
Masculino
Meia-Idade
Duração da Cirurgia
Estudos Prospectivos
Método Simples-Cego
Seringas
Resultado do Tratamento
Vitrectomia/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Silicone Oils)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171007
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008205


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[PMID]:28806218
[Au] Autor:García-de-Acilu M; Marin-Corral J; Vázquez A; Ruano L; Magret M; Ferrer R; Masclans JR; Roca O
[Ad] Endereço:1Critical Care Department, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Barcelona, Spain. 2Departament de Medicina, Universitat Autònoma de Barcelona, Barcelona, Spain. 3Critical Care Department, Parc de Salut Mar (Hospital del Mar), IMIM (Mar Medical Research Institut), Universitat Pompeu Fabra, Barcelona, Spain. 4Critical Care Department, Joan XXIII University Hospital, Tarragona, Spain. 5Ciber Enfermedades Respiratorias (Ciberes), Instituto de Salud Carlos III, Madrid, Spain.
[Ti] Título:Hypoxemic Patients With Bilateral Infiltrates Treated With High-Flow Nasal Cannula Present a Similar Pattern of Biomarkers of Inflammation and Injury to Acute Respiratory Distress Syndrome Patients.
[So] Source:Crit Care Med;45(11):1845-1853, 2017 Nov.
[Is] ISSN:1530-0293
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To examine whether patients with acute hypoxemia and bilateral opacities treated with high-flow nasal cannula and acute respiratory distress syndrome patients who were directly mechanically ventilated are similar in terms of lung epithelial, endothelial, and inflammatory biomarkers. DESIGN: Prospective, multicenter study. SETTING: ICUs at three university tertiary hospitals. PATIENTS: Intubated and nonintubated patients admitted to the ICU with acute hypoxemia (PaO2/FIO2 ≤ 300) and bilateral opacities. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Either high-flow nasal cannula or mechanical ventilation was initiated, at the discretion of the attending physician. We measured plasma biomarkers of lung epithelial injury (receptor for advanced glycation end products and surfactant protein D) and endothelial injury (angiopoietin-2) and inflammation (interleukin-6, interleukin-8, and interleukin-33 and soluble suppression of tumorigenicity-2) within 24 hours of acute respiratory distress syndrome onset. Propensity score matching was performed using six different variables (Acute Physiology and Chronic Health Evaluation II, Sequential Organ Failure Assessment, PaO2/FIO2, origin of acute respiratory distress syndrome, steroids, renal failure and need for vasopressors). Nonhypoxemic mechanically ventilated critically ill patients and healthy volunteers served as controls. Of the 170 patients enrolled, 127 (74.7%) were intubated and 43 (25.3%) were treated with high-flow nasal cannula at acute respiratory distress syndrome onset. After propensity score matching (39 high-flow nasal cannula patients vs 39 mechanical ventilation patients), no significant differences were observed in receptor for advanced glycation end products, surfactant protein D, angiopoietin-2, interleukin-6, interleukin-8, interleukin-33, and soluble suppression of tumorigenicity-2 between matched patients who were treated with high-flow nasal cannula and those who were intubated at acute respiratory distress syndrome onset. After matching, no differences in mortality or length of stay were observed. All biomarkers (with the exception of interleukin-33) were higher in both groups of matched acute respiratory distress syndrome patients than in both control groups. CONCLUSIONS: Acute hypoxemic patients with bilateral infiltrates treated with high-flow nasal cannula presented a similar pattern of biomarkers of inflammation and injury to acute respiratory distress syndrome patients undergoing direct mechanical ventilation. The results suggest that these high-flow nasal cannula patients should be considered as acute respiratory distress syndrome patients.
[Mh] Termos MeSH primário: Cânula
Estado Terminal
Inflamação/imunologia
Síndrome do Desconforto Respiratório do Adulto/sangue
Síndrome do Desconforto Respiratório do Adulto/terapia
[Mh] Termos MeSH secundário: APACHE
Corticosteroides/administração & dosagem
Adulto
Idoso
Angiopoietina-2/sangue
Biomarcadores
Gasometria
Cateterismo/métodos
Células Endoteliais/metabolismo
Células Epiteliais/metabolismo
Feminino
Seres Humanos
Hipóxia/sangue
Hipóxia/terapia
Inflamação/sangue
Unidades de Terapia Intensiva/estatística & dados numéricos
Interleucinas/sangue
Tempo de Internação
Masculino
Meia-Idade
Escores de Disfunção Orgânica
Estudos Prospectivos
Proteína D Associada a Surfactante Pulmonar/sangue
Receptor para Produtos Finais de Glicação Avançada/sangue
Respiração Artificial
Síndrome do Desconforto Respiratório do Adulto/imunologia
Síndrome do Desconforto Respiratório do Adulto/mortalidade
Vasoconstritores/administração & dosagem
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Nm] Nome de substância:
0 (Adrenal Cortex Hormones); 0 (Angiopoietin-2); 0 (Biomarkers); 0 (Interleukins); 0 (Pulmonary Surfactant-Associated Protein D); 0 (Receptor for Advanced Glycation End Products); 0 (Vasoconstrictor Agents)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170815
[St] Status:MEDLINE
[do] DOI:10.1097/CCM.0000000000002647


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[PMID]:28766977
[Au] Autor:Tam K; Jeffery C; Sung CK
[Ad] Endereço:1 Stanford University School of Medicine, Stanford, California, USA.
[Ti] Título:Surgical Management of Supraglottic Stenosis Using Intubationless Optiflow.
[So] Source:Ann Otol Rhinol Laryngol;126(9):669-672, 2017 Sep.
[Is] ISSN:1943-572X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Airway management during endoscopic surgical treatment of supraglottic and pharyngeal stenosis is often challenging and can be accomplished by various means, including tracheostomy, jet ventilation, or direct laryngoscopy. We describe CO laser excision of supraglottic-pharyngeal stenosis using intubationless Optiflow high-flow nasal cannula (HFNC). METHODS: A 55-year-old male presented with dyspnea and dysphagia secondary to severe supraglottic-pharyngeal stenosis in the setting of previous chemoradiation for a T0N2aM0 squamous cell carcinoma. Laryngoscopy revealed severe supraglottic-pharyngeal stenosis with tethering of the epiglottis to the lateral pharyngeal walls. Optiflow HFNC was used to deliver 70 L/min of oxygen. After anesthetic induction, CO laser microlaryngoscopy was utilized to release scar tissue along the lateral epiglottic border, opening up the supraglottic airway sufficiently for endotracheal intubation and further laser resection. RESULTS: Airway management with Optiflow HFNC allowed initial endoscopic surgical access, partial stenotic release, and intubation. From anesthetic induction to intubation, the patient remained apneic for 26 minutes. The patient's stenosis was successfully addressed, and 10-month follow-up demonstrated stable patency of the airway. CONCLUSION: Optiflow is an important new tool in the management of severe supraglottic stenosis. It provides sufficient oxygenation to perform extended apneic surgery and improves endoscopic surgical access in a limited airway.
[Mh] Termos MeSH primário: Obstrução das Vias Respiratórias/cirurgia
Cânula
Transtornos de Deglutição/cirurgia
Epiglote/cirurgia
Laringoscopia/métodos
Terapia a Laser/métodos
Oxigenoterapia/instrumentação
Doenças Faríngeas/cirurgia
[Mh] Termos MeSH secundário: Obstrução das Vias Respiratórias/etiologia
Carcinoma de Células Escamosas/terapia
Quimiorradioterapia/efeitos adversos
Constrição Patológica/etiologia
Constrição Patológica/cirurgia
Transtornos de Deglutição/etiologia
Neoplasias de Cabeça e Pescoço/terapia
Seres Humanos
Intubação Intratraqueal
Lasers de Gás/uso terapêutico
Masculino
Meia-Idade
Oxigenoterapia/métodos
Doenças Faríngeas/etiologia
Neoplasias Faríngeas/terapia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170803
[St] Status:MEDLINE
[do] DOI:10.1177/0003489417720220


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[PMID]:28733317
[Au] Autor:Baudin F; Pouyau R
[Ad] Endereço:Réanimation Pédiatrique Hôpital Femme Mère Enfant Hospices Civils de Lyon Bron, France Université Claude Bernard Lyon 1 Lyon, France florent.baudin@chu-lyon.fr.
[Ti] Título:High-Flow Nasal Cannula in the Pediatric ICU: Popular or Efficient?
[So] Source:Respir Care;62(8):1116-1117, 2017 08.
[Is] ISSN:1943-3654
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Cânula
Unidades de Terapia Intensiva
[Mh] Termos MeSH secundário: Criança
Seres Humanos
[Pt] Tipo de publicação:EDITORIAL; COMMENT
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170814
[Lr] Data última revisão:
170814
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170723
[St] Status:MEDLINE
[do] DOI:10.4187/respcare.05720


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[PMID]:28711371
[Au] Autor:Dhillon NK; Smith EJT; Ko A; Harada MY; Polevoi D; Liang R; Barmparas G; Ley EJ
[Ad] Endereço:Department of Surgery, Division of Trauma and Critical Care, Cedars-Sinai Medical Center, Los Angeles, California.
[Ti] Título:Extubation to high-flow nasal cannula in critically ill surgical patients.
[So] Source:J Surg Res;217:258-264, 2017 Sep.
[Is] ISSN:1095-8673
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: High-flow nasal cannula (HFNC) is increasingly used to reduce reintubations in patients with respiratory failure. Benefits include providing positive end expiratory pressure, reducing anatomical dead space, and decreasing work of breathing. We sought to compare outcomes of critically ill surgical patients extubated to HFNC versus conventional therapy. METHODS: A retrospective review was conducted in the surgical intensive care unit of an academic center during August 2015 to February 2016. Data including demographics, ventilator days, oxygen therapy after extubation, reintubation rates, surgical intensive care unit and hospital length of stay, and mortality were collected. Self and palliative extubations were excluded. Characteristics and outcomes, with the primary outcome being reintubation, were compared between those extubated to HFNC versus cool mist/nasal cannula (CM/NC). RESULTS: Of the 184 patients analyzed, 46 were extubated to HFNC and 138 to CM/NC. Mean age and days on ventilation before extubation were 57.8 years and 4.3 days, respectively. Both cohorts were similar in age, sex, and had a similar prevalence of cardiopulmonary diagnoses at admission. Although prior to extubation HFNC had lengthier ventilation requirements (7.1 versus 3.4 days, P < 0.01) and ICU stays (7.8 versus 4.1 days, P < 0.01), the rate of reintubation was similar to CM/NC (6.5% versus 13.8%, P = 0.19). Multivariable analysis demonstrated HFNC to be associated with a lower risk of reintubation (adjusted odds ratio = 0.15, P = 0.02). Mortality rates were similar. CONCLUSIONS: Ventilated patients at risk for recurrent respiratory failure have reduced reintubation rates when extubated to HFNC. Patients with prolonged intubation or those with high-risk comorbidities may benefit from extubation to HFNC.
[Mh] Termos MeSH primário: Extubação
Cânula
Estado Terminal
Respiração Artificial/instrumentação
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Masculino
Meia-Idade
Período Pós-Operatório
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171003
[Lr] Data última revisão:
171003
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170717
[St] Status:MEDLINE


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[PMID]:28669609
[Au] Autor:Weiler T; Kamerkar A; Hotz J; Ross PA; Newth CJL; Khemani RG
[Ad] Endereço:Department of Anesthesiology Critical Care Medicine, Children's Hospital Los Angeles, Los Angeles, CA. Electronic address: tweiler2@phs.org.
[Ti] Título:The Relationship between High Flow Nasal Cannula Flow Rate and Effort of Breathing in Children.
[So] Source:J Pediatr;189:66-71.e3, 2017 Oct.
[Is] ISSN:1097-6833
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To use an objective metric of effort of breathing to determine optimal high flow nasal cannula (HFNC) flow rates in children <3 years of age. STUDY DESIGN: Single-center prospective trial in a 24-bed pediatric intensive care unit of children <3 years of age on HFNC. We measured the percent change in pressure∙rate product (PRP) (an objective measure of effort of breathing) as a function of weight-indexed flow rates of 0.5, 1.0, 1.5, and 2.0 L/kg/minute. For a subgroup of patients, 2 different HFNC delivery systems (Fisher & Paykel [Auckland, New Zealand] and Vapotherm [Exeter, New Hampshire]) were compared. RESULTS: Twenty-one patients (49 titration episodes) were studied. The most common diagnoses were bronchiolitis and pneumonia. Overall, there was a significant difference in the percent change in PRP from baseline (of 0.5 L/kg/minute) with increasing flow rates for the entire cohort (P < .001) with largest change at 2.0 L/kg/min (-21%). Subgroup analyses showed no significant difference in percent change in PRP from baseline when comparing the 2 different HFNC delivery systems (P = .12). Patients ≤8 kg experienced a larger percent change in PRP as HFNC flow rates were increased (P = .001) than patients >8 kg. CONCLUSIONS: The optimal HFNC flow rate to reduce effort of breathing in infants and young children is approximately 1.5-2.0 L/kg/minute with more benefit seen in children ≤8 kg.
[Mh] Termos MeSH primário: Pressão Positiva Contínua nas Vias Aéreas/métodos
Oxigenoterapia/métodos
[Mh] Termos MeSH secundário: Cânula
Pressão Positiva Contínua nas Vias Aéreas/efeitos adversos
Feminino
Seres Humanos
Lactente
Unidades de Terapia Intensiva Pediátrica
Tempo de Internação
Masculino
Manometria
Oxigenoterapia/efeitos adversos
Estudos Prospectivos
Respiração
[Pt] Tipo de publicação:CLINICAL TRIAL; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171003
[Lr] Data última revisão:
171003
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170704
[St] Status:MEDLINE


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[PMID]:28635221
[Au] Autor:Wang P; Liu YH; Xu QS; Zheng ZS
[Ad] Endereço:Otorhinolaryngology Head and Neck Surgery, First Affiliated Hospital of Medical University of Anhui, Hefei 230022, China.
[Ti] Título:[Treatment of intractable aspiration after partial laryngectomy by cuffed tracheostomy tube with inner cannula].
[So] Source:Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi;52(6):463-465, 2017 Jun 07.
[Is] ISSN:1673-0860
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:To evaluate the efficacy of cuffed tracheostomy tube with inner cannula for the treatment of intractable aspiration after partial laryngectomy. From May 2010 to June 2015, 15 patients with intractable aspiration after partial laryngectomy of laryngeal and hypopharyngeal carcinoma were enrolled. Cuffed tracheostomy tube with inner cannula was used in the 15 patients for treatment of intractable aspiration. The patients and their family were trained to manage the cuffed tracheostomy tube with inner cannula and to eat since the 14th day after surgery. Cuff was initially inflated with 10 ml air and then deflated of 0.5 ml air every 2-3 days. Until the inflation of cuff was no longer required, the cuffed tracheostomy tube was replaced by metal tracheostomy tube. The patients' swallowing function and aspiration were evaluated 6 months after treatment. The 15 cases with intractable aspiration were treated with cuffed tracheostomy tube with inner cannula and after 2-3 months, 14 of them replaced the cuffed tracheostomy tubes with inner cannula by metal tracheostomy tubes and recovered oral eating, and tracheostomy tubes were no longer required for 12 of 14 patients in following 3-6 months, showing a total decannulation rate of 80% in the patients with refractory aspiration. It was safe and effective to treat aspiration after laryngeal and hypopharyngeal surgery with cuffed tracheostomy tube with inner cannula.
[Mh] Termos MeSH primário: Cânula
Neoplasias Hipofaríngeas/cirurgia
Neoplasias Laríngeas/cirurgia
Laringectomia/efeitos adversos
Complicações Pós-Operatórias/terapia
Aspiração Respiratória/terapia
Traqueostomia/instrumentação
[Mh] Termos MeSH secundário: Deglutição
Ingestão de Alimentos
Seres Humanos
Laringectomia/métodos
Aspiração Respiratória/etiologia
Fatores de Tempo
Traqueostomia/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170622
[St] Status:MEDLINE
[do] DOI:10.3760/cma.j.issn.1673-0860.2017.06.013


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[PMID]:28614014
[Au] Autor:Pang D; Bleetman A; Bleetman D; Wynne M
[Ad] Endereço:Core Surgical Trainee, Department of Surgery, Aberdeen Royal Infirmary, Aberdeen.
[Ti] Título:The foreign body that never was: the effects of confirmation bias.
[So] Source:Br J Hosp Med (Lond);78(6):350-351, 2017 Jun 02.
[Is] ISSN:1750-8460
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Viés
Cânula
Erros de Diagnóstico
Corpos Estranhos/diagnóstico por imagem
Mãos/diagnóstico por imagem
Artéria Pulmonar/diagnóstico por imagem
Procedimentos Desnecessários
[Mh] Termos MeSH secundário: Cateterismo Periférico
Angiografia por Tomografia Computadorizada
Corpos Estranhos/cirurgia
Mãos/cirurgia
Seres Humanos
Masculino
Meia-Idade
Radiografia
Ultrassonografia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170615
[St] Status:MEDLINE
[do] DOI:10.12968/hmed.2017.78.6.350



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