RACE II

Mais um artigo sobre manejo do paciente com FA crônica. Dessa vez o RACE-II quis testar a não-inferioridade da abordagem menos agressiva da FC no paciente com FA. Ao contrário do AFFIRM, que comparou controle da FC (mais estrito) X Ritmo, o RACE-II abre uma perspectiva menos intensiva no manejo da FC nesses pacientes.

http://www.4shared.com/document/_FAWKi5e/RII-warez.html

Fluid balance and acute kidney injury

 Excelente revisão publicada em fevereiro na Nature, sobre manejo de fluídos no paciente crítico. Conceitos fisiopatológicos bem fundamentados e que vão de encontro com vários paradigmas das práticas atuais de reposição hídrica. Cada vez mais a máxima, "Mais, nem sempre é melhor" se aplica aos cuidados do paciente crítico. Observem os próximos artigos.
Vale a pena conferir.
Grande abraço!


http://www.4shared.com/document/wglAL6ML/Fluid_balance_and_acute_kidney.html

CD : The Physiological Origins of Heart Sounds and Murmurs: The Unique Interactive Guide to Cardiac Diagnosis

Cardiac auscultation is one of the most difficult clinical skills to acquire and competence in this area is extremely variable. This short and accessible interactive CD of heart sounds recorded from actual patients using the latest digital audio technology. It allows the user to listen to a recording and either eliminate or enhance the different components until they are confident that they have correctly identified the sounds in all phases of the cardiac cycle

http://www.megaupload.com/?d=ELIELQXG

Guidelines the Diagnosis and Management of Patients With Thoracic Aortic Disease

http://www.4shared.com/file/242600253/d86505c9/jjacc201002010v1.html

Management of Varices and Variceal Hemorrhage in Cirrhosis

                  
                                             Review Article


Management of Varices and Variceal Hemorrhage in Cirrhosis
N Engl J Med 2010;362:823-32.


http://www.4shared.com/file/236511184/c2b410f/Management_of_Varices_and_Vari.html

Comparison of Dopamine and Norepinephrine in the Treatment of Shock

Comparison of Dopamine and Norepinephrine in the Treatment of Shock

N Engl J Med 2010;362:779-89.

 

Both dopamine and norepinephrine are recommended as first-line vasopressor agent
in the treatment of shock. There is a continuing controversy about whether one agent
is superior to the other.In this multicenter, randomized trial, we assigned patients with shock to receive either dopamine or norepinephrine as first-line vasopressor therapy to restore and maintain blood pressure.
 
http://www.4shared.com/file/236508423/2e0398f7/Comparison_of_Dopamine_and_Nor.html