Blog - INTERNET MÉDICA

You Tube & Bloqueios do Plexo Braquial Online (YouTube & Brachial Plexus Blocks)

Por Paulo Leite 17/07/2019

– O YouTube, site de compartilhamento de vídeos mais popular, contém um número significativo de vídeos médicos, incluindo bloqueios do plexo braquial. Apesar do uso generalizado dessa plataforma como fonte de informação médica, não há regulamentação para a qualidade ou o conteúdo dos vídeos. O objetivo deste estudo é avaliar o conteúdo do material no YouTube relevante para o desempenho do bloqueio do plexo braquial e sua qualidade como fonte de informação visual digital.

– Onur Selvi e colaboradores, na Turquia, realizaram uma pesquisa no YouTube usando palavras-chave associadas ao bloqueio do plexo braquial e, de 374 vídeos, 86 foram incluídos na lista de observação. Os avaliadores classificaram os vídeos separadamente, de acordo com os questionários. O questionário-1 (Q1) foi preparado de acordo com as diretrizes da ASRA/Miller’s Anesthesia como livro de referência e o Questionário-2 (Q2) foi formulado usando uma modificação dos critérios em Avaliação de Diretrizes para Mídia de Vídeo. No total, 72 vídeos sobre bloqueios guiados por ultrassom e 14 vídeos sobre bloqueios com estimulador de nervos foram avaliados. No Q1, para os vídeos apresentando bloqueios guiados por ultrassom, os menores escores foram para Q1–5 (1,38) em relação às complicações e os maiores escores foram para Q1–13 (3,30) em relação à imagem sonoanatômica. Nos vídeos que apresentaram bloqueios com estimulador de nervos, os menores e os maiores escores foram dados para Q1–7 (1,64) em relação ao equipamento e Q1–12 (3,60) em relação à explicação das contrações musculares, respectivamente. No Q2, 65,3% dos bloqueios guiados por ultrassom e 42,8% dos bloqueios com estimulador de nervos apresentaram escores abaixo de satisfatórios.

– Segundo estes pesquisadores a maioria dos vídeos examinados para este estudo carece da abordagem abrangente necessária para orientar com segurança as pessoas que buscam informações sobre o bloqueio do plexo braquial.

■ YouTube como fonte informativa sobre bloqueios do plexo braquial: avaliação de conteúdo e valor educativo

Selvi, Onur et al.

Rev. Bras. Anestesiol., Apr 2019, vol.69, no.2, p.168-176

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942019000200168&lng=en&nrm=iso&tlng=pt (portuguese)

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942019000200168&lng=en&nrm=iso&tlng=en (english)

■ Dr Paulo Fernando Leite

Cardiologia/Prevenção Cardiovascular

Estratificação de Risco Cardiovascular

Novo endereço:

Consultório: Rua Padre Rolim 815/sala 815

Tel: 33245518 (Consulta Particular/Unimed)

– Centro Médico Unimed BH/Contagem/Pedro I

Belo Horizonte/MG/Brasil

CRMMG: 7026

Email: pfleite1873@gmail.com

Doença Cardíaca Valvar: Artigos de Revisão Online (Valve Cardiac Disease: Reviews)

Por Paulo Leite 16/07/2019

■ Exercise-based cardiac rehabilitation for patients following open surgical aortic valve replacement and transcatheter aortic valve implant: a systematic review and meta-analysis

Lizette Anayo, Paula Rogers, Linda Long, Miles Dalby, Rod Taylor

Open Heart. 2019; vol 6(1): e00092

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6519423/

■ Rheumatic aortic valve disease – When and who to repair?

Afifi A, Hosny H, Yacoub M.

Ann Cardiothorac Surg. 2019 May;8(3):383-389

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6562081/

■ Bicuspide aortic valve repair: systematic review on long-term outcomes

George J. Arnaoutakis, Ibrahim Sultan, Mary Siki, Joseph E. Bavaria

Ann Cardiothorac Surg. 2019 May; 8(3): 302–312

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6562085/

■ Systematic echocardiographic assessment of aortic regurgitation – What should the surgeons know for aortic valve repair?

Alain Berrebi, Jean-Luc Monin, Emmanuel Lansac

Ann Cardiothorac Surg. 2019 May; 8(3): 331–34

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6562091/

■ Stress echocardiography in aortic stenosis

N Burkule

Journal of Clinical and Preventive Cardiology 2019, vol 8 (2): 64-70

http://www.jcpconline.org/article.asp?issn=2250-3528;year=2019;volume=8;issue=2;spage=64;epage=70;aulast=Burkule

■ Comparison of transcatheter aortic valve implantation with other approaches to treat aortic valve stenosis: a systematic review and meta-analysis

G Wagner, S Steiner, G Gartlehneer et al

Systematic Reviews 2019, vol 98:44

https://systematicreviewsjournal.biomedcentral.com/articles/10.1186/s13643-019-0954-3

■ Current results and remaining challenges of trans-catheter aortic valve replacement expansion in intermediate and low risk patients

Alfonso Ielasi, Azeem Latib, Maurizio Tespili, Francesco Donatelli

Int J Cardiol Heart Vasc. 2019 Jun; 23: 10037

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6525308/

■ Acute kidney injury after transcatheter aortic valve replacement in the elderly: outcomes and risk management

Marta Zaleska-Kociecka, Maciej Dabrowski, Janina Stepinska

Clin Interv Aging. 2019; 14: 195–201

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6345183/

■ Meta-analysis comparing renal outcomes after transcatheter versus surgical aortic valve replacement

K Shah, Z Chaker, T Busu et al

Journal of Interventional Cardiology 2019, Article ID 3537256, 9 pages

https://www.hindawi.com/journals/jitc/2019/3537256/

■ Repair of degenerative mitral regurgitation: an update

David Richens, Anas Boulemden, Henry Skinner

Glob Cardiol Sci Pract. 2019 Mar 31; 2019(1): 4

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6472690/

■ The role of transcatheter mitral valve therapy in heart failure

Hendrik Treede, Efstratios I Charitos

Eur J Cardiothorac Surg. 2019 Jun; 55(Suppl 1): i26–i30

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6526099/

■ Minimally invasive mitral valve repair for functional mitral regurgitation

Evaldas Girdauskas, Jonas Pausch, Eva Harmel, et al

Eur J Cardiothorac Surg. 2019, vol 55(Suppl 1): i17–i25

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6526096/

■ End-systolic wall stress in aortic stenosis: comparing symptomatic and asymptomatic patients

Rasmus Carter-Storch, Jacob Eifer Moller, Nicolaj Lyhne Christensen et al

Open Heart. 2019; 6(1): e001021.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6519411/

■ NT-proBNP and postoperative heart failure in surgery for aortic stenosis

Huiqi Jiang, Farkas Vánky, Henrik Hultkvist, Jonas Holm et a

Open Heart. 2019; 6(1): e001063

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6546186/

■ Anatomical predictors of conduction damage after transcatheter implantation of the aortic valve

Justin T Tretter, Shumpei Mori, Robert H Anderson et al

Open Heart. 2019; 6(1): e000972

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6519402/

■ Rapid early rise in heart rate on treadmill exercise in patients with asymptomatic moderate or severe aortic stenosis: a new prognostic marker?

John B Chambers, Ronak Rajani, Denise Parkin, Sahrai Saeed

Open Heart. 2019; 6(1): e000950

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6361371/

■ Predictors of early mortality after transcatheter aortic valve implantation

Didrik Kjønås, Gry Dahle, Henrik Schirmer, et al

Open Heart. 2019; 6(1): e000936

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6519416/

■ Biological variation of cardiac markers in patients with aortic valve stenosis

Frederique E C M Peeters, Bas L J H Kietselaer, Judith Hilderink et al

Open Heart. 2019; 6(1): e001040

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6519418/

■ Bicuspid aortic valve: basics and beyond

S Y Shah, A Higgins, M Y Desai

Clevelandd Clinic Journal of Medicine 2018, vol 85 (1): 779-784

https://www.mdedge.com/ccjm/article/175729/cardiology/bicuspid-aortic-valve-basics-and-beyond

■ Clinical and cost-effectiveness of the Ross procedure versus conventional aortic valve replacement in young adults

Howard Thom, Alexandru Ciprian Visan, Edna Keeney et al

Open Heart. 2019; 6(1): e001047

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6546187/

■ Transcatheter heart valve interventions: Where are we? Where are going?

B D Predergast, H Baumgartner, V Delgado,et al

European Heart Journal 2019, vol 40 (5): 422-440

https://academic.oup.com/eurheartj/article/40/5/422/5273476

■ Mitral valve prolapse and sudden cardiac death: a systematic review

Hui‐Chen Han, Francis J. Ha, Andrew W. Teh, Paul Calafiore et al

J Am Heart Assoc. 2018 Dec 4; 7(23): e010584

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6405538/

■ Mitral valve and left ventricular features in malignant mitral valve prolapse

Madalina Garbi, Patrizio Lancellotti, Mary N Sheppard

Open Heart. 2018; 5(2): e000925

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196952/

■ Aortic valve repair in adult congenital heart disease

Evaldas Girdauskas, Johannes Petersen, Jörg Sachweh et al

Cardiovasc Diagn Ther. 2018 Dec; 8(6): 789–798

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6331383/

■ Native aortic versus mitral valve infective endocarditis: a nationwide registry study

Abel Van Vlasselaer, Magnus Rasmussen, Johan Nilsson et al

Open Heart. 2019; 6(1): e000926

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6443117/

■ Minimally invasive mitral valve repair for functional mitral regurgitation

E Girdasuskas, J Pausch, E Harmel et al

European Journal of Cardio-Thoracic Surgery 2019, Issue Supplement_1: i17-i25

https://academic.oup.com/ejcts/article/55/Supplement_1/i17/5491083

■ The role of transcatheter mitral valve therapy in heart failure

H Treede, E I Charitos

European Journal of Cardio-Thoracic Surgery 2019, vol 55, Issue

https://academic.oup.com/ejcts/article/55/Supplement_1/i26/5491079

■ Percutaneous mitral valve repair versus optimal medical therapy in patients with functional mitral regurgitation: a systematic review and meta-analysis

M U Lodhi, M S Usman, T J Siddiqi et al

Journal of Interventional Cardiology 2019, Article ID 2753146, 10 pages

https://www.hindawi.com/journals/jitc/2019/2753146/

■ Multimodality imaging for the quantitative assessment of mitral regurgitation

P G Chew, K Bounford, S Plein et al

Quant Imaging Med Surg 2018, vol 8 (3): 342-359

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5941213/

■ Mechanistic insights of the left ventricle structure and fibrosis in the arrhythmogenic mitral valve prolapse

Leticia Fernández-Friera, Rafael Salguero, Luca Vannini et al

Glob Cardiol Sci Pract. 2018 Mar 14; 2018(1): 4

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5857061/

■ Genetic of symptoms and non-syndromic mitral valve prolapse