Rispondi Cancella risposta
Questo sito utilizza Akismet per ridurre lo spam. Scopri come vengono elaborati i dati derivati dai commenti.
Follow MEDEST on Twitter
- The MEDEST118 Daily is out! paper.li/MEDEST118/1407… Stories via @ClinMedJournals @peds211908 @crit_cloud #foamed #sjtrem 1 hour ago
- The MEDEST118 Daily is out! paper.li/MEDEST118/1407… Stories via @srrezaie #foamed #radiology 1 day ago
- RT @ketaminh: @MEDEST118 @fabiodeiaco @MarioGuarino4 Grazie mille! https://t.co/cMhTynqbVO 1 day ago
- RT @ketaminh: All about ketamine with MEDEST118 prehospitalmed.com/2021/01/22/all… 1 day ago
- All about Ketamine. With @ketaminh @fabiodeiaco @MarioGuarino4 . Watching the live recording fb.watch/39AuRx_VVx/ 1 day ago
Articoli recenti
- La “constatazione” di decesso. Storia presunta e non-fondamento legislativo di una leggenda metropolitana. 27 agosto 2020
- Open Chest Wounds. The Prehospital Management 3 agosto 2020
- E’ andato tutto bene? 19 maggio 2020
- Beyond Advanced Cardiac Life Support. Do we have to change our practice in COVID Era? 3 maggio 2020
- Airway management in COVID-19 era 9 aprile 2020
- Supporto respiratorio non invasivo e gestione delle vie aeree in epoca COVID 2 aprile 2020
- Respiratory support in suspected COVID-19 patients. When conventional O2 therapy is not enough! 20 marzo 2020
The MEDEST on line News
Paperli.PaperWidget.Show({pid: '71aba46f-dee1-4148-93c6-c1537be7ba8a', width: 200, background: '#FB0000'})
Archivi
MyTweet
- The MEDEST118 Daily is out! paper.li/MEDEST118/1407… Stories via @ClinMedJournals @peds211908 @crit_cloud #foamed #sjtrem 1 hour ago
- The MEDEST118 Daily is out! paper.li/MEDEST118/1407… Stories via @srrezaie #foamed #radiology 1 day ago
- RT @ketaminh: @MEDEST118 @fabiodeiaco @MarioGuarino4 Grazie mille! https://t.co/cMhTynqbVO 1 day ago
- RT @ketaminh: All about ketamine with MEDEST118 prehospitalmed.com/2021/01/22/all… 1 day ago
- All about Ketamine. With @ketaminh @fabiodeiaco @MarioGuarino4 . Watching the live recording fb.watch/39AuRx_VVx/ 1 day ago
- @ketaminh @fabiodeiaco @MarioGuarino4 Guys that’s the best part of our job. Sharing clinical and life experiences w… twitter.com/i/web/status/1… 1 day ago
Favourites FOAMED Blogs
- Emergenza-Urgenza 2.0
- ALL Ohio EM
- Triggerlab
- thinking critical care
- urgentcareultrasound
- MariaLuisaRuberto.com
- Critical Care Northampton
- OHCA research
- SonoStuff
- phemcast
- First10EM
- Songs or Stories
- airwayNautics
- resusNautics
- Life in the Fast Lane • LITFL • Medical Blog
- emDOCs.net - Emergency Medicine Education
- The Collective
- Dave on Airways
- FOAMcast
- Broome Docs
- St.Emlyn's
- BoringEM
- "CardioOnline"Basic and Advanced Cardiovascular medicine" Cariology" concepts and Review -Dr.Nabil Paktin,MD.FACC.دکتـور نبــــیل "پاکطــــین
- DOWNSTAIRS CARE OUT THERE BLOG
- EmergencyPedia
- Little Medic
- Prehospital and Retrieval Medicine - THE PHARM dedicated to the memory of Dr John Hinds
- Prehospital Emergency Medicine Blog
- Italy Customized Tour Operator in Florence
- GoogleFOAM
- EM Lyceum
- Pediatric EM Morsels
- KidsCareEverywhere
- EM Pills
- AmboFOAM
- FOAM4GP
- Rural Doctors Net
- Auckland HEMS
- ECHOARTE
- MEDEST
- ruralflyingdoc
- EM Basic
- KI Doc
- Emergency Live
- AMP EM
- www.podcastingformedicalprofessionals.com
- Academic Life in Emergency Medicine
- Comments on: Homepage
- Greater Sydney Area HEMS
Scrivi a MEDEST
Le tue opinioni sono il nostro valore aggiunto!
Fall and Rise of Morphine in ACS.
26 FebYesterday the usual MEDEST letterature review was almost fully pointed on Morphine use in ACS. The cited articles talked about Morphine use and survival outcome or P2Y12 inhibitors absorption. The latest evidence pointed toward less survival and less PY12 absorption when Morphine is administered in patients that suffered of ACS.
First evidences about those effects can be dated to CRUSADE(1) study, but more recently other studies pointed in this direction (2,3, 4).
And what about using Fentanyl instead? Some authors compared Morphine to Fentanyl (4) finding no evidences about the superiority of one on another, and on a recent study (5) Fentanyl carried the same detrimental effect on Ticagrelor absorption.
So we really have to ban Morphine or Opiates in ACS?
In an interesting post (6) Rory Spiegel questioned about the basic assumption that P2Y12 benefits in ACS was never really proven and so, even if P2Y12 inhibition by Morphine was real, no damages derived from Opiates effects on them.
On the other hand Vince di Giulio on EMS 12 leads (7) criticised the methodology of most studies at the basis of the P2Y12 inhibition and detrimental effect on survival.
Are you enough confused? What you really do and what all of this matter for daily clinical practice?
In the meantime you decide this is my personal clinical behaviour on opiates and ACS.
Read more about this topic. Explore the References:
Condividi:
Mi piace:
Correlati