Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1590/S0034-70942004000400014
Brazilian Journal of Anesthesiology
Miscellaneous

Anestesiologia baseada em evidências: o que é e como praticar

Evidence-based anesthesiology: what is it and how to practice it

Rodrigo Mariano da Costa de Angelis; Álvaro Avezum Júnior; Alexandre Biasi Cavalcanti; Rogério Teixeira de Carvalho

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Resumo

JUSTIFICATIVA E OBJETIVOS: Os princípios da Medicina baseada em evidências têm sido aplicados à Anestesiologia. A proposta dessa revisão é abordar os fundamentos para a prática da Medicina baseada em evidências e fornecer exemplos de como esses princípios podem ser incorporados à prática diária. Até o momento da conclusão desse artigo, não foi encontrado nenhum trabalho sobre Anestesiologia baseada em evidências na literatura médica brasileira, o que determinou a sua realização. CONTEÚDO: Este artigo consiste de revisão que aborda um novo paradigma da Medicina e como ele pode ser aplicado à Anestesiologia. CONCLUSÕES: A Anestesiologia baseada em evidências constitui a integração da melhor evidência científica disponível à experiência clínica do anestesiologista e às expectativas do paciente, visando à melhoria do cuidado com ele.

Palavras-chave

ANESTESIOLOGIA, EPIDEMIOLOGIA

Abstract

BACKGROUND AND OBJECTIVES: The principles of evidence-based medicine have been applied to Anesthesiology. The purpose of this article is to review the basis for the practice of evidence-based medicine and give some examples of how its principles may be incorporated to the clinical practice. We couldn't find any article about this issue in the Brazilian medical literature and decided to perform it. CONTENTS: This study is a review focusing on a new medical paradigm and how it can be applied to Anesthesiology. CONCLUSIONS: Evidence-Based Anesthesiology is the integration of best scientific evidence, anesthesiologists' clinical experience and patients' expectations, aiming at improving patients' care.

Keywords

ANESTHESIOLOGY, EPIDEMIOLOGY

References

Avezum A. Cardiologia baseada em evidências e a avaliação crítica da literatura cardiológica: princípios de epidemiologia clínica aplicada à cardiologia. Rev Soc Cardiol Estado de São Paulo. 1996;3:241-259.

Logan AS. Investigation of Toronto General Practioner's Treatment of Patients with Hypertension. 1978.

Schulman SR, Schardt C, Erb T. Evidence-based Medicine in Anesthesiology. Current Opinion in Anesthesiology. 2002;15:661-668.

Evidence-based Medicine Working Group. Evidence-based medicine: a new approach to teaching the practice of medicine. JAMA. 1992;268:2420-2425.

Tramer M. Evidence-based resource in anesthesia and analgesia. 2000.

Sackett DL, Straus SE, Richardson WS. Evidence-Based Medicine: How to Practice and Teach EBM. 2000.

Gaba D, Howard SK, Fish KJ. Crisis Management in Anesthesiology. 1994.

Cook DJ, Levy MM. Evidence-based medicine: A tool for enhancing critical care practice. Crit Care Clin. 1998;14:353-358.

Oxman AD, Sackett DL, Guyatt GH. Users guides to the medical literature: How to get started. JAMA. 1993;270:2093-2095.

Rajchert DM, Pasquariello CA, Watcha MF. Rapacuronium and the risk of bronchospasm in pediatric patients. Anesth Analg. 2002;94:488-493.

Schulman SR. Rapacuronium redux. Anesth Analg. 2002;94:483-484.

Guyatt GH, Sackett DL, Cook DJ. Users guides to the medical literature: II. How to use an article about therapy or prevention: A. Are the results of the study valid?. JAMA. 1993;270:2598-2601.

Guyatt GH, Sackett DL, Cook DJ. Users guides to the medical literature: II. How to use an rticle about therapy or prevention: B. What were the results and will they help me in caring for my patients?. JAMA. 1994;271:59-63.

Tang J, Watcha MF, White PF. A comparison of costs and efficacy of ondansetron and droperidol as prophylactic antiemetic therapy for elective outpatient gynecologic procedures. Anesth Analg. 1996;83:304-313.

Fletcher RH, Fletcher SW, Wagner EH. Epidemiologia Clínica: Elementos Essenciais. 1996.

Cardiac Arrhythmia Suppression Trial (CAST) Investigators. Preliminary report: effect of encainide and flecainide on mortality in a randomized trial of arrhythmia suppression after myocardial infarction. N Engl J Med. 1989;321:406-412.

Fisher DM. Surrogate outcomes: meaningful not!. Anesthesiology. 1999;90:355-356.

Jaeschke R, Guyatt GH, Sackett DL. Users guides to the medical literature: III. How to use an article about a diagnostic test. B. What are the results and will they help me in caring for my patients?. JAMA. 1994;271:703-707.

Bartrum Jr RJ, Crow HC, Foote SR. Ultrasonic and radiographic cholecystography. N Engl J Med. 1977;296:538-541.

Laupacis A, Wells G, Richardson WS. Users guides to the medical literature: V. How to use an article about prognosis. JAMA. 1994;272:243-237.

Yusuf S. Randomised controlled trials in cardiovascular medicine: past achievements, future challenges. BMJ. 1999;319:564-568.

Baum M, Houghton J. Contribution of randomised controlled trials to understanding and mana gement of early breast cancer. BMJ. 1999;319:568-571.

Kitchens JM, Pfeifer MP. Teaching residents to read the medical literature: a controlled trial of a curriculum in critical appraisal/clinical epidemiology. J Gen Intern Med. 1989;4:384-387.

Durieux P, Nizard R, Ravaud P. A clinical decision support system for prevention of venous thromboembolism: effect on physician behavior. JAMA. 2000;283:2816-2821.

Randolph AG, Haynes RB, Wyatt J. Users guides to the Medical Literature: XVIII. How to use an article evaluating the clinical impact of a computer-based clinical decision support system. JAMA. 1999;282:67-74.

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