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Fluid resuscitation in ICU: crystalloids inferior to colloids? Researchers performed a systematic review and meta-analysis to evaluate data from randomised controlled trials (RCTs) of crystalloids and colloids for fluid resuscitation in critically ill adults. They found that crystalloids were less effective than colloids at stabilising haemodynamic resuscitation endpoints such as adequate central venous pressure (CVP) and cardiac index. Current international gui...
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Articles Long-term albumin administration in decompensated cirrhosis (ANSWER): an open-label randomised trial Paolo Caraceni, Oliviero Riggio, Paolo Angeli, et al Lancet 2018; 391: 2417-2429 Background 背景 Evidence is scarce on the efficacy of long-term human albumin (HA) administration in patients with decompensated cirrhosis. The human Albumin for the treatment of aScites in patients With hEpatic ciRrhosis (ANSWER) study was designed to clarify this issu...
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Intensive Care Top 10 The Intensive Care PSP identified these questions as the top 3 in importance to patients, carers and health professionals: How can patients who may benefit from intensive care be identified early and admitted to the ITU at the right time?How can patients and their families be best supported as they start living at home again (e.g. health and social care services, ICU support groups, long term follow-up)?What is the best way to identify pati...
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ORIGINAL ARTICLE Global, Regional, and Country-Specific Lifetime Risks of Stroke, 1990 and 2016 The GBD 2016 Lifetime Risk of Stroke Collaborators N Engl J Med 2018; 379:2429-2437 DOI: 10.1056/NEJMoa1804492 BACKGROUND 背景 The lifetime risk of stroke has been calculated in a limited number of selected populations. We sought to estimate the lifetime risk of stroke at the regional, country, and global level using data from a comprehensive study of the prev...
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'AI Clinician' can aid doctors in treating sepsis patients Researchers from Imperial College London have created an artificial intelligence system that could help treat patients with sepsis. Aptly named AI Clinician, the system could predict the best treatment strategy for patients. Tests conducted by the researchers showed that 98 percent of the time, the AI system matched or was better than the human doctors' decision. The system "learnt" the best treatment strategy fo...
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Intensive Care Medicine ONLINE FIRST (FREE ACCESS)  A randomized clinical trial ~ Rosanna Vaschetto - Early extubation followed by immediate noninvasive ventilation vs. standard extubation in hypoxemic patients Original ~ Hsi-Yu Yu - Effect of interplay between age and low-flow duration on neurologic outcomes of extracorporeal cardiopulmonary resuscitation Imaging in Intensive Care Medicine ~ Margarida Viana Coelho ...
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ICU Management & Practice, ICU Volume 10 - Issue 4 - Winter 2010/2011 Challenges of Working in a 100-Bed Intensive Care Unit Professor of Intensive Care Medicine at the University of Birmingham, Prof. Julian Bion also has an honorary consultant appointment with the University Hospital in Birmingham. He also has a number of high-profile national and international roles in the field of intensive care, including being an Editorial Board Member of ICU Management and is a...
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We jumped from planes without parachutes (and lived to tell the tale) December 13, 2018 “Would you be willing to jump out of this plane without a parachute?”   For the last year we’ve posed this question, mid-flight, to dozens of unsuspecting travellers seated on commercial aeroplanes.  Why would we set out to ask such a ridiculous question? Some background may be in order. In 2003, Smith and Pell published a tongue-in-cheek systematic revi...
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尊敬的临床医生: 您好!非常感谢您能在百忙之中抽出宝贵的时间来填写这份问卷。长期以来,ARDS一直是ICU医生需要面对的急危重症,发病率及病死率高,严重威胁重症患者生命并影响其生存质量。目前临床医生对ARDS患者治疗策略的执行情况,以及不同病因导致的ARDS患者采取的治疗方案,会对患者病程产生不同程度影响。因此,此研究的目的是调查临床医生对不同程度ARDS患者采取的治疗策略的实际情况,从而分析可能影响医生临床行为的因素,以及改善措施。 请点击此处下载调查问卷 请您根据临床实际工作情况...
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Not All Organ Failures Are Created Equal: Study Identifies the Sepsis Symptoms That Lead to Death By: Lauren Ingeno November 26, 2018 Using patient records from 210,289 hospital visits between 2013 and 2016, Drexel University researchers have identified the specific symptoms that put patients at the greatest risk of dying from sepsis – and they’re not what many clinicians might think. Sepsis, a life-threatening condition caused by the body’s response to an infection, i...
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