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CONFERENCE REPORTS AND EXPERT PANEL Guidelines for the diagnosis and management of critical illness‑related corticosteroid insufficiency (CIRCI) in critically ill patients (Part I): Society of Critical Care Medicine (SCCM) and European Society of Intensive Care Medicine (ESICM) 2017 Djillali Annane, Stephen M. Pastores, Bram Rochwerg, et al Intensive Care Medicine 2017 (in press) DOI 10.1007/s00134-017-4919-5 Recommendations for diagnosis of CIRCI 1. Is total cortisol resp...
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REVIEW Respiratory support in patients with acute respiratory distress syndrome: an expert opinion Davide Chiumello, Laurent Brochard, John J. Marini, et al Crit Care 2017; 21: 240 Statements Noninvasive support, with close monitoring, is a reasonable initial approach in less severely ill patients with ARDS. 对于病情较轻的ARDS患者,在密切监测下的无创通气支持是合理的初始治疗。 PaO2 should be maintained within a normal range (e.g., between 70 and 90 mmHg) or SaO2 between 92...
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【编者按】:近日,Intensive Care Medicine在线发表了华西医院ICU的研究结果。这一单中心RCT显示,ARDS患者早期使用APRV可显著缩短机械通气时间。在日前结束的欧洲重症医学年会(ESICM LIVES 2017)期间,华西医院的康焰教授作为来自中国大陆的唯一受邀讲者,介绍了这一研究的结果。 Early application of airway pressure release ventilation may reduce the duration of mechanical ventilation in acute respiratory distress syndrome. Zhou Y, Jin X, Lv Y, Wang P, Yang Y, Liang G, Wang B, Kang Y. Intens...
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RCTs and Guidelines (FREE ACCESS) Dear loyal ICM reader, We hope you enjoyed LIVES 2017 as much as we did! Whether you were able to join us live in Vienna for our special ICM sessions and critical trial presentations, or you viewed online, we are sure that you would agree that this amazing meeting offered plenty to guide practice, and inspire debate and future clinical research. We are proud to share several published papers from clinical trials presented at the congress ...
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News > Neurology No Benefit of Routine Oxygen in Acute Stroke Sue Hughes September 28, 2017 Routine use of prophylactic oxygen had no benefit or harm in a new large randomized trial in acute stroke patients. 一项新的有关急性卒中患者的大规模随机临床试验显示,常规进行预防性氧疗没有益处。 "This is the largest study of oxygen in acute stroke — the best data we have on this issue, and our results do not support the routine use of low-dose oxygen in nonhypoxic acute strok...
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Drugs & Diseases > Clinical Trends Clinical Trends for September 2017 Ryan Syrek September 29, 2017 Each week, we identify one top search term, speculate as to what caused its popularity, and provide an infographic on a related condition. If you have thoughts about what's trending and why, feel free to share them with us on Twitter or Facebook! Clinical Trend of the Week (September 23-29): Medtronic An important, worldwide, voluntary recall resulted in this week'...
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Editorial September 13, 2017 Counting Sepsis, an Imprecise but Improving Science Kristina E. Rudd, Anthony Delaney, Simon Finfer AMA. 2017;318(13):1228-1229. doi:10.1001/jama.2017.13697 Sepsis, most succinctly defined as organ dysfunction due to infection, is estimated to account for more than 5 million deaths around the world each year and to cause or contribute to approximately half of all deaths occurring in hospitals in the United States.1,2 A 2016 report from the...
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High-Frequency Oscillation in Acute Respiratory Distress Syndrome: The End of the Story? Vincent JL. Am J Respir Crit Care Med 2017; 196: 670-671 Acute respiratory distress syndrome (ARDS) is still associated with considerable morbidity and mortality (1). It is characterized by acute onset of diffuse inflammatory lung injury, which causes increased pulmonary vascular permeability, leading to increased lung weight, loss of aerated lung tissue, decreased lung compliance, and...
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ORIGINAL ARTICLE Age of Red Cells for Transfusion and Outcomes in Critically Ill Adults D. James Cooper, M.D., Zoe K. McQuilten, Ph.D., Alistair Nichol, Ph.D., Bridget Ady, M.Clin.Res.Meth., Cécile Aubron, Ph.D., Michael Bailey, Ph.D., Rinaldo Bellomo, M.D., Dashiell Gantner, M.B., B.S., David O. Irving, Ph.D., Kirsi-Maija Kaukonen, Ph.D., Colin McArthur, M.B., Ch.B., Lynne Murray, B.App.Sci., Ville Pettilä, Ph.D., and Craig French, M.B., B.S., for the TRANSFUSE Investigat...
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Original Investigation Caring for the Critically Ill Patient September 27, 2017 Effect of Individualized vs Standard Blood Pressure Management Strategies on Postoperative Organ Dysfunction Among High-Risk Patients Undergoing Major Surgery: A Randomized Clinical Trial Emmanuel Futier, Jean-Yves Lefrant, Pierre-Gregoire Guinot, et al. JAMA. Published online September 27, 2017. doi:10.1001/jama.2017.14172 Abstract Importance 背景 Perioperative hypotension is associat...
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