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Intensive Monitoring of Urine Output Is Associated With Increased Detection of Acute Kidney Injury and Improved Outcomes Kui Jin, Raghavan Murugan, Florentina E. Sileanu, et al. Chest 2017; 152: 972-979 Background 背景 Urine output (UO) is a vital sign for critically ill patients, but standards for monitoring and reporting vary widely between ICUs. Careful monitoring of UO could lead to earlier recognition of acute kidney injury (AKI) and better fluid management. We sou...
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ORIGINAL ARTICLE Outcomes after Angiography with Sodium Bicarbonate and Acetylcysteine Steven D. Weisbord, Martin Gallagher, Hani Jneid, et al. N Engl J Med 2017; November 12, 2017DOI: 10.1056/NEJMoa1710933 BACKGROUND 背景 Intravenous sodium bicarbonate and oral acetylcysteine are widely used to prevent acute kidney injury and associated adverse outcomes after angiography without definitive evidence of their efficacy. 静脉碳酸氢钠和口服乙酰半胱氨酸广泛用于预防血管造影后的...
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Effect of treatment delay on the effectiveness and safety of antifibrinolytics in acute severe haemorrhage: a meta-analysis of individual patient-level data from 40 138 bleeding patients Angèle Gayet-Ageron, David Prieto-Merino, Katharine Ker, et al Lancet Published Online November 7, 2017 http://dx.doi.org/10.1016/S0140-6736(17)32455-8 Summary Background 背景 Antifibrinolytics reduce death from bleeding in trauma and post-partum haemorrhage. We examined the effect of trea...
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吴阶平医学基金会重症医学专项基金恒睿基金 2017年重点课题及探索课题评审结果 课题编号 姓名 工作单位 课题题目 恒睿基金重点课题 HRJJ20171003 李文雄 北京朝阳医院 肾脏超声造影技术监测液体冲击试验对早期少尿患者肾脏灌注的影响 HRJJ20171039 周飞虎 解放军总医院 基于真实世界数据的脓毒症急性肾损伤液体复苏及死亡风险预测模型相关研究 HRJJ20171006 隆云 北京协和医院 液体复苏在微循环导向的循环保护性通气策略中的应用 HRJJ20171025 杨小博 华中科技大学同济医学院附属协和医院 低脉搏血...
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ORIGINAL ARTICLE Restrictive or Liberal Red-Cell Transfusion for Cardiac Surgery C. David Mazer, Richard P. Whitlock, Dean A. Fergusson, et al N Engl J Med 2017 November 12, 2017DOI: 10.1056/NEJMoa1711818 BACKGROUND 背景 The effect of a restrictive versus liberal red-cell transfusion strategy on clinical outcomes in patients undergoing cardiac surgery remains unclear. 限制与自由输血策略对接受心脏外科手术患者临床预后的影响尚不清楚。   METHODS 方法 In this multicente...
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Hyperbaric Oxygen Therapy Is Associated With Lower Short- and Long-Term Mortality in Patients With Carbon Monoxide Poisoning Chien-Cheng Huang, Chung-Han Ho, Yi-Chen Chen Chest 2017; 152: 943-953 DOI: http://dx.doi.org/10.1016/j.chest.2017.03.049 Background 背景 To date, there has been no consensus about the effect of hyperbaric oxygen therapy (HBOT) on the mortality of patients with carbon monoxide poisoning (COP). This retrospective nationwide population-based cohort ...
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Burden of Adult Community-acquired, Health-care-Associated, Hospital-Acquired, and Ventilator-Associated Pneumonia: New York City, 2010 to 2014 Rachel E. Corrado, David Lee, David E. Lucero, et al Chest 2017; 152: 930-942 DOI: http://dx.doi.org/10.1016/j.chest.2017.04.162 Background 背景 Although pneumonia is a leading cause of death in New York City (NYC), limited data exist about the settings in which pneumonia is acquired across NYC. Cases of pneumonia acquired in co...
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IDSA POSITION STATEMENT:  Why IDSA Did Not Endorse the Surviving Sepsis Campaign Guidelines David N. Gilbert, Andre C. Kalil, Michael Klompas, Henry Masur, Dean L. Winslow, for IDSA Sepsis Task Force Clinical Infectious Diseases, cix997, https://doi.org/10.1093/cid/cix997 Published: 22 November 2017 The 2016 Surviving Sepsis Campaign Guidelines were published under the auspices of the Society of Critical Care Medicine (SCCM) and the European Society of Intensive Care ...
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Original Investigation November 7, 2017 Factors Associated With Increases in US Health Care Spending, 1996-2013 Joseph L. Dieleman, Ellen Squires, Anthony L. Bui, et al. JAMA. 2017;318(17):1668-1678 doi:10.1001/jama.2017.15927 Abstract Importance 背景 Health care spending in the United States increased substantially from 1995 to 2015 and comprised 17.8% of the economy in 2015. Understanding the relationship between known factors and spending increases over time could...
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Perspective > Viewpoints COMMENTARY Angiotensin II: New Hope for Treating Septic Shock? Greg Martin, MD October 27, 2017 Angiotensin II for the Treatment of Vasodilatory Shock Khanna A, English SW, Wang XS, et al; ATHOS-3 Investigators N Engl J Med. 2017; 377:419-430 Background 背景 Septic shock occurs in the United States in approximately 200,000 people each year and leads to approximately 50,000 deaths,[1] and sepsis overall leads to approximately 1 in every 2-3 h...
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