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ICU Management & Practice, Volume 17 - Issue 1, 2017 ARDS and Precision Medicine What is the path forward for treatment of acute respiratory distress syndrome (ARDS)? Is it big trials (favoured by clinical scientists) or further insight into disease physiopathology (favoured by basic scientists)? Or both? Funding resources are limited and the debate is wide open. In the post-genomic era, a new direction is needed. On 20 January 2015, then U.S. President Barack Obama ...
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Original Investigation August 28, 2018 Effect of a Strategy of a Supraglottic Airway Device vs Tracheal Intubation During Out-of-Hospital Cardiac Arrest on Functional Outcome: The AIRWAYS-2 Randomized Clinical Trial Jonathan R. Benger, Kim Kirby, Sarah Black, et al JAMA. 2018;320(8):779-791. doi:10.1001/jama.2018.11597 Abstract Importance 背景 The optimal approach to airway management during out-of-hospital cardiac arrest is unknown. 院外心跳骤停时气管管理最佳方...
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ICU Management & Practice, Volume 17 - Issue 2, 2017 How to Run Successful Rounds in the Intensive Care Unit Dr. Katherine Nugent, MD Critical Care Fellow Departments of Emergency Medicine and Anesthesiology and Emory Critical Care Center Emory University School of Medicine and Emory Healthcare Atlanta, GA, USA Rounds in the intensive care unit (ICU) allow for scheduled discussions in which healthcare providers review clinical information and develop care plans for c...
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Viewpoint August 28, 2018 Gaps in the Clinical Management of Influenza: A Century Since the 1918 Pandemic Timothy M. Uyeki, Robert A. Fowler, William A. Fischer II JAMA. 2018;320(8):755-756. doi:10.1001/jama.2018.8113 This year marks the centennial of the devastating 1918 influenza A(H1N1) pandemic, which killed an estimated 50 million people worldwide. Prevention and control activities were limited in 1918 because global surveillance did not exist, influenza viruses w...
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Viewpoint August 28, 2018 Clinical Practice Guidelines: What’s Next? Paul G. Shekelle JAMA. 2018;320(8):757-758. doi:10.1001/jama.2018.9660 Clinical practice guidelines are a key component of medicine, as they provide evidence-based recommendations for physicians and other health care professionals about the management of care for patients with diseases or other clinical conditions. A number of important developments involving clinical practice guidelines have eme...
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Original Investigation August 28, 2018 Effect of a Strategy of Initial Laryngeal Tube Insertion vs Endotracheal Intubation on 72-Hour Survival in Adults With Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial Henry E. Wang, Robert H. Schmicker, Mohamud R. Daya, et al JAMA. 2018;320(8):769-778. doi:10.1001/jama.2018.7044 Abstract Importance 背景 Emergency medical services (EMS) commonly perform endotracheal intubation (ETI) or insertion of supraglottic airway...
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吴阶平医学基金会重症医学专项基金恒睿基金 2018年重大课题及重点课题评审结果 2018 年吴阶平医学基金-恒睿基金终审会议8 月17 日在武汉召开,出席会议的评审专家12 位,会议由评审委员会主席杜斌教授主持。入围终审答辩重点课题申报的30 位重症医师和重大课题申报的3 位重症医师各自对申报课题进行陈述,各评审专家认真听取了申请者的陈述并进行了深入的询问和讨论,经最终打分评审,决定2018恒睿基金资助课题如下: 2018 吴阶平医学基金-恒睿基金资助重大课题(1 项) 课题编号 姓名 工作单位 课题方...
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ORIGINAL ARTICLE Six-Month Outcomes after Restrictive or Liberal Transfusion for Cardiac Surgery C. David Mazer, Richard P. Whitlock, Dean A. Fergusson, et al N Engl J Med August 26, 2018 DOI: 10.1056/NEJMoa1808561 BACKGROUND 背景 We reported previously that, in patients undergoing cardiac surgery who were at moderate-to-high risk for death, a restrictive transfusion strategy was noninferior to a liberal strategy with respect to the composite outcome of death from any caus...
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Perspective > Medscape General Surgery > Viewpoints COMMENTARY Not Too Low, Not Too High: Optimal Fluid Volume During Surgery Albert B. Lowenfels, MD August 08, 2018 What is the optimum amount of intravenous fluid that should be administered during surgery to obtain the best outcome? The authors of a study, published in Annals of Surgery,[1] investigated this topic in 92,094 patients undergoing noncardiac surgery with endotracheal intubation between 2007 and 2014...
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Intensive Care Medicine ONLINE FIRST (FREE ACCESS) Original ~ Fernando G. Zampieri et al. Association of frailty with short-term outcomes, organ support and resource use in critically ill patients. Systematic Review ~ Lina Zhang et al. Association of conflicts of interest with the results and conclusions of goal-directed hemodynamic therapy research: a systematic review with meta-analysis. Original ~ Gerard Moreno et al. Corticosteroid treatment in critically ill patients ...
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