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Research Preoperative physiotherapy for the prevention of respiratory complications after upper abdominal surgery: pragmatic, double blinded, multicentre randomised controlled trial Ianthe Boden, Elizabeth H Skinner, Laura Browning, et al BMJ 2018; 360 doi: https://doi.org/10.1136/bmj.j5916 (Published 24 January 2018) Cite this as: BMJ 2018;360:j5916 Abstract Objective 目的 To assess the efficacy of a single preoperative physiotherapy session to reduce postoperative pulmo...
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欢迎参加 ICU机械通气患者套囊漏气及气道梗阻 先导研究(问卷调查)   研究题目:ICU机械通气患者套囊漏气及气道梗阻先导研究 英文题目:Cuff leak and airway Obstruction in Mechanically ventilated ICU patients (COMIC) Pilot Study 研究目的:了解各国医生临床应用套囊漏气试验筛查拔管后喉头水肿的实际情况 研究性质:在线问卷调查(14个问题) 问卷语言:英文,中文 链接网址:Metaclinician.com/comic 主要研究者:加拿大McMaster大学内科学系Waleed Al-Hazzani 及 Kim Lewis 欢迎大家的积极参与 ...
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Intensive Care Medicine ARTICLES OF THE MONTH ORIGINAL ~ PTSD & other psychiatric symptoms after ARDS Pronovost P. et al. Psychiatric symptoms after acute respiratory distress syndrome: a 5-year longitudinal Study. This prospective cohort study enrolled post-ARDS patients from 13 medical and surgical intensive care units in four hospitals, with follow‑up at regular intervals over a 5-year period to examine anxiety, depression, and post-traumatic stress disorder (PTSD) ...
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The End of the ‘Roid? JC: ADRENAL Dan Horner | January 22, 2018 from http://stemlynsblog.org/the-end-of-the-roid-jc-adrenal/ So another year, another Critical Care Reviews meeting . Rob is doing an absolutely fantastic job with these, inviting lead authors from major critical care trials to present and defend their work. In fact, this is going so well that this year he appears to have convinced the editor of the NEJM to coincide publication of one of the most eagerly await...
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Original Investigation Caring for the Critically Ill Patient February 20, 2018 Effect of Haloperidol on Survival Among Critically Ill Adults With a High Risk of DeliriumThe REDUCE Randomized Clinical Trial Mark van den Boogaard, Arjen J. C. Slooter, Roger J. M. Brüggemann, et al JAMA. 2018;319(7):680-690. doi:10.1001/jama.2018.0160 Abstract Importance 背景 Results of studies on use of prophylactic haloperidol in critically ill adults are inconclusive, especially in p...
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Steroids in septic shock from http://www.thebottomline.org.uk/blog/steroids-in-sepsis/ We suggest against using IV hydrocortisone to treat septic shock patients if adequate fluid resuscitation and vasopressor therapy are able to restore hemodynamic stability. If this is not achievable, we suggest IV hydrocortisone at a dose of 200 mg per day (weak recommendation, low quality of evidence). Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Sept...
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ICU Management & Practice推荐近期重症医学文章 ICU Highlights / Week #2/ 2018 Nutrition therapy - 'one size does not fit all' Current ICU nutrition delivery worldwide leads to “starvation” of patients and is likely a major contributor to poor long-term quality of life outcomes. Can we improve the reliability of ARDS diagnosis? A study of interobserver reliability of the Berlin ARDS definition found moderate agreement, with most differences due to differing interpretatio...
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Individualised perioperative open-lung approach versus standard protective ventilation in abdominal surgery (iPROVE): a randomised controlled trial Carlos Ferrando, Marina Soro, Carmen Unzueta, et al. Lancet Respir Med Published: 19 January 2018 DOI: http://dx.doi.org/10.1016/S2213-2600(18)30024-9 Summary Background 背景 The effects of individualised perioperative lung-protective ventilation (based on the open-lung approach [OLA]) on postoperative complications is unkno...
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Intensive Care Medicine ONLINE FIRST THIS WEEK Conference Reports and Expert Panel  ~ Can Ince et al. Second consensus on the assessment of sublingual microcirculation in critically ill patients: results from a task force of the European Society of Intensive Care Medicine. Letter ~ Boun Kim Tan et al. A hospital-wide intervention replacing ceftriaxone with cefotaxime to reduce rate of healthcare-associated infections caused by extended-spectrum β-lactamase-producing Entero...
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The effects of antibiotic cycling and mixing on antibiotic resistance in intensive care units: a cluster-randomised crossover trial Pleun Joppe van Duijn, Walter Verbrugghe, Philippe Germaine Jorens, et al. Lancet Infect Dis Published: 24 January 2018 DOI: http://dx.doi.org/10.1016/S1473-3099(18)30056-2 Summary Background 背景 Whether antibiotic rotation strategies reduce prevalence of antibiotic-resistant, Gram-negative bacteria in intensive care units (ICUs) has not b...
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