[ICU Management & Practice]: 成人重症超声指南更新已关闭评论
Update: Guidelines on Adult Critical Care Ultrasonography
In ICU
Tue, 4 Mar 2025
Critical care ultrasonography (CCUS) is a point-of-care tool used by clinicians to aid diagnosis, manage care, and guide procedures for critically ill patients. It has become widely adopted in critical care, but its impact on patient outcomes remains uncertain.
This executive summary updates previous CCUS guidelines by comparing clinical outcomes with and without CCUS i...
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[JAMA Netw Open发表述评]:感染性休克患儿的血管活性药物选择—从何处开始?已关闭评论
Invited Commentary
Pediatrics
April 11, 2025
Vasoactive Selection for Pediatric Septic Shock—Where to Begin?
Scott L. Weiss
JAMA Netw Open. 2025;8(4):e254726. doi:10.1001/jamanetworkopen.2025.4726
Vasoactive medications are commonly used to reverse cardiovascular dysfunction and optimize tissue perfusion in children with fluid-refractory or fluid-averse septic shock. The 2020 Surviving Sepsis Campaign International Guidelines for the Mana...
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[ICU Management & Practice]: 跨学科ICU医务人员配置的差异性已关闭评论
Variability in Interprofessional ICU Staffing
In ICU
Tue, 4 Mar 2025
ICU staffing varies widely due to factors like physician work-hour limitations, increased use of advanced practice providers (NPs and PAs), telemedicine, and shortages of healthcare workers, including nurses and ICU physicians. There is limited and low-quality data to guide staffing decisions, with most research focusing on individual roles rather than the interprofessional teams that...
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[ICU Management & Practice]: 体外生命支持治疗的未来已关闭评论
2025年06月12日
⁄ 研究点评
The Future of Extracorporeal Care
In ICU
Tue, 4 Mar 2025
The incidence of long COVID is estimated to be between 6% and 40%. This highlights the need for ongoing care beyond initial survival. However, healthcare often focuses on survival as a binary outcome rather than considering the long-term recovery process, which can range from full recovery to ongoing dependence on institutional care and rehabilitation. There is an increasing need to address the c...
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[JAMA Netw Open发表述评]:以价值为导向的医疗遗失了什么—质量改进花费与获益的考量已关闭评论
Invited Commentary
Cardiology
April 2, 2025
What’s Missing From Value-Based Care—Accounting for the Costs and Benefits of Quality Improvement
Donald E. Casey Jr
JAMA Netw Open. 2025;8(4):e252510. doi:10.1001/jamanetworkopen.2025.2510
Current estimated direct and indirect economic cost of cardiovascular diseases from 2019 to 2020 was $422.3 billion with coronary heart disease (CHD) accounting for more than 40% of deaths attributable to dis...
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[ICU Management & Practice]: 术后脓毒症对痴呆的影响已关闭评论
Impact of Postoperative Sepsis on Dementia
In Sepsis
Mon, 10 Feb 2025
Dementia is a progressive neurodegenerative disease with growing public health and economic implications. In 2019, 57.4 million people had dementia worldwide, a number projected to reach 152.8 million by 2050. The global financial burden is substantial, estimated at $1.31 trillion annually. As dementia prevalence rises, increased healthcare resources and preventive strategies will be...
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[JAMA Intern Med发表述评]:减少医学文献中被撤稿研究的影响已关闭评论
Editorial
March 31, 2025
Mitigating the Impact of Retracted Studies in the Medical Literature
Cary P. Gross, Annette Flanagin, Eli N. Perencevich, et al
JAMA Intern Med. Published online March 31, 2025. doi:10.1001/jamainternmed.2025.0251
Medical publishing, and the scientific research ecosystem in general, face substantial challenges. Some are external, ranging from a relative decrease in research funding, to i...
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[ICU Management & Practice]: 重症患儿的体外血液净化治疗已关闭评论
Extracorporeal Blood Purification in Critically Ill Paediatric Patients
In ICU
Mon, 10 Feb 2025
Extracorporeal blood purification therapies (EBPTs) use extracorporeal circuits to remove or modulate circulating substances for organ support and detoxification. These therapies include renal replacement therapy, ultrafiltration, haemoadsorption, and plasma therapies. Recent advances in technology have expanded EBPTs from single-organ to multiple-organ supp...
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[JAMA发表述评]:跑步的风险:长期过程中心跳骤停的现代观点已关闭评论
Editorial
March 30, 2025
Risk of Running—A Contemporary Look at Cardiac Arrest in Long-Distance Races
Nimesh S. Patel, Mark S. Link
JAMA. Published online March 30, 2025. doi:10.1001/jama.2025.3646
Millions of people participate in long-distance running, particularly marathons and half-marathons, annually.1While the health benefits of regular exercise are well established,2 long-distance running can cause significant cardiovascular stre...
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[ICU Management & Practice]: 蛛网膜下腔出血的自由性与限制性输血策略已关闭评论
Liberal vs Restrictive Transfusion Strategies in Subarachnoid Haemorrhage
In ICU
Mon, 10 Feb 2025
Spontaneous aneurysmal subarachnoid haemorrhage (SAH) is a serious cerebrovascular event contributing significantly to morbidity and mortality. It is often associated with anaemia, which can worsen brain injury through cerebral hypoxia, particularly when haemoglobin (Hb) levels drop below 5 g/dL.
In healthy brains, anaemia is compensated by increa...
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