现在位置 >首页 > 研究点评
1℃
Getting Warmer on Critical Care for Head Injury Claudia S. Robertson, M.D., and Allan H. Ropper, M.D. This article was published on October 7, 2015, at NEJM.org. DOI: 10.1056/NEJMe1511174 Unlike the successes for almost every other organ, resuscitation of the brain has been a fitful pursuit, punctuated by enthusiasm in early trials and subsequent disappointment. Even hypothermia after cardiac arrest, a seeming success, was tempered by a study in the Journal  showing that ...
阅读全文
0℃
Systemic inflammatory response syndrome criteria in defining severe sepsis. ICM Index Number: 22/050 Authors: Kaukonen K-M, Bailey M, Pilcher D, Cooper DJ, Bellomo R. Reference: N Engl J Med 2015; doi:10.1056/NEJMoa1415236 © Massachusetts Medical Society. ICM ABSTRACT Objective To determine the sensitivity, face validity, and construct validity of the current definition of severe sepsis.  Introduction The current consensus definition of severe sepsis requires suspected or...
阅读全文
0℃
[编者按]:在刚刚结束的欧洲危重病医学会年会(ESICM LIVES 2015)期间,组委会精心挑选了近期在线发表的诸多临床研究,分别在Clinical Trials in Intensive Care, President Session以及Hot Topic Session进行介绍。这些研究结果分别在线发表于JAMA, N Engl J Med以及Lancet等杂志。我们将对其中部分研究及其述评进行简单介绍。 Editorial | October 07, 2015 The Changing Landscape of Noninvasive Ventilation in the Intensive Care Unit Bhakti K. Patel, MD; John P. Kress, MD JAMA. Published online Oct...
阅读全文
0℃
[编者按]:在刚刚结束的欧洲危重病医学会年会(ESICM LIVES 2015)期间,组委会精心挑选了近期在线发表的诸多临床研究,分别在Clinical Trials in Intensive Care, President Session以及Hot Topic Session进行介绍。这些研究结果分别在线发表于JAMA, N Engl J Med以及Lancet等杂志。我们将对其中部分研究及其述评进行简单介绍。 Original Investigation | October 07, 2015 CARING FOR THE CRITICALLY ILL PATIENT Effect of Noninvasive Ventilation vs Oxygen Therapy on Mortality Among Immunocompromised Pati...
阅读全文
0℃
[编者按]:在刚刚结束的欧洲危重病医学会年会(ESICM LIVES 2015)期间,组委会精心挑选了近期在线发表的诸多临床研究,分别在Clinical Trials in Intensive Care, President Session以及Hot Topic Session进行介绍。这些研究结果分别在线发表于JAMA, N Engl J Med以及Lancet等杂志。我们将对其中部分研究及其述评进行简单介绍。 Editorial | October 07, 2015 Assessing Toxicity of Intravenous Crystalloids in Critically Ill Patients John A. Kellum, MD; Andrew D. Shaw, MB, FRCA JAMA. Published online ...
阅读全文
0℃
Medscape Medical News Fewer Complications With Subclavian Catheterization Tara Haelle September 24, 2015 根据新英格兰医学杂志9月24日发表的一项随机对照临床试验,与颈内静脉或股静脉相比,锁骨下静脉置管血行性感染及有症状性血栓形成的风险最低。 "这一发现与疾病控制中心预防血管内导管相关感染的指南一致,其中推荐“在成人患者食用锁骨下静脉而非颈内静脉或股静脉”,位于法国Caen的Centre Hospitalier Universitaire生物统计及临床研究系的Jean-Jacques Parienti医生及其同事写到。 然而,作者发现,...
阅读全文
0℃
JAMA临床证据梗概 JAMA Clinical Evidence Synopsis Isotonic vs. Hypotonic Intravenous Fluids for Hospitalized Children Sarah McNab, MBBS JAMA 2015; 314: 720-721   临床问题:与低张溶液相比,等张溶液用于儿童静脉维持液体治疗时低钠血症发生率是否降低? Clinical Question: Is isotonic fluid associated with a lower incidence of hyponatremia when compared with hypotonic fluid for maintenance intravenous fluid therapy in children? 要点:与低张溶液相比,使用等张溶液时低钠血症发生...
阅读全文
0℃
Effect of remote ischemic preconditioning on kidney injury among high-risk patients undergoing cardiac surgery: a randomized clinical trial. ICM Index Number: 22/047 Bright idea Authors: Zarbock A, Schmidt C, Van Aken H et al. for the RenalRIPC Investigators. Reference: JAMA 2015;313:2133–2141. Trial registration number: German Clinical Trials Register Identifier: DRKS00005333. © American Medical Association. ICM ABSTRACT  Objective To determine whether remote ischaemic p...
阅读全文
[MEDSCAPE观点]:成年危重病患者的输血:血液保存期是否重要?已关闭评论
Medscape Critical Care > Viewpoints  COMMENTARY Transfusion in Critically Ill Adults: Does Blood Age Matter? Greg Martin, MD September 03, 2015 Age of Transfused Blood in Critically Ill Adults Lacroix J, Hébert PC, Fergusson DA, et al; ABLE Investigators; Canadian Critical Care Trials Group. N Engl J Med. 2015;372:1410-1418 研究总结Study Summary 长期以来,人们相信输注红细胞能够提高危重病患者的氧输送,因而改善临床预后[1,2]。输注新鲜血的优点在于减少细胞改变引起的毒性作用...
阅读全文
0℃
Medscape Infectious Diseases The Community-Acquired Pneumonia Story: Ready for a Rewrite? John G. Bartlett, MD September 02, 2015 CAP的病因What Causes CAP? 如果你向任何一名优秀的医学生、住院医师或执业医师询问社区获得性肺炎(CAP)最主要的致病微生物,回答几乎是一致的,肺炎链球菌。根据专家的意见,在过去至少一个世纪内,这都是“正确答案”。 如果询问下一个问题:“第二位的常见病原微生物是什么?”正确答案是“非典型病原体”,即肺炎衣原体、肺炎支原体和嗜肺军团菌。 2015年7月,新英格兰医学杂...
阅读全文
×
腾讯微博