[ICU Management & Practice]: 重症患者的床旁超声已关闭评论
ICU Management & Practice, Volume 22 - Issue 5, 2022
Bedside Point-of-Care Ultrasound Use in the Critically Ill
Historical Perspectives and a Path Forward
Critical Care Ultrasound is a rapidly evolving field with an ever-expanding footprint in ICUs. While much progress has been made, ongoing efforts need to continue towards demonstrating impact on patient-oriented outcome measures and on defining educational curricula and competency requirements.
Poin...
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[Blue Journal发表述评]:病毒相关肺曲霉菌病:有关定植与感染的争论是否已经结束?已关闭评论
Viral-associated Pulmonary Aspergillosis: Have We Finally Overcome the Debate of Colonization versus Infection?
Werner C. Albrich and Frédéric Lamoth
Am J Respir Crit Care Med 2023; 208: 230-231
Invasive pulmonary aspergillosis (IPA) has emerged in the ICU setting following the recent influenza H1N1 and coronavirus disease (COVID-19) pandemics. Viral-associated IPA (VAPA) is quite different than classical IPA in terms of pathogenicity and clinical presentation i...
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[ICU Management & Practice]: 接受ECMO治疗患者的早期活动已关闭评论
ICU Management & Practice, Volume 23 - Issue 2, 2023
Early Mobilisation in Patients Undergoing Extracorporeal Membrane Oxygenation
Extracorporeal membrane oxygenation is a resource that is accessible in hospitals and intensive care units all over the world. In serious situations, ECMO therapy is intended to provide haemodynamic and/or ventilatory support. Because of this, many people refer to the ECMO patient as "the most critical patient." As a result, the...
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[Lancet Respir Med发表述评]:采用超小潮气量通气进行肺保护:时机尚早已关闭评论
COMMENT|ONLINE FIRST
Ultra-low tidal volume ventilation for lung protection: not so fast
Laura A Buiteman-Kruizinga, Marcus J Schultz
Lancet Respir Med Published:July 12, 2023DOI:https://doi.org/10.1016/S2213-2600(23)00225-4
Since 2000, following the publication of the ARMA study,1 low tidal volume (VT) ventilation (LTV) has been the standard of care for patients with acute respiratory distress syndrome (ARDS). LTV often refers to ventilation with VT of 6·0 mL...
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[ICU Management & Practice]: ICU中肾脏替代治疗的预测分析已关闭评论
ICU Management & Practice, Volume 23 - Issue 2, 2023
Predictive Analytics for Kidney Support in the ICU
The timing and application of dialysis in the ICU is highly variable contributing to poor outcomes. A clinical decision support system (CDSS) incorporating a dynamic predictive algorithm for organ support could improve outcomes.
Background
Multiorgan failure (MOF) and acute kidney injury (AKI) are frequently encountered in critically ill patients an...
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[JAMA Otolaryngology Head Neck Surg发表述评]:是时候进行急性细菌性鼻窦炎的床旁检查了?已关闭评论
Editorial
July 25, 2023
Time for Acute Bacterial Rhinosinusitis Point-of-Care Testing—Snot or Not
Sophie G. Shay, Jennifer J. Shin
JAMA Otolaryngol Head Neck Surg. Published online July 25, 2023. doi:10.1001/jamaoto.2023.2612
The diagnosis of acute bacterial rhinosinusitis in children is clinically challenging due to symptom overlap with acute viral upper respiratory illnesses. To help address this frequent conundrum, Shaikh and colleagues d...
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[NEJM发表述评]:常规早期使用体外生命支持治疗心梗相关心源性休克?已关闭评论
EDITORIAL
Routine Early ECLS in Infarct-Related Cardiogenic Shock?
Jane A. Leopold, Darren B. Taichman
N Engl J Med August 26, 2023DOI: 10.1056/NEJMe2309395
The 30-day mortality among patients with an acute myocardial infarction complicated by cardiogenic shock who undergo coronary-artery revascularization procedures approaches 50% in contemporary clinical trials and registries.1 In patients with persistent hemodynamic compromise and organ hypoperfusion d...
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[JAMA发表述评]:急性细菌性鼻窦炎:基于检查进行治疗的局限性已关闭评论
Editorial
July 25, 2023
Acute Bacterial Sinusitis: Limitations of Test-Based Treatment
Tania M. Caballero, Brandon S. A. Altillo, Aaron M. Milstone
JAMA. 2023;330(4):326-327. doi:10.1001/jama.2023.11365
Millions of cases of upper respiratory tract infections (URTIs) occur in the US each year and are more common among children than adults. Most URTIs are viral in origin and self-limited, but up to 50% of all patient encounters for viral URTI ...
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[ICU Management & Practice]: ICU中的肾脏替代治疗已关闭评论
ICU Management & Practice, Volume 23 - Issue 2, 2023
Kidney Replacement Therapy in the Intensive Care Unit
Kidney Replacement Therapy is a commonly used therapeutic strategy in the intensive care unit for patients who develop Acute Kidney Injury or who already have a diagnosis of chronic kidney disease. ICU staff should know when to use it and which type is most suitable for the circumstances.
Epidemiology and Outcomes of AKI
Acute kidney injury (AKI)...
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[BMJ发表述评]:私募股权危害患者已关闭评论
Editorials
Private equity takeovers are harming patients
Merrill Goozner
BMJ 2023; 382 doi: https://doi.org/10.1136/bmj.p1396 (Published 19 July 2023)Cite this as: BMJ 2023;382:p1396
Evidence review suggests that costs rise and quality falls at acquired healthcare providers
Private equity investment in healthcare provider institutions reached record highs in recent years in both the US and Europe, with US acquisitions accounting for three quarters of the co...
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