Practice Guidelines Chronic heart failure in adults: summary of updated NICE guidance Jacqui Real, Emma Cowles, Anthony S Wierzbicki BMJ 2018; 362 doi: https://doi.org/10.1136/bmj.k3646 (Published 24 September 2018) Cite this as: BMJ 2018;362:k3646 What’s new in this guidance Clearer advice on managing the care of people with heart failure, including a greater emphasis on multidisciplinary working, shared decision making, care planning, lifestyle advice and interventions...

JAMA Clinical Guidelines Synopsis August 27, 2018 Diagnosis and Treatment of Clostridium difficile Infection Arjun Gupta, Adam S. Cifu, Sahil Khanna JAMA. Published online August 27, 2018. doi:10.1001/jama.2018.12194 Guideline title: Diagnosis and Treatment of Clostridium difficile Infections in Adults and Children Release date: February 15, 2018 (online); April 1, 2018 (print) Prior version: 2010 Developer: Infectious Diseases Society of America (IDSA) and Society fo...

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...

Inspiratory muscle training for ICU patients: first practical guide Inspiratory muscle weakness is a known consequence of prolonged mechanical ventilation, and there is emerging evidence that specific inspiratory muscle training (IMT) can ameliorate this weakness. Australian researchers recommend a multidisciplinary approach to IMT for patients in the intensive care unit (ICU).    "Effective IMT requires a multidisciplinary approach to maximise feasibility, with doctors, ...

Practice Rapid Recommendations Corticosteroid therapy for sepsis: a clinical practice guideline Francois Lamontagne, Bram Rochwerg, Lyubov Lytvyn, et al. BMJ 2018; 362: k3284 doi: https://doi.org/10.1136/bmj.k3284        

JAMA Clinical Evidence Synopsis July 19, 2018 Probiotics to Prevent Clostridium difficile Infection in Patients Receiving Antibiotics Joshua Z. Goldenberg, Dominik Mertz, Bradley C. Johnston JAMA. Published online July 19, 2018. doi:10.1001/jama.2018.9064 Clinical Question In adults and children prescribed antibiotics, is co-administration of a probiotic associated with a lower risk of symptomatic Clostridium difficileinfection without an increase in adverse events? ...

News > Medscape Medical News Updated TAVR Consensus Document Highlights Quality, Not Just Volume Marlene Busko July 20, 2018 Four cardiology societies issued a joint statement for requirements for centers with existing or new transcatheter aortic valve replacement (TAVR) programs, which updates a 2012 statement. The new document is part of a transition away from using the volume of procedures performed to the quality of patient outcomes to measure TAVR-center perform...

JAMA Clinical Guidelines Synopsis July 3, 2018 Management of Patients With Acute Lower Gastrointestinal Tract Bleeding Neil Sengupta, Adam S. Cifu JAMA. 2018;320(1):86-87. doi:10.1001/jama.2018.5684 Guideline title 指南题目 ACG Clinical Guideline: Management of Patients With Acute Lower Gastrointestinal Bleeding ACG临床指南：急性下消化道出血患者的诊治 Release date 发布日期 March 1, 2016 2016年3月1日 Funding source 资助来源 American College of Gastroenterology (ACG), Na...

[编者按]：在2017年初发表了拯救全身性感染2016版临床指南后，2018年4月19日，Intensive Care Medicine与Critical Care Medicine同时在线发表了《拯救全身性感染战役集束化治疗：2018年更新》。 The Surviving Sepsis Campaign Bundle: 2018 update Mitchell M. Levy, Laura E. Evans, Andrew Rhodes Intensive Care Med 2018 集束化治疗措施 推荐强度及证据级别 Measure lactate level. Re-measure if initial lactate is > 2 mmol/L 测定血乳酸水平。如果乳酸初始水平> 2 mmol/L，应动态监测 Weak r...

JAMA Clinical Guidelines Synopsis February 20, 2018 Management of ARDS in Adults Michael D. Howell, Andrew M. Davis JAMA. 2018;319(7):711-712. doi:10.1001/jama.2018.0307 Guideline title 指南标题 Mechanical Ventilation in Adult Patients With Acute Respiratory Distress Syndrome 成年ARDS患者机械通气 Developer 指南制定者 American Thoracic Society (ATS)/European Society of Intensive Care Medicine (ESICM)/Society of Critical Care Medicine (SCCM) 美国胸科学会(ATS)/欧洲重症医...