CONFERENCE REPORTS AND EXPERT PANEL Guidelines for the diagnosis and management of critical illness‑related corticosteroid insufficiency (CIRCI) in critically ill patients (Part I): Society of Critical Care Medicine (SCCM) and European Society of Intensive Care Medicine (ESICM) 2017 Djillali Annane, Stephen M. Pastores, Bram Rochwerg, et al Intensive Care Medicine 2017 (in press) DOI 10.1007/s00134-017-4919-5 Recommendations for diagnosis of CIRCI 1. Is total cortisol resp...

REVIEW Respiratory support in patients with acute respiratory distress syndrome: an expert opinion Davide Chiumello, Laurent Brochard, John J. Marini, et al Crit Care 2017; 21: 240 Statements Noninvasive support, with close monitoring, is a reasonable initial approach in less severely ill patients with ARDS. 对于病情较轻的ARDS患者，在密切监测下的无创通气支持是合理的初始治疗。 PaO2 should be maintained within a normal range (e.g., between 70 and 90 mmHg) or SaO2 between 92...

Comment International Surviving Sepsis Campaign guidelines 2016: the perspective from low-income and middle-income countries Gentle S Shrestha, Arthur Kwizera, Ganbold Lundeg, et al Lancet Infect Dis 2017; 17: 893-895 In the most recent international Surviving Sepsis Campaign guidelines, Rhodes and colleagues1excellently outline evidence-based management of patients with sepsis and septic shock. Of note, however, is that most of the world's population resides in low-income...

Special Communication May 3, 2017 Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017 Sandra I. Berríos-Torres, Craig A. Umscheid, Dale W. Bratzler, DO, et al. JAMA Surg. Published online May 3, 2017. doi:10.1001/jamasurg.2017.0904 Recommendations Core Section Parenteral Antimicrobial Prophylaxis 1A.1. Administer preoperative antimicrobial agents only when indicated based on published clinical practice guidelines ...

JAMA Clinical Guidelines Synopsis August 8, 2017 Routine Preoperative Laboratory Tests for Elective Surgery Shannon K. Martin, Adam S. Cifu JAMA. 2017;318(6):567-568. doi:10.1001/jama.2017.7508 Guideline title 指南标题 Routine Preoperative Tests for Elective Surgery Developer 指南制订者 National Clinical Guideline Centre (NCGC) Release date 发布日期 April 2016 Prior version 上一版本 June 2003 Funding source 资助方 National Institute for Health and Care Excellence (NIC...

The Montreux definition of neonatal ARDS: biological and clinical background behind the description of a new entity Daniele De Luca, Anton H van Kaam, David G Tingay, Sherry E Courtney, Olivier Danhaive, Virgilio P Carnielli, Luc J Zimmermann, Martin C J Kneyber, Pierre Tissieres, Joe Brierley, Giorgio Conti, Jane J Pillow, Peter C Rimensberger. Lancet Respir Med 2017; 5: 657-666 Published: 04 July 2017 DOI: http://dx.doi.org/10.1016/S2213-2600(17)30214-X  

An Official American Thoracic Society/European Society of Intensive Care Medicine/Society of Critical Care Medicine Clinical Practice Guideline: Mechanical Ventilation in Adult Patients with Acute Respiratory Distress Syndrome Eddy Fan, Lorenzo Del Sorbo, Ewan C. Goligher, Carol L. Hodgson, Laveena Munshi, Allan J. Walkey, Neill K. J. Adhikari, Marcelo B. P. Amato, Richard Branson, Roy G. Brower, Niall D. Ferguson, Ognjen Gajic, Luciano Gattinoni, Dean Hess, Jordi Mancebo,...

[编者按]：经过了三十多年的艰苦努力，重症医学在中国大陆从无到有，从小到大，从弱到强，已经成为危重病患者救治体系中极为重要的一环。但是，一直以来，重症医学专科医师的培训缺乏可以借鉴的国家标准，在一定程度上阻碍了重症医学专业人员的规范化培训。 2012年以来，中国医师协会重症医学医师分会联合中华医学会重症医学分会以及中国病理生理学会危重病医学专业委员会，组织医疗、护理和呼吸治疗的多名专家共同参与制定《中国重症医学规范化培训核心技能共识》。历经3年多，这一共识终于完成，并于近期发表在C...

Medscape Medical News Blood Transfusion Guidelines Updated by AABB Marcia Frellick October 12, 2016 New clinical practice guidelines from the AABB (formerly known as the American Association of Blood Banks) say that in most hemodynamically stable hospitalized adults, transfused red blood cells (RBCs) can be withheld until lower thresholds than previously recommended. In addition, RBCs can safely be given throughout their licensed dating period. AABB（既往称为美国血库协会...

Surviving Sepsis Campaign Responds to Sepsis-3 March 1, 2016 为响应欧洲危重病医学会及美国危重病医学会第三次全身性感染及感染性休克国际共识定义(Sepsis-3) [1–3]，拯救全身性感染行动(SSC)针对新定义的提示意义及其对医院及医务人员的指导作用进行了阐明。很多机构包括管理部门及医院都非常重视全身性感染质量改进计划。以下建议旨在结合近期共识定义的发表，进一步促进全身性感染筛查，早期鉴别及治疗，在过去10年间，这些措施已经成为SSC质量改进计划改善全身性感染存活率的关键[4,5]。 新定义对于筛...