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...

Surviving Sepsis Campaign Responds to Sepsis-3 March 1, 2016 In response to the European Society of Intensive Care Medicine's and the Society of Critical Care Medicine's Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) [1–3], the Surviving Sepsis Campaign (SSC) offers clarification on the implications of the new definition statements and guidance for hospitals and practitioners. Many organizations, including regulatory agencies and hosp...

拯救全身性感染运动(Surviving Sepsis Campaign)对全身性感染-3定义的回复 2016年3月1日 翻译：北京协和医院 罗竞超 为回应欧洲危重病学会(ESICM)和美国危重病学会(SCCM)的第三次全身性感染及感染性休克国际共识定义[1-3]，拯救全身性感染运动(SSC)对于新定义及其对医院和医务人员的指导作用做出了说明。包括管理机构和医院在内的许多机构均非常重视全身性感染质量改进计划。以下建议旨在将近期发表的共识定义用于临床工作中，以便继续进行全身性感染的筛查，早期识别及早期治疗。在过去十年间，正是将全身性感染...

PulmCrit - Top ten problems with the new sepsis definition February 29, 2016 by Josh Farkas 翻译：北京协和医院 江伟 Problem #6: qSOFA is inconsistent with a validated prognostic model (CURB65) 问题#6：qSOFA与经过验证的预后模型(CURB65)并不一致 Pneumonia is the most common source of septic shock.  This naturally leads to a comparison of qSOFA with the CURB65 prognostic score for pneumonia. 肺炎是感染性休克最常见的病因。很自然人们会将qSOFA与肺炎的CURB65预后评分进行比较。 Com...

PulmCrit - Top ten problems with the new sepsis definition February 29, 2016 by Josh Farkas 翻译：北京协和医院 江伟 Introduction 前言 A satisfactory clinical definition of sepsis has been eluding us since the ancient Greeks first coined the term.  Current definitions of sepsis attempt to achieve two goals:  to provide a rapid screening test and to render a definitive diagnosis.  However, it remains unclear whether any definition can achieve this. 从古希腊人第一次发明这个...

［编者按］：全身性感染3.0定义发布以来，在众多学术组织中，拉丁美洲全身性感染研究所(LASI)率先表示反对意见。以下是LASI向JAMA的投稿（是否采用尚未确定）。我们在这里刊出，希望大家了解不同的学术观点。 Why LASI did not endorse the new definitions of sepsis published today in JAMA 拉丁美洲全身性感染研究所为何不认可《JAMA》今日发布的全身性感染新定义 Today, JAMA published the new sepsis definitions, an initiative of the Society of Critical Care Medicine (SCCM) and the European Socie...

Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) 成年危重病患者营养支持治疗的实施与评估指南：美国危重病医学会(SCCM)与美国肠外肠内营养学会(ASPEN) Taylor BE, McClave SA, Martindale RG, et al. Crit Care Med 2016; 44: 390-438 翻译：清华大学长庚医院 周华 许媛 P. CHRONICALLY CRITICALLY ILL 慢性危重病患者 Que...