[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...

Updated WHO Recommendation on Tranexamic Acid for the Treatment of Postpartum Haemorrhage: Highlights and Key Messages from the World Health Organization’s 2017 Global Recommendation October 2017 www.mcsprogram.org Key Messages The World Health Organization (WHO) recommends early use of intravenous tranexamic acid (TXA) within 3 hours of birth in addition to standard care for women with clinically diagnosed postpartum haemorrhage (PPH) following vaginal birth ...

Updated WHO recommendation on intravenous tranexamic acid for the treatment of post-partum haemorrhage Joshua P Vogel, Olufemi T Oladapo, Therese Dowswell, et al Lancet Global Health 2017 Published Online October 31, 2017 http://dx.doi.org/10.1016/ S2214-109X(17)30428-X Post-partum haemorrhage is the leading cause of maternal mortality globally.1 The majority of deaths resulting from post-partum haemorrhage occur during the rst 24 h after birth, most of which c...

December 08, 2017 IDSA and SCCM Sepsis Guidelines Controversy: An Expert Perspective Stanford T. Shulman available at http://www.infectiousdiseaseadvisor.com/sepsis/idsa-not-endorsing-sepsis-guidelines-expert-reaction/article/712846/ In the commentary below, Stanford T. Shulman, MD, editorial advisory board member for Infectious Disease Advisor, explains why the Infectious Diseases Society of America did not endorse the 2016 Surviving Sepsis Campaign Guidelines. It is som...

IDSA POSITION STATEMENT:  Why IDSA Did Not Endorse the Surviving Sepsis Campaign Guidelines David N. Gilbert, Andre C. Kalil, Michael Klompas, Henry Masur, Dean L. Winslow, for IDSA Sepsis Task Force Clinical Infectious Diseases, cix997, https://doi.org/10.1093/cid/cix997 Published: 22 November 2017 摘要： IDSA 不赞成2016 年SCCM 的脓毒症指南。关于脓毒症指南的推荐意见，IDSA 和 SCCM 进行过多次友好的讨论。我们协会对于SCCM 指南中纳入的支持其推荐意见的研究结果有不同解读，...

CONFERENCE REPORTS AND EXPERT PANEL Guidelines for the diagnosis and management of critical illness‑related corticosteroid insufficiency (CIRCI) in critically ill patients (Part II): Society of Critical Care Medicine (SCCM) and European Society of Intensive Care Medicine (ESICM) 2017 Stephen M. Pastores, Djillali Annane, Bram Rochwerg, et al Intensive Care Medicine 2017 (in press) doi: 10.1007/s00134-017-4951-5 Community-acquired pneumonia Should corticosteroids be adminis...

IDSA POSITION STATEMENT:  Why IDSA Did Not Endorse the Surviving Sepsis Campaign Guidelines David N. Gilbert, Andre C. Kalil, Michael Klompas, Henry Masur, Dean L. Winslow, for IDSA Sepsis Task Force Clinical Infectious Diseases, cix997, https://doi.org/10.1093/cid/cix997 Published: 22 November 2017 The 2016 Surviving Sepsis Campaign Guidelines were published under the auspices of the Society of Critical Care Medicine (SCCM) and the European Society of Intensive Care ...

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...