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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...
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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 ...
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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...
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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...
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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...
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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 ...
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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...
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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  
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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,...
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北京协和医院  杜斌   1992年,循证医学工作组在美国医学会杂志(JAMA)撰文,首次介绍了循证医学(evidence-based medicine, EBM)的概念。在这篇具有里程碑意义的文章中,作者认为,循证医学代表了医学实践的新范例。自此以后,循证医学的概念逐渐深入到临床医学的各个领域。近年来,国内外各个医学专业学会组织专家,依据循证医学的基本原则,纷纷制订本专业常见疾病诊疗的临床指南。互联网上最大的临床指南网站(www.clearinghouse.gov)目前已收录了多达2212个临床指南,就是最好的例证[1]。 面对如此众多的指...
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