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...

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，...