ORIGINAL ARTICLE FREE PREVIEW Diagnosis of Pulmonary Embolism with d-Dimer Adjusted to Clinical Probability Clive Kearon, Kerstin de Wit, Sameer Parpia, et al N Engl J Med 2019; 381:2125-2134DOI: 10.1056/NEJMoa1909159 BACKGROUND 背景 Retrospective analyses suggest that pulmonary embolism is ruled out by a d-dimer level of less than 1000 ng per milliliter in patients with a low clinical pretest probability (C-PTP) and by a d-dimer level o...

ICU Management & Practice, Volume 18 - Issue 3, 2018 Advances in source control in patients with sepsis and septic shock In the past decades there have been significant advances in the diagnosis and management of patients with sepsis and septic shock, and overall awareness has increased significantly (Angus and van der Poll 2013). Emphasis is currently on the early detection of sepsis and rapid initiation of fluid administration and antibiotic therapy, all ...

Research Weight change across adulthood in relation to all cause and cause specific mortality: prospective cohort study Chen Chen,  Yi Ye, Yanbo Zhang, et al BMJ 2019;367:l5584 doi: https://doi.org/10.1136/bmj.l5584 Objective 目的 To investigate the association between weight changes across adulthood and mortality. 研究成年期间体重改变与死亡率的相关性 Design 实验设计 Prospective cohort study. 前瞻队列研究 Setting 场景 U...

Effect of a fluid bolus on cardiovascular collapse among critically ill adults undergoing tracheal intubation (PrePARE): a randomised controlled trial David R Janz, Jonathan D Casey, Matthew W Semler, et al Lancet Respir Med. 2019 Oct 1. doi: 10.1016/S2213-2600(19)30246-2 Background 背景 Tracheal intubation is common in the care of critically ill adults and is frequently complicated by hypotension, cardiac arrest, or death. We aimed to evaluate ...

ONLINE FIRST (FREE ACCESS) What's new in intensive care ~ Lüsebrink E. et al. - Ten things ICU specialists need to know about new valvular procedures in interventional cardiology Less is more in Intensive Care ~ Ñamendys-Silva S.A - Less is more, but are we doing enough?Editorial ~ Shankar-Hari M. et al. - Should we consider blocking the inhibitory immune checkpoint molecules for treating T cell exhaustion in sepsis?Original ...

Maximal Recruitment Open Lung Ventilation in Acute Respiratory Distress Syndrome (PHARLAP): A Phase II, Multicenter, Randomized, Controlled Trial Hodgson CL, Cooper DJ, Arabi Y, et al Am J Respir Crit Care Med. 2019 Jul 29.doi: 10.1164/rccm.201901-0109OC. RATIONALE: 背景 Open lung ventilation strategies have been recommended in patients with acute respiratory distress syndrome (ARDS). 推荐ARDS患者采用肺开放通气策略。 OBJECTIVE: 目的 To determine ...

ARTICLES|ONLINE FIRST Effect of infectious disease consultation on mortality and treatment of patients with candida bloodstream infections: a retrospective, cohort study Carlos Mejia-Chew, Jane A O'Halloran, Margaret A Olsen, et al. Lancet Infect Dis September 24, 2019 DOI:https://doi.org/10.1016/S1473-3099(19)30405-0 Summary Background 背景 Candida bloodstream infection is associated with high mortality. Infectious disease consultation improves outcomes...

Original Investigation Mobile Photoplethysmographic Technology to Detect Atrial Fibrillation Guo Y, Wang H, Zhang H, et al J Am Coll Cardiol. 2019 Nov 12;74(19):2365-2375. doi: 10.1016/j.jacc.2019.08.019 Background Low detection and nonadherence are major problems in current management approaches for patients with suspected atrial fibrillation (AF). Mobile health devices may enable earlier AF detection and improved AF management. Objectives This study...

Research Methods & Reporting A guide to prospective meta-analysis Anna Lene Seidler, Kylie E Hunter, Saskia Cheyne, et al BMJ 2019; 367: l5342 DOI:https://doi.org/10.1136/bmj.l5342 Summary points In a prospective meta-analysis (PMA), studies are identified and determined to be eligible for inclusion before the results of the studies related to the PMA research question are knownPMAs are applicable to high priority research questions where limited previo...

ORIGINAL ARTICLE Large-Scale Assessment of a Smartwatch to Identify Atrial Fibrillation Marco V. Perez, Kenneth W. Mahaffey, Haley Hedlin, et al. N Engl J Med 2019; 381:1909-1917DOI: 10.1056/NEJMoa1901183 BACKGROUND Optical sensors on wearable devices can detect irregular pulses. The ability of a smartwatch application (app) to identify atrial fibrillation during typical use is unknown. METHODS Participants without atrial fibrillation (as reported by ...