现在位置 >首页 > 时讯速递
0℃
Aortic Dissection Lars Grimm, MD, MHS | October 30, 2017 | Contributor Information image from Medscape. An aortic dissection (arrows) is demonstrated above. The sudden onset of tearing chest pain may be the initial presentation of an acute aortic dissection. A small tear in the aortic intima can quickly split the aortic wall and create a swiftly expanding false lumen, which may be rapidly fatal even with prompt medical treatment. Image from Medscape. A false lumen (yello...
阅读全文
0℃
Endoscopic or surgical step-up approach for infected necrotising pancreatitis: a multicentre randomised trial Sandra van Brunschot, Janneke van Grinsven, Hjalmar C van Santvoort, et al. Lancet 2017 epub ahead of print DOI: http://dx.doi.org/10.1016/S0140-6736(17)32404-2 Summary Background 背景 Infected necrotising pancreatitis is a potentially lethal disease and an indication for invasive intervention. The surgical step-up approach is the standard treatment. A promisin...
阅读全文
0℃
Drugs & Diseases > Clinical Trends Clinical Trends for October 2017 Ryan Syrek October 27, 2017 Each week, we identify one top search term, speculate as to what caused its popularity, and provide an infographic on a related condition. If you have thoughts about what's trending and why, feel free to share them with us on Twitter or Facebook! Clinical Trend of the Week (October 21-27): Viral Encephalitis Several pieces of news from around the world combined to infl...
阅读全文
0℃
ORIGINAL ARTICLE PCI Strategies in Patients with Acute Myocardial Infarction and Cardiogenic Shock Holger Thiele, Ibrahim Akin, Marcus Sandri, et al N Engl J Med 2017 October 30, 2017DOI: 10.1056/NEJMoa1710261 BACKGROUND 背景 In patients who have acute myocardial infarction with cardiogenic shock, early revascularization of the culprit artery by means of percutaneous coronary intervention (PCI) improves outcomes. However, the majority of patients with cardiogenic shock ha...
阅读全文
0℃
News > Conference News Landmark Trials Deliver Evidence to Rethink Saline Use Ingrid Hein November 02, 2017 TORONTO — Hospitalized patients who receive balanced crystalloid fluids, whether they are critically ill or not, are about 1% less likely to need renal replacement therapy, have persistent renal dysfunction, or die in the hospital than patients who receive saline, two new landmark studies show. 多伦多 - 两项新的重要研究显示,与生理盐水相比,接受平衡盐溶液的...
阅读全文
0℃
Daytime variation of perioperative myocardial injury in cardiac surgery and its prevention by Rev-Erbα antagonism: a single-centre propensity-matched cohort study and a randomised study David Montaigne, Xavier Marechal, Thomas Modine, et al. Lancet 2017 http://dx.doi.org/10.1016/S0140-6736(17)32132-3 Background 背景 On-pump cardiac surgery provokes a predictable perioperative myocardial ischaemia–reperfusion injury which is associated with poor clinical outcomes. We de...
阅读全文
0℃
Original Investigation October 24/31, 2017 Association of Prehospital Blood Product Transfusion During Medical Evacuation of Combat Casualties in Afghanistan With Acute and 30-Day Survival Stacy A. Shackelford, Deborah J. del Junco, Nicole Powell-Dunford, et al JAMA. 2017;318(16):1581-1591. doi:10.1001/jama.2017.15097 Abstract Importance 背景 Prehospital blood product transfusion in trauma care remains controversial due to poor-quality evidence and cost. Sequential e...
阅读全文
0℃
Research Comparison of postoperative outcomes among patients treated by male and female surgeons: a population based matched cohort study BMJ 2017; 359 doi: https://doi.org/10.1136/bmj.j4366 (Published 10 October 2017) Cite this as: BMJ 2017;359:j4366 Abstract Objective 目的 To examine the effect of surgeon sex on postoperative outcomes of patients undergoing common surgical procedures. 验证外科医生性别对接受常见手术患者的术后预后的影响。 Design 设计 Population based, retr...
阅读全文
0℃
Immediate interruption of sedation compared with usual sedation care in critically ill postoperative patients (SOS-Ventilation): a randomised, parallel-group clinical trial Gerald Chanques, Matthieu Conseil, Claire Roger, et al Lancet Respir Med 2017; 5: 795–805 Published Online September 18, 2017 http://dx.doi.org/10.1016/S2213-2600(17)30304-1 Summary Background 背景 Avoidance of excessive sedation and subsequent prolonged mechanical ventilation in intensive care units (I...
阅读全文
0℃
Classification of patients with sepsis according to blood genomic endotype: a prospective cohort study Brendon P Scicluna, Lonneke A van Vught, Aeilko H Zwinderman, et al Lancet Respir Med 2017 Published Online August 29, 2017 http://dx.doi.org/10.1016/S2213-2600(17)30294-1 Summary Background 背景 Host responses during sepsis are highly heterogeneous, which hampers the identification of patients at high risk of mortality and their selection for targeted therapies. In this ...
阅读全文
×
腾讯微博