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Research Preoperative physiotherapy for the prevention of respiratory complications after upper abdominal surgery: pragmatic, double blinded, multicentre randomised controlled trial Ianthe Boden, Elizabeth H Skinner, Laura Browning, et al BMJ 2018; 360 doi: https://doi.org/10.1136/bmj.j5916 (Published 24 January 2018) Cite this as: BMJ 2018;360:j5916 Abstract Objective 目的 To assess the efficacy of a single preoperative physiotherapy session to reduce postoperative pulmo...
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Intensive Care Medicine ARTICLES OF THE MONTH ORIGINAL ~ PTSD & other psychiatric symptoms after ARDS Pronovost P. et al. Psychiatric symptoms after acute respiratory distress syndrome: a 5-year longitudinal Study. This prospective cohort study enrolled post-ARDS patients from 13 medical and surgical intensive care units in four hospitals, with follow‑up at regular intervals over a 5-year period to examine anxiety, depression, and post-traumatic stress disorder (PTSD) ...
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Original Investigation Caring for the Critically Ill Patient February 20, 2018 Effect of Haloperidol on Survival Among Critically Ill Adults With a High Risk of DeliriumThe REDUCE Randomized Clinical Trial Mark van den Boogaard, Arjen J. C. Slooter, Roger J. M. Brüggemann, et al JAMA. 2018;319(7):680-690. doi:10.1001/jama.2018.0160 Abstract Importance 背景 Results of studies on use of prophylactic haloperidol in critically ill adults are inconclusive, especially in p...
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ICU Management & Practice推荐近期重症医学文章 ICU Highlights / Week #2/ 2018 Nutrition therapy - 'one size does not fit all' Current ICU nutrition delivery worldwide leads to “starvation” of patients and is likely a major contributor to poor long-term quality of life outcomes. Can we improve the reliability of ARDS diagnosis? A study of interobserver reliability of the Berlin ARDS definition found moderate agreement, with most differences due to differing interpretatio...
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Individualised perioperative open-lung approach versus standard protective ventilation in abdominal surgery (iPROVE): a randomised controlled trial Carlos Ferrando, Marina Soro, Carmen Unzueta, et al. Lancet Respir Med Published: 19 January 2018 DOI: http://dx.doi.org/10.1016/S2213-2600(18)30024-9 Summary Background 背景 The effects of individualised perioperative lung-protective ventilation (based on the open-lung approach [OLA]) on postoperative complications is unkno...
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Intensive Care Medicine ONLINE FIRST THIS WEEK Conference Reports and Expert Panel  ~ Can Ince et al. Second consensus on the assessment of sublingual microcirculation in critically ill patients: results from a task force of the European Society of Intensive Care Medicine. Letter ~ Boun Kim Tan et al. A hospital-wide intervention replacing ceftriaxone with cefotaxime to reduce rate of healthcare-associated infections caused by extended-spectrum β-lactamase-producing Entero...
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The effects of antibiotic cycling and mixing on antibiotic resistance in intensive care units: a cluster-randomised crossover trial Pleun Joppe van Duijn, Walter Verbrugghe, Philippe Germaine Jorens, et al. Lancet Infect Dis Published: 24 January 2018 DOI: http://dx.doi.org/10.1016/S1473-3099(18)30056-2 Summary Background 背景 Whether antibiotic rotation strategies reduce prevalence of antibiotic-resistant, Gram-negative bacteria in intensive care units (ICUs) has not b...
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Hypothermia and Localized Cold Injury Joseph U Becker, MD | January 3, 2018 | Contributor Information The term hypothermia generally refers to inappropriate body temperature, usually resulting from deficient thermoregulation. It is commonly defined as a core body temperature lower than 35°C.[1,2] Hypothermia may be either accidental,[3] as in inadvertent overexposure to low temperatures, or intentional, as in therapeutic hypothermia after cardiac arrest. It may be either ...
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ORIGINAL ARTICLE Acute Myocardial Infarction after Laboratory-Confirmed Influenza Infection Jeffrey C. Kwong, Kevin L. Schwartz, Michael A. Campitelli, et al N Engl J Med 2018; 378:345-353 DOI: 10.1056/NEJMoa1702090 Abstract BACKGROUND 背景 Acute myocardial infarction can be triggered by acute respiratory infections. Previous studies have suggested an association between influenza and acute myocardial infarction, but those studies used nonspecific measures of influenza inf...
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Intensive Care Medicine ONLINE FIRST THIS WEEK SEPSIS & SEPTIC SHOCK: Negative vs. neutral trials; EGDT and future directions for research Never one to shy away from controversial topics, ICM Deputy Editor Anders Perner holds no punches in this new icTV interview on many of the key debates related to current and future sepsis research. You can also access his related recently published paper (free): Anders Perner et al. The intensive care medicine research agenda on se...
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