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Original Investigation February 21, 2017 Effect of Fibrinogen Concentrate on Intraoperative Blood Loss Among Patients With Intraoperative Bleeding During High-Risk Cardiac SurgeryA Randomized Clinical Trial Süleyman Bilecen, Joris A. H. de Groot, Cor J. Kalkman, et al JAMA. 2017;317(7):738-747. doi:10.1001/jama.2016.21037 Abstract 摘要 Importance 背景 Fibrinogen concentrate might partly restore coagulation defects and reduce intraoperative bleeding. 纤维蛋白原可以部...
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High-flow warm humidified oxygen versus standard low-flow nasal cannula oxygen for moderate bronchiolitis (HFWHO RCT): an open, phase 4, randomised controlled trial Elizabeth Kepreotes, Bruce Whitehead, John Attia, et al. Summary Background 背景 Bronchiolitis is the most common lung infection in infants and treatment focuses on management of respiratory distress and hypoxia. High-flow warm humidified oxygen (HFWHO) is increasingly used, but has not been rigorously st...
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JAMA | Original Investigation | CARING FOR THE CRITICALLY ILL PATIENT Video Laryngoscopy vs Direct Laryngoscopy on Successful First-Pass Orotracheal Intubation Among ICU Patients: A Randomized Clinical Trial Jean Baptiste Lascarrou, Julie Boisrame-Helms, Arthur Bailly, et al. JAMA. doi:10.1001/jama.2016.20603 Published online January 24, 2017. IMPORTANCE 背景 In the intensive care unit (ICU), orotracheal intubation can be associated with increased risk of complications bec...
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Articles Hyperoxia and hypertonic saline in patients with septic shock (HYPERS2S): a two-by-two factorial, multicentre, randomised, clinical trial   Pierre Asfar, Frédérique Schortgen, Julie Boisramé-Helms, et al. Lancet Respir Med 2017 Available online 15 February 2017 http://dx.doi.org/10.1016/S2213-2600(17)30046-2 Summary Background 背景 There is insufficient research into the use of mechanical ventilation with increased inspiratory oxygen concentration (FiO2)...
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JAMA | Original Investigation | CARING FOR THE CRITICALLY ILL PATIENT Association Between Tracheal Intubation During Adult In-Hospital Cardiac Arrest and Survival Lars W. Andersen, Asger Granfeldt,CliftonW. Callaway, et al. JAMA. doi:10.1001/jama.2016.20165 Published online January 24, 2017. IMPORTANCE 背景 Tracheal intubation is common during adult in-hospital cardiac arrest, but little is known about the association between tracheal intubation and survival in this settin...
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[编辑按]:众所周知,美国医院中有很多其他国家毕业的医生。通常观点认为,其他国家医学院毕业生的能力不如美国医学院毕业生。本研究非常有趣,一方面用患者预后数据比较外国医学院毕业生与美国医学院毕业生的医疗质量,另一方面也提醒那些言必称美国的医学同道,美国的医疗体系不一定是我们学习的榜样。 Medscape Medical News US Patient Mortality Lower With Non-US-Trained Physicians Ricki Lewis, PhD February 02, 2017 Medicare patients admitted to the hospital and treated by internists who gradu...
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Medscape Medical News > Conference News ICU Readmissions Do Not Signal Inferior Care Damian McNamara January 27, 2017 HONOLULU — Readmission to an intensive care unit is often used as a metric by regulators and agencies to gauge quality of care, but it is not an independent predictor of hospital mortality on its own, results from a large study of critical care outcomes reveal. 医疗管理者及管理机构经常把再次收入ICU作为评价医疗质量的指标,但是,一项有关危重病患者的大样本...
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Reuters Health Information > Conference News Sepsis leading cause of early readmissions in the U.S. By Will Boggs MD January 27, 2017 NEW YORK (Reuters Health) – Unplanned 30-day readmissions are common after sepsis hospitalizations, according to data from the Nationwide Readmissions Database. 全国再次入院数据库的资料显示,患者因全身性感染住院后,30天内非计划再次入院非常普遍。 "The most interesting finding is that sepsis is the leading cause of 30-day readmissions in t...
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[编辑按]:众所周知,美国医院中有很多其他国家毕业的医生。通常观点认为,其他国家医学院毕业生的能力不如美国医学院毕业生。本研究非常有趣,一方面用患者预后数据比较外国医学院毕业生与美国医学院毕业生的医疗质量,另一方面也提醒那些言必称美国的医学同道,美国的医疗体系不一定是我们学习的榜样。 Research Quality of care delivered by general internists in US hospitals who graduated from foreign versus US medical schools: observational study Yusuke Tsugawa, Anupam B Jena, E John Orav, et ...
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  针对《呼吸内科的观点》的留言: 张...:作为一名呼吸内科出身的ICU医生,我认为呼吸内科转行的确有优势,但需要学习的只是依然无穷无尽,呼吸系统只是ICU众多复杂病变系统的一部分   针对《黄伟医生的观点》的留言: 张...:呼吸科的核心价值是什么?我都不知道   针对《杜斌医生的观点》的留言: 程...:趋势应该是专科ICU,没人要的去综合,这样各方利益也好协调,也符合目前决策中心分散的原则 ...:一个源于ICU的医生可能想问题更能考虑全身,而一个其他专科的再来搞ICU可能偏重器官,只是...
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