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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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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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News > Medscape Medical News > News Alerts Influenza Hospitalizations Highest on Record, CDC Says Troy Brown, RN February 02, 2018 Overall hospitalizations for influenza-like illness (ILI) are at their highest since the US Centers for Disease Control and Prevention (CDC) began collecting such data, according to new information presented during a teleconference by the CDC today. 根据今天CDC在新闻发布会上提供的最新信息,流感样病例(ILI)住院总数达到自从美国CDC开始收...
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FDA Approves Artificial Intelligence That Can Predict Death 以下报道来自健康时报网 http://www.jksb.com.cn/html/news/hot/2018/0130/121306.html 近日,美国食品药品监督管理总局(FDA)批准了首个可以预测死亡的AI产品Wave Clinical Platform,由医疗科技公司Excel Medical研发。 根据产品研发公司Excel Medical官网的介绍,Wave Clinical Platform是一个永远在线的远程监测平台,可显示生理和医学相关数据的实时临床视图,包括医院工作站、移动设备和电子病历中危险患者的警报。 WAVE能自动计算风险,这套系...
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