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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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ORIGINAL ARTICLE Therapeutic Hypothermia after In-Hospital Cardiac Arrest in Children Frank W. Moler, Faye S. Silverstein, Richard Holubkov, et al. N Engl J Med 2017; 376:318-329 January 26, 2017 DOI: 10.1056/NEJMoa1610493 BACKGROUND 背景 Targeted temperature management is recommended for comatose adults and children after out-of-hospital cardiac arrest; however, data on temperature management after in-hospital cardiac arrest are limited. 对于院外心跳骤停的昏迷成人和儿童...
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The effect of endotracheal tubes versus laryngeal mask airways on perioperative respiratory adverse events in infants: a randomised controlled trial Thomas F E Drake-Brockman, Anoop Ramgolam, Guicheng Zhang, et al. Lancet Published Online January 17, 2017   http://dx.doi.org/10.1016/S0140-6736(16)31719-6 Summary Background Perioperative respiratory adverse events (PRAE) are the most common critical incidents in paediatric anaesthesia and occur more often in infants...
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ORIGINAL ARTICLE Tight Glycemic Control in Critically Ill Children Michael S.D. Agus, David Wypij, Eliotte L. Hirshberg, et al. N Engl J Med January 24, 2017 DOI: 10.1056/NEJMoa1612348 BACKGROUND 背景 In multicenter studies, tight glycemic control targeting a normal blood glucose level has not been shown to improve outcomes in critically ill adults or children after cardiac surgery. Studies involving critically ill children who have not undergone cardiac surgery are lacki...
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Articles Enhanced terminal room disinfection and acquisition and infection caused by multidrug-resistant organisms and Clostridium difficile (the Benefits of Enhanced Terminal Room Disinfection study): a cluster-randomised, multicentre, crossover study Deverick J Anderson,Luke F Chen, David J Weber, et al. Lancet 2017 Published Online January 16, 2017 http://dx.doi.org/10.1016/ S0140-6736(16)31588-4 Summary Background Patients admitted to hospital can acquire multidrug-...
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