[Intensive Care Med发表论文]:持续心动过速的感染性休克患者使用兰地洛尔控制心率已关闭评论
Landiolol for heart rate control in patients with septic shock and persistent tachycardia. A multicenter randomized clinical trial (Landi-SEP)
Rehberg, S., Frank, S., Černý, V. et al.
Intensive Care Med 50, 1622–1634 (2024)
https://doi.org/10.1007/s00134-024-07587-1
Abstract
Purpose
Excessive tachycardia in resuscitated septic shock patients can impair hemodynamics and worsen patient outcome. We investigated whether heart rate (HR) control can be achieve...
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[ICU Management & Practice]: 灵活的探视政策对ICU患者家属的影响已关闭评论
Impact of Flexible Visitation in the ICU on Family Members
In ICU
Mon, 26 Aug 2024
Despite ongoing restrictive family visitation policies in ICUs worldwide, contemporary guidelines advocate for more flexible visitation. Flexible policies aim to enhance the ICU experience for both patients and their families and are linked to reduced acute anxiety in both groups and decreased depression in family members. These flexible policies do not increase the risk...
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Intensive Care Medicine在线免费阅读已关闭评论
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LATEST ARTICLES
"ICU TOOLBOX" TOPICAL COLLECTION
EditorialClinical governance in intensive care medicineCarenzo L., Constantini E. and Cecconi M.
When should I start broad-spectrum antibiotics?Timsit J-F., Depuydt P. and Kanj S. S.
Diagnostic tests for infections in critically ill immunocompromised patientsDumas G., Joseph A. and Zafrani L.
Understanding the DiseaseUnderstanding buffering of metabolic acidosis in critical illne...
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[Intensive Care Med发表论文]:小剂量可乐定输注改善术后HDU患者的睡眠已关闭评论
Low-dose clonidine infusion to improve sleep in postoperative patients in the high-dependency unit. A randomised placebo-controlled single-centre trial
Liu, D., Hallt, E., Platz, A. et al.
Intensive Care Med (2024). https://doi.org/10.1007/s00134-024-07619-w
Abstract
Purpose
Dexmedetomidine increases sleep and reduces delirium in postoperative patients, but it is expensive and requires a monitored environment. Clonidine, another 2-agonist, is cheaper a...
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[ICU Management & Practice]: 使用人工智能检查颅脑创伤后的脑活动已关闭评论
Using AI to Examine Brain Activity Following TBI
In ICU
Wed, 24 Jul 2024
Researchers at Johns Hopkins Medicine have identified a potential alternative, less-invasive method for measuring intracranial pressure (ICP) in patients. The research is published in Computers in Biology and Medicine.
ICP can abnormally increase due to conditions such as acute brain injury, stroke, or cerebrospinal fluid flow obstruction, leading to symptoms like headaches, bl...
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[Intensive Care Med发表论文]:ARDS患者的压力控制联合自主呼吸与容量控制通气已关闭评论
Pressure control plus spontaneous ventilation versus volume assist-control ventilation in acute respiratory distress syndrome. A randomised clinical trial
Richard, JC.M., Beloncle, F.M., Béduneau, G. et al.
Intensive Care Med 50, 1647–1656 (2024).
https://doi.org/10.1007/s00134-024-07612-3
Abstract
Purpose
The aim of this study was to compare the effect of a pressure-controlled strategy allowing non-synchronised unassisted spontaneous ventilation (PC-SV)...
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[NEJM发表论文]:血流感染患者7天与14天抗生素治疗已关闭评论
ORIGINAL ARTICLE
Antibiotic Treatment for 7 versus 14 Days in Patients with Bloodstream Infections
The BALANCE Investigators, for the Canadian Critical Care Trials Group, the Association of Medical Microbiology and Infectious Disease Canada Clinical Research Network, the Australian and New Zealand Intensive Care Society Clinical Trials Group, and the Australasian Society for Infectious Diseases Clinical Research Network
N Engl J Med Published November 20, 2024
...
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[JAMA Surg发表述评]:迈向泌尿肿瘤手术消除输血的缓慢进步已关闭评论
Invited Commentary
October 2, 2024
A Slow March Toward Eliminating Transfusion in Uro-Oncology
Shawn Dason, Debasish Sundi, Akshay Sood
JAMA Surg. Published online October 2, 2024. doi:10.1001/jamasurg.2024.4203
Radical cystectomy (RC) is a standard treatment for patients with bladder cancer. Despite decades of refinement in surgical technique, most patients undergoing RC will experience a surgical complication.1 Excessive surgical bloo...
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[ICU Management & Practice]: 脓毒症预警系统,病死率与指南依从性已关闭评论
Sepsis Alert Systems, Mortality, Adherence to SSC
In Sepsis
Wed, 24 Jul 2024
Sepsis is a global health issue with high mortality and morbidity rates among hospitalised patients. To enhance the quality of sepsis management, the Surviving Sepsis Campaign (SSC) developed an evidence-based bundle comprising five key elements to be implemented within the first hours of sepsis recognition. These elements include fluid resuscitation with 30 mL/kg of crystallo...
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[JAMA Surg发表论文]:根治性膀胱切除术中使用氨甲环酸已关闭评论
Original Investigation
October 2, 2024
Tranexamic Acid During Radical Cystectomy: A Randomized Clinical Trial
Rodney H. Breau, Luke T. Lavallée, Ilias Cagiannos, et al
JAMA Surg. Published online October 2, 2024. doi:10.1001/jamasurg.2024.4183
Key Points
Question Does intraoperative prophylactic tranexamic acid reduce blood transfusion in patients undergoing open radical cystectomy?
Finding...
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