[ICU Management & Practice]: 保持ARDS患者干燥已关闭评论
Keeping the ARDS Patient Dry
In ICU
Thu, 19 Mar 2026
Fluid management in acute respiratory distress syndrome (ARDS) remains a complex and evolving area, with no single ‘optimal’ strategy. Discussing this @ISICEM, Prof Daniel De Backer emphasised that while avoiding fluid overload is important, the key challenge is tailoring therapy to the individual patient rather than adhering to rigid ‘dry’ or ‘wet’ approaches.
Historically, fluid management in AR...
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[Clin Infect Dis发表论文]:新冠病毒检测复阳及新冠症状反复后再次使用奈玛特韦/利托那韦治疗已关闭评论
JOURNAL ARTICLE EDITOR'S CHOICE
Retreatment With Nirmatrelvir/Ritonavir Following Return of COVID-19 Symptoms and SARS-CoV-2 Positivity
Wuyan Zhang, Steven G Terra, Edward Alan Weinstein, et al
Clinical Infectious Diseases, Volume 82, Issue 1, 15 January 2026, Pages e33–e40, https://doi.org/10.1093/cid/ciaf548
Abstract
Background
Rebound of coronavirus disease 2019 (COVID-19) is defined as return of symptoms and/or viral positivity af...
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[Clin Infect Dis发表论文]:生成式人工智能与专家鉴别导管相关泌尿系感染的比较已关闭评论
JOURNAL ARTICLE
Comparing Generative Artificial Intelligence vs Experts for Detection of Catheter-Associated Urinary Tract Infection
Shatha Alshanqeeti, Karen Coffey, Karrie Mcdermott, et al
Clinical Infectious Diseases, Volume 82, Issue 1, 15 January 2026, Pages 148–150, https://doi.org/10.1093/cid/ciaf486
Abstract
A retrospective cohort study compared generative artificial intelligence (GenAI) versus infection control expert for catheter-as...
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[JAMA Surg发表论文]:结肠切除术后吻合口瘘的诊断延误与救治失败已关闭评论
Original Investigation
Association of VA Surgeons
Delayed Diagnosis of Anastomotic Leak and Failure to Rescue After Colon Resection
Samantha L. Savitch, Kiran H. Lagisetty, Pasithorn A. Suwanabol
JAMA Surg Published Online: February 11, 2026
doi: 10.1001/jamasurg.2025.6551
Key Points
Question Is delay in detection of anastomotic leak after colon resection associated with failure to rescue?
Fi...
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[ICU Management & Practice]: 数字孪生与ICU照护已关闭评论
Digital Twins and ICU Care
In ICU
Thu, 19 Mar 2026
In an interview with ISICEM News, Nathalie Layios, Thomas Desaive, and Vincent Uyttendaele of the University of Liège shared insights on how digital twins could transform ICU care.
The concept of a digital twin, defined as a continuously updated computational replica of a patient or physiological system, is rapidly transitioning from engineering into intensive care medicine, where it...
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[JAMA发表述评]:重新考虑早产儿出生后的氧疗:TORPIDO 30/60研究的启示已关闭评论
Editorial
Reconsidering Oxygen at Birth for Preterm Infants: Lessons From TORPIDO 30/60
Alyssa R. Thomas, Elizabeth E. Foglia
JAMA 2026;335;(6):495-496. doi:10.1001/jama.2025.23127
At birth, newborns must transition from the low-oxygen environment of the womb to postnatal normoxemia. Most preterm newborns require supplemental oxygen to support this process. Yet, active debate remains about the optimal starting fraction of inspired oxygen (Fio2) for prete...
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[JAMA发表论文]:早产儿初始复苏时的目标氧疗已关闭评论
Original Investigation
Targeted Oxygen for Initial Resuscitation of Preterm Infants: The TORPIDO 30/60 Randomized Clinical Trial
Ju Lee Oei, Adrienne Kirby, Javeed Travadi, et al
JAMA 2026;335;(6):523-530. doi:10.1001/jama.2025.23327
Key Points
Question Does initiating resuscitation of extremely preterm newborns with a higher level of fraction of inspired oxygen (Fio2; 0.6) reduce risk of death or brain in...
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[BMJ发表述评]:远程手术2.0已关闭评论
Editorial
Telesurgery 2.0
Prokar Dasgupta, Findlay MacAskill
BMJ 2026; 392 doi: https://doi.org/10.1136/bmj.s138 (Published 28 January 2026)Cite this as: BMJ 2026;392:s138
As practice re-emerges, patient engagement and standardisation of evaluation are crucial
Interest in telesurgery has been renewed around 20 years after it first came into use. With telesurgery, a remote surgeon is able to operate with a tool on a patient over a distance between two hospit...
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[BMJ发表论文]:泌尿外科远程手术与本地手术相比的可靠性已关闭评论
Research
Reliability of urological telesurgery compared with local surgery: multicentre randomised controlled trial
Ye Wang, Dan Xia, Wanhai Xu, et al
BMJ 2026; 392 doi: https://doi.org/10.1136/bmj-2024-083588 (Published 28 January 2026)Cite this as: BMJ 2026;392:e083588
Abstract
Objective To investigate whether the reliability of telesurgery is non-inferior to that of standard local surgery in patients undergoing urological robotic operations.
Desi...
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[ICU Management & Practice]: 液体反应性的精准评价与实施已关闭评论
Precision and Practicality in Fluid Responsiveness
In ICU
Thu, 19 Mar 2026
At the 45th ISICEM in Brussels, Prof Sheila Myatra spoke about fluid responsiveness in ICU patients with acute circulatory failure, emphasising its critical role in guiding safe and effective fluid therapy. While intravenous fluids are a first-line intervention, only around 50% of patients are true fluid responders, meaning their cardiac output increases by at least 15% after fl...
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