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[JAMA Intern Med发表述评]:经食道心脏超声指导CPR能否改善院外心跳骤停患者的预后?已关闭评论
Editorial  Can Transesophageal Echocardiography–Guided CPR Improve Out-of-Hospital Cardiac Arrest Outcomes? Teva D. Brender, Tracy Y. Wang, Sharon K. Inouye, et al JAMA Intern Med Published Online: March 23, 2026 doi: 10.1001/jamainternmed.2026.0115 Worldwide, an estimated 3.8 million persons experience an out-of-hospital cardiac arrest (OHCA) annually.1 In the United States, only 8.2% of individuals with an OHCA survive with a favorable neurological o...
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[NEJM发表论文]:心跳骤停后无意识患者的保守性氧疗已关闭评论
ORIGINAL ARTICLE Conservative Oxygen for Unresponsive Patients after Cardiac Arrest The LOGICAL Investigators and the Australian and New Zealand Intensive Care Society Clinical Trials Group N Engl J Med Published June 10, 2026 DOI: 10.1056/NEJMoa2513814 Abstract BACKGROUND In patients who are unresponsive after resuscitation from cardiac arrest, limiting oxygen exposure to that necessary to achieve acceptable oxygenation may increase the likelihood of...
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[BMJ发表论文]:基于肌酐和光抑素C的肾小球滤过率用于监测成年人中度慢性肾病的准确性已关闭评论
Research Accuracy of glomerular filtration rate estimation based on creatinine and cystatin C for monitoring moderate chronic kidney disease in adults: prospective, longitudinal cohort study Katie Scandrett, Alice J Sitch, Jonathan Barratt, et al BMJ 2026; 392 doi: https://doi.org/10.1136/bmj-2025-085005 (Published 19 March 2026)Cite this as: BMJ 2026;392:e085005 Abstract Objectives To provide evidence on the longitudinal accuracy of glomerular filtrat...
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[ICU Management & Practice]: ARDS分子表型已关闭评论
Acute Respiratory Distress Syndrome Molecular Phenotypes In ICU Wed, 21 Jan 2026 A new study investigated whether the two well-established molecular phenotypes of acute respiratory distress syndrome (ARDS)—hyperinflammatory and hypoinflammatory—are associated with distinct biological processes in the lung. Although these phenotypes were originally defined using plasma biomarkers and clinical variables and are known to differ in prognosis and treatment ...
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[JAMA Intern Med发表论文]:院外心跳骤停患者CPR期间经食道超声检查已关闭评论
Original Investigation  Transesophageal Echocardiography During CPR in Patients With Out-of-Hospital Cardiac Arrest: The EXECT-CPR Randomized Clinical Trial Sheng-En Chu, Chiao-Yin Cheng, Chih-Jung Chang, et al JAMA Intern Med Published Online: March 23, 2026 doi: 10.1001/jamainternmed.2026.0102 Key Points Question  Does transesophageal echocardiography (TEE)–guided cardiopulmonary resuscitation...
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[Crit Care Med发布指南]:美国重症医学会有关老年人ICU照护的指南已关闭评论
SPECIAL ARTICLE Society of Critical Care Medicine Guidelines on Caring for Older Adults in the ICU Ferrante, Lauren E.; Chaudhuri, Dipayan; Laiya Carayannopoulos, Kallirroi; et al Critical Care Medicine March 20, 2026 DOI: 10.1097/CCM.0000000000007085 Rationale:  Older adults (those 65 years old or greater) compose a substantial proportion of the ICU population. As older adults with critical illness possess unique factors and considerations relevant...
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[Crit Care Med发布指南]:美国重症医学会有关成年ARDS患者使用神经肌肉阻滞剂的指南已关闭评论
SPECIAL ARTICLE Society of Critical Care Medicine Guidelines for the Administration of Neuromuscular Blockade in Adults With Acute Respiratory Distress Syndrome Erstad, Brian L; Cobas, Miguel A; Qadir, Nida; et al Critical Care Medicine 54(3):p 634-643, March 2026. DOI: 10.1097/CCM.0000000000007002 Rationale:  Neuromuscular blocking agents (NMBAs) show potential benefits on mortality and other complications of acute respiratory distress syndrome (AR...
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[ICU Management & Practice]: 不同的脉搏氧饱和度监测仪如何影响临床决策已关闭评论
How Different Oximeters Affect Clinical Decision-Making In ICU Wed, 28 Jan 2026 An observational method comparison study examined whether different pulse oximetry devices provide consistent nocturnal oxygen saturation measurements in stable adults treated with continuous positive airway pressure (CPAP) or long-term noninvasive ventilation (NIV). Although overnight pulse oximetry is widely recommended to detect residual sleep-disordered breathing (SDB),...
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[JAMA发表述评]:监测儿童脓毒症:不漏掉一例患儿已关闭评论
Editorial  Surveillance of Sepsis in Children—Making Every Case Count Luregn J. Schlapbach, Shu-Ling Chong, Nora Luethi JAMA Published Online: March 22, 2026 doi: 10.1001/jama.2026.2814 Sepsis is a leading cause of hospital admissions, mortality, and health care expenditure worldwide. It disproportionally affects very young and very old individuals. Sepsis in young individuals carries a magnified societal impact through potential years of life lost and...
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[Lancet Respir Med发表论文]:降钙素原检测结合NEWS2评分对比基于NEWS2评分的常规治疗用于鉴别英格兰和威尔士急诊科的脓毒症及抗生素使用已关闭评论
ARTICLE March 22, 2026 Procalcitonin testing combined with NEWS2 evaluation compared with usual care based on NEWS2 for identification of sepsis and antibiotic initiation in the emergency department in England and Wales (PRONTO): a multicentre, randomised, controlled, open-label, phase 3 trial Stacy Todd, Joanne Euden, Jennifer Condie, et al Lancet Respir Med Published March 22, 2026 DOI: 10.1016/S2213-2600(25)00433-3 Summary Background Sepsis is a co...
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