[ICU Management & Practice]: 撤离VV-ECMO:ESICM认证的WEAN-ECMO调查数据已关闭评论
Weaning from VV-ECMO: Data from ESICM-Endorsed WEAN-ECMO Survey
In ICU
Thu, 15 Jan 2026
The use of venovenous extracorporeal membrane oxygenation (VV ECMO) for severe acute respiratory distress syndrome (ARDS) has risen substantially, and current guidelines recommend VV ECMO in selected patients to maintain adequate gas exchange while limiting ventilator-induced lung injury. Despite this, several critical components of ECMO management remain poorly sta...
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[JAMA发表论文]:呼吸气体转移延迟雪崩掩埋者的窒息已关闭评论
Original Investigation
Caring for the Critically Ill Patient
Respiratory Gas Shifts to Delay Asphyxiation in Critical Avalanche Burial: A Randomized Clinical Trial
Frederik Eisendle, Giulia Roveri, Simon Rauch, et al
JAMA 2025;334;(19):1720-1727
doi:10.1001/jama.2025.16837
Key Points
Question Does a novel device delay the onset of hypoxemia and hypercapnia during critical avalanche burial by enhancing air...
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[JAMA Netw Open发表述评]:新生儿ARDS的呼吸治疗已关闭评论
Invited Commentary
Pediatrics
Respiratory Management of Neonatal Acute Respiratory Distress Syndrome
Lucy Loft, David G. Tingay
JAMA Netw Open 2026;9;(3):e260220. doi:10.1001/jamanetworkopen.2026.0220
High frequency oscillatory ventilation (HFOV) has been used to treat respiratory failure in neonates since the early 1990s.1 HFOV supports gas exchange by delivering very low tidal volumes at fast rates (>2 Hz). Theoretically, these characteristics of HF...
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[JAMA Surg发表论文]:成年创伤患者的全血与成分输血治疗已关闭评论
Original Investigation
Whole-Blood vs Component Therapy in Adult Trauma: An Updated Systematic Review and Meta-Analysis
Wesam Ibrahim, Kenneth Meza Monge, Johannes Menzel, et al
JAMA Surg Published Online: March 11, 2026
doi: 10.1001/jamasurg.2026.0197
Key Points
Question Is whole-blood transfusion associated with reduced mortality compared with component therapy in adult trauma patients?
F...
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[JAMA Netw Open发表论文]:住院患者清晨抽血时机及频率已关闭评论
Research Letter
Health Policy
Early Morning Blood Draw Timing and Frequency Among Hospitalized Patients
Michael Colacci, Anne Loffler, Surain B. Roberts, et al
JAMA Netw Open 2026;9;(3):e260966. doi:10.1001/jamanetworkopen.2026.0966
Introduction
Hospitalized patients report less sleep in the hospital and an increased number of nocturnal awakenings, which has been associated with the development of delirium.1,2&nbs...
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[ICU Management & Practice]: 社区发病的脓毒症住院患者的抗生素降阶梯治疗已关闭评论
Antibiotic De-Escalation in Patients Hospitalised With Community-Onset Sepsis
Sepsis is a critical medical emergency that requires prompt treatment with broad-spectrum antibiotics (BSAs) to cover potential multidrug-resistant organisms (MDROs). While early empiric BSA therapy has been associated with reduced mortality in high-risk patients and is recommended by the 2021 Surviving Sepsis Campaign Guidelines, prolonged exposure to these agents carries significant ris...
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[JAMA Netw Open发表论文]:11至18岁青少年上学期间使用智能手机与认知控制的相关性已关闭评论
Original Investigation
Pediatrics
Smartphone Use During School Hours and Association With Cognitive Control in Youths Aged 11 to 18 Years
Eva H. Telzer, Kaitlyn Burnell
JAMA Netw Open 2026;9;(3):e261092. doi:10.1001/jamanetworkopen.2026.1092
Key Points
Questions How much are youths using their smartphones during school instruction time, and what is the association of this use with cognitive control?
Findings &...
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[JAMA Netw Open发表述评]:预防ARDS,而非单纯治疗:心肺旁路后应用西维来司钠的经验已关闭评论
Invited Commentary
Cardiology
Preventing ARDS, Not Treating It—Lessons From Sivelestat After Cardiopulmonary Bypass
Warren L. Lee, Arthur S. Slutsky
JAMA Netw Open 2026;9;(3):e261201. doi:10.1001/jamanetworkopen.2026.1201
Pan and colleagues1 report the findings of a large, blinded, placebo-controlled single-center randomized clinical trial of sivelestat for the prevention of acute respiratory distress syndrome (ARDS) among pat...
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[JAMA Netw Open发表论文]:高频振荡通气与传统机械通气治疗新生儿ARDS已关闭评论
Original Investigation
Pediatrics
High-Frequency Oscillation vs Mechanical Ventilation for Neonatal Acute Respiratory Distress Syndrome: A Randomized Clinical Trial
Jie Li, Kaizhen Liu, Qian Yang, et al
JAMA Netw Open 2026;9;(3):e260268. doi:10.1001/jamanetworkopen.2026.0268
Key Points
Question Does elective high-frequency oscillatory ventilation (HFOV) reduce the incidence of bronchopulmonary dysplasia...
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[ICU Management & Practice]: 血液生物标志物预测心跳骤停患者的预后已关闭评论
Blood Biomarkers for Prediction of Outcome After Cardiac Arrest
A study published in The Lancet Respiratory Medicine has identified neurofilament light (NFL) as the most accurate blood biomarker for predicting long-term neurological outcomes in patients who remain unconscious following cardiac arrest. This research, conducted within the Targeted Hypothermia versus Normothermia after Out-of-Hospital Cardiac Arrest (TTM2) trial, represents the largest prospective int...
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