[ICU Management & Practice]: 下肢悬吊康复治疗ICU获得性无力已关闭评论
Suspension-Based Lower-Limb Rehabilitation for ICU-Acquired Weakness
In ICU
Wed, 21 Jan 2026
A recent trial evaluated the short-term efficacy of a suspension-based lower-limb rehabilitation device (SS) in patients with intensive care unit–acquired weakness (ICUAW). ICUAW is a frequent and serious complication of critical illness, characterised by symmetrical limb weakness, prolonged mechanical ventilation, functional impairment, and reduced quality of ...
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[ICU Management & Practice]: 辅助机械通气过程中吸气努力及驱动的无创及有创监测已关闭评论
Invasive & Non-Invasive Monitoring of Inspiratory Effort & Drive in Assisted Mechanical Ventilation
In ICU
Wed, 21 Jan 2026
A clinical review examined the invasive and non-invasive monitoring of inspiratory effort and respiratory drive in patients undergoing assisted mechanical ventilation (AMV). Following the acute phase of respiratory failure, AMV is commonly used to support spontaneous breathing, improve gas exchange, and reduce sedation req...
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[JAMA Netw Open发表述评]:是时候使用单剂两性霉素B治疗HIV相关隐球菌脑膜炎了吗?已关闭评论
Invited Commentary
Infectious Diseases
Is It Time to Use Single-Dose Amphotericin B for HIV-Related Cryptococcal Meningitis?
Nathan C. Bahr, Radha Rajasingham, David R. Boulware
JAMA Netw Open 2026;9;(1):e2553489. doi:10.1001/jamanetworkopen.2025.53489
Cryptococcal meningitis remains a life-threatening opportunistic infection among people with advanced HIV, even in high-resource settings. For decades, the standard induction regimen in the United State...
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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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[ICU Management & Practice]: ICU仪表盘追踪环境影响已关闭评论
ICU Dashboard Tracks Environmental Impact
In ICU
Tue, 13 Jan 2026
Green initiatives in Intensive Care Units (ICUs) increasingly focus on reducing the environmental footprint of routine care. Common measures include lowering glove use, replacing absorption pads with towels and shifting from disposable clothing to washable alternatives. While such actions are relatively simple to introduce, sustaining them requires structured monitoring. ICU teams need r...
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[JAMA诗歌与医学]:ICU中的28小时已关闭评论
Poetry and Medicine
28 Hours in the ICU
Kaveh Danesh
JAMA Published Online: March 11, 2026
doi: 10.1001/jama.2026.0660
I watch the sunrise
I watch the sunset
I watch the body
fall apart
while we tilt the horizon
away from light
knowing the sun
setting in the West
is
rising in the East.
I watch the sunrise
I watch the sunrise
I watch your pupils
suspended
midday
between two horizons.
[JAMA编者按]:ICU中的...
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[ICU Management & Practice]: 根据宿主—微生物的动态变化重新定义脓毒症已关闭评论
Redefining Sepsis Through Host–Microbe Dynamics
In Sepsis
Thu, 15 Jan 2026
Current approaches to classifying sepsis are limited because they rely too heavily on clinical features and host-only immune responses, while largely ignoring the role of the infecting microbes. Sepsis is a heterogeneous syndrome, and grouping patients based on clinical signs alone assumes a single underlying mechanism, which is often incorrect. This has hindered progress in und...
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[JAMA Surg发表述评]:创伤患者紧急抢救时从平衡输注血液制品到个体化医疗已关闭评论
Invited Commentary
From Balanced Blood Products to Personalized Medicine in Acute Resuscitation of Trauma Patients
Taylor E. Wallen, John B. Holcomb
JAMA Surg Published Online: March 11, 2026
doi: 10.1001/jamasurg.2026.0195
Resuscitation of patients experiencing hemorrhagic shock has changed tremendously over the last 30 years, moving from crystalloid and red blood cells to balanced components, and now with whole blood (WB) administration gaining favo...
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[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 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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