[ICU Management & Practice]: ICU中人工智能应用犹豫不决的机会成本已关闭评论
Opportunity Cost of Artificial Intelligence Hesitancy in the ICU
In ICU
Tue, 7 Jan 2025
Healthcare systems face challenges like increasing patient loads, rising costs, and staff shortages, which hinder consistent, high-quality care. Without integrating artificial intelligence (AI), these issues could worsen, leading to greater disparities in access and care quality. AI offers transformative potential by automating administrative tasks, supporting clini...
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[Lancet发表述评]:常压高浓度氧治疗缺血性脑卒中的效果已关闭评论
Comment
Effect of normobaric hyperoxia in ischaemic stroke
Diederik W J Dippel, Paula M Janssen
Lancet 2025; 405: 442-443
DOI: https://doi.org/10.1016/S0140-6736(25)00153-9
In ischaemic stroke, discontinuation of local arterial blood supply to the brain leads to neurological deficits. The assumption that increased delivery of oxygen in patients with acute ischaemic stroke might lead to amelioration of neurological deficit is interesting, but almost all larg...
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[ICU Management & Practice]: 疼痛的处理与镇静已关闭评论
Management of Pain and Sedation
In ICU
Tue, 7 Jan 2025
The evolution of critical care medicine has greatly advanced understanding and practices in pain and sedation management. Historically, deep sedation was believed to aid recovery, but it is now recognised to delay recovery and increase harm. Current strategies emphasise carefully titrated analgesia and sedation to ensure patient comfort, safety, and procedural facilitation, while minimising risks l...
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[Lancet发表述评]:量化加沙地带的军事行动已关闭评论
Comment
On the quantification of military violence in Gaza
James Smith, Duha Shellah, Zoé Samudzi
Lancet 2025; 405: 440-442
DOI: https://doi.org/10.1016/S0140-6736(25)00138-2
Against a history of protracted occupation,1 an unprecedented escalation in Israeli State violence occurred throughout Palestine in the wake of violent attacks in Israel on Oct 7, 2023.2 Concerning violence throughout Gaza, mortality statistics subsequently reported by the Pa...
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[ICU Management & Practice]: 脓毒症患者机械通气的时机已关闭评论
Timing of Invasive Mechanical Ventilation in Patients With Sepsis
In Sepsis
Mon, 16 Sep 2024
Mechanical ventilation (MV) can be both beneficial and harmful for critically ill patients. It improves gas exchange, reduces the work of breathing, and lowers self-inflicted lung injury risk. MV, often accompanied by sedatives and neuromuscular blockers, can also reduce oxygen consumption and carbon dioxide production, and in patients with cardiac issues, it m...
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[Chest发表述评]:肥胖患者的拔管失败已关闭评论
Editorial
Extubation Failure Among Patients With Obesity
Amit Kansal, Maurizio Cecconi
Chest 2025; 167: 11-13
https://doi.org/10.1016/j.chest.2024.08.021
Up to 10% of the adult patients who are being mechanically ventilated in ICUs suffer from extubation failure after planned extubation.1 The risk may increase to 20% among the high-risk patients2; those older than 65 years; and those with underlying cardiac disease, chronic respiratory disord...
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[ICU Management & Practice]: ABYSS试验:中断Beta受体阻滞剂的心血管安全性已关闭评论
ABYSS Trial: Cardiovascular Safety of Interrupting Beta-Blockers
In ICU
Fri, 30 Aug 2024
New research shows that discontinuing beta-blockers in patients with a history of myocardial infarction (MI) did not demonstrate cardiovascular safety compared to continuation and provided no improvement in patients' quality of life.
Advancements in MI management and findings from observational studies have led to questions about the necessity of continuing beta...
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[Chest发表述评]:Beta受体阻滞剂与感染性休克:尚需努力已关闭评论
Editorial
Beta Blockers and Septic Shock: More Work to Do
Tony Whitehouse, Mervyn Singer
Chest 2025; 167: 9-10
https://doi.org/10.1016/j.chest.2024.09.007
Despite over 40 years of research, the search for an intervention that can alter clinical outcomes from septic shock remains elusive. Survival has improved, in part because of earlier recognition and treatment and in part because of reduced iatrogenic harm. However, mortality rates remain unacceptably hig...
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[ICU Management & Practice]: ICU中的报警疲劳已关闭评论
The Hazards of Monitoring – Alarm Fatigue in the ICU
In ICU
Fri, 17 May 2024
Alarm fatigue is a pressing clinical problem in our post-pandemic ICUs and can adversely impact patient outcomes. Its root causes can be classified by patient, device and organisation related. We believe it can be mitigated and we propose interventions through attention to policy, education and the creation of a meaningful culture of safety.
"There are more things to alarm us t...
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[ICU Management & Practice]: 食道压和跨肺压在机械通气患者监测中的临床应用已关闭评论
Clinical Application of Oesophageal & Transpulmonary Pressures in Monitoring Mechanical Ventilation
In ICU
Thu, 28 Nov 2024
ICU Management & Practice, Volume 24 - Issue 5, 2024
Personalisation of respiratory support may improve outcomes in patients with acute respiratory failure. Transpulmonary pressure estimate by oesophageal pressure is an essential and useful minimally invasive tool to guide the setup and monitoring of mechanical ventila...
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