Assessment of the Safety of Discharging Select Patients Directly Home From the Intensive Care Unit: A Multicenter Population-Based Cohort Study. Stelfox HT, Soo A, Niven DJ, et al JAMA Intern Med. 2018 Aug 20. doi: 10.1001/jamainternmed.2018.3675. [Epub ahead of print] IMPORTANCE: 背景 The safety of discharging adult patients recovering from critical illness directly home from the intensive care unit (ICU) is unknown. 病情恢复的危重病成年患者从ICU直接出院回家的安全性尚不...

Original Investigation September 18, 2018 Association of Clinical Specialty With Symptoms of Burnout and Career Choice Regret Among US Resident Physicians Liselotte N. Dyrbye, Sara E. Burke, Rachel R. Hardeman, et al JAMA. 2018;320(11):1114-1130. doi:10.1001/jama.2018.12615 Abstract Importance 背景 Burnout among physicians is common and has been associated with medical errors and lapses in professionalism. It is unknown whether rates for symptoms of burnout amon...

ORIGINAL ARTICLE One-Year Outcomes after PCI Strategies in Cardiogenic Shock Holger Thiele, Ibrahim Akin, Marcus Sandri, et al N Engl J Med August 25, 2018 DOI: 10.1056/NEJMoa1808788 Abstract BACKGROUND 背景 Among patients with acute myocardial infarction, cardiogenic shock, and multivessel coronary artery disease, the risk of a composite of death from any cause or severe renal failure leading to renal-replacement therapy at 30 days was found to be lower with percutaneous ...

Intensive Care Medicine ONLINE FIRST THIS WEEK (FREE ACCESS) Review ~ Mohamed Abbas et al. Conflicts of interest in infection prevention and control research: no smoke without fire. A narrative review. From the Inside ~ Han Yan and Keegan Guidolin. Her ICU bed. Original ~ Lara Hessels et al. Urinary creatinine excretion is related to short-term and long-term mortality in critically ill patients. Image ~ Ophélie Constant et al. Unusual purpura fulminans after heart transpla...

Original Investigation September 11, 2018 Effect of Piperacillin-Tazobactam vs Meropenem on 30-Day Mortality for Patients With E coli or Klebsiella pneumoniae Bloodstream Infection and Ceftriaxone Resistance: A Randomized Clinical Trial Patrick N. A. Harris, Paul A. Tambyah, David C. Lye, et al JAMA. 2018;320(10):984-994. doi:10.1001/jama.2018.12163 Abstract Importance 背景 Extended-spectrum β-lactamases mediate resistance to third-generation cephalosporins (eg,...

Intensive Care Medicine本周免费阅读 ONLINE FIRST THIS WEEK (FREE ACCESS) ​ What's New in Intensive Care ~ Laurent Brochard and Brian P. Kavanagh. Declaration of conflicts of interest: a ‘crooked’ line towards scientific integrity. What's New in Intensive Care ~ Philippe Durand et al. What’s new in lung ultrasound in the critically ill or injured child. What's New in Intensive Care ~ Chris Beet et al. Intensive care medicine in 2050: preventing harm. Review ~ Perrine Janiau...

News > Medscape Medical News Video Game Training Improves Physicians' Skill in RCT Veronica Hackethal, MD August 28, 2018 Two types of video games may reduce errors in trauma triage in the emergency department (ED), according to a study published online August 27 in the Proceedings of the National Academy of Sciences. 根据8月27日Proceedings of the National Academy of Sciences在线发表的研究显示，两种视频游戏能够减少急诊科(ED)创伤检诊中的错误。 "In a randomized control...

News > Medscape Medical News > Conference News > ESC 2018 TRICS 3: Restrictive Transfusion Appears Safe in CV Surgery August 28, 2018 MUNICH — New research suggests that patients undergoing cardiac surgery may not need a blood transfusion as soon as their blood hemoglobin (Hgb) levels fall below around 8.5 or 9.5 g/dL, and instead, this can wait until the levels drop further. Specifically, among patients with a moderate or higher risk of dying from cardiac surg...

Original Investigation August 28, 2018 Effect of a Strategy of a Supraglottic Airway Device vs Tracheal Intubation During Out-of-Hospital Cardiac Arrest on Functional Outcome: The AIRWAYS-2 Randomized Clinical Trial Jonathan R. Benger, Kim Kirby, Sarah Black, et al JAMA. 2018;320(8):779-791. doi:10.1001/jama.2018.11597 Abstract Importance 背景 The optimal approach to airway management during out-of-hospital cardiac arrest is unknown. 院外心跳骤停时气管管理最佳方...

Original Investigation August 28, 2018 Effect of a Strategy of Initial Laryngeal Tube Insertion vs Endotracheal Intubation on 72-Hour Survival in Adults With Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial Henry E. Wang, Robert H. Schmicker, Mohamud R. Daya, et al JAMA. 2018;320(8):769-778. doi:10.1001/jama.2018.7044 Abstract Importance 背景 Emergency medical services (EMS) commonly perform endotracheal intubation (ETI) or insertion of supraglottic airway...