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https://jamanetwork.com/journals/jama/fullarticle/2724361
Early May Be Better - Early Low Dose Norepinephrine in Septic Shock.
Attached file
https://www.qxmd.com/r/30725141
Acute kidney injury in trauma patients admitted to the ICU: a systematic review and meta-analysis.
PURPOSE: To perform a systematic review and meta-analysis of acute kidney injury (AKI) in trauma patients admitted to the intensive care unit (ICU). METHODS: We conducted a systematic literature search of studies on AKI according to RIFLE, AKIN, or KDIGO criteria in trauma patients admitted to the ICU (PROSPERO CRD42017060420). We searched PubMed, Cochrane Database of Systematic Reviews, UpToDate, and NICE through 3 December 2018. Data were collected on incidence of AKI, risk factors, renal replacement therapy (RRT), renal recovery, length of stay (LOS), and mortality. Pooled analyses with random effects models yielded mean differences, OR, and RR, with 95% CI. RESULTS: Twenty-four observational studies comprising 25,182 patients were included. Study quality (Newcastle-Ottawa scale) was moderate. Study heterogeneity was substantial. Incidence of post-traumatic AKI in the ICU was 24% (20-29), of which 13% (10-16) mild, 5% (3-7) moderate, and 4% (3-6) severe AKI. Risk factors for AKI were African American descent…
Acute kidney injury in trauma patients admitted to the ICU: a systematic review and meta-analysis.
2019 AHA/ACC/HRS Focused Update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation.
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Update in Anaesthesia, Jan 2019
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Аспирационная пневмония
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Репост из: Critical Doc
Краткий перевод редакционной статьи из Intensive Care Medicine о применении фуросемида у критических пациентов.
https://criticaldoc.ru/10-mifov-o-furosemide/
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Извечная тема: биомаркёры ОРДС https://ccforum.biomedcentral.com/articles/10.1186/s13054-019-2336-6
Lung fluid biomarkers for acute respiratory distress syndrome: a systematic review and meta-analysis
With the development of new techniques to easily obtain lower respiratory tract specimens, bronchoalveolar lavage fluid and other lung fluids are gaining importance in pulmonary disease diagnosis. We aimed to review and summarize lung fluid biomarkers associated with acute respiratory distress syndrome diagnosis and mortality. After searching PubMed, Embase, Web of Science, and the Cochrane Library for articles published prior to January 11, 2018, we performed a meta-analysis on biomarkers for acute respiratory distress syndrome diagnosis in at-risk patients and those related to disease mortality. From the included studies, we then extracted the mean and standard deviation of the biomarker concentrations measured in the lung fluid, acute respiratory distress syndrome etiologies, sample size, demographic variables, diagnostic criteria, mortality, and protocol for obtaining the lung fluid. The effect size was measured by the ratio of means, which was then synthesized by the inverse-variance method using its natural…
https://healthmanagement.org/c/icu/news/new-algorithm-reduces-testing-for-icu-patients
Пресепсисин vs CRP
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Неинвазивная ИВЛ при обострении ХОБЛ
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http://nsicu.ru/posts/675
Краткий опрос: https://docs.google.com/forms/d/e/1FAIpQLSdnRKnQQpaglHVwABUH0YaBVdczQOaH6OrCx3rqTytzqILbjw/viewform
POCUS или WHOBUS? https://healthmanagement.org/c/icu/issuearticle/whole-body-ultrasound-in-the-intensive-care-unit
Attached file
https://www.qxmd.com/r/30630521
Early diuretic use and mortality in critically ill patients with vasopressor support: a propensity score-matching analysis.
BACKGROUND: The effect of loop diuretic use in critically ill patients on vasopressor support or in shock is unclear. This study aimed to explore the relationship between loop diuretic use and hospital mortality in critically ill patients with vasopressor support. METHODS: Data were extracted from the Medical Information Mart for Intensive Care III database. Adult patients with records of vasopressor use within 48 h after intensive care unit admission were screened. Multivariable logistic regression and propensity score matching was used to investigate any association. RESULTS: Data on 7828 patients were included. The crude hospital mortality was significantly lower in patients with diuretic use (166/1469 vs. 1171/6359, p 
https://twitter.com/jlvincen/status/1087256217653833728?s=12