ジャーナルクラブ/Clinical Q&A

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ジャーナルクラブ

私たちの考えるジャーナルクラブは、参加者が海外文献を和訳して発表し合うというような、単なる“抄読会”とは一線を画します。試験デザインから結論に至るまでの過程を常に批判的な視点でとらえ、同様の、あるいはそれ以上のエビデンスを自分たちの施設で獲得するにはプロトコールのどの部分を手直しすればよいかなど、現場主義に徹した討論の場を提供するのがJSEPTICのジャーナルクラブです。参考までに最近のレビューをお示しします。この臨場感に惹かれたなら、今すぐJSEPTICの門戸を叩いてください。


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最新の投稿

更新日: 2013/04/01

抗菌薬投与のタイミング

Aggressive versus conservative initiation of antimicrobial treatment in critically ill surgical patients with suspected intensive-care-unit-acquired infection: a quasi-experimental, before and after observational cohort study.

Hranjec T, Rosenberger LH, Swenson B, et al. Aggressive versus conservative initiation of antimicrobial treatment in critically ill surgical patients with suspected intensive-care-unit-acquired infection: a quasi-experimental, before and after observational cohort study. Lancet Infect Dis. 2012;12:774-80. PMID: 22951600

更新日: 2013/03/18

重症頭部外傷の急性期管理

Early management of severe traumatic brain injury.

Rosenfeld JV, Maas AI, Bragge P, et al. Early management of severe traumatic brain injury. Lancet. 2012;380:1088-98. PMID: 22998718

更新日: 2013/03/04

重症外傷患者の出血コントロール

Haemorrhage control in severely injured patients.

Gruen RL, Brohi K, Schreiber M, et al. Haemorrhage control in severely injured patients. Lancet. 2012;380:1099-108. PMID: 22998719

更新日: 2013/02/18

心臓外科周術期と貧血

Implications and management of anemia in cardiac surgery: current state of knowledge.

Loor G, Koch CG, Sabik JF 3rd, et al. Implications and management of anemia in cardiac surgery: current state of knowledge. J Thorac Cardiovasc Surg. 2012;144:538-46. PMID: 22713301

更新日: 2013/02/04

MXFXとMEPMの併用

Effect of empirical treatment with moxifloxacin and meropenem vs meropenem on sepsis-related organ dysfunction in patients with severe sepsis: a randomized trial.

Brunkhorst FM, Oppert M, Marx G, et al. Effect of empirical treatment with moxifloxacin and meropenem vs meropenem on sepsis-related organ dysfunction in patients with severe sepsis: a randomized trial. JAMA. 2012;307:2390-9. PMID: 22692171

更新日: 2013/01/28

末梢静脈カテーテルの交換

Routine versus clinically indicated replacement of peripheral intravenous catheters: a randomised controlled equivalence trial.

Rickard CM, Webster J, Wallis MC, et al. Routine versus clinically indicated replacement of peripheral intravenous catheters: a randomised controlled equivalence trial. Lancet. 2012;380:1066-74. PMID: 22998716

更新日: 2012/12/04

低血糖と死亡リスク

Hypoglycemia and risk of death in critically ill patients.

NICE-SUGAR Study Investigators, Finfer S, Liu B, Chittock DR, et al. Hypoglycemia and risk of death in critically ill patients. N Engl J Med. 2012; 367: 1108-18. PMID: 22992074

更新日: 2012/11/26

ICU患者の消化管機能

Gastrointestinal function in intensive care patients: terminology, definitions and management. Recommendations of the ESICM Working Group on Abdominal Problems.

Reintam Blaser A, Malbrain ML, Starkopf J, et al. Gastrointestinal function in intensive care patients: terminology, definitions and management. Recommendations of the ESICM Working Group on Abdominal Problems. Intensive Care Med. 2012; 38: 384-94. Epub 2012 Feb 7. PMID: 22310869

更新日: 2012/11/19

術後せん妄後の認知機能の経過

Cognitive trajectories after postoperative delirium.

Saczynski JS, Marcantonio ER, Quach L, et al. Cognitive trajectories after postoperative delirium. N Engl J Med. 2012 ; 367: 30-9. PMID: 22762316

更新日: 2012/11/12

術後トロポニンと予後

Association between postoperative troponin levels and 30-day mortality among patients undergoing noncardiac surgery.

Vascular Events In Noncardiac Surgery Patients Cohort Evaluation (VISION) Study Investigators, Devereaux PJ, Chan MT, Alonso-Coello P, et al. Association between postoperative troponin levels and 30-day mortality among patients undergoing noncardiac surgery. JAMA. 2012 ;307 :2295-304. PMID: 22706835

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