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。
更新日： 2016/03/07
新しいCVC挿入部位と合併症
Intravascular Complications of Central Venous Catheterization by Insertion Site.
Parienti JJ, Mongardon N, Mégarbane B, et al. Intravascular Complications of Central Venous Catheterization by Insertion Site. N Engl J Med. 2015 Sep 24;373(13):1220-9. PMID: 26398070
更新日： 2015/06/08
脳梗塞 血管内治療
Endovascular therapy for ischemic stroke with perfusion-imaging selection.
Randomized assessment of rapid endovascular treatment of ischemic stroke.
A randomized trial of intraarterial treatment for acute ischemic stroke.
更新日： 2014/03/03
PCI後の非心臓手術
Risk of major adverse cardiac events following noncardiac surgery in patients with coronary stents
Hawn MT, Graham LA,et al. Risk of major adverse cardiac events following noncardiac surgery in patients with coronary stents. JAMA. 2013 Oct 9;310(14):1462-72. PMID: 24101118
更新日： 2013/11/11
PICCによる静脈血栓
Risk of venous thromboembolism associated with peripherally inserted central catheters: a systematic review and meta-analysis.
Chopra V, Anand S,. et al. Risk of venous thromboembolism associated with peripherally inserted central catheters: a systematic review and meta-analysis.Lancet. 2013 Oct 19;382(9901):1328. PMID: 23697825
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： 2011/11/07
鎖骨下中心静脈カテーテル挿入法
Real-time ultrasound-guided subclavian vein cannulation versus the landmark method in critical care patients: a prospective randomized study.
Fragou M, Gravvanis A, Dimitriou V, Real-time ultrasound-guided subclavian vein cannulation versus the landmark method in critical care patients: a prospective randomized study. Crit Care Med. 2011; 39: 1607-12. PMID: 21494105
更新日： 2011/10/24
薬剤コーティングカテーテル
Clinical effectiveness and risk of emerging resistance associated with prolonged use of antibiotic-impregnated catheters: more than 0.5 million catheter days and 7 years of clinical experience.
Ramos ER, Reitzel R, Jiang Y, et al. Clinical effectiveness and risk of emerging resistance associated with prolonged use of antibiotic-impregnated catheters: more than 0.5 million catheter days and 7 years of clinical experience. Crit Care Med. 2011; 39: 245-5. PMID: 21057308
更新日： 2009/12/21
中心静脈ライン関連MRSA感染症
Methicillin-Resistant Staphylococcus aureus Central Line Associated Bloodstream Infections in US Intensive Cara Units, 1997-2007
Burton DC, Edwards JR, Horan TC, et al. Methicillin-resistant Staphylococcus aureus central line-associated bloodstream infections in US intensive care units, 1997-2007. JAMA. 2009; 301: 727-36. PMID: 19224749
更新日： 2009/11/20
中心静脈カテーテルカンジダのコロニゼーションは治療対象か。
Is Candida colonization of central vascular catheters in non-candidemic, non-neutropenic patients an indication for antifungals?
Pérez-Parra A, Muñoz P, Guinea J, et al. Is Candida colonization of central vascular catheters in non-candidemic, non-neutropenic patients an indication for antifungals? Intensive Care Med. 2009; 35: 707-12. Epub 2009 Feb 11. PMID: 19205662
更新日： 2009/09/10
クロルヘキシジンスポンジとカテーテル感染
Chlorhexidine-Impregnated Sponges and Less Frequent Dressing Changes for Prevention of Catheter-Related Infections in Critically III Adults: A Randomized Controlled Trial
Timsit JF, Schwebel C, Bouadma L, et al. Chlorhexidine-impregnated sponges and less frequent dressing changes for prevention of catheter-related infections in critically ill adults: a randomized controlled trial. JAMA. 2009 Mar 25;301(12):1231-41. PMID: 19318651
