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。


カテゴリー


最新の投稿

更新日: 2016/07/25

腹部術後の呼吸不全

Effect of Postextubation High-Flow Nasal Cannula vs Conventional Oxygen Therapy on Reintubation in Low-Risk Patients: A Randomized Clinical Trial.
Effect of Noninvasive Ventilation on Tracheal Reintubation Among Patients With Hypoxemic Respiratory Failure Following Abdominal Surgery: A Randomized Clinical Trial.

Hernández G, Vaquero C, González P, et al. Effect of Postextubation High-Flow Nasal Cannula vs Conventional Oxygen Therapy on Reintubation in Low-Risk Patients: A Randomized Clinical Trial. JAMA. 2016 Apr 5;315(13):1354-61. PMID: 26975498


Jaber S, Lescot T, Futier E, et al. Effect of Noninvasive Ventilation on Tracheal Reintubation Among Patients With Hypoxemic Respiratory Failure Following Abdominal Surgery: A Randomized Clinical Trial. JAMA. 2016 Apr 5;315(13):1345-53. PMID: 26975890

更新日: 2016/05/02

脳梗塞に対する血管内治療のメタ解析

Endovascular Thrombectomy for Acute Ischemic Stroke: A Meta-analysis.

Badhiwala JH, Nassiri F, Alhazzani W, et al. Endovascular Thrombectomy for Acute Ischemic Stroke: A Meta-analysis. JAMA. 2015 Nov 3;314(17):1832-43. PMID: 26529161

更新日: 2016/01/05

周術期のワーファリンブリッジ

Perioperative Bridging Anticoagulation in Patients with Atrial Fibrillation.

Douketis JD, Spyropoulos AC, Kaatz S, et al. Perioperative Bridging Anticoagulation in Patients with Atrial Fibrillation. N Engl J Med. 2015 Aug 27;373(9):823-33. PMID: 26095867

更新日: 2015/10/19

輸血の保存期間

Age of transfused blood in critically ill adults.
Effects of red-cell storage duration on patients undergoing cardiac surgery.

Lacroix J, Hébert PC, Fergusson DA, et al. Age of transfused blood in critically ill adults. N Engl J Med. 2015 Apr 9;372(15):1410-8. PMID: 25853745

Steiner ME, Ness PM, Assmann SF, et al. Effects of red-cell storage duration on patients undergoing cardiac surgery. N Engl J Med. 2015 Apr 9;372(15):1419-29. PMID: 25853746

更新日: 2015/07/20

周術期凝固機能検査

Usefulness of standard plasma coagulation tests in the management of perioperative coagulopathic bleeding: is there any evidence?

Haas T, Fries D, Tanaka KA, et al. Usefulness of standard plasma coagulation tests in the management of perioperative coagulopathic bleeding: is there any evidence? Br J Anaesth. 2015 Feb;114(2):217-24. PMID: 25204698

更新日: 2015/07/06

血小板輸血ガイドライン

Platelet transfusion: a clinical practice guideline from the AABB.

Kaufman RM, Djulbegovic B, Gernsheimer T, et al. Platelet transfusion: a clinical practice guideline from the AABB. Ann Intern Med. 2015 Feb 3;162(3):205-13. PMID: 25383671

更新日: 2015/01/19

周術期のβブロッカー

Perioperative β blockade: guidelines do not reflect the problems with the evidence from the DECREASE trials.

Perioperative β blockade: guidelines do not reflect the problems with the evidence from the DECREASE trials. BMJ. 2014 Aug 29;349:g5210. PMID: 25172044

更新日: 2013/07/08

周術期のβ遮断薬

Association of Perioperative β-Blockade With Mortality and Cardiovascular Morbidity Following Major Noncardiac Surgery

Martin J, M.D., Kwan Hur, PhD, et al.  Association of Perioperative β-Blockade With Mortality and Cardiovascular Morbidity Following Major Noncardiac Surgery. JAMA. 2013 Apr 24; 309(16): 1704-13 PMID: 23613075

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: 2012/10/09

術中トラネキサム酸

Effect of tranexamic acid on surgical bleeding: systematic review and cumulative meta-analysis.

Ker K, Edwards P, Perel P, et al. Effect of tranexamic acid on surgical bleeding: systematic review and cumulative meta-analysis. BMJ. 2012 May 17;344:e3054. PMID: 22611164

更新日: 2012/03/19

悪性脳梗塞

Hemicraniectomy in malignant middle cerebral artery infarction.

Staykov D, Gupta R. Hemicraniectomy in malignant middle cerebral artery infarction. Stroke. 2011; 42: 513-6. Epub 2011 Jan 6. PMID: 21212397

更新日: 2011/11/07

心合併症の術後への影響

Mortality and Readmission of Patients With Heart Failure, Atrial Fibrillation, or Coronary Artery Disease Undergoing Noncardiac Surgery

van Diepen S, Bakal JA, McAlister FA, Mortality and Readmission of Patients With Heart Failure, Atrial Fibrillation, or Coronary Artery Disease Undergoing Noncardiac Surgery. Circulation. 2011; 124: 289-96. Epub 2011 Jun 27. PMID: 21709059

更新日: 2011/07/25

周術期心筋梗塞の特徴と予後

Characteristics and short-term prognosis of perioperative myocardial infarction in patients undergoing noncardiac surgery: a cohort study.

Devereaux PJ, Xavier D, Pogue J, et al. Characteristics and short-term prognosis of perioperative myocardial infarction in patients undergoing noncardiac surgery: a cohort study. Ann Intern Med. 2011; 154: 523-8. PMID: 21502650

更新日: 2011/07/11

気切のタイミング2

Early percutaneous tracheotomy versus prolonged intubation of mechanically ventilated patients after cardiac surgery: a randomized trial.

Trouillet JL, Luyt CE, Guiquet M, et al. Early percutaneous tracheotomy versus prolonged intubation of mechanically ventilated patients after cardiac surgery: a randomized trial. Ann Intern Med. 2011 ;154 :373-83. PMID: 21403073

更新日: 2011/06/02

びまん性頭部外傷の減圧開頭

Decompressive craniectomy in diffuse traumatic brain injury.

Cooper DJ, Rosenfeld JV, Murray L, et al. DECRA Trial Investigators; Australian and New Zealand Intensive Care Society Clinical Trials Group. Decompressive craniectomy in diffuse traumatic brain injury. N Engl J Med. 2011; 364: 1493-502. PMID: 21434843

更新日: 2011/02/02

冠動脈バイパス手術時の輸血

Variation in use of blood transfusion in coronary artery bypass graft surgery.

Bennett-Guerrero E, Zhao Y, O'Brien SM, et al. Variation in use of blood transfusion in coronary artery bypass graft surgery. JAMA. 2010; 304: 1568-75. PMID: 20940382

更新日: 2011/02/02

気管切開は早期にすべきか

Early vs Late Tracheotomy for Prevention of Pneumonia in Mechaniclly Ventilated Adult ICU Patients: A Randomized Controlled Trial.

Terragni PP, Antonelli M, Fumagalli R, et al. Early vs Late Tracheotomy for Prevention of Pneumonia in Mechaniclly Ventilated Adult ICU Patients: A Randomized Controlled Trial. JAMA. 2010; 303: 1483-9. PMID: 20407057
第8回 JSEPTICセミナー

更新日: 2009/11/04

周術期のβ遮断薬

Perioperative β blockers in patients having non-cardiac surgery: a meta-analysis

Bangalore S, Wetterslev J, Pranesh S, et al. Perioperative beta blockers in patients having non-cardiac surgery: a meta-analysis. Lancet. 2008; 372: 1962-76. Epub 2008 Nov 13. PMID: 19012955

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