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： 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： 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
更新日： 2012/05/14
植物状態と脳波
Bedside detection of awareness in the vegetative state.
Sarà M, Pistoia F. et al. Bedside detection of awareness in the vegetative state. Lancet. 2012; 379: 1702-3. PMID: 22559893
更新日： 2011/11/21
黄色ブドウ球菌菌血症に経食道エコーは必要か
Use of a simple criteria set for guiding echocardiography in nosocomial Staphylococcus aureus bacteremia.
Kaasch AJ, Fowler VG Jr, Rieg S, et al. Use of a simple Criteria Set for Guiding Echocardiography in Nosocomial Staphylococcus aureus Bacteremia. Clin Infect Dis. 2011; 53: 1-9. PMID: 21653295
更新日： 2011/10/24
予後予測因子としてのBUN
Elevation of blood urea nitrogen is predictive of long-term mortality in critically ill patients independent of "normal" creatinine.
Beier K, Eppanapally S, Bazick HS, et al. Elevation of blood urea nitrogen is predictive of long-term mortality in critically ill patients independent of "normal" creatinine. Crit Care Med. 2011; 39: 305-13. PMID: 21099426
更新日： 2011/09/20
肺エコー
Bedside ultrasound assessment of positive end-expiratory pressure-induced lung recruitment.
Bouhemad B, Brisson H, Le-Guen M, et al. Bedside ultrasound assessment of positive end-expiratory pressure-induced lung recruitment. Am J Respir Crit Care Med. 2011; 183: 341-7. Epub 2010 Sep 17. PMID: 20851923
更新日： 2011/09/12
BNP測定のoutcome
Meta-analysis: effect of B-type natriuretic peptide testing on clinical outcomes in patients with acute dyspnea in the emergency setting.
Lam LL, Cameron PA, Schneider HG, et al. Meta-analysis: effect of B-type natriuretic peptide testing on clinical outcomes in patients with acute dyspnea in the emergency setting. Ann Intern Med. 2010; 153 : 728-35. PMID: 21135296
