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： 2016/03/07

AHA CPRガイドライン2015 Part 8: Post-Cardiac Arrest Care

Part 8: Post-Cardiac Arrest Care: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.

Callaway CW, Donnino MW, Fink EL, et al. Part 8: Post-Cardiac Arrest Care: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015 Nov 3;132(18 Suppl 2):S465-82. PMID: 26472996

更新日： 2016/03/07

AHA CPRガイドライン2015 Part 7: Adult ACLS

Part 7: Adult Advanced Cardiovascular Life Support: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.

Link MS, Berkow LC, Kudenchuk PJ, et al. Part 7: Adult Advanced Cardiovascular Life Support: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015 Nov 3;132(18 Suppl 2):S444-64. PMID: 26472995

更新日： 2016/03/07

院内心停止後のDNR

Alignment of Do-Not-Resuscitate Status With Patients' Likelihood of Favorable Neurological Survival After In-Hospital Cardiac Arrest.

Fendler TJ, Spertus JA, Kennedy KF, et al. Alignment of Do-Not-Resuscitate Status With Patients' Likelihood of Favorable Neurological Survival After In-Hospital Cardiac Arrest. JAMA. 2015 Sep 22-29;314(12):1264-71. PMID: 26393849

更新日： 2015/11/30

小児における院外心停止後の低体温療法

Therapeutic hypothermia after out-of-hospital cardiac arrest in children.

Moler FW, Silverstein FS, Holubkov R, et al. Therapeutic hypothermia after out-of-hospital cardiac arrest in children. N Engl J Med. 2015 May 14;372(20):1898-908. PMID: 25913022

更新日： 2014/03/10

心停止蘇生後の体温管理

Targeted temperature management at 33°C versus 36°C after cardiac arrest.

Nielsen N, Wetterslev J, Cronberg T, et al. Targeted temperature management at 33°C versus 36°C after cardiac arrest. N Engl J Med. 2013 Dec 5;369(23):2197-206. PMID: 24237006

更新日： 2014/03/03

Resuscitation Fluids

Resuscitation Fluids

John A. Myburgh, M.B., B.Ch., Ph.D., et al. Resuscitation Fluids. N Engl J Med 201 Sep 26; 3; 369:1243-1251. PMID: 24066745

更新日： 2013/11/05

CPRとAVPとステロイド

Vasopressin, Steroids, and Epinephrine and Neurologically Favorable Survival After In-Hospital Cardiac Arrest A Randomized Clinical Trial

Spyros D. Mentzelopoulos, MD, PhD,. et al. Vasopressin, Steroids, and Epinephrine and Neurologically Favorable Survival After In-Hospital Cardiac Arrest. A Randomized Clinical Trial. JAMA. 2013;310(3):270-279. PMID: 23860985

更新日： 2013/06/24

家族の前でのCPR

Family Presence during Cardiopulmonary Resuscitation

Patricia Jabre, M.D., Ph.D., Vanessa Belpomme, M.D., et al. Family Presence during Cardiopulmonary Resuscitation The New England Journal of Medicine / 2013;368:1008-18. PMID: 23484836

更新日： 2012/09/18

心停止とアドレナリン

Prehospital epinephrine use and survival among patients with out-of-hospital cardiac arrest.

Hagihara A, Hasegawa M, Abe T, et al. Prehospital epinephrine use and survival among patients with out-of-hospital cardiac arrest.　JAMA. 2012 Mar 21;307(11):1161-8.　PMID: 22436956

更新日： 2011/12/05

院外心肺停止
1）除細動までの時間
2）Impedance threshold deviceを使用したCPR

1）Early versus later rhythm analysis in patients with out-of-hospital cardiac arrest.
2）A trial of an impedance threshold device in out-of-hospital cardiac arrest.

1）Stiell IG, Nichol G, Leroux BG, et al. Early versus later rhythm analysis in patients with out-of-hospital cardiac arrest. N Engl J Med. 2011; 365: 787-97. PMID: 21879896
2）Aufderheide TP, Nichol G, Rea TD, et al. A trial of an impedance threshold device in out-of-hospital cardiac arrest. N Engl J Med. 2011; 365: 798-806. PMID: 21879897

更新日： 2011/10/03

低体温療法

Influence of mild therapeutic hypothermia after cardiac arrest on hospital mortality

van der Wal G, Brinkman S, Bisschops LL, et al. Influence of mild therapeutic hypothermia after cardiac arrest on hospital mortality. Crit Care Med. 2011; 39: 84-8. PMID: 20959784

PDFデータをダウンロード

更新日： 2011/06/02

ACD-CPR （胸郭圧迫・減圧）deviceを用いた心肺蘇生

Standard cardiopulmonary resuscitation versus active compression-decompression cardiopulmonary resuscitation with augmentation of negative intrathoracic pressure for out-of-hospital cardiac arrest: a randomised trial

Aufderheide TP, Frascone RJ, Wayne MA, Standard cardiopulmonary resuscitation versus active compression-decompression cardiopulmonary resuscitation with augmentation of negative intrathoracic pressure for out-of-hospital cardiac arrest: a randomised trial. Lancet. 2011; 377: 276-8. PMID: 21251705

PPTデータ（ZIP圧縮）をダウンロード

更新日： 2011/02/04

AEDと院内心肺停止の予後

Automated external defibrillators and survival after in-hospital cardiac arrest.

Chan PS, Krumholz HM, Spertus JA, Automated external defibrillators and survival after in-hospital cardiac arrest. JAMA. 2010; 304: 2129-36. Epub 2010 Nov 15. PMID: 21078809

更新日： 2011/01/31

CPR 2010 コンセンサス (ILCORのCoSTR2010)

Part 1: executive summary: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations.

Hazinski MF, Nolan JP, Billi JE, et al. Part 1: executive summary: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Circulation. 2010; 122(16 Suppl 2): S250-75. PMID: 20956249

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