The role of microbiological results in driving inappropriate antibiotic prescriptions [0.03%]
微生物检测结果导致不适当的抗生素处方的作用分析
Patricia Munoz,Antonio Vena,Almudena Burillo et al.
Patricia Munoz et al.
Purpose of review: To highlight the unintended consequences of microbiological test results in driving inappropriate antimicrobial prescriptions, and to evaluate strategies - particularly from the perspective of diagnosti...
Predicting post-traumatic stress disorder in relatives of critically ill patients [0.03%]
重症监护患者家属的创伤后应激障碍预测研究
Thibault Dupont,Edouard Duchesnay,Frédéric Pochard et al.
Thibault Dupont et al.
Purpose of review: Symptoms of posttraumatic stress disorder (PTSD) affect up to a third of relatives of ICU patients. This review updates the epidemiology, risk factors, and emphasizes the importance of PTSD prevention t...
Infection risks in patients treated by continuous renal replacement therapy and extracorporeal membrane oxygenation [0.03%]
连续性肾脏替代治疗及体外膜肺氧合患者感染风险
Antoine Gaillet,Jean-François Timsit
Antoine Gaillet
Purpose of review: This review addresses the growing concern over nosocomial infections in patients undergoing extracorporeal membrane oxygenation (ECMO) and/or continuous renal replacement therapy (CRRT). As the use of t...
Nosocomial sepsis: how to reconcile immediate broad-spectrum therapy with minimal ecological pressure and healthcare cost [0.03%]
医院感染性败血症：如何兼顾广谱治疗、最小的生态压力和医疗成本
Marta Ulldemolins,Josep Mensa,Alex Soriano
Marta Ulldemolins
Purpose of review: To investigate the potential association between colonization of the rectal and oropharyngeal mucosa by multidrug-resistant (MDR) Gram-negative bacilli and the subsequent nosocomial sepsis due to the sa...
Individualized fluid optimization and de-escalation in critically ill patients with septic shock [0.03%]
重症脓毒性休克患者的个体化液体优化与减量疗法
Antonio Messina,Guia Margherita Matronola,Maurizio Cecconi
Antonio Messina
Purpose of review: To provide an updated and practical overview of individualized fluid optimization and de-escalation strategies in critically ill patients with septic shock, integrating the most recent evidence and reco...
Jonathan Tam,Jonathan Elmer
Jonathan Tam
Purpose of review: This review explores the intricacies of withdrawal of life-sustaining therapy (WLST) after resuscitation from cardiac arrest, focusing on its key motivators and broader implication for knowledge generat...
Johannes Grand,Nanna Louise Junker Udesen,John Bro-Jeppesen
Johannes Grand
Purpose of review: Mechanical circulatory support (MCS) is increasingly used in cardiogenic shock, yet evidence for its benefit in postcardiac arrest patients remains limited and controversial. This review discusses recen...
Taylor M Fontenot,Ioana Antonescu,Heatherlee Bailey
Taylor M Fontenot
Purpose of review: Emergency department (ED) outcomes of the critically ill and injured patient are intricately linked with timeliness of care, advances in resuscitation skills and technology, and the cohesive function of...
Understanding the rationale for recent paradigm shifts in critical care nutrition [0.03%]
近期重症监护营养学范式转变的合理性的理解
Keith R Miller,Stephen A McClave
Keith R Miller
Kaspar F Bachmann,Antonella Cotoia,Annika Reintam Blaser
Kaspar F Bachmann
Purpose of the review: Gastrointestinal (GI) dysfunction significantly impacts patient outcomes in septic shock, complicating clinical management due to its central role in systemic inflammation, barrier integrity, and nu...