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Intensive Care Medicine最新文献

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The silent line: confronting iatrogenic cerebral suppression in the perioperative and critical care settings. 沉默线:在围手术期和危重监护环境中面对医源性脑抑制。
IF 38.9 1区 医学 Q1 CRITICAL CARE MEDICINE Pub Date : 2025-12-22 DOI: 10.1007/s00134-025-08257-6
Massimo Lamperti,Francisco A Lobo
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引用次数: 0
Stepwise fluid management in critical illness. 危重病人的逐步液体管理。
IF 38.9 1区 医学 Q1 CRITICAL CARE MEDICINE Pub Date : 2025-12-22 DOI: 10.1007/s00134-025-08263-8
Armand Mekontso Dessap,Maurizio Cecconi
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引用次数: 0
Integrating sustainability into critical care undergraduate education: preparing future physicians for a climate-conscious practice. Author's reply 将可持续发展纳入重症监护本科教育:为未来的医生做好气候意识实践的准备。作者的回复
IF 38.9 1区 医学 Q1 CRITICAL CARE MEDICINE Pub Date : 2025-12-22 DOI: 10.1007/s00134-025-08259-4
Florence Boissier, Julien Poissy, Marie Lecronier, Sarah Ayraud-Thevenot, Jérémy Guihenneuc
No Abstract
没有抽象的
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引用次数: 0
The medical management of acute respiratory distress syndrome. 急性呼吸窘迫综合征的医学处理。
IF 38.9 1区 医学 Q1 CRITICAL CARE MEDICINE Pub Date : 2025-12-22 DOI: 10.1007/s00134-025-08251-y
Idunn S Morris,Marcelo Amato,Elias Baedorf Kassis,Giacomo Bellani,Carolyn S Calfee,Leo Heunks,Carol Hodgson,Priya Nair,Ary Serpa Neto,Sarina Sahetya,Charlotte Summers,Irene Telias,Takeshi Yoshida,Arthur S Slutsky,Niall D Ferguson
Despite advancements in bedside monitoring and paradigm shifts in standard ventilatory practice, mortality from acute respiratory distress syndrome (ARDS) remains high. The recent Global ARDS definition adopts a more pragmatic approach enabling earlier identification across a broader patient spectrum, independent of the interventions being administered. Meanwhile, our understanding of managing this heterogeneous syndrome has shifted towards defining precise subgroups with shared therapeutic targets. Physiological, biological, and radiological phenotypes may modify the response to interventions previously showing indeterminate benefit, making them potentially central to future personalised ARDS management. This narrative review summarises core evidence for the medical and ventilatory management of ARDS, explores emerging concepts, and offers clinicians a framework for current best practice and a roadmap for possible future directions.
尽管床边监测和标准通气实践的范式转变取得了进展,急性呼吸窘迫综合征(ARDS)的死亡率仍然很高。最近的全球ARDS定义采用了一种更加务实的方法,能够在更广泛的患者范围内进行早期识别,而不依赖于所实施的干预措施。同时,我们对管理这种异质性综合征的理解已经转向定义具有共享治疗靶点的精确亚群。生理、生物学和放射学表型可能会改变对先前显示不确定益处的干预措施的反应,使其成为未来个性化ARDS管理的潜在核心。这篇叙述性综述总结了ARDS医疗和通气管理的核心证据,探讨了新兴概念,并为临床医生提供了当前最佳实践的框架和未来可能方向的路线图。
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引用次数: 0
It is achievable to decrease resource consumption in the ICU: a pre/post eco-audit. 减少ICU的资源消耗是可以实现的:前/后生态审计。
IF 38.9 1区 医学 Q1 CRITICAL CARE MEDICINE Pub Date : 2025-12-22 DOI: 10.1007/s00134-025-08270-9
Nicolas Massart,Lydie Bourges,Quentin Allouet,Thomas Frapard,Pierre Bardoult,
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引用次数: 0
Weaning practices from veno-venous ECMO: the international ESICM-endorsed WEAN-ECMO survey. 静脉-静脉ECMO的脱机实践:国际esicm认可的断奶-ECMO调查。
IF 38.9 1区 医学 Q1 CRITICAL CARE MEDICINE Pub Date : 2025-12-22 DOI: 10.1007/s00134-025-08266-5
Maria Teresa Passarelli,Matthieu Schmidt,Marco Giani,Marta Velia Antonini,Daniel Brodie,Orlando Calabria,Alain Combes,Vito Fanelli,Giacomo Grasselli,Gennaro Martucci,Nida Qadir,Emanuele Rezoagli,Jordi Riera,
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引用次数: 0
Effects of PEEP on ICP in ABI patients and its relationship with etiology. 正压对ABI患者ICP的影响及其与病因的关系。
IF 38.9 1区 医学 Q1 CRITICAL CARE MEDICINE Pub Date : 2025-12-22 DOI: 10.1007/s00134-025-08222-3
Jesús Abelardo Barea-Mendoza,Juan Antonio Llompart-Pou,María Ángeles Ballesteros-Sanz,Luisa Corral-Ansa,Mario Chico-Fernández,
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引用次数: 0
Challenges and strategies in the care of older adults across the continuum of intensive and post-intensive care medicine. 老年人在重症监护和后重症监护医学连续体中的护理挑战和策略。
IF 38.9 1区 医学 Q1 CRITICAL CARE MEDICINE Pub Date : 2025-12-22 DOI: 10.1007/s00134-025-08253-w
Lauren E Ferrante,Hélène Vallet,Jim Q Ho,Nathan E Brummel
Older adults have composed more than half of ICU patient-days for the past 25 years, and these numbers are only expected to grow as the worldwide population of older adults doubles by 2050. For older adults, conditions such as frailty, disability in functional activities, and multimorbidity are more strongly associated with ICU and post-ICU outcomes than chronological age, and recent work shows that the prevalence of these conditions among older ICU patients is increasing over time. In response to this demographic shift, the science of aging-focused critical care has rapidly expanded over the past decade, and we now know more about how to care for older ICU patients than ever before. However, challenges in the care of older adults across the continuum of ICU and post-ICU care remain. In this narrative review, we discuss these challenges, propose strategies and future research to address them, and discuss best practices for the care of older ICU patients in the context of the state of the science.
在过去的25年里,老年人占ICU患者日的一半以上,随着全球老年人人口到2050年翻一番,这些数字预计只会增长。对于老年人来说,身体虚弱、功能活动障碍和多病等状况与ICU和ICU后预后的关系比实足年龄更密切,最近的研究表明,随着时间的推移,这些状况在ICU老年患者中的患病率正在增加。为了应对这种人口结构的转变,在过去的十年里,以老龄化为重点的重症监护科学迅速发展,我们现在比以往任何时候都更了解如何照顾老年ICU患者。然而,在整个ICU和ICU后护理的连续性老年人护理的挑战仍然存在。在这篇叙述性综述中,我们讨论了这些挑战,提出了解决这些挑战的策略和未来的研究,并讨论了在科学现状的背景下护理老年ICU患者的最佳实践。
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引用次数: 0
Author Correction: Current standard of care for septic shock 作者更正:感染性休克的现行护理标准
IF 38.9 1区 医学 Q1 CRITICAL CARE MEDICINE Pub Date : 2025-12-18 DOI: 10.1007/s00134-025-08262-9
Anthony Delaney, Marcio Borges-Sa, Michelle S. Chew, Jan J. De Waele, Jacob Dye, Ashish K. Khanna, Olfa Hamzaoui, Naomi Hammond, Glenn Hernandez, Margaret Herridge, Jeffrey Lipman, Flavia R. Machado, Armand Mekontso Dessap, Xavier Monnet, Sheila N. Myatra, Balasubramanian Venkatesh, Daniel De Backer
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引用次数: 0
CAP in the ICU: are they all in fact CAP? 重症监护室的CAP:他们都是CAP吗?
IF 38.9 1区 医学 Q1 CRITICAL CARE MEDICINE Pub Date : 2025-12-18 DOI: 10.1007/s00134-025-08234-z
J. P. Baptista, J. Cruz, L. Baptista, E. Trigo
No Abstract
没有抽象的
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引用次数: 0
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Intensive Care Medicine
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