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Disparities in employment outcomes among critical care graduates with different training backgrounds 不同培训背景重症监护毕业生就业结果的差异
Pub Date : 2023-06-08 DOI: 10.1097/ec9.0000000000000090
G. J. Eisinger, Patrick J. Sylvester, Dheeraj Duggineni, D. Way, Jing Peng, Jiang-Xiong Ma, J. McCallister, M. Exline
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引用次数: 0
Trauma systems in Italy: the Lombardy experience 意大利的创伤系统:伦巴第的经验
Pub Date : 2023-06-01 DOI: 10.1097/ec9.0000000000000094
S. Cioffi, S. Cimbanassi, Fabrizio Sammartano, O. Chiara
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引用次数: 0
Study on myocardial infarction based on nationwide inpatient sample database: a bibliometric analysis from 2000 to 2022 基于全国住院患者样本数据库的心肌梗死研究:2000-2002年文献计量学分析
Pub Date : 2023-05-26 DOI: 10.1097/ec9.0000000000000087
Tianyi Zhang, Xue Yang, Zhuang Qian, Yuhua Liu, Huajuan Bai, Jian-chao Liu, Zhou-heng Ye
{"title":"Study on myocardial infarction based on nationwide inpatient sample database: a bibliometric analysis from 2000 to 2022","authors":"Tianyi Zhang, Xue Yang, Zhuang Qian, Yuhua Liu, Huajuan Bai, Jian-chao Liu, Zhou-heng Ye","doi":"10.1097/ec9.0000000000000087","DOIUrl":"https://doi.org/10.1097/ec9.0000000000000087","url":null,"abstract":"","PeriodicalId":72895,"journal":{"name":"Emergency and critical care medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42943453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A scientific perspective of how and why Omicron is less severe than SARS-CoV-2 奥密克戎如何以及为什么不如严重急性呼吸系统综合征冠状病毒2型严重的科学观点
Pub Date : 2023-05-26 DOI: 10.1097/EC9.0000000000000092
Rachel Parise, S. Ramesh, Jun Ren, Manoj Govindarajulu, Rishi M. Nadar, Suhrud Pathak, Timothy Moore, M. Dhanasekaran
Abstract Omicron is currently the dominant variant of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the coronavirus responsible for the coronavirus disease 2019 (COVID-19) pandemic. Omicron is associated with mild symptoms, although it can cause harmful effects in high-risk patient populations. Omicron and COVID-19 affect multiple organ systems, including the respiratory system, gastrointestinal tract, cardiovascular system, central nervous system, ophthalmic system, genitourinary tract, and musculoskeletal system. COVID-19 infects additional organ systems, including the hematological system, hepatobiliary system, renal system, and dermatologic system. The viral-induced complications were compared to discuss the effects of Omicron versus the authentic SARS-CoV-2 virus, revealing less detrimental outcomes for Omicron. Moreover, COVID-19 is more likely to infect older adults, males, and obesity with mild to severe symptoms. Omicron causes mild symptoms in younger populations and overweight females. Data were acquired using PubMed, Centers for Disease Prevention and Control, and the World Health Organization. COVID-19 and Omicron mechanisms causing organ system-related complications are likely because of the natural immune response to the active infection, the uncontrollable release of cytokines causing cytokine release syndrome, and direct viral damage through angiotensin-converting enzyme 2/transmembrane serine protease 2 receptor binding and entrance to the host cell for infection.
摘要奥密克戎目前是严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的主要变种,该冠状病毒是2019冠状病毒病(新冠肺炎)大流行的罪魁祸首。奥密克戎与轻微症状有关,尽管它可能对高危患者群体造成有害影响。奥密克戎和新冠肺炎影响多个器官系统,包括呼吸系统、胃肠道、心血管系统、中枢神经系统、眼科系统、泌尿生殖道和肌肉骨骼系统。新冠肺炎感染其他器官系统,包括血液系统、胆道系统、肾系统和皮肤系统。将病毒诱导的并发症进行比较,以讨论奥密克戎与真正的严重急性呼吸系统综合征冠状病毒2型病毒的影响,揭示奥密克龙的危害较小。此外,新冠肺炎更有可能感染老年人、男性和轻度至重度症状的肥胖者。奥密克戎在年轻人群和超重女性中引起轻微症状。数据是通过PubMed、疾病预防和控制中心以及世界卫生组织获得的。导致器官系统相关并发症的新冠肺炎和奥密克戎机制可能是因为对活跃感染的自然免疫反应、导致细胞因子释放综合征的细胞因子的不可控释放,以及通过血管紧张素转化酶2/跨膜丝氨酸蛋白酶2受体结合和进入宿主细胞进行感染而导致的直接病毒损伤。
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引用次数: 0
Tip orientation under real-time point-of-care neck ultrasonic monitoring is advantageous in peripherally inserted central catheter procedures: a retrospective cohort study 实时护理点颈部超声监测下的尖端定向在周围插入中心导管手术中是有利的:一项回顾性队列研究
Pub Date : 2023-05-22 DOI: 10.1097/EC9.0000000000000093
Shuiqing Liu, Shao-wei Jiang, Jing Ma, Feng Qian, Chengjin Gao
Abstract Background We analyzed the success and catheter tip malposition rates of peripherally inserted central catheter (PICC) placement using ultrasonic monitoring. Methods A total of 564 patients were recruited and assigned to either the intervention or control group. In the intervention group, 282 patients underwent ultrasound-guided PICC insertion, which helped to identify the position and depth of the catheter tip. From a total of 9000 patients, 282 were selectively chosen to receive the traditional method using body surface measurements (control group). The primary endpoint was the success rate; the secondary endpoint was the catheter tip malposition rate as detected by postprocedure chest radiography. Results In the intervention group, a total of 94 catheters were in a suboptimal position; 26 were too deep, 68 were too shallow, and 1 was inserted into the subclavian vein, with success and malposition rates of 66.3% and 0.4%, respectively. In the control group, 139 catheters were in a suboptimal position; 88 were too deep, 51 were too shallow, 9 were inserted into the jugular vein, and 2 were inserted into the subclavian vein, with success and malposition rates of 46.8% (P < 0.001) and 3.9% (P = 0.004), respectively. Significant differences were observed in success and malposition rates between the 2 groups. Conclusion Ultrasound-guided PICC procedures achieved higher success rates and lower malposition rates.
摘要背景应用超声监测方法分析外周中心导管(PICC)置放成功率及导管尖端错位率。方法将564例患者分为干预组和对照组。干预组282例患者行超声引导下PICC插入,有助于确定导管尖端的位置和深度。从9000例患者中选择性选择282例采用体表测量的传统方法(对照组)。主要终点是成功率;次要终点是术后胸片检测到的导管尖端错位率。结果干预组共94根导管处于次优位置;过深26例,过浅68例,插入锁骨下静脉1例,成功率66.3%,错位率0.4%。对照组有139根导管处于次优位置;过深88例,过浅51例,插入颈静脉9例,插入锁骨下静脉2例,成功率46.8% (P < 0.001),错位率3.9% (P = 0.004)。两组手术成功率和手术位错率比较,差异均有统计学意义。结论超声引导下PICC手术成功率高,位错率低。
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引用次数: 0
Pharmacological strategies in extracorporeal membrane oxygenation weaning failure: a call to action 体外膜氧合脱机失败的药理学策略:呼吁采取行动
Pub Date : 2023-05-19 DOI: 10.1097/ec9.0000000000000089
F. González-Ruiz, F. Baranda-Továr, L. A. Baeza-Herrera, J. D. Utrilla-Álvarez, R. Quirazco-Córdova, G. Rojas-Velasco
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引用次数: 0
A case report of chylous ascites after cardiac surgery 心脏手术后乳糜性腹水1例报告
Pub Date : 2023-05-09 DOI: 10.1097/ec9.0000000000000084
Shuaishuai Yuan, Pailing Xie, Xiantao Liu, Peijun Li
{"title":"A case report of chylous ascites after cardiac surgery","authors":"Shuaishuai Yuan, Pailing Xie, Xiantao Liu, Peijun Li","doi":"10.1097/ec9.0000000000000084","DOIUrl":"https://doi.org/10.1097/ec9.0000000000000084","url":null,"abstract":"","PeriodicalId":72895,"journal":{"name":"Emergency and critical care medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44556268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ultrasound-guided fluid resuscitation versus usual care guided fluid resuscitation in patients with septic shock: a systematic review and meta-analysis 超声引导下的液体复苏与常规护理引导下的液体复苏在感染性休克患者中的应用:一项系统回顾和荟萃分析
Pub Date : 2023-05-09 DOI: 10.1097/ec9.0000000000000088
Zheyuan Chen, Xiao-Jie Han, Y. Liu, Mengjun Wang, Beibei Wang, Ling Wang, Hongxu Jin
{"title":"Ultrasound-guided fluid resuscitation versus usual care guided fluid resuscitation in patients with septic shock: a systematic review and meta-analysis","authors":"Zheyuan Chen, Xiao-Jie Han, Y. Liu, Mengjun Wang, Beibei Wang, Ling Wang, Hongxu Jin","doi":"10.1097/ec9.0000000000000088","DOIUrl":"https://doi.org/10.1097/ec9.0000000000000088","url":null,"abstract":"","PeriodicalId":72895,"journal":{"name":"Emergency and critical care medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43204715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Real-time ultrasound-guided versus landmark-guided subclavian vein catheterization in the intensive care unit: a prospective randomized study 重症监护室实时超声引导与标志性锁骨下静脉导管插入术:一项前瞻性随机研究
Pub Date : 2023-05-08 DOI: 10.1097/EC9.0000000000000091
Sujit Kshirsagar, S. Naik, Anandkumar Pande, P. Bhalerao, Chandraprabhu Birnale, Shivprasad Thorve
Abstract Background The subclavian vein (SCV) is an alternative to the internal jugular vein when it is difficult to locate, such as in patients with hypovolemia or obesity. Ultrasonography (USG) guidance for SVC cannulation has evolved, resulting in fewer complications and higher first-pass success rates. This study aimed to compare the effectiveness and safety of SCV cannulation with USG- and landmark-guided techniques. Methods In this prospective randomized interventional controlled study, 80 patients admitted to the intensive care unit between July 2022 and October 2022 were randomly assigned to the landmark method group (LM group) and USG group. In the LM group, SCV cannulation was performed using the traditional landmark technique, whereas in the USG group, it was performed using USG guidance. The primary objective of this study was to evaluate the ease of subclavian central venous cannulation in critically ill patients using the 2 techniques. The secondary objectives were to compare the success rate of cannulation between these 2 techniques, evaluate the number of attempts, assess cannulation failure, and assess mechanical complications. Results The first-pass success rates were 70% and 92.5% in the LM and USG groups, respectively (P < 0.001). The average numbers of attempts in the LM and USG groups were 1.275 (±0.520) and 1.075 (±0.266), respectively (P = 0.034). The average procedure durations were 7.45 (±1.10) and 8 (±0.933) minutes in the LM and USG groups (P = 0.018), respectively. The rates of complications in both groups were not statistically significant. Conclusion The USG guidance for SCV cannulation has an advantage over landmark-guided methods in a critical care setting. The SCV is a good alternative to internal jugular vein cannulation. The average time to cannulation was longer in the USG group than in the LM group, which can decrease with the frequent use of USG and increasing operator experience. Clinical trials This study was registered in the Clinical Trials Registry-India (CTRI Trial No. CTRI/2022/07/043694, dated May 7, 2022).
背景锁骨下静脉(SCV)是颈内静脉难以定位时的替代选择,如低血容量或肥胖患者。超声(USG)指导SVC插管的发展,导致更少的并发症和更高的首次通过成功率。本研究旨在比较SCV插管与USG和地标引导技术的有效性和安全性。方法在这项前瞻性随机介入对照研究中,将2022年7月至2022年10月入住重症监护病房的80例患者随机分为landmark method组(LM组)和USG组。LM组SCV插管采用传统地标技术,USG组SCV插管采用USG引导。本研究的主要目的是评估使用这两种技术在危重患者锁骨下中心静脉插管的便利性。次要目的是比较这两种技术的插管成功率、评估插管次数、评估插管失败和评估机械并发症。结果LM组和USG组一次通过成功率分别为70%和92.5% (P < 0.001)。LM组和USG组的平均尝试次数分别为1.275次(±0.520次)和1.075次(±0.266次)(P = 0.034)。LM组和USG组的平均手术时间分别为7.45(±1.10)和8(±0.933)分钟(P = 0.018)。两组并发症发生率比较,差异无统计学意义。结论在重症监护环境下,USG引导SCV插管比地标引导方法更有优势。SCV是颈内静脉插管的一个很好的选择。USG组插管平均时间较LM组长,但随USG使用频率的增加和操作经验的增加,插管平均时间会缩短。本研究已在印度临床试验注册中心注册(CTRI试验号:CTRI/2022/07/043694,日期为2022年5月7日)。
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引用次数: 0
Research progress of viral sepsis: etiology, pathophysiology, diagnosis, and treatment 病毒性败血症的研究进展:病因、病理生理、诊断和治疗
Pub Date : 2023-04-25 DOI: 10.1097/ec9.0000000000000086
Jianping Li, Y. Luo, Hao Li, Yunhong Yin, Yi Zhang
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引用次数: 0
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Emergency and critical care medicine
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