Medscape Top 10 for Critical Care in 2010
Highlights from the Medscape Top 10 for Critical Care in 2010:
だそうです。
確かに今年話題になった issuesですね。
- New Brain Death Guidelines Issued
Updated for the first time in 15 years, new American Academy of Neurology guidelines provide step-by-step instructions for determining brain death in adults.
- Dopamine or Norepinephrine for Shock?
The age-old question of which drug is better for shock continues to stimulate study and debate.
- Controversies in the Treatment of Sepsis
This article discusses the controversial roles of intensive insulin therapy, corticosteroids, and activated protein C in the treatment of sepsis.
- Tigecycline Linked to Increased Mortality Risk
The increased mortality risk is most evident in patients treated for hospital-acquired pneumonia and particularly ventilator-associated pneumonia, which is an unapproved indication.
- FDA Again Warns Against IV Administration of Nimodipine
The FDA again reminded clinicians that nimodipine should be given only by mouth or through a feeding tube and never by IV administration, a method that could be fatal.
- High vs Low Positive End-Expiratory Pressure in Ventilatory Management of Adults
A meta-analysis of existing research reveals which patients might benefit from lower positive end-expiratory pressure levels.
- Management of Bleeding Following Major Trauma: an Updated European Guideline
This evidence-based approach for managing bleeding in trauma patients makes the GRADE.
- Procalcitonin-Guided Antibiotic Therapy
Is procalcitonin-guided antibiotic therapy ready for prime time?
- A Cost-Minimization Analysis of Dexmedetomidine Compared With Midazolam For Long-Term Sedation In The Intensive Care Unit
In this study, the use of dexmedetomidine for long-term sedation saved $9679 per ICU patient compared to midazolam.
- Healthcare Reform Resource Center
The evolving debate was chronicled by Medscape throughout 2010. Bookmark this page so that you’ll have access to the latest information as it becomes available.
「京都大学医学部附属病院における成人の日帰り麻酔」が読めるようになっていました
「日本臨床麻酔学会誌」に佐藤先生の論文が掲載されていたのがwebで読めるようになっていました。
臨床麻酔科学会誌 2010, vol.30 p603
要旨
京大病院デイ・サージャリー診療部（DSU）は本邦国立大学附属病院としては初めての日帰り手術専用施設として設立され，2000年1月より診療を開始した．DSUでは2009年12月までに総計10,148件の麻酔科管理手術が行われたが，患者個々の周術期情報を収集・解析し，麻酔・周術期ケアの改善を図ってきた．例えば，婦人科子宮鏡手術ではmonitored anesthesia care（MAC）の導入により術後回復時間が短縮し，日常生活回復度の患者自己評価が向上した．安全かつ患者満足度の高い日帰り麻酔・周術期ケアを提供し，さらに向上させていくためには，患者からの周術期情報を取得しフィードバックしていく不断の努力が緊要であり，そのためには麻酔科医のみならず看護師，外科医との協働が必須である．
