Intensive Care Medicine最新文献

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Allostatic overload in King Lear: learning from Cordelia about palliative care 《李尔王》中的适应负荷:向科迪莉亚学习姑息治疗
IF 38.9 1区 医学
Intensive Care Medicine Pub Date : 2025-09-02 DOI: 10.1007/s00134-025-08099-2
Dimitri Gusmao-Flores, Mariana Luz, Bruna Brandao Barreto
{"title":"Allostatic overload in King Lear: learning from Cordelia about palliative care","authors":"Dimitri Gusmao-Flores, Mariana Luz, Bruna Brandao Barreto","doi":"10.1007/s00134-025-08099-2","DOIUrl":"https://doi.org/10.1007/s00134-025-08099-2","url":null,"abstract":"No Abstract","PeriodicalId":13665,"journal":{"name":"Intensive Care Medicine","volume":"24 1","pages":""},"PeriodicalIF":38.9,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144928605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correspondence on "A common longitudinal intensive care unit data format (CLIF) for critical illness research". 关于“用于危重疾病研究的常见纵向重症监护病房数据格式(CLIF)”的通信。
IF 21.2 1区 医学
Intensive Care Medicine Pub Date : 2025-09-01 Epub Date: 2025-06-13 DOI: 10.1007/s00134-025-07999-7
Benjamin Popoff, Alexandre Bourgeois, Boris Delange, Michael Poette, Adrien Parrot
{"title":"Correspondence on \"A common longitudinal intensive care unit data format (CLIF) for critical illness research\".","authors":"Benjamin Popoff, Alexandre Bourgeois, Boris Delange, Michael Poette, Adrien Parrot","doi":"10.1007/s00134-025-07999-7","DOIUrl":"10.1007/s00134-025-07999-7","url":null,"abstract":"","PeriodicalId":13665,"journal":{"name":"Intensive Care Medicine","volume":" ","pages":"1736-1737"},"PeriodicalIF":21.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144283830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction: Thrombotic thrombocytopenic purpura: early diagnosis and effective treatment in 2025. 修正:血栓性血小板减少性紫癜:2025年早期诊断和有效治疗。
IF 21.2 1区 医学
Intensive Care Medicine Pub Date : 2025-09-01 DOI: 10.1007/s00134-025-08041-6
Elie Azoulay, Agnès Veyradier, Spero Cataland, Berangere S Joly, Paul Knoebl, Lara Zafrani, Jules Wendon, Fadi Fakhouri, Bernhard Lämmle, Katerina Pavenski, Nathalie Biebuyck, Karen Vanhoorelbeke, Shruti Chaturvedi, Allyson M Pishko, Katia Donadello, Marie Scully, Masanuri Matsumoto, Flora Peyvandi, María Eva Mingot-Castellano, X Long Zheng, Eric Mariotte, Ygal Benhamou, Paul Coppo
{"title":"Correction: Thrombotic thrombocytopenic purpura: early diagnosis and effective treatment in 2025.","authors":"Elie Azoulay, Agnès Veyradier, Spero Cataland, Berangere S Joly, Paul Knoebl, Lara Zafrani, Jules Wendon, Fadi Fakhouri, Bernhard Lämmle, Katerina Pavenski, Nathalie Biebuyck, Karen Vanhoorelbeke, Shruti Chaturvedi, Allyson M Pishko, Katia Donadello, Marie Scully, Masanuri Matsumoto, Flora Peyvandi, María Eva Mingot-Castellano, X Long Zheng, Eric Mariotte, Ygal Benhamou, Paul Coppo","doi":"10.1007/s00134-025-08041-6","DOIUrl":"10.1007/s00134-025-08041-6","url":null,"abstract":"","PeriodicalId":13665,"journal":{"name":"Intensive Care Medicine","volume":" ","pages":"1744-1746"},"PeriodicalIF":21.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144690107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
On the tightrope between life and graft: immunosuppression in critically ill solid organ transplant recipients. 在生命和移植之间的钢丝上:危重实体器官移植受者的免疫抑制。
IF 21.2 1区 医学
Intensive Care Medicine Pub Date : 2025-09-01 Epub Date: 2025-08-19 DOI: 10.1007/s00134-025-08061-2
Elie Azoulay
{"title":"On the tightrope between life and graft: immunosuppression in critically ill solid organ transplant recipients.","authors":"Elie Azoulay","doi":"10.1007/s00134-025-08061-2","DOIUrl":"10.1007/s00134-025-08061-2","url":null,"abstract":"","PeriodicalId":13665,"journal":{"name":"Intensive Care Medicine","volume":" ","pages":"1699-1702"},"PeriodicalIF":21.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Let PEEP do the talking? 让PEEP说话?
IF 21.2 1区 医学
Intensive Care Medicine Pub Date : 2025-09-01 Epub Date: 2025-07-22 DOI: 10.1007/s00134-025-08042-5
Andrea Bellone, Andrew Bersten
{"title":"Let PEEP do the talking?","authors":"Andrea Bellone, Andrew Bersten","doi":"10.1007/s00134-025-08042-5","DOIUrl":"10.1007/s00134-025-08042-5","url":null,"abstract":"","PeriodicalId":13665,"journal":{"name":"Intensive Care Medicine","volume":" ","pages":"1696-1698"},"PeriodicalIF":21.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144690109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Antibiotic therapy for severe bacterial infections 抗生素治疗严重细菌感染
IF 38.9 1区 医学
Intensive Care Medicine Pub Date : 2025-09-01 DOI: 10.1007/s00134-025-08063-0
Jean-François Timsit, Lowell Ling, Etienne de Montmollin, Hendrik Bracht, Andrew Conway-Morris, Liesbet De Bus, Marco Falcone, Patrick N. A. Harris, Flavia R. Machado, José-Artur Paiva, David L. Paterson, Garyphallia Poulakou, Jason A. Roberts, Claire Roger, Andrew F. Shorr, Alexis Tabah, Jeffrey Lipman
{"title":"Antibiotic therapy for severe bacterial infections","authors":"Jean-François Timsit, Lowell Ling, Etienne de Montmollin, Hendrik Bracht, Andrew Conway-Morris, Liesbet De Bus, Marco Falcone, Patrick N. A. Harris, Flavia R. Machado, José-Artur Paiva, David L. Paterson, Garyphallia Poulakou, Jason A. Roberts, Claire Roger, Andrew F. Shorr, Alexis Tabah, Jeffrey Lipman","doi":"10.1007/s00134-025-08063-0","DOIUrl":"https://doi.org/10.1007/s00134-025-08063-0","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Early antibiotic therapy for patients with severe infections is essential to improve outcomes. Conversely, use of overly broad antibiotic therapy for susceptible pathogens or unnecessary antibiotics in patients without bacterial infections is associated with adverse life-threatening events and superinfections. Antibiotics-induced changes in the human microbiota alter both immune and metabolic systems. Uncontrolled antibiotic use encourages emergence of antibiotic-resistant organisms. Around 50% of ICU patients receiving antibiotic therapy do not have confirmed infections, whilst de-escalation and shortened treatment duration are infrequently performed. Mortality from serious infections remains high, highlighting the need for treatment optimisation.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>Narrative review.</p><h3 data-test=\"abstract-sub-heading\">Objectives</h3><p>To summarise the available evidence, emerging options, and unresolved controversies in optimising antibiotic therapy in severe infections.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Local epidemiology, underlying illnesses, accessibility to health care systems, and diagnostic and therapeutic resources are important factors to consider. Rapid diagnostic tests combined with individualised decision-making improve the selection of antibiotic therapy. Rapid de-escalation to narrow-spectrum monotherapy and shortening of the duration of therapy should be the rule. Uncertainty still persists regarding the personalisation of therapy for difficult-to-treat resistant bacteria. Pharmacokinetic (PK) optimisation and prolonged or continuous beta-lactam use is safe and may improve outcomes. Therapeutic drug monitoring (TDM) should be used, especially when altered volume of distribution and/or drug clearance is suspected or where toxicity is likely. The impact of TDM combined with prompt dose adjustment is encouraged. Emerging technologies including rapid broad diagnostic tests and electronic antibiotic optimisation tools will further support collaboration between pharmacists, microbiologists, infectious diseases specialists, and intensivists for optimising antibiotic therapy and stewarding these precious resources.</p>","PeriodicalId":13665,"journal":{"name":"Intensive Care Medicine","volume":"204 1","pages":""},"PeriodicalIF":38.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144923945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correspondence about the article "Effect of hydrocortisone on mortality in patients with severe community-acquired pneumonia: the REMAP-CAP corticosteroid domain randomized clinical trial": author's reply. 关于“氢化可的松对严重社区获得性肺炎患者死亡率的影响:REMAP-CAP皮质类固醇域随机临床试验”一文的回复。
IF 21.2 1区 医学
Intensive Care Medicine Pub Date : 2025-09-01 Epub Date: 2025-07-22 DOI: 10.1007/s00134-025-08046-1
Nicholas Heming, Lindsay Berry, Elizabeth Lorenzi, Scott Berry, Derek C Angus
{"title":"Correspondence about the article \"Effect of hydrocortisone on mortality in patients with severe community-acquired pneumonia: the REMAP-CAP corticosteroid domain randomized clinical trial\": author's reply.","authors":"Nicholas Heming, Lindsay Berry, Elizabeth Lorenzi, Scott Berry, Derek C Angus","doi":"10.1007/s00134-025-08046-1","DOIUrl":"10.1007/s00134-025-08046-1","url":null,"abstract":"","PeriodicalId":13665,"journal":{"name":"Intensive Care Medicine","volume":" ","pages":"1742-1743"},"PeriodicalIF":21.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144690108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A reappraisal of association between ventilator-associated events and mortality among critically ill patients using marginal structural model: multicenter observational study 使用边缘结构模型重新评估危重患者呼吸机相关事件与死亡率之间的关系:多中心观察性研究
IF 38.9 1区 医学
Intensive Care Medicine Pub Date : 2025-09-01 DOI: 10.1007/s00134-025-08074-x
Susumu Nakahashi, Kei Suzuki, Takaya Nakashima, Yoshiro Hayashi, Yuko Tanabe, Aiko Tanaka, Shinsuke Hashiuchi, Chizuru Yamashita, Yusuke Ito, Takeshi Wada, Ayahiro Yamashita, Masanori Shima, Tetsuya Hoshino, Kiyoshi Moriyama, Satoshi Kazuma, Hyun Ah Lee, Yoshikazu Yamaguchi, Yukari Nakamura, Yu Kawanobe, Toshiki Sofue, Yuki Nishimura, Tomohiro Shinozaki, Tadahiro Goto, Satoru Hashimoto, Yuji Fujino, Nobuaki Shime
{"title":"A reappraisal of association between ventilator-associated events and mortality among critically ill patients using marginal structural model: multicenter observational study","authors":"Susumu Nakahashi, Kei Suzuki, Takaya Nakashima, Yoshiro Hayashi, Yuko Tanabe, Aiko Tanaka, Shinsuke Hashiuchi, Chizuru Yamashita, Yusuke Ito, Takeshi Wada, Ayahiro Yamashita, Masanori Shima, Tetsuya Hoshino, Kiyoshi Moriyama, Satoshi Kazuma, Hyun Ah Lee, Yoshikazu Yamaguchi, Yukari Nakamura, Yu Kawanobe, Toshiki Sofue, Yuki Nishimura, Tomohiro Shinozaki, Tadahiro Goto, Satoru Hashimoto, Yuji Fujino, Nobuaki Shime","doi":"10.1007/s00134-025-08074-x","DOIUrl":"https://doi.org/10.1007/s00134-025-08074-x","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>Ventilator-associated events (VAEs), developed by the US Centers for Disease Control and Prevention (CDC), are considered a new medical quality indicator associated with poor outcomes. However, previous studies failed to adjust for changes in patient severity, leaving open the possibility that VAEs are just a surrogate for severity. This study aimed to reevaluate the association between VAEs and mortality, adjusting for changes in severity over time.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>This multicenter observational study was conducted in 18 ICUs in Japan between May 2020 and December 2022. Patients aged ≥ 12 years who received mechanical ventilation for ≥ 3 consecutive days were eligible. VAE was diagnosed according to the CDC definition. The primary outcome was 30-day in-hospital mortality, whose association with VAE was estimated by the inverse probability weighted proportional hazards model, with temporal changes in patient severity treated as time-dependent confounders.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Among 1,094 subjects, 106 VAEs (9.7%) were identified, giving an incidence rate of 10.0 per 1,000 ventilation days. VAEs were significantly associated with increased 30-day hospital and ICU mortality (HR 2.00; 95% CI 1.23–3.26 and HR 1.92; 95% CI 1.03–3.57), and longer hospital and ICU length of stay (HR 0.72 95% CI 0.54–0.97 and HR 0.47; 95% CI 0.23–0.96). The population attributable risk fraction of VAE-related mortality was 8.8% for in-hospital deaths and 8.2% for ICU deaths.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>VAEs were associated with an increased risk of mortality after adjustment for severity, as a time-dependent confounder.</p>","PeriodicalId":13665,"journal":{"name":"Intensive Care Medicine","volume":"52 1","pages":""},"PeriodicalIF":38.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144923946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction: Continuous infusion of linezolid for critically ill patients: toward a new standard of care. 更正:危重病人持续输注利奈唑胺:迈向新的护理标准。
IF 21.2 1区 医学
Intensive Care Medicine Pub Date : 2025-09-01 DOI: 10.1007/s00134-025-08004-x
Helena Barrasa, Carlos Valdazo, Alejandro Martín
{"title":"Correction: Continuous infusion of linezolid for critically ill patients: toward a new standard of care.","authors":"Helena Barrasa, Carlos Valdazo, Alejandro Martín","doi":"10.1007/s00134-025-08004-x","DOIUrl":"10.1007/s00134-025-08004-x","url":null,"abstract":"","PeriodicalId":13665,"journal":{"name":"Intensive Care Medicine","volume":" ","pages":"1747"},"PeriodicalIF":21.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Post-sepsis recovery: perspectives on measuring what matters. Author's reply 脓毒症后的恢复:衡量什么是重要的观点。作者的回复
IF 38.9 1区 医学
Intensive Care Medicine Pub Date : 2025-08-28 DOI: 10.1007/s00134-025-08096-5
Peter Halvorsen, Michael Marks-Hultström, Ewa Wallin, Björn Ahlström, Miklós Lipcsey
{"title":"Post-sepsis recovery: perspectives on measuring what matters. Author's reply","authors":"Peter Halvorsen, Michael Marks-Hultström, Ewa Wallin, Björn Ahlström, Miklós Lipcsey","doi":"10.1007/s00134-025-08096-5","DOIUrl":"https://doi.org/10.1007/s00134-025-08096-5","url":null,"abstract":"No Abstract","PeriodicalId":13665,"journal":{"name":"Intensive Care Medicine","volume":"27 1","pages":""},"PeriodicalIF":38.9,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144923947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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