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ER/ICU Radio

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救急、集中治療、外傷系の論文内容をまとめた番組です。

PublishesDailyEpisodes104Founded3 months ago
Language
Japanese
Number of ListenersCategories
Health & FitnessMedicine

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Artwork for ER/ICU Radio

Latest Episodes

Sepsis

Lancet 2026; 407: 1276–88

敗血症は、感染に対する宿主反応の調節不全によって生じる、生命を脅かす臓器障害と定義される。感染による刺激が免疫系を過剰に活性化、あるいは抑制することで、複数の臓器系に機能不全を引き起こす。世界的に重大な健康課題であり、2017年の推計では年間約4,900万人が発症し、1,100万人が死亡している。特に低資源国においてその負担は大きく、全症例および死亡の85%を占めている。

病態生理学的には、病原体の認識から始まる免疫反応の暴... more

Incidence of Adverse Events in Peripheral Intravenous Vasopressor Use: A Systematic Review and Meta-Analysis

JAMA Network Open. 2026;9(3):e260710

本研究は、低血圧、ショック、または重症疾患の成人患者に対し、末梢静脈(PIV)カテーテルを通じて昇圧剤を投与した際の有害事象(AE)の発生率と、中心静脈カテーテル(CVC)挿入の回避率を評価した系統的レビ... more

Iatrogenic risk of tube thoracostomy: A retrospective trauma database analysis

American Journal of Emergency Medicine 104 (2026) 135–139

外傷性血気胸の治療に用いられる胸腔ドレナージ(チューブ胸腔瘻造設術)は、死亡率の上昇や入院期間の延長と関連することが過去の研究で指摘されている。本研究は、この死亡リスクが院内合併症などの医原性要因によって引き起こされている... more

Polymyxin B haemoadsorption in endotoxic septic shock (Tigris): a multicentre, open-label, Bayesian, randomised, controlled, phase 3 trial

Lancet Respir Med 2026; Published Online March 23, 2026. doi.org/10.1016/S2213-2600(26)00047-0

エンドトキシ... more

Cumulative Incidence of Stroke Disability and Mortality Following Emergency Department Discharge for Dizziness: A Cohort Study

Ann Emerg Med. 2026;87:463-473

本研究は、救急外来(ED)をめまいの症状で受診し、入院せずに帰宅した患者において、その後に発生する脳卒中による死亡や障害の頻度を調査したレトロスペクティブ・コホート研究である。20... more

Hyponatremia (In the Clinic)

Annals of Internal Medicine, 9 December 2025 (Updated 10 March 2026), doi:10.7326/ANNALS-25-04219

低ナトリウム血症は入院患者において最も頻度の高い電解質異常であり、水バランスの障害によって生じる。発症から48時間未満の急性低ナトリウム血症は脳浮腫のリスクが高く、3%食塩水を用いた迅速な治療が必要となる。一方、48時間以上の慢性症例では、脳... more

Poisoning in the elderly is increasing rapidly and is more severe than younger patients

Clinical Toxicology, 2026, DOI: 10.1080/15563650.2026.2631131

本研究は、オーストラリアの三次毒性学サービスにおいて、1990年から2024年までの35年間にわたる中毒入院患者のデータを分析し、高齢者(65歳以上)の中毒の疫学と重症度を非高齢者(19〜64歳)... more

Prevention of urinary stones with hydration: a randomised clinical trial of an adherence intervention

Lancet 2026; 407: 1171–81

尿路結石の再発予防において、水分摂取量を増やして尿を希釈することは標準的な推奨事項であるが、患者がこの習慣を継続することは非常に困難である。本研究(PUSH試験)は、スマート水筒、金銭的インセンティブ、ヘルスコーチング、テキストメッセージな... more

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