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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。

PublishesDailyEpisodes203Founded7 months ago
Language
Japanese
Number of ListenersCategories
MedicineHealth & Fitness

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Artwork for ER/ICU Radio

Latest Episodes

全身性毛細血管漏出症候群(Systemic Capillary Leak Syndrome: SCLS)は、血管内皮細胞のバリア機能が一過性に破綻し、血漿成分やタンパク質が間質腔へ急速に漏出する、極めて稀で致死的な臨床症候群である。本症候群は、低血圧、血液濃縮、低アルブミン血症の三徴を特徴とし、重症例ではショック、多臓器不全、四肢の区画症候群を引き起こす。

SCLSの正確な発症率は不明であるが、世界中で報告されている症例数は数百例に留まり、多くが敗血症や脱水、多血症などと誤診されている可能性が... more

Preferences for Infection Prevention in Hospital-Acquired Infections

JAMA Network Open. 2026;9(4):e267432

本研究は、院内感染(HAI)対策の選択において、医療従事者がどのような要素を優先して意思決定を行っているかを明らかにするために実施された。世界保健機関(WHO)の全6地域から、感染管理の意思決定に関与する256名の医療従事者を対象に、離散選択実験(DCE)という手法を用いて調査を行っ... more

Delayed presentation of air embolism after removal of central venous catheters: A systematic review

J Crit Care 94 (2026) 155606. doi.org/10.1016/j.jcrc.2026.155606

中心静脈カテーテル(CVC)の抜去に伴う空気塞栓症は、一般に手技中や直後に発生すると認識されているが、抜去から一定時間が経過した後に発症する「遅発性」... more

Early high-dose vitamin C for out-of-hospital cardiac arrest: the VITaCCA randomized clinical trial

Intensive Care Med (2026) 52:1235–1247

院外心停止後の自発循環再開(ROSC)後、全身の虚血再灌流障害による「心停止後症候群」は高い死亡率と罹患率の原因となっている。ビタミンCはその抗酸化作用などにより、これらの臓器障害を軽減する可能性が期待されていた。本研... more

How to optimize brain perfusion and prevent cerebral complications during extracorporeal life support

Intensive Care Med. 2026. DOI: 10.1007/s00134-026-08502-6

体外式膜型人工肺(ECMO)を含む体外生命維持法(ECLS)施行中の患者において、急性脳損傷(ABI)は死亡率や長期的な障害を増加させる重大な合併症である。本論文は、二次的な脳... more

Chronic kidney disease, complex conditions, and advancing therapeutics: new hope and challenges

Lancet 2026; 407: 2444–60

慢性腎臓病(CKD)は、単なる腎機能の低下ではなく、炎症、代謝、線維化の経路を共有する複雑な全身性疾患として捉え直されている。過去10年間で、SGLT2阻害薬、非ステロイド型ミネラルコルチコイド受容体拮抗薬(MRA)、GLP-1受容体作動薬などの画期的... more

Rhabdomyolysis in Critically Ill Patients

CHEST. 2026. DOI: 10.1016/j.chest.2025.12.048

横紋筋融解症は、骨格筋の損傷により細胞内成分(ミオグロビン、電解質、酵素など)が循環血液中に放出されることで引き起こされる臨床症候群である。原因は多岐にわたり、外傷や圧挫損傷、過度の運動、薬剤(スタチン、プロポフォールなど)、毒物、感染症(インフルエンザ、COVID-19など)、虚血、および遺伝性の代謝疾患が含まれる。... more

Is acute respiratory distress syndrome a preventable disease?

Intensive Care Med. 2026. DOI: 10.1007/s00134-026-08493-4

ARDSは、初発報告から60年が経過し、その疫学と病態生理は大きく変化している。本論文は、ARDSが予防可能な疾患であるかという問いに対し、医原性因子と非医原性因子の両面から検討したナラティブ・レビューである。

結論として、医原性(医療介入に関連する)A... more

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