Recently published papers changing practices in the modern intensive care unit 英文参考文献.docVIP

Available online /content/7/2/111 Commentary Recently published papers: Changing practices in the modern intensive care unit Lui G Forni Consultant Intensivist, Worthing General Hospital, Lyndhurst Road, Worthing, West Sussex, UK Correspondence: Lui G Forni, lui@saqnet.co.uk Published online: 6 March 2003 Critical Care 2003, 7:111-113 (DOI 10.1186/cc2169) This article is online at /content/7/2/111 ? 2003 BioMed Central Ltd (Print ISSN 1364-8535; Online ISSN 1466-609X) Keywords ARDS, outcome, pulmonary artery catheter ‘By far the best proof is experience.’ The usual statistical models of multivariable logistic regression analysis were applied to the data and four variables were independently associated with outcome. It is worth noting that no patient with oliguria survived, but oliguria was not included in the multivariable analysis. Leukopenia, use of vasopressors and an elevated urea were independently associated with an increased risk for death. Interestingly, proven bacteraemia was associated with a lower risk. This latter finding was teased apart in more detail but the analysis was somewhat limited by the number of patients, although it appears that there is some correlation, with Gram-positive bacteraemia having a slightly lower mortality rate. Of note, only patients with potential long-term survival or with a treatable relapse were admitted, and the fact that the average Acute Physiology and Chronic Health Evaluation II score was 26 suggests that this was a dependant group. Sir Francis Bacon, 1561–1626 One always reviews the journals in January with some trepidation. Wading through the instructions for authors (a problem not encountered with the electronic press!), one is worried that the scientific literature may need resuscitating from the post-holiday somnolence. Fortunately, 2003 has been greeted with a fanfare of important papers in the critical care press, not least in the shape of some well conducted ob