本文由小咖机器人翻译整理

期刊来源：Ann Intern Med

原文链接：https://doi.org/10.7326/M24-0565

摘要内容如下：

重症监护医学是一门汇集了真正广泛的患者群体、疾病状态和治疗方法的专业。本文重点介绍了2023年（和2022年的1项）在重症护理方面的10项重要研究。对文献进行了筛选，以寻找与内科医师和住院医师相关的新证据，这些医师和住院医师的实践重点不是重症护理，但可能正在照顾重病患者。这些文章强调了病理学的多样性和进入重症监护的各种专业的相互作用。主题包括输血医学，液体复苏，安全插管实践和呼吸衰竭，以及急性缺血性中风的管理。一些试验是突破性的，迫使临床医生重新考虑先前存在的教条，并可能采用新的治疗策略。

英文原文如下：

Abstracts

Critical care medicine is a specialty that brings together a truly wide spectrum of patient populations, disease states, and treatment methods. This article highlights 10 important pieces of research from 2023 (and 1 from 2022) in critical care. The literature was screened for new evidence relevant to internal medicine physicians and hospitalists whose focus of practice is not critical care but who may be taking care of seriously ill patients. The articles highlight the diverse spectrum of pathology and interplay of various specialties that go into critical care. Topics include transfusion medicine, fluid resuscitation, safe intubation practices and respiratory failure, and the management of acute ischemic stroke. Several trials are groundbreaking, forcing clinicians to reconsider preexisting dogma and likely adopt new treatment strategies.

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