私たちの考えるジャーナルクラブは、参加者が海外文献を和訳して発表し合うというような、単なる“抄読会”とは一線を画します。試験デザインから結論に至るまでの過程を常に批判的な視点でとらえ、同様の、あるいはそれ以上のエビデンスを自分たちの施設で獲得するにはプロトコールのどの部分を手直しすればよいかなど、現場主義に徹した討論の場を提供するのがJSEPTICのジャーナルクラブです。参考までに最近のレビューをお示しします。この臨場感に惹かれたなら、今すぐJSEPTICの門戸を叩いてください。
更新日: 2015/10/19
輸血の保存期間
Age of transfused blood in critically ill adults.
Effects of red-cell storage duration on patients undergoing cardiac surgery.
更新日: 2015/09/07
心外術後の輸血閾値
Liberal or Restrictive Transfusion after Cardiac Surgery
Murphy GJ, Pike K, Rogers CA, et al. Liberal or restrictive transfusion after cardiac surgery.
更新日: 2015/07/06
血小板輸血ガイドライン
Platelet transfusion: a clinical practice guideline from the AABB.
Kaufman RM, Djulbegovic B, Gernsheimer T, et al. Platelet transfusion: a clinical practice guideline from the AABB. Ann Intern Med. 2015 Feb 3;162(3):205-13. PMID: 25383671
更新日: 2014/12/08
敗血症と輸血の閾値
Lower versus higher hemoglobin threshold for transfusion in septic shock.
Holst LB, Haase N, et al. Lower versus higher hemoglobin threshold for transfusion in septic shock. N Engl J Med. 2014 Oct 9;371(15):1381-91. PMID: 25270275
更新日: 2014/12/01
頭部外傷とEPO
Effect of erythropoietin and transfusion threshold on neurological recovery after traumatic brain injury: a randomized clinical trial.
Robertson CS, Hannay HJ, et al. Effect of erythropoietin and transfusion threshold on neurological recovery after traumatic brain injury: a randomized clinical trial. JAMA. 2014 Jul 2;312(1):36-47. PMID: 25058216
更新日: 2014/07/28
赤血球輸血と院内感染
Health Care?Associated Infection After Red Blood Cell Transfusion A Systematic Review and Meta-analysis
Jeffrey M. Rohde, MD, Derek E. Dimcheff, MD, PhD, et al. Health Care-Associated Infection After Red Blood Cell Transfusion. A Systematic Review and Meta-analysis. JAMA. 2014;311(13):1317-1326. PMID: 24691607
更新日: 2013/08/19
血小板の予防輸血
A No-Prophylaxis Platelet-Transfusion Strategy for Hematologic Cancers
Simon J, Stanworth, M.D., et al. A No-Prophylaxis Platelet-Transfusion Strategy for Hematologic Cancers. N Engl J Med 2013; 368:1771-1780. PMID: 23656642
更新日: 2012/04/09
輸血の閾値
Liberal or restrictive transfusion in high-risk patients after hip surgery.
Carson JL, Terrin ML, Noveck H, et al. Liberal or restrictive transfusion in high-risk patients after hip surgery. N Engl J Med. 2011; 365 : 2453-62. Epub 2011 Dec 14. PMID: 22168590
更新日: 2011/02/02
冠動脈バイパス手術時の輸血
Variation in use of blood transfusion in coronary artery bypass graft surgery.
Bennett-Guerrero E, Zhao Y, O'Brien SM, et al. Variation in use of blood transfusion in coronary artery bypass graft surgery. JAMA. 2010; 304: 1568-75. PMID: 20940382