|
2017 Journal Club
|
|
日期
|
引言人
|
地點
|
文獻評讀
|
評讀結果
|
|
2017.01.03
|
戴仲宜
|
OSCE教室
|
臨床問題：短期留置導尿管的病人，移除尿管之前需要進行膀胱訓練嗎？
參考文獻：Is Bladder Training by Clamping Before Removal Necessary for Short-Term Indwelling Urinary Catheter Inpatient? A Systematic Review and Meta-analysis.
|
連結
|
|
2017.01.17
|
林秀純
|
第三會議室
|
臨床問題：早期出院準備服務，整裝再出發！
參考文獻：Effectiveness of nurse-led early discharge planning programmes for hospital inpatients with chronic disease or rehabilitation needs: a systematic review and meta-analysis.
|
連結
|
|
2017.02.14
|
林奕璇
|
第一會議室
|
臨床問題：拔管後病人使用非侵入性呼吸器可以減少重新插管的機率嗎？
參考文獻：Efficacy of noninvasive ventilation after planned extubation: A systematic review and meta-analysis of randomized controlled trials.
|
連結
|
|
2017.03.07
|
張鈺靆
劉秋芬
|
OSCE教室
|
臨床問題：使用中心靜脈導管進行透析的病人，使用 0.9% 生理食鹽水沖洗可以預防導管阻塞嗎？
參考文獻：Effectiveness of heparin versus 0.9% saline solution in maintaining the permeability of central venous catheters: a systematic review
|
連結
|
|
2017.03.21
|
斯莉婷
|
OSCE教室
|
臨床問題：以chlorhexidine–alcohol溶液進行剖腹產皮膚消毒更能預防手術部位感染嗎？
參考文獻：A Randomized Trial Comparing Skin Antiseptic Agents at Cesarean Delivery.
|
連結
|
|
2017.04.11
|
陳齡芳
|
OSCE教室
|
臨床問題：預防重症病人產生壓力性潰瘍，使用氫離子幫浦阻斷劑(PPI)或 H2 受器拮抗劑(H2 receptor antagonists)何者效果較佳？
參考文獻：Efficacy and safety of proton pump inhibitors for stress ulcer prophylaxis in critically ill patients: a systematic review and meta-analysis of randomized trials.
|
連結
|
|
2017.04.25
|
李云曦
|
第三會議室
|
臨床問題：剖腹產後，何時可以開始進食？
參考文獻：Early oral feeding compared with delayed oral feeding after cesarean section: a meta-analysis.
|
連結1
連結2
|
|
2017.05.09
|
鄭巧蘭
|
OSCE教室
|
臨床問題：重症病人給予高熱量腸道灌食比較好嗎？
參考文獻：Lower versus higher dose of enteral caloric intake in adult critically ill patients: a systematic review and meta-analysis.
|
連結
|
|
2017.05.23
|
陳若蘋
|
OSCE教室
|
臨床問題：給早產兒及其父母親聽音樂，真的有幫助嗎？
參考文獻：Music Therapy for Preterm Infants and Their Parents: A Meta-analysis.
|
連結
|
|
2017.06.06
|
陳秀鉛
|
第三會議室
|
臨床問題：確認鼻胃管置入深度的最佳方法？
參考文獻：Methods to determine the internal length of nasogastric feeding tubes: An integrative review.
|
連結
|
|
2017.06.20
|
林素如
|
第三會議室
|
臨床問題：補充維生素D可以預防急性呼吸道感染嗎？
參考文獻：Vitamin D supplementation to prevent acute respiratory tract infections: systematic review and meta-analysis of individual participant data.
|
連結
|
|
2017.07.04
|
蔡宜珊
|
OSCE教室
|
臨床問題：腰椎穿刺後要絕對臥床8小時預防頭痛嗎？
參考文獻：Does bed rest prevent post-lumbar puncture headache?
|
連結
|
|
2017.07.18
|
戴仲宜
|
第一會議室
|
臨床問題：母乳香味是否有安撫早產兒的效果？
參考文獻：Effects of Breast Milk and Vanilla Odors on Premature Neonate's Heart Rate and Blood Oxygen Saturation During and After Venipuncture.
|
連結
|
|
2017.08.01
|
謝慧觀
|
OSCE教室
|
臨床問題：成人重症病人使用熱濕交換器(heat and moisture exchangers, HME)、或加熱型潮濕器(heated humidifier, HH)，何者較優？
參考文獻：Heat and moisture exchangers (HMEs) and heated humidifiers (HHs) in adult critically ill patients: a systematic review, meta-analysis and meta-regression of randomized controlled trials.
|
連結
|
|
2017.08.15
|
林怡君
|
OSCE教室
|
臨床問題：短期導尿管留置病人移除導尿管前需要膀胱訓練嗎？
參考文獻：
1.Strategies for the removal of short-term indwelling urethral catheters in adults
2.Is Bladder Training by Clamping Before Removal Necessary for Short-Term Indwelling Urinary Catheter Inpatient? A Systematic Review and Meta-analysis
3.Removal of short-term indwelling urethral catheters
|
連結
|
|
2017.08.29
|
魏賓慧
|
第七會議室
|
臨床問題：大腸鏡檢查腸道準備，前一天只能吃清流飲食嗎？
參考文獻：Low-residue versus clear liquid diet before colonoscopy: a meta-analysis of randomized, controlled trials.
|
連結
|
|
2017.09.12
|
陳姿郁
林芳宇
|
階梯教室
|
臨床問題：重症病人瞻妄的評估及處置的最佳策略？
參考文獻：Outcomes of subsyndromal delirium in ICU: a systematic review and meta-analysis.
|
連結1
連結2
|
|
2017.09.26
|
陳可欣
|
第一會議室
|
專題演講主題：第100期專題演講!
|
|
|
2017.10.17
|
黃建誠
|
OSCE教室
|
臨床問題：家長訓練課程可以改善泛自閉症障礙兒童的破壞性行為嗎？
參考文獻：A Systematic Review and Meta-analysis of Parent Training for Disruptive Behavior in Children with Autism Spectrum Disorder.
|
連結
|
|
2017.10.31
|
陳瑩鎂
|
OSCE教室
|
臨床問題：三合一藥物治療，比較能減緩慢性阻塞性肺病(COPD)惡化嗎？
參考文獻：Single inhaler extrafine triple therapy versus long-acting muscarinic antagonist therapy for chronic obstructive pulmonary disease (TRINITY): a double-blind, parallel group, randomised controlled trial.
|
連結1
連結2
|
|
2017.11.14
|
符若萱
|
階梯教室
|
臨床問題：使用血管張力素I型轉化酶抑制劑 (ACEI) 或血管張力素受器阻斷劑 (Angiotensin receptor blocker, ARB) 控制血壓的病人，術前準備需要停藥嗎?
To use or not to use? 高血壓用藥於術前準備之處理原則
參考文獻：
1.2014_ACC/AHA Guideline on Perioperative Cardiovascular Evaluation and Management of Patients Undergoing Noncardiac Surgery
2.2016_Perioperative angiotensin-converting enzyme inhibitors or angiotensin II type 1 receptor blockers for preventing mortality and morbidity in adults (Review)
3.2017_Withholding versus Continuing Angiotensin-converting Enzyme Inhibitors or Angiotensin II Receptor Blockers before Noncardiac Surgery
|
連結1
連結2
|
|
2017.11.28
|
紀備文
|
OSCE教室
|
臨床問題：頭痛疑似蜘蛛膜下腔出血 (Subarachnoid hemorrhage, SAH) 的急診病人，若腦部斷層檢查(brain CT)正常，需要進一步做腰椎穿刺嗎？
參考文獻：
1.Pontaneous Subarachnoid Hemorrhage: A Systematic Review and Meta-analysis Describing the Diagnostic Accuracy of History, Physical Examination, Imaging, and Lumbar Puncture With an Exploration of Test Thresholds.
2.Sensitivity of Early Brain Computed Tomography to Exclude Aneurysmal Subarachnoid Hemorrhage: A Systematic Review and Meta-Analysis.
|
連結1
連結2
連結3
|
|
2017.12.12
|
溫采薇
|
OSCE教室
|
臨床問題：處理急診躁動病人，併用多種藥物是否較單一使用苯二氮平類藥物(Benzodiazepines, BZD) 效果好嗎？安全嗎？
參考文獻：Chemical agents for the sedation of agitated patients in the ED: a systematic review.
|
連結1
連結2
連結3
|
|
2017.12.26
|
柳玉芳
|
OSCE教室
|
臨床問題：乳癌病人術後，患側一定要禁治療嗎？
參考文獻：Association Between Precautionary Behaviors and Breast Cancer-Related Lymphedema in Patients Undergoing Bilateral Surgery.
|
連結
|