关于新冠治疗方案,从中西医到特朗普FDA打得天翻地覆。
美国胸科学会召集了世界80名顶尖医生,用投票的方式给出了新冠治疗的临时指南。
这些医生中包括几乎所有发达国家的权威和一线医生,也包括了上海呼吸内科领军人物白春学等6位中国医生。
投票这种方式很有意思,在没有足够大样本双盲证据的情况下,医生们表现出的科学素养令人赞叹,没有被各种报道所左右。
指南中要求有超过70%的医生建议的治疗方法才可以列入正式建议,然后只有三条达到70%:
1. 对重症肺炎可考虑使用羟氯喹或氯喹。
2. 呼吸窘迫使用机械通气。
3. 机械通气失败的患者使用ECMO。
这第2、3条对普通医生来说都几乎是废话。
-对于非住院病人(如居家隔离或方舱),大多数医生不建议使用羟氯喹或氯喹。
-68%的医生建议对住院患者使用瑞德西韦,但不够70%的票数。
-大多数医生反对洛匹那韦-利托那韦和糖皮质激素。
-对于使用托珠单抗对付免疫风暴,大多数医生选择了弃权票。
表面看这份指南的结果过于简单似乎没有意义,但是医生们严谨的态度让人不禁担心最后那些正式临床实验的结果。
会不会过去那些所有长长的清单都只是安慰剂,真相最终也许会大白,也许不会。
工作组名单 International Task Force
Alan F. Barker Pulmonary and Critical Care USA‐ Oregon
Abigail Chua Pulmonary and Critical Care USA‐ New York
Jonathan H. Chung Radiology USA‐ Illinois
Gustavo Cortes‐Puentes Pulmonary and Critical Care USA‐ Minnesota
Kristina Crothers Pulmonary and Critical Care USA‐ Washington
Charles Delacruz Pulmonary and Critical Care USA‐ Connecticut
Sarah Doernberg Infectious Diseases USA‐ Northern California
Abhijit Duggal Pulmonary and Critical Care USA‐ Ohio
Michelle Gong Pulmonary and Critical Care USA‐ New York
Michael K. Gould Pulmonary and Critical Care USA‐ Southern California
Margaret Hayes Pulmonary and Critical Care USA‐ Massachusetts
Carolyn Hendrickson Pulmonary and Critical Care USA‐ Northern California
Steven Holets Respiratory Therapy USA‐ Minnesota
Catherine L. Hough Pulmonary and Critical Care USA‐ Washington
Michael H. Ieong Pulmonary and Critical Care USA‐ Massachusetts
Maximiliano Tamae‐Kakazu Pulmonary and Critical Care USA‐ Michigan
May M. Lee Pulmonary and Critical Care USA‐ Southern California
Janice Liebler Pulmonary and Critical Care USA‐ Southern California
John B. Lynch Infectious Diseases USA‐ Washington
Aneesh K. Mehta Infectious Diseases USA‐ Georgia
Ari Moskowitz Pulmonary and Critical Care USA‐ Massachusetts
Michael S. Niederman Pulmonary and Critical Care USA‐ New York
Richard Oeckler Pulmonary and Critical Care USA‐ Minnesota
Ganesh Raghu Pulmonary and Critical Care USA‐ Washington
Julio A. Ramirez Infectious Diseases USA‐ Kentucky
Noah C. Schoenberg Pulmonary and Critical Care USA‐ Massachusetts
Sugeet Jagpal Pulmonary and Critical Care USA‐ New Jersey
Charlie Strange Pulmonary and Critical Care USA‐ South Carolina
Francesca Torriani Infectious Diseases USA‐ Southern California
Allan Walkey Pulmonary and Critical Care USA‐ Massachusetts
Kevin C. Wilson Pulmonary and Critical Care USA‐ Massachusetts
Richard Wunderink Pulmonary and Critical Care USA‐ Illinois
Luca Richeldi Pulmonary Medicine Italy
Stefano Aliberti Pulmonary Medicine Italy
Enrico Storti Anesthesiology and Critical Care Italy
Tommaso Mauri Anesthesiology and Critical Care Italy
Mirko Belliato Anesthesiology and Critical Care Italy
Pierre‐Regis Burgel Pulmonary Medicine France
Martine Remy‐Jardin Radiology France
Antoni Torres Pulmonary Medicine Spain
Jordi Rello Pulmonary Medicine Spain
Miriam Barrecheguren Pulmonary Medicine Spain
Inigo Ojanguren Pulmonary Medicine Spain
Oriol Roca Critical Care Medicine Spain
Jordi Riera Critical Care Medicine Spain
Anthony O'Regan Pulmonary and Critical Care Ireland
Catherine Fleming Infectious Diseases Ireland
Andrew Menzies‐Gow Pulmonary Medicine England
James D. Chalmers Pulmonary Medicine Scotland
Mathias Pletz Infectious Diseases Germany
Elisabeth Bendstrup Pulmonary Medicine Denmark
Martina Vasakova Pulmonary Medicine Czech Republic
Wim Wuyts Pulmonary Medicine Belgium
Christopher J. Ryerson Pulmonary Medicine Canada
Christopher Carlsten Pulmonary and Occupational Medicine Canada
Lorenzo Delsorbo Critical Care Medicine Canada
James Johnston Pulmonary Medicine Canada
Ewan Goligher Critical Care Medicine Canada
Eddy Fan Pulmonary and Critical Care Canada
Janice Leung Pulmonary Medicine Canada
Tamera J. Corte Pulmonary Medicine Australia
Lauren K. Troy Pulmonary Medicine Australia
Grant Waterer Pulmonary Medicine Australia
Chin Kook (K.) Rhee Pulmonary Medicine South Korea
Gee‐Young Suh Pulmonary and Critical Care South Korea
Kyeongman Jeon Pulmonary and Critical Care South Korea
Doo Ryeon (R.) Chung Infectious Diseases South Korea
Yeon Wook (W.) Kim Pulmonary and Critical Care South Korea
Chunxue Bai Pulmonary Medicine China
Li Bai Pulmonary and Critical Care China
Tao Xu Pulmonary and Critical Care China
Dawei Yang Pulmonary and Critical Care China
Ziqiang Z. Zhang Pulmonary and Critical Care China
Xun Wang Pulmonary and Critical Care China
Sanjay H. Chotirmall Pulmonary and Critical Care Singapore
Ser Hon Puah Pulmonary and Critical Care Singapore
Takeshi Johkoh Radiology Japan
Hassan Chami Pulmonary and Critical Care Lebanon
Joaquin A. Zuniga Infectious Diseases Mexico
Carlos M. Luna Pulmonary Medicine Argentina
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