Critical Care
Review | Perioperative evaluation and management of patients on glucocorticoids
2 Feb, 2023 | 14:35h | UTCRelated: Perioperative Evaluation and Management of Endocrine Disorders – Mayo Clinic Proceedings
RCT | Nighttime dexmedetomidine for delirium prevention in non-mechanically ventilated patients after cardiac surgery
1 Feb, 2023 | 12:58h | UTC
M-A | Mucolytics for acute exacerbations of COPD
31 Jan, 2023 | 13:56h | UTC
Cohort Study | Severe lymphopenia may predict worse outcomes in hospitalized patients with pneumococcal CAP
31 Jan, 2023 | 13:52h | UTCImpact of severe lymphopenia on the early prediction of clinical outcome in hospitalized patients with pneumococcal community-acquired pneumonia – Infection (if the link is paywalled, try this one in PMC)
Podcast | Acute exacerbations of COPD
31 Jan, 2023 | 13:48h | UTC#378 Acute Exacerbations of COPD (AECOPD) – The Curbsiders
Perspective | ARDS: hidden perils of an overburdened diagnosis
31 Jan, 2023 | 13:36h | UTCARDS: hidden perils of an overburdened diagnosis – Critical Care
M-A | Vancomycin area under the curve vs. trough only guided dosing and the risk of acute kidney injury
31 Jan, 2023 | 13:32h | UTC
Guideline | Management of adult renal trauma
30 Jan, 2023 | 01:20h | UTCRelated:
Kidney and uro-trauma: WSES-AAST guidelines – World Journal of Emergency Surgery
Urotrauma: AUA Guideline – The Journal of Urology
Urological Trauma – European Association of Urology
Renal trauma: the current best practice – Therapeutic Advances in Urology
RCT | Early extracorporeal CPR did not improve outcomes in patients with refractory out-of-hospital cardiac arrest
30 Jan, 2023 | 01:18h | UTCEarly Extracorporeal CPR for Refractory Out-of-Hospital Cardiac Arrest – New England Journal of Medicine (link to abstract – $ for full-text)
Commentary: Early Extracorporeal CPR for Out-of-Hospital Cardiac Arrest – American College of Cardiology
Commentary on Twitter
In a randomized trial, patients with out-of-hospital cardiac arrest who received extracorporeal CPR and those who received conventional CPR had similar results for survival and favorable neurologic outcomes. https://t.co/Irw8nrV8AA pic.twitter.com/lOPsBzhP3O
— NEJM (@NEJM) January 27, 2023
Practice Guidance | Anticoagulation in adult patients supported with extracorporeal membrane oxygenation
30 Jan, 2023 | 00:56h | UTC
M-A | The optimal timing and intervention to reduce mortality for necrotizing pancreatitis
30 Jan, 2023 | 00:44h | UTCRelated:
Research: Endoscopic or Surgical Step-up Approach for Infected Necrotising Pancreatitis
Evidence-Based Approach to the Surgical Management of Acute Pancreatitis – The Surgery Journal
Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis – New England Journal of Medicine (link to abstract – $ for full-text)
Acute Pancreatitis: Diagnosis and Treatment – Drugs
Evidence-Based Disposition of Acute Pancreatitis – emDocs
Pancreatitis – National Institute for Health and Care Excellence
Toward nutrition improving outcome of critically ill patients: how to interpret recent feeding RCTs?
30 Jan, 2023 | 00:42h | UTC
RCT | Simple aspiration versus drainage for complete pneumothorax
30 Jan, 2023 | 00:40h | UTCSimple Aspiration Versus Drainage for Complete Pneumothorax: A Randomized Non-Inferiority Trial – Am J Respir Crit Care Med (link to abstract – $ for full-text)
RCT | Higher protein dosing did not improve outcomes in critically ill patients with high nutritional risk
27 Jan, 2023 | 12:24h | UTCThe effect of higher protein dosing in critically ill patients with high nutritional risk (EFFORT Protein): an international, multicentre, pragmatic, registry-based randomised trial – The Lancet (link to abstract – $ for full-text)
Commentary on Twitter (thread – click for more)
Researchers aimed to test the hypothesis that a higher dose of protein provided to critically ill patients would improve clinical outcomes.
Here's what they found 🧵 /4 https://t.co/C5JswTr82o
— The Lancet (@TheLancet) January 26, 2023
Perspective | Is it time to retire the diagnosis “hypertensive emergency”?
27 Jan, 2023 | 12:26h | UTC
Review | The blood–brain barrier and optimization of antibiotics for the treatment of CNS infections in adults
27 Jan, 2023 | 11:55h | UTC
RCT | Continued enteral nutrition until extubation was noninferior to a 6-h fasting strategy before extubation in patients in the ICU
26 Jan, 2023 | 12:49h | UTCContinued enteral nutrition until extubation compared with fasting before extubation in patients in the intensive care unit: an open-label, cluster-randomised, parallel-group, non-inferiority trial – The Lancet Respiratory Medicine (free registration required)
Invited Commentary: Continuation of enteral nutrition until extubation in critically ill patients – The Lancet Respiratory Medicine
Commentary on Twitter
NEW Research—Continued enteral nutrition until extubation in critically ill patients in the ICU is a practice that could be safe to implement and be associated with potential benefits
Read the trial from Mickaël Landais & colleagues here: https://t.co/iAvet2DNjN #SCCM2023 pic.twitter.com/SBal9qkAyQ
— The Lancet Respiratory Medicine (@LancetRespirMed) January 21, 2023
Review | Spotlight on vaccine-induced thrombosis and thrombocytopenia (VITT)
26 Jan, 2023 | 12:46h | UTCSpotlight on vaccine-induced thrombosis and thrombocytopenia (VITT) – Blood
Evidence-Based Guidance | Medical nutrition therapy in ECMO patients
26 Jan, 2023 | 12:28h | UTC
Cohort study | Endovascular balloon occlusion of the aorta may be an alternative to resuscitative thoracotomy in traumatic hemorrhagic shock
26 Jan, 2023 | 12:18h | UTCZone 1 Endovascular Balloon Occlusion of the Aorta vs Resuscitative Thoracotomy for Patient Resuscitation After Severe Hemorrhagic Shock – JAMA Surgery (link to abstract – $ for full-text)
Commentary on Twitter
Cohort study using the @traumadoctors AORTA registry suggests that zone 1 endovascular balloon occlusion of the aorta is an effective alternative to resuscitative thoracotomy with similar or better survival rates. https://t.co/QqyXRlPtOb #Research #REBOA
— JAMA Surgery (@JAMASurgery) December 22, 2022
Systematic review to evaluate algorithms for REBOA use in trauma and identify a consensus for patient selection
26 Jan, 2023 | 12:13h | UTCRelated: Zone 1 Endovascular Balloon Occlusion of the Aorta vs Resuscitative Thoracotomy for Patient Resuscitation After Severe Hemorrhagic Shock – JAMA Surgery (link to abstract – $ for full-text)
Delayed QT prolongation: derivation of a novel risk factor for adverse cardiovascular events from acute drug overdose
26 Jan, 2023 | 12:10h | UTCCommentary: January 2023 Annals of Emergency Medicine Journal Club
Cardiogenic Shock | Emergency department-focused management
25 Jan, 2023 | 11:21h | UTCCardiogenic Shock: Emergency Department-Focused Management – emDocs
Related: The medical treatment of cardiogenic shock – Journal of Intensive Medicine
AHA Statement | Surgical management and mechanical circulatory support in high-risk pulmonary embolisms
24 Jan, 2023 | 14:40h | UTCNews Release: New statement suggests more patients may benefit from surgery for pulmonary embolism – American Heart Association
Commentary from one of the authors on Twitter (thread – click for more)
https://twitter.com/jaygirimd/status/1617587286568472581
RCT | Outcomes not different with early restrictive vs. liberal fluid management in sepsis-induced hypotension
24 Jan, 2023 | 14:38h | UTCEarly Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension – New England Journal of Medicine (link to abstract – $ for full-text)
News Release: Study comparing early interventions for sepsis shows patients have identical outcomes – Vanderbilt University Medical Center
Commentary on Twitter
This trial comparing treatment strategies that emphasized the use of vasopressors or intravenous fluids for early treatment of sepsis-induced hypotension showed no difference in 90-day mortality before discharge home. #SCCM2023 https://t.co/aIymxmBENE pic.twitter.com/18lFQLMBfA
— NEJM (@NEJM) January 22, 2023