Critical Care
RCT | NIV is superior to high-flow nasal cannula to prevent reintubation in patients at high risk for extubation failure.
21 Nov, 2022 | 14:41h | UTCEffect of postextubation noninvasive ventilation with active humidification vs high-flow nasal cannula on reintubation in patients at very high risk for extubation failure: a randomized trial – Intensive Care Medicine (free for a limited period)
Commentary on Twitter
NIV + active humidification vs HFNC in adult critically ill pts at very high-risk for extubation failure, RCT in ?? ICUs: noninvasive ventilation superior to high-flow nasal cannula O2
➡️ reintubation required in 23.3% pts receiving NIV vs 38.8% if HFNC
? https://t.co/2mNTf3PYEF pic.twitter.com/Fp2GtZpcLx— Intensive Care Medicine (@yourICM) November 19, 2022
International guidelines and consensus on the use of lung ultrasound.
21 Nov, 2022 | 14:30h | UTC
Review | Penetrating brain injury: ethical quandaries in the trauma bay and beyond.
21 Nov, 2022 | 14:25h | UTCReview Paper on Penetrating Brain Injury: Ethical Quandaries in the Trauma Bay and Beyond – Annals of Surgery (free for a limited period)
Portopulmonary hypertension: current developments and future perspectives.
21 Nov, 2022 | 14:20h | UTCPortopulmonary hypertension: Current developments and future perspectives – Liver Research
Related: Pulmonary complications in liver disease – Intensive Care Medicine (free)
Related Reviews:
Pulmonary complications of hepatic diseases – World Journal of Gastroenterology
M-A | Lower vs. higher exposure to vasopressor therapy in vasodilatory hypotension.
21 Nov, 2022 | 14:16h | UTC
Epidemiology of ICU-onset bloodstream infection: prevalence, pathogens, and risk factors among 150,948 ICU patients.
21 Nov, 2022 | 14:14h | UTC
Review | Complications associated with venovenous extracorporeal membrane oxygenation—what can go wrong?
21 Nov, 2022 | 14:12h | UTC
M-A | Prophylactic platelet transfusions vs. no prophylaxis in hospitalized patients with thrombocytopenia.
21 Nov, 2022 | 13:59h | UTC
ISPD peritonitis guideline recommendations: 2022 update on prevention and treatment.
18 Nov, 2022 | 13:23h | UTC
M-A | High-flow nasal cannula vs. non-invasive ventilation for acute hypercapnic respiratory failure in adults.
17 Nov, 2022 | 12:25h | UTC
M-A | Mechanical thrombectomy in acute basilar artery stroke.
17 Nov, 2022 | 12:13h | UTCRelated:
Commentary on Twitter
https://twitter.com/drjkwan/status/1590403041840467969
M-A | Comparative accuracy of biomarkers for predicting hospital-acquired acute kidney injury.
17 Nov, 2022 | 12:09h | UTC
Review | POCUS for aortic dissection in the clinical presentation of ischemic stroke.
17 Nov, 2022 | 12:08h | UTCPOCUS for aortic dissection in the clinical presentation of ischemic stroke – emDocs
Editorial | Agitated patients in the intensive care unit: guidelines for causal rather than symptomatic treatment are warranted.
16 Nov, 2022 | 13:37h | UTC
Mineralocorticoid dysfunction during critical illness: a review of the evidence.
16 Nov, 2022 | 13:36h | UTCMineralocorticoid Dysfunction during Critical Illness: A Review of the Evidence – Anesthesiology
Commentary on Twitter
https://twitter.com/_Anesthesiology/status/1559925866892779520
Guideline | Peri-operative management of neuromuscular blockade.
16 Nov, 2022 | 13:38h | UTC
Guideline | Management of hyperosmolar hyperglycemic state in adults.
15 Nov, 2022 | 13:03h | UTC
RCT | Early routine use of ECMO fails to improve outcomes in patients with cardiogenic shock.
11 Nov, 2022 | 14:01h | UTCCommentaries:
Early ECMO No Better Than Watch-and-Wait Approach in Cardiogenic Shock – TCTMD
Immediate Use of ECMO Did Not Improve Outcomes in Patients with Cardiogenic Shock – HCP Live
Commentary on Twitter
#OriginalResearch simpub #AHA2022: In this #RCT immediate implementation of VA-ECMO in patients with cardiogenic shock did not improve clinical outcomes compared with an early conservative strategy which allowed downstream use of… #CIRCAHA22 #AHAJournals https://t.co/03qVyC0Vgl pic.twitter.com/WRNDsAZfpD
— Circulation (@CircAHA) November 6, 2022
SR | Not enough evidence for routine use of antifibrinolytic therapy (e.g., tranexamic acid) in aneurysmal subarachnoid hemorrhage.
11 Nov, 2022 | 13:50h | UTCAntifibrinolytic therapy for aneurysmal subarachnoid haemorrhage – Cochrane Library
RCT | No benefit from a model-informed precision dosing of beta-lactam antibiotics and ciprofloxacin in critically ill patients.
11 Nov, 2022 | 13:46h | UTC
Commentary on Twitter
Individualising beta-lactam ABTs/ciprofoxacin therapy in #ICU using model-informed precision dosing vs standard dosing, multicentre ?? RCT
No evidence for clinical effect of MIPD on LOS or other secondary outcomes in critically ill pts#FOAMcc @yourICM
?️https://t.co/6HzLBBnFdU pic.twitter.com/uErsHNAV5p— Intensive Care Medicine (@yourICM) November 9, 2022
Review | Diagnosis of cardiac surgery-associated acute kidney injury.
10 Nov, 2022 | 13:27h | UTCRelated:
Clinical practice update for management of acute kidney injury associated with cardiac surgery.
M-A | Strategies for post–cardiac surgery acute kidney injury prevention.
9 Nov, 2022 | 12:19h | UTC
M-A | Point-of-care ultrasound evaluation for patients with acute onset dyspnea.
9 Nov, 2022 | 12:14h | UTC
RCT | New defibrillation strategies increased the rates of survival to hospital discharge in patients with refractory ventricular fibrillation.
8 Nov, 2022 | 12:27h | UTCDefibrillation Strategies for Refractory Ventricular Fibrillation – New England Journal of Medicine (link to abstract – $ for full-text)
Commentary: “Double shock” from two defibrillators could save more lives – Heart & Stroke
Commentary on Twitter
In a trial involving patients with refractory ventricular fibrillation, double sequential external defibrillation or vector-change defibrillation improved survival as compared with standard defibrillation. #AHA22 https://t.co/2l2t9iGnwq pic.twitter.com/SzVU93OsrX
— NEJM (@NEJM) November 6, 2022
Review | Intravenous fluid therapy in patients with severe acute pancreatitis admitted to the intensive care unit.
8 Nov, 2022 | 12:15h | UTCRelated:
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