Critical Care
Clinical Review: Diagnosis and management of covid-19 in pregnancy.
27 Apr, 2022 | 08:13h | UTCDiagnosis and management of covid-19 in pregnancy – The BMJ
Perspective: The resilient intensive care unit.
27 Apr, 2022 | 07:57h | UTCThe resilient intensive care unit – Annals of Intensive Care
Commentary from the author on Twitter
https://twitter.com/JSalluh/status/1518922117261271041
Brief Review: EEG monitoring after cardiac arrest.
27 Apr, 2022 | 07:55h | UTCEEG monitoring after cardiac arrest – Intensive Care Medicine
Commentary on Twitter
EEG after cardiac arrest:
🧠 to assess severity/provide prognostic info: background voltage, continuity, reactivity; time course post CA
⚡️ EEG to detect & treat epileptiform activity/monitor effectiveness of antiepileptics
📼 continuous recording#FOAMcchttps://t.co/2ZJGHkNgv6 pic.twitter.com/TmfxXlAAom— Intensive Care Medicine (@yourICM) April 26, 2022
Brain death: a clinical overview.
27 Apr, 2022 | 07:48h | UTCBrain death: a clinical overview – Journal of Intensive Care
Commentary on Twitter
A Review published in the Journal of Intensive Care discusses the philosophy and history of brain death, its clinical determination, special considerations and the main clinical components of the brain death exam. https://t.co/2syaHQVftO
— BMC (@BioMedCentral) March 22, 2022
Primary palliative care recommendations for critical care clinicians.
27 Apr, 2022 | 07:46h | UTCPrimary palliative care recommendations for critical care clinicians – Journal of Intensive Care
Review: Use of antimicrobials for bloodstream infections in the intensive care unit.
27 Apr, 2022 | 01:34h | UTC
Guideline: Use of extracorporeal circulation (ECLS/ECMO) for cardiac and circulatory failure.
26 Apr, 2022 | 08:03h | UTC
Podcast: Inpatient diabetes pearls.
26 Apr, 2022 | 07:48h | UTC#330 Inpatient Diabetes with Dr. Dave Lieb – The Curbsiders
Echocardiography findings in COVID-19 patients admitted to intensive care units: a multi-national observational study.
25 Apr, 2022 | 01:00h | UTC
Commentary on Twitter
Echocardiography in #COVID19 #ICU pts, ECHO-COVID study
♥︎ systolic dysfunction in ⅓: 23% LV (similar to septic cardiomyopathy), 22.5% RV (due to P overload)
♥︎ ACP in 17% (due to hypercapnia, PE, MV)
♥︎ ACP/age associated with in-ICU mortality
📖 https://t.co/NUlAZh9hHw pic.twitter.com/t17pNolFqy— Intensive Care Medicine (@yourICM) April 21, 2022
One-year follow-up of a RCT: In ICU patients with severe hypoxemia, there was no difference in long-term mortality and health-related quality of life with lower vs. higher oxygenation targets.
22 Apr, 2022 | 09:32h | UTCOriginal Study: Lower or Higher Oxygenation Targets for Acute Hypoxemic Respiratory Failure – New England Journal of Medicine
Commentary on Twitter
Lower (8 kPa) vs higher oxygenation (12 kPa) targets: no longterm survival benefit nor HRQoL improvement at 1y in #ICU pts with severe hypoxaemia (HOT-ICU trial cohort). Substantial impairments in several EQ-5D-5L dimensions in survivors in both groups.
🖇️ https://t.co/P48Cd5sIWK pic.twitter.com/JBFEIqDdcB— Intensive Care Medicine (@yourICM) April 20, 2022
Expert Guidance: Strategies to prevent central line-associated bloodstream infections in acute-care hospitals.
20 Apr, 2022 | 10:13h | UTC
Commentary on Twitter
Prevention of central line-associated bloodstream infections in acute-care hospitals- 2022 updatehttps://t.co/o3AReYvJIu pic.twitter.com/QsgYYezhqj
— K Pavithran (@drkpavithran) April 19, 2022
Article under a http://creativecommons.org/licenses/by/4.0/ license
A nonrandomized controlled study found awake prone position (median of 4.2 hours per day) may not benefit hospitalized adults with Covid-19.
20 Apr, 2022 | 09:56h | UTCCommentaries:
Study suggests worse outcomes for awake COVID patients in prone position – CIDRAP
Putting Hospitalized COVID Patients on Their Belly May Not Be a Good Idea After All – HealthDay
Related:
RCT: Prone positioning of patients with moderate hypoxia due to COVID-19 – medRxiv
Commentary on Twitter (thread – click for more)
Important negative study: non randomized trial finds no clinical benefit to awake proning vs usual care in COVID
No difference in rates of intubation, length of stay, or 28 day mortality
Medicine is humbling. This emphasizes the importance of trials
📄https://t.co/ksh9Ic9XBL
1/ pic.twitter.com/sjHHv4WQs8— Nick Mark MD (@nickmmark) April 18, 2022
AAOS Guideline: Prevention of surgical site infections after major extremity trauma.
19 Apr, 2022 | 02:35h | UTCEvidence Review: Prevention of Surgical Site Infection After Extremity Trauma (2022)
Pre-transplant EASIX (endothelial activation and stress index) may predict the hazard of sepsis after allogeneic stem cell transplantation.
19 Apr, 2022 | 02:04h | UTCPre-transplant EASIX and sepsis after allogeneic stem cell transplantation – Intensive Care Medicine
Commentary on Twitter
🧪 Endothelial complications major causes of mortality post alloSCT. Pre Tx Endothelial Activation & Stress IndeX EASIX (basic lab data characterizing Tx-associated thrombotic microangiopathy) powerful marker of #sepsis, dysfunctional endothelial response.https://t.co/FRGUGT8L78 pic.twitter.com/VF2wTLCHaM
— Intensive Care Medicine (@yourICM) April 18, 2022
Diarrhea during critical illness: a multicenter cohort study.
18 Apr, 2022 | 10:20h | UTCDiarrhea during critical illness: a multicenter cohort study – Intensive Care Medicine
Commentary on Twitter
Diarrhea in #ICU
➡️common but variable incidence (definition applied)
➡️rarely caused by Clostridioides difficile
➡️modifiable predictors include EN/duration of ABs exposure
➡️associated with longer time to discharge but not increased mortality#FOAMcc
📖 https://t.co/Wx0T7RWukV pic.twitter.com/CvhWgTEwJb— Intensive Care Medicine (@yourICM) April 14, 2022
Guidelines for therapeutic drug monitoring of vancomycin in the framework of model-informed precision dosing.
18 Apr, 2022 | 10:26h | UTCRelated Guideline:
Commentary on Twitter
https://twitter.com/IDPharmacometrx/status/1514219239732912131
Overview of diagnostic criteria and epidemiology of acute kidney injury and acute kidney disease in the critically ill patient.
12 Apr, 2022 | 08:30h | UTC
Clinical update on COVID-19 for the emergency and critical care clinician: Medical management.
11 Apr, 2022 | 02:00h | UTC
Review: Atrial fibrillation.
11 Apr, 2022 | 01:57h | UTCAtrial fibrillation – Nature Reviews Disease Primers (if the link is paywalled, try this one)
Infographic: Atrial fibrillation – Nature Reviews Disease Primers (if the link is paywalled, try this one)
Commentary on Twitter
Get Primed on Atrial fibrillation with our NEW PrimeView! FREE to download this week! #AtrialFibrillation #AFibhttps://t.co/sI8Gx3yHmk pic.twitter.com/r6heFStAz5
— Nature Reviews Disease Primers (@DiseasePrimers) April 7, 2022
RCT: Effect of Gram Stain–Guided initial antibiotic therapy on clinical response in patients with ventilator-associated pneumonia.
11 Apr, 2022 | 01:36h | UTCCommentary: Can Gram Stains Guide Antibiotics for Pneumonia in Critical Care? – Medscape (free registration required)
Commentary on Twitter
RCT found gram stain-guided antibiotic therapy for critically ill patients with VAP was noninferior to guideline-based antibiotics, with a reduction in antipseudomonal & antiMRSA use. https://t.co/1yoHO2pnER
— JAMA Network Open (@JAMANetworkOpen) April 8, 2022
Clinical care of severe acute respiratory infections – Tool kit (COVID-19 adaptation, update 2022).
11 Apr, 2022 | 01:45h | UTCClinical care of severe acute respiratory infections – Tool kit – World Health Organization
Commentary on Twitter (thread – click for more)
Updated toolkit for the clinical care of severe acute respiratory infections including:
🔸 severe #pneumonia
🔸 acute respiratory distress syndrome
🔸 sepsis & septic shock👉 https://t.co/ROvKZz12LT pic.twitter.com/LdcNJiJcxA
— World Health Organization (WHO) (@WHO) April 8, 2022
NCCN Guidelines: CAR T-cell–related toxicities in patients with cancer.
11 Apr, 2022 | 01:32h | UTCRelated:
Reviews: CAR T-Cell Therapy Toxicities and Side Effects
Reviews: CAR T-Cell Therapy Toxicities and Side Effects
Critical Care Management of Chimeric Antigen Receptor T Cell–related Toxicity. Be Aware and Prepared
Reviews: CAR T-Cell Therapy Toxicities and Side Effects
M-A: Oxygen targets during mechanical ventilation in the ICU.
11 Apr, 2022 | 01:26h | UTC
M-A: Prophylactic therapies for morbidity and mortality after aneurysmal subarachnoid hemorrhage.
11 Apr, 2022 | 00:52h | UTCProphylactic Therapies for Morbidity and Mortality After Aneurysmal Subarachnoid Hemorrhage: A Systematic Review and Network Meta-Analysis of Randomized Trials – Stroke (link to abstract – $ for full-text)
Commentary on Twitter
Prophylactic Therapies for Morbidity and Mortality After Aneurysmal Subarachnoid Hemorrhage: A Systematic Review and Network Meta-Analysis of Randomized Trials #stroke #AHAJournals https://t.co/GkM5GlFBd7 pic.twitter.com/6ipIaUK5KX
— Stroke AHA/ASA (@StrokeAHA_ASA) April 8, 2022
RCT: In critically ill children requiring noninvasive respiratory support following extubation, high-flow nasal cannula therapy was NOT noninferior to CPAP, resulting in increased time to liberation from respiratory support.
8 Apr, 2022 | 11:07h | UTCEffect of High-Flow Nasal Cannula Therapy vs Continuous Positive Airway Pressure Following Extubation on Liberation From Respiratory Support in Critically Ill Children: A Randomized Clinical Trial – JAMA (free for a limited period)
Editorial: Selecting Intermediate Respiratory Support Following Extubation in the Pediatric Intensive Care Unit – JAMA (free for a limited period)
News Release: Trial identifies most effective breathing support for children in intensive care – Imperial College London
Commentary on Twitter
In this study, among critically ill children requiring noninvasive respiratory support following extubation, HFNC vs CPAP failed to meet the criterion for noninferiority for time to liberation from respiratory support. https://t.co/X1lNAO28le #CCR pic.twitter.com/XBnUpsqUNq
— JAMA (@JAMA_current) April 7, 2022


