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Critical Care & Emergencies (all articles)

[Abstract Only] Randomized Trial: No Difference in Outcomes Six-Months After 100% or 70% of Enteral Calorie Requirements During Critical Illness

10 Jan, 2020 | 08:24h | UTC

Outcomes Six-Months After 100% or 70% of Enteral Calorie Requirements During Critical Illness (TARGET): A Randomized Controlled Trial – American Journal of Respiratory and Critical Care Medicine (link to abstract – $ for full-text)

Original Study: Energy-Dense versus Routine Enteral Nutrition in the Critically Ill (free study and commentary)

Source: Grupo UTIclínica – HCFMUSP

 

WSES Guideline: Perforated and Bleeding Peptic Ulcer

9 Jan, 2020 | 01:33h | UTC

Perforated and bleeding peptic ulcer: WSES guidelines – World Society of Emergency Surgery (free)

 

AGA Clinical Practice Update: Management of Pancreatic Necrosis

9 Jan, 2020 | 01:27h | UTC

American Gastroenterological Association Clinical Practice Update: Management of Pancreatic Necrosis – Gastroenterology (free)

Related Reviews: Step-up approach for the management of pancreatic necrosis: a review of the literature – Trauma Surgery & Acute Care Open (free) AND Management of severe acute pancreatitis – The BMJ (free for a limited period)

Related Guidelines: 2019 WSES guidelines for the management of severe acute pancreatitis – World Journal of Emergency Surgery (free) AND American Gastroenterological Association Institute Guideline on Initial Management of Acute Pancreatitis (free) AND Pancreatitis – National Institute for Health and Care Excellence (free) AND American College of Gastroenterology Guideline: Management of Acute Pancreatitis (free)

 

Meta-analysis: Therapeutic Hypothermia Not beneficial for Patients with Traumatic Brain Injury

8 Jan, 2020 | 21:46h | UTC

A meta-analysis of the effects of therapeutic hypothermia in adult patients with traumatic brain injury – Critical Care (free)

Related Randomized Trial: Prophylactic Hypothermia Questioned After Severe Traumatic Brain Injury (free study and commentaries)

 

Guideline: Transfusion Strategies in Non-bleeding Critically Ill Adults

8 Jan, 2020 | 08:50h | UTC

Transfusion strategies in non-bleeding critically ill adults: a clinical practice guideline from the European Society of Intensive Care Medicine – Intensive Care Medicine (free)

Editorial: Transfusion thresholds: the dangers of guidelines based on randomized controlled trials (free)

 

The BMJ Guideline: Gastrointestinal Bleeding Prophylaxis for Critically Ill Patients

7 Jan, 2020 | 01:53h | UTC

Gastrointestinal bleeding prophylaxis for critically ill patients: a clinical practice guideline – The BMJ (free)

See also: Efficacy and safety of gastrointestinal bleeding prophylaxis in critically ill patients: systematic review and network meta-analysis – The BMJ (free)

 

Randomized Trial: Efficacy and Safety of Early vs. Elective Colonoscopy for Acute Lower Gastrointestinal Bleeding

7 Jan, 2020 | 01:38h | UTC

Efficacy and Safety of Early vs Elective Colonoscopy for Acute Lower Gastrointestinal Bleeding – Gastroenterology (free)

Commentary: Colonoscopy for Lower Gastrointestinal Bleeding—Time Is Not of the Essence – Gastroenterology (free)

 

Critical Care Management of Toxicities Associated with Targeted Agents and Immunotherapies for Cancer

7 Jan, 2020 | 01:45h | UTC

Critical Care Management of Toxicities Associated With Targeted Agents and Immunotherapies for Cancer – Critical Care Medicine (free)

Related: Immune Checkpoint Inhibitor Toxicities (free guidelines and reviews on the subject)

 

[Abstract Only] Systematic Review: Early Colonoscopy Does Not Improve Outcomes of Patients with Lower Gastrointestinal Bleeding

7 Jan, 2020 | 01:37h | UTC

Early Colonoscopy Does Not Improve Outcomes of Patients With Lower Gastrointestinal Bleeding: Systematic Review of Randomized Trials – Clinical Gastroenterology & Hepatology (link to abstract – $ for full-text)

Commentary: Early colonoscopy did not improve outcomes in those hospitalized for lower GI bleeding – ACP Gastroenterology (free)

 

Opinion: An Update on Peripheral Vasopressors

6 Jan, 2020 | 23:17h | UTC

An update on peripheral vasopressors – First10EM (free)

Related: Safety of peripheral administration of vasopressor medications: A systematic review – Emergency Medicine Australasia (free)

 

Editorial: How I use Transcranial Doppler

6 Jan, 2020 | 23:09h | UTC

How I use Transcranial Doppler – Critical Care (free)

 

[Abstract Only] Randomized Trial: Angioplasty NOT Non-inferior to CABG for the Treatment of Unprotected Left Main Stenosis

5 Jan, 2020 | 14:19h | UTC

Percutaneous coronary angioplasty versus coronary artery bypass grafting in the treatment of unprotected left main stenosis: updated 5-year outcomes from the randomised, non-inferiority NOBLE trial – The Lancet (link to abstract – $ for full-text)

Commentary: NOBLE at 5 Years: New Data Favor CABG for Left Main Disease – TCTMD (free)

Related: BBC Investigation on the Reporting of the EXCEL Trial Raises Concerns Over the Safety of Stents for Left Main Disease in Patients at Low Risk for Surgery (free investigation, video, and commentaries) AND EACTS Calls for Independent Left Main CAD Evidence Review, Urges ESC Input – TCTMD (free) AND Changing Evidence, Changing Practice – European Association of Cardio-Thoracic Surgery (free)

 

Related Commentary on Twitter

 

NICE Guideline: Acute Kidney Injury

5 Jan, 2020 | 14:22h | UTC

Acute kidney injury: prevention, detection and management – National Institute for Health and Care Excellence (free)

Related: Series: Acute Kidney Injury in the Intensive Care Unit – Intensive Care Medicine (free articles) AND Practical approach to detection and management of acute kidney injury in critically ill patient – Journal of Intensive Care (free) AND Sepsis associated acute kidney injury – The BMJ (free) AND Acute kidney injury from sepsis: current concepts, epidemiology, pathophysiology, prevention and treatment – Kidney International (free) AND Drug-induced acute kidney injury diverse mechanisms of tubular injury – Current Opinion in Critical Care (free)

 

Systematic Review: Decompressive Craniectomy for the Treatment of High Intracranial Pressure in Closed Traumatic Brain Injury

5 Jan, 2020 | 13:36h | UTC

Decompressive craniectomy for the treatment of high intracranial pressure in closed traumatic brain injury – Cochrane Library (free)

Summary: Partial removal of skull (decompressive craniectomy) to lower treatment-resistant high pressure in the skull and brain after traumatic brain injury – Cochrane Library (free)

Related: Consensus statement from the International Consensus Meeting on the Role of Decompressive Craniectomy in the Management of Traumatic Brain Injury – Acta Neurochirurgica (free) AND The Current Status of Decompressive Craniectomy in Traumatic Brain Injury – Current Trauma Reports (free) AND Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension – New England Journal of Medicine (free)

 

Review: Perioperative Acute Kidney Injury

5 Jan, 2020 | 13:33h | UTC

Perioperative Acute Kidney Injury – Anesthesiology (free)

Related Review: Acute Kidney Injury: A frequently underestimated problem in perioperative medicine – Deutsches Ärzteblatt international (free)

 

[Abstract Only] Randomized Trial: Rocuronium NOT Non-inferior to Succinylcholine for Endotracheal Intubation Success Rate Among Patients Undergoing Out-of-Hospital Rapid Sequence Intubation

5 Jan, 2020 | 12:57h | UTC

Effect of Rocuronium vs Succinylcholine on Endotracheal Intubation Success Rate Among Patients Undergoing Out-of-Hospital Rapid Sequence Intubation: A Randomized Clinical Trial – JAMA (link to abstract – $ for full-text)

Commentary: Newer Drug Falls Short for Quick Prehospital Intubation – MedPage Today (free registration required)

 

Related Commentary on Twitter

 

[Abstract Only] Randomized Trial: Aggressive Vasodilation Does Not Improve Outcomes Among Patients with Acute Heart Failure

5 Jan, 2020 | 12:53h | UTC

Effect of a Strategy of Comprehensive Vasodilation vs Usual Care on Mortality and Heart Failure Rehospitalization Among Patients With Acute Heart Failure: The GALACTIC Randomized Clinical Trial – JAMA (link to abstract – $ for full-text)

Commentary: No Survival Gain From Aggressive Vasodilator Strategy in Acute HF: GALACTIC – Medscape (free registration required)

 

Related Commentary on Twitter

 

Review: Selective Decontamination of the Digestive Tract in Critically Ill Patients

13 Dec, 2019 | 10:17h | UTC

Selective decontamination of the digestive tract (SDD) in critically ill patients: a narrative review – Intensive Care Medicine (free)

 

Guideline: Duodeno-pancreatic and Extrahepatic Biliary Tree Trauma

12 Dec, 2019 | 08:30h | UTC

Duodeno-pancreatic and extrahepatic biliary tree trauma: WSES-AAST guidelines – World Journal of Emergency Surgery (free)

 

ASA Practice Guidelines for Central Venous Access 2020

12 Dec, 2019 | 08:31h | UTC

Practice Guidelines for Central Venous Access 2020: An Updated Report by the American Society of Anesthesiologists Task Force on Central Venous Access – Anesthesiology (free)

 

[Abstract Only] Randomized Trial: Vitamin D Not Beneficial for Critically Ill Patients

12 Dec, 2019 | 08:25h | UTC

Early High-Dose Vitamin D3 for Critically Ill, Vitamin D–Deficient Patients – New England Journal of Medicine (free)

Commentaryy High doses of vitamin D for critically ill patients yield minimal benefit – CU Anschutz Medical Campus (free)

 

BBC Investigation on the Reporting of the EXCEL Trial Raises Concerns Over the Safety of Stents for Left Main Disease in Patients at Low Risk for Surgery

11 Dec, 2019 | 08:19h | UTC

Surgeons withdraw support for heart disease advice – BBC (free)

YouTube Video: European guidelines on heart disease under review – BBC Newsnight (free)

See also: EACTS responds to BBC Newsnight’s investigation on the EXCEL trial – European Association for Cardio-Thoracic Surgery (free)

Commentary: EACTS Pulls Out of Left Main Guidelines After BBC Bombshell Alleging EXCEL Trial Cover-up – TCTMD (free)

 

Related Commentary on Twitter

 

Hyperkalemia: Pathophysiology, Risk Factors and Consequence

11 Dec, 2019 | 08:14h | UTC

Hyperkalemia: pathophysiology, risk factors and consequences – Nephrology Dialysis Transplantation (free)

Related: Management of hyperkalemia in the acutely ill patient – Annals of Intensive Care (free) AND Acute Management of Hyperkalemia – Current Heart Failure Reports (free) AND Diagnosis and treatment of hyperkalemia – Cleveland Clinic Journal of Medicine (free) AND Potassium Disorders: Hypokalemia and Hyperkalemia – American Family Physician (free) AND Management of hyperkalemia in patients with kidney disease: a position paper endorsed by the Italian Society of Nephrology – Journal of Nephrology (free)

Source: Critical Care Reviews

 

AHA Scientific Statement: Managing Older Adults in the Cardiac Intensive Care Unit

10 Dec, 2019 | 08:41h | UTC

Older Adults in the Cardiac Intensive Care Unit: Factoring Geriatric Syndromes in the Management, Prognosis, and Process of Care: A Scientific Statement from the American Heart Association – Circulation (free PDF)

News Release: Treating more than just the heart is critical for geriatric patients – American Heart Association (free)

 

Infographics and Summaries of the New ACLS and PALS Updates

10 Dec, 2019 | 08:39h | UTC

Homepage: CPR Guidelines (free summaries and infographics)

– 2019 Highlights – Guidelines Update for CPR & ECC

– 2019 FAQ – Guidelines Update for CPR & ECC

– 2019 Infographic – ACLS Guidelines Update

– 2019 Infographic – PALS Guidelines Update

Original Guidelines: AHA Updates on Advanced Cardiovascular Life Support (ACLS) (free) AND AHA Updates in Pediatric Life Support (free)

 

Related Commentary on Twitter

 

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