Critical Care & Emergencies (all articles)
Did This Patient Have Cardiac Syncope? The Rational Clinical Examination Systematic Review
26 Jun, 2019 | 01:48h | UTCDid This Patient Have Cardiac Syncope? The Rational Clinical Examination Systematic Review – JAMA (free for a limited period)
Related Guidelines: 2018 ESC Guidelines for the diagnosis and management of syncope – European Heart Journal (free) AND 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope (free)
Teachable Moment: Avoid Routine Testing for PT and/or INR, as Well as aPTT, in Patients Taking DOACs
25 Jun, 2019 | 06:54h | UTCCoagulation Testing in Patients Taking Direct Oral Anticoagulants: A Teachable Moment – JAMA Internal Medicine (free for a limited period)
Physiology and Pathophysiology of Potassium Homeostasis
25 Jun, 2019 | 06:31h | UTC
Review: Expiratory Muscle Dysfunction in Critically Ill Patients
25 Jun, 2019 | 06:03h | UTC
Heart Failure and Sepsis: Practical Recommendations for the Optimal Management
25 Jun, 2019 | 06:07h | UTC
Adrenal Crisis: Prevention and Management in Adult Patients
24 Jun, 2019 | 00:59h | UTC
Supplement: Future of Critical Care Medicine
19 Jun, 2019 | 06:49h | UTCHomepage: Future of Critical Care Medicine (FCCM) 2018 – Critical Care (free articles)
– Thinking forward: promising but unproven ideas for future intensive care
– Science and fiction in critical care: established concepts with or without evidence?
– Evolving concepts for safer ventilation
– Extracorporeal gas exchange: when to start and how to end?
– Minimizing catecholamines and optimizing perfusion
– Physiology and technology for the ICU in vivo
– Sepsis: personalization v protocolization?
– Host-pathogen interaction during mechanical ventilation: systemic or compartmentalized response?
– Preserving the quality of life: nutrition in the ICU
– The continuum of critical care
Perspective: “Miracle Medical Machine ECMO Makes Heroic Rescues, but Leaves Patients in Limbo”
18 Jun, 2019 | 06:58h | UTC“ECMO is not designed to be a destination, but a bridge to somewhere – recovery, transplantation or an implanted heart device. But when patients are too sick to reach those goals, ECMO can become a “bridge to nowhere,” leaving the patient in limbo…”
Recent Advances in Spontaneous Intracerebral Hemorrhage
17 Jun, 2019 | 05:40h | UTCRecent advances in spontaneous intracerebral hemorrhage – F1000Research (free)
2019 WSES guidelines for the Management of Severe Acute Pancreatitis
14 Jun, 2019 | 07:05h | UTCRelated Guidelines: 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)
Guideline: Management of Acute Respiratory Distress Syndrome
14 Jun, 2019 | 06:57h | UTCFormal guidelines: management of acute respiratory distress syndrome – Annals of Intensive Care (free)
Related: Guidelines on the Management of Acute Respiratory Distress Syndrome (free guidelines and reviews on the subject)
Consensus: Diagnosis, Treatment and Follow Up of Acute Pulmonary Embolism
14 Jun, 2019 | 07:03h | UTCRelated Guidelines: BTS Guideline: Outpatient Management of Pulmonary Embolism (free) AND ACEP Clinical Policy: Evaluation and Management of Suspected Acute Venous Thromboembolism (free) AND Evaluation of Patients With Suspected Acute Pulmonary Embolism: Best Practice Advice From the Clinical Guidelines Committee of the American College of Physicians (free) AND 2014 ESC Guidelines on the diagnosis and management of acute pulmonary embolism: The Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC) (free)
Influenza Virus-related Critical Illness: Prevention, Diagnosis, Treatment
14 Jun, 2019 | 02:30h | UTCInfluenza virus-related critical illness: prevention, diagnosis, treatment – Critical Care (free)
Randomized Trial: Pressure Support vs T-Piece Ventilation Strategies for Successful Extubation
12 Jun, 2019 | 08:23h | UTCEffect of Pressure Support vs T-Piece Ventilation Strategies During Spontaneous Breathing Trials on Successful Extubation Among Patients Receiving Mechanical Ventilation: A Randomized Clinical Trial – JAMA (free for a limited period)
Editorial: Revisiting, Reframing, and Casting a New Light on Liberation From Mechanical Ventilation (free for a limited period)
See also: Visual Abstract (free)
Study Shows the Adverse Physiological Effects of Bolus Fluid Resuscitation in Children with Sepsis
12 Jun, 2019 | 08:22h | UTCCommentaries: Adverse effects of bolus fluid resuscitation—short-term benefit but long-term harm – The Lancet Respiratory Medicine (free) AND Doctors urge hospitals to reconsider the type of fluids used to treat children with sepsis – News Medical (free)
Original article: Mortality after Fluid Bolus in African Children with Severe Infection – New England Journal of Medicine (free)
Related: Implications for paediatric shock management in resource-limited settings: a perspective from the FEAST trial – Critical Care (free)
Study: Rapid Removal of Fluid Linked to Worse Outcomes Among Critically Ill Adults With Acute Kidney Injury Receiving Continuous Venovenous Hemodiafiltration
9 Jun, 2019 | 21:49h | UTCCommentaries: Rapid Fluid Removal Tied to Worse Survival in ICU Patients With AKI – Renal & Urology News (free) AND Rapidly Removing Fluid from Critically Ill Patients in Kidney Failure Linked to Increased Risk of Death – University of Pittsburg (free)
Meta-Analysis: High-flow Nasal Cannula Oxygen Therapy vs. Conventional Oxygen Therapy in Patients After Planned Extubation
9 Jun, 2019 | 13:04h | UTC
Invasive Fungal Infection: New Treatments to Meet New Challenges
9 Jun, 2019 | 12:55h | UTCRelated: ESICM/ESCMID task force on practical management of invasive candidiasis in critically ill patients – Intensive Care Medicine (free) AND Diagnosis of Invasive Fungal Diseases in Haematology and Oncology. 2018 Update of the Recommendations of the Infectious Diseases Working Party of the German Society for Hematology and Medical Oncology (AGIHO) – Mycosis (free) AND Treatment of Invasive Candidiasis: A Narrative Review – Journal of Fungi (free)
Fluid Management in Septic Shock: A Review of Physiology, Goal-Directed Therapy, Fluid Dose, and Selection
7 Jun, 2019 | 06:45h | UTC
Cohort Study: Intensive Care Use and Mortality Among Patients with ST Elevation Myocardial Infarction
7 Jun, 2019 | 01:35h | UTCCommentary: Should STEMI patients recover in the ICU? – Michigan Medicine – University of Michigan (free) AND Mortality Lower When STEMI Patients Sent to the ICU, but Why? – TCTMD (free) AND ICU admission yields better results for STEMI patients—at a price – Cardiovascular Business (free)
[Abstract Only] Despite Guidelines, Placement of PICCs Common in Patients with Advanced Chronic Kidney Disease
6 Jun, 2019 | 05:31h | UTCUse of Peripherally Inserted Central Catheters in Patients With Advanced Chronic Kidney Disease: A Prospective Cohort Study – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentaries: Peripherally inserted central catheters often used in CKD – HealthDay (free) AND Too Many CKD Patients Get Central Catheters Despite Warnings – Medscape (free registration required)
Related Commentary on Twitter
Check out our latest work led by @PajeDavid in @AnnalsofIM.
1 in 4 patients who get #PICCs have #CKD, a major contraindication for this device. https://t.co/6aivnUtWPT pic.twitter.com/ZYfBccYxnM
— Michigan HMS (@HMS_MI) June 5, 2019
Randomized Trial: Intraoperative High PEEP vs. Low PEEP on Postoperative Pulmonary Complications in Obese Patients
4 Jun, 2019 | 06:26h | UTCEffect of Intraoperative High Positive End-Expiratory Pressure (PEEP) With Recruitment Maneuvers vs Low PEEP on Postoperative Pulmonary Complications in Obese Patients: A Randomized Clinical Trial – JAMA (free for a limited period)
Editorial: Setting Positive End-Expiratory Pressure in Mechanically Ventilated Patients Undergoing Surgery (free)
Related Commentary on Twitter
An intraoperative mechanical ventilation strategy with a higher level of PEEP and alveolar recruitment maneuvers did not reduce postoperative pulmonary complications in #obese patients https://t.co/ONd7Mo0S2F #EA19
— JAMA (@JAMA_current) June 3, 2019
Recommendations on the Diagnosis and Initial Management of Acute Variceal Bleeding and Hepatorenal Syndrome in Patients with Cirrhosis
4 Jun, 2019 | 06:22h | UTC
Opinion – “Myth-busting the Fluid Bolus”
4 Jun, 2019 | 06:21h | UTCOpinion: Myth-busting the fluid bolus – PulmCrit (free)
Related: Debates in sepsis – ACP Hospitalist (free) AND Point and Counterpoint: Should the Surviving Sepsis Campaign Guidelines Be Retired? (free commentaries) AND The 2018 Surviving Sepsis Campaign’s Treatment Bundle: When Guidelines Outpace the Evidence Supporting Their Use (free commentaries)
Guidance on the Transfer of the Critically Ill Adult
4 Jun, 2019 | 06:17h | UTCGuidance on the Transfer of the Critically Ill Adult – Intensive Care Society (free PDF)
News Release: Launch of Guidance on the Transfer of the Critically Ill Adult – The Faculty of Intensive Care Medicine (free)
Source: Critical Care Reviews Newsletter


