Critical Care & Emergencies (all articles)
Guidelines for the choice of intravenous fluids for vascular filling in critically ill patients.
8 Aug, 2022 | 11:45h | UTC
Commentary on Twitter
🚨GUIDELINES for THE CHOICE of INTRAVENOUS FLUIDS for VASCULAR FILLING in CRITICALLY ILL PATIENTS 🚨
🦠Sepsis/septic shock
🩸 Haemorrhagic shock
🧠Acute brain failure
🤰 Peri-partum
✨New #guidelines published in #OpenAccess📄https://t.co/UJyr3tToKS#CriticalCare #Emergency https://t.co/OhcXGL19Au pic.twitter.com/G8QjKFKn9e
— Anaesthesia Critical Care & Pain Medicine (ACCPM) (@AccpmJ) May 31, 2022
RCT | Temporary transvenous phrenic nerve stimulation does not benefit difficult-to-wean patients in the ICU.
8 Aug, 2022 | 11:41h | UTC
Position Paper | Resuscitative endovascular balloon occlusion of the aorta.
8 Aug, 2022 | 11:43h | UTC
Review | Recognizing and managing eating disorders in the emergency department.
5 Aug, 2022 | 14:22h | UTCRecognising and managing eating disorders in the emergency department – Postgraduate Medical Journal
Recommendations on controversial issues in diagnosis and management of hyponatremia.
4 Aug, 2022 | 14:07h | UTC
Review | Management of liver decompensation in advanced chronic liver disease: ascites, hyponatremia, and gastroesophageal variceal bleeding.
4 Aug, 2022 | 13:40h | UTCRelated: Overview of Complications in Cirrhosis – Journal of Clinical and Experimental Hepatology
Brief Review | Evolution of sedation management in the intensive care unit.
2 Aug, 2022 | 12:07h | UTCEvolution of sedation management in the intensive care unit (ICU) – Intensive Care Medicine (if the link is paywalled, try this one)
Commentary on Twitter
Evolution of sedation practices in #ICU, from keeping critical patients deeply sedated to let them rest to wake them up on minimal sedation, assuring comfort but promoting liberation from MV & recovery/survivorship
📎 https://t.co/IlpSkJEfnCPS free to read link tomorrow #FOAMcc pic.twitter.com/GFVxsEibdH
— Intensive Care Medicine (@yourICM) July 29, 2022
Review | Management of liver decompensation in advanced liver disease (renal impairment, liver failure, adrenal insufficiency, cardiopulmonary complications).
2 Aug, 2022 | 11:48h | UTC
Review | Cutaneous manifestations of acute kidney injury.
2 Aug, 2022 | 11:46h | UTCCutaneous manifestations of acute kidney injury – Clinical Kidney Journal
Review | Sciatica mimics.
2 Aug, 2022 | 11:54h | UTC
Review | Treatment of acute kidney injury in cancer patients.
2 Aug, 2022 | 11:43h | UTCTreatment of acute kidney injury in cancer patients – Clinical Kidney Journal
Related:
Onconephrology: Update in Anticancer Drug-Related Nephrotoxicity – Nephron
Brief Review | Monitoring pain in the intensive care unit.
1 Aug, 2022 | 12:30h | UTCMonitoring pain in the intensive care unit (ICU) – Intensive Care Medicine (if the link is paywalled, try this one)
Commentary on Twitter
Monitoring pain in #ICU
➡️ self‐assessment tools in pts able to self‐report
➡️ observational behavioural scales in pts unable to self‐report
➡️ physiologic parameters in pts unable to self‐report nor express behaviours (deep sedaution, NMBAs)#FOAMcc
🖇 https://t.co/SaD1BBxSNw pic.twitter.com/81tNNvnTDe— Intensive Care Medicine (@yourICM) July 30, 2022
M-A | Probiotics in critical illness.
1 Aug, 2022 | 12:28h | UTCProbiotics in Critical Illness: A Systematic Review and Meta-Analysis of Randomized Controlled Trials – Critical Care Medicine (free for a limited period)
Commentary on Twitter
#OpenAccess #VisualAbstract @SameerSharifMD et al: Sys Review & MA of #Probiotics in #CritCareMed
67 RCTs 8483 pts
⬇️VAP HAP #ICULOS, #mechvent
No effect on mortality
Low certainty evidenceLink: https://t.co/kN7FliTpbr@SCCM #CritCareMed @Bram_Rochwerg @leashgreer pic.twitter.com/pROjhq9T2J
— Critical Care Medicine (@CritCareMed) July 22, 2022
M-A | Respiratory support strategy in adults with acute hypoxemic respiratory failure.
1 Aug, 2022 | 12:18h | UTC
Cohort Study | Analysis of prescriptions for dual antiplatelet therapy after acute ischemic stroke.
29 Jul, 2022 | 12:20h | UTCRelated:
Commentary on Twitter
In this cohort study, dual antiplatelet of aspirin and clopidogrel was underused in patients with minor ischemic stroke and potentially overused in non-minor ischemic stroke, with substantial hospital variations. https://t.co/rZeGbMgF1E
— JAMA Network Open (@JAMANetworkOpen) July 28, 2022
RCT | Effect of high- vs. low-dose tranexamic acid infusion on need for red blood cell transfusion and adverse events in patients undergoing cardiac surgery.
27 Jul, 2022 | 12:21h | UTCEffect of High- vs Low-Dose Tranexamic Acid Infusion on Need for Red Blood Cell Transfusion and Adverse Events in Patients Undergoing Cardiac Surgery: The OPTIMAL Randomized Clinical Trial – JAMA (free for a limited period)
Commentary on Twitter
https://twitter.com/JAMA_current/status/1551960541488451586
Cross-Sectional Study | Association of registered nurse staffing with mortality risk in hospitalized patients with sepsis.
27 Jul, 2022 | 12:16h | UTCCommentaries:
Greater Nurse Staffing Tied to Better Sepsis Outcomes – HealthDay
Reduced Sepsis Mortality Risk Seen With High Nurse Staffing – AJMC
M-A | Antiviral drug treatment for nonsevere COVID-19.
27 Jul, 2022 | 12:14h | UTCNews Release: Some antivirals used in nonsevere COVID-19 may reduce hospitalizations and deaths – Canadian Medical Association Journal
Commentary: COVID-19 antivirals may cut risk of hospitalization, death – CIDRAP
M-A | Beneficial and harmful effects of monoclonal antibodies for the treatment and prophylaxis of COVID-19.
27 Jul, 2022 | 12:12h | UTC
NICE Guideline | Pneumonia in adults: diagnosis and management.
26 Jul, 2022 | 13:37h | UTCPneumonia in adults: diagnosis and management – National Institute for Health and Care Excellence
Related Guidelines:
Pneumonia (community-acquired): antimicrobial prescribing
Pneumonia (hospital-acquired): antimicrobial prescribing
Central venous catheter (CVC) management: evidence round-up.
26 Jul, 2022 | 12:41h | UTCCentral venous catheter (CVC) management: evidence round-up – Cochrane Library
Systematic Review | Heparin vs. 0.9% sodium chloride locking for prevention of occlusion in central venous catheters in adults.
26 Jul, 2022 | 12:43h | UTCRelated: Central venous catheter (CVC) management: evidence round-up – Cochrane Library
Single-center RCT | A procalcitonin-based algorithm to guide antibiotic use in patients with acute pancreatitis.
22 Jul, 2022 | 11:40h | UTCA procalcitonin-based algorithm to guide antibiotic use in patients with acute pancreatitis (PROCAP): a single-centre, patient-blinded, randomised controlled trial – The Lancet Gastroenterology & Hepatology (link to abstract – $ for full-text)
Commentary on Twitter
Can procalcitonin safely guide antibiotics in acute pancreatitis? @LancetGastroHep PROCAP study is the answer
Infographics based on the abstract, full paper: https://t.co/PdUla5Fe9Y
Read the Editorial by @lelecapurso and me in https://t.co/k4PVt8tfN8#TheAmylaseSchool @my_ueg pic.twitter.com/cop0DWXmtC— Enrique de-Madaria (@DeMadaria) July 19, 2022
RCT | In patients undergoing cardiac surgery with cardiopulmonary bypass, using a 4% albumin solution for volume expansion did not reduce adverse events compared to ringer acetate.
21 Jul, 2022 | 13:32h | UTCEffect of 4% Albumin Solution vs Ringer Acetate on Major Adverse Events in Patients Undergoing Cardiac Surgery With Cardiopulmonary Bypass: A Randomized Clinical Trial – JAMA (free for a limited period)
Editorial: Albumin vs Crystalloid Fluid for Resuscitation in Cardiac Surgery: New Evidence and Arguments in the Timeless Debate – JAMA (free for a limited period)
Commentary: Trial does not support albumin as primer, volume replacement solution in CABG – Healio (free registration required)
Commentary on Twitter
https://twitter.com/JAMA_current/status/1549424077298868225
Retrospective cohort study | Impact of ethnicity on the accuracy of measurements of oxygen saturations.
21 Jul, 2022 | 13:15h | UTCRelated:
Racial Bias in Pulse Oximetry Measurement – New England Journal of Medicine
FDA issues alert on ‘limitations’ of pulse oximeters, without explicit mention of racial bias – STAT
Pulse Oximeter Accuracy and Limitations: FDA Safety Communication – U.S. Food & Drug Administration


