Respiratory Rehabilitation
RCT | High-dose dexamethasone and oxygen support strategies in intensive care unit patients with severe COVID-19 acute hypoxemic respiratory failure.
6 Jul, 2022 | 11:51h | UTC
Commentary on Twitter
In this RCT, high-dose dexamethasone did not significantly improve the 60-day survival. The oxygenation strategy in initially non-intubated patients did not significantly modify the 28-day risk of invasive mechanical ventilation requirement. https://t.co/ZNajW2KBKR
— JAMA Internal Medicine (@JAMAInternalMed) July 5, 2022
Brief Review: Noninvasive respiratory support in intensive care medicine.
29 Jun, 2022 | 11:06h | UTCNoninvasive respiratory support in intensive care medicine – Intensive Care Medicine (if the link is paywalled, try this one)
Commentary on Twitter
Noninvasive respiratory support in #ICU
? hypercapnic failure
?respiratory failure due to acute cardiogenic pulmonary edema
⚠️ weaning or extubation in high-risk or obese pts
? de novo hypoxemic respiratory failure if careful pt selection/monitoring
? https://t.co/pTdzEEW2Xf pic.twitter.com/S3oEpUppNC— Intensive Care Medicine (@yourICM) June 28, 2022
Guideline: Sleep-related breathing disorders in adults.
28 Jun, 2022 | 11:21h | UTCPartial update of the German S3 Guideline Sleep-Related Breathing Disorders in Adults – Somnologie
RCT: Effectiveness and safety of early initiation of poststernotomy cardiac rehabilitation exercise training.
23 Jun, 2022 | 12:59h | UTCEffectiveness and Safety of Early Initiation of Poststernotomy Cardiac Rehabilitation Exercise Training: The SCAR Randomized Clinical Trial – JAMA Cardiology (free for a limited period)
Commentary on Twitter
RCT found starting exercise 2 weeks post-sternotomy was as effective as starting at 6 weeks. Clinicians and cardiac rehabilitation professionals can recommend starting exercise training as early as 2 weeks post-sternotomy. https://t.co/MpBhRmyfUh
— JAMA Cardiology (@JAMACardio) June 22, 2022
Review: Sex differences in sequelae from COVID-19 infection and in long COVID syndrome.
22 Jun, 2022 | 12:06h | UTCCommentary: Women more likely to have long COVID, different symptom profile – CIDRAP
How common is long COVID? Why studies give different answers.
21 Jun, 2022 | 11:03h | UTCHow common is long COVID? Why studies give different answers – Nature
ERS statement on pediatric long-term noninvasive respiratory support.
21 Jun, 2022 | 10:56h | UTCERS statement on paediatric long-term noninvasive respiratory support – European Respiratory Journal
Consensus Study: A core outcome set for post-COVID-19 condition in adults for use in clinical practice and research.
20 Jun, 2022 | 10:31h | UTCNews Release: Key outcomes of Long COVID identified in international consensus study – King’s College London
Invited Commentary: Post-COVID-19 condition in children: a COS is urgently needed – The Lancet Respiratory Medicine
Commentary on Twitter
NEW POSITION PAPER—A core outcome set for post-COVID-19 condition in adults for use in clinical practice and research
From Daniel Munblit & co https://t.co/zAxQ1ww6bT pic.twitter.com/WIitohP3Xo
— The Lancet Respiratory Medicine (@LancetRespirMed) June 15, 2022
Brief Review: Helmet noninvasive support in hypoxemic respiratory failure.
20 Jun, 2022 | 01:13h | UTCHelmet noninvasive support in hypoxemic respiratory failure – Intensive Care Medicine (if the link is paywalled, try this one)
Commentary on Twitter
Helmet noninvasive support in hypoxemic respiratory failure:
⚙️ set‐up
⛑ physiology of helmet interface: from most relevant feature to major drawbacks
? clinical implications
Free to read #FOAMcc on @yourICM
? https://t.co/qNE4Id5oBg pic.twitter.com/b2auLLlW9z— Intensive Care Medicine (@yourICM) June 18, 2022
[Preprint] Largest study to date on long COVID identifies a broad list of diagnoses.
10 Jun, 2022 | 11:53h | UTCStudy Commentary: Largest study to date on long COVID identifies a broad list of diagnoses – News Medical
Commentary on Twitter
? The arguably largest #LongCovid study to date with millions of participants shows the increased risk of various symptoms after infection and the risk of having to take medications. https://t.co/DSvRcKVKIs pic.twitter.com/uUQxK1VQLv
— Jonas R. Kunst (@KunstJonas) May 23, 2022
Video: Care of patients with new, continuing, or recurring symptoms after acute SARS-CoV-2 infection.
2 Jun, 2022 | 11:04h | UTC
Retrospective Cohort Study: Racial and ethnic discrepancy in pulse oximetry and delayed identification of treatment eligibility among patients with COVID-19.
1 Jun, 2022 | 11:58h | UTCEditorial: Racial and Ethnic Bias in Pulse Oximetry and Clinical Outcomes
Related:
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
Commentary on Twitter
This cohort study found overestimation of arterial oxygen saturation levels by pulse oximetry occurred in Asian, Black, and Hispanic patients with #COVID19 and delayed care compared with White patients. https://t.co/ptOVwuUewr @AshFawzyMD @GoldenSherita @AmandaBradke @BTGaribaldi
— JAMA Internal Medicine (@JAMAInternalMed) May 31, 2022
Ten overlooked mistakes during early mobilization in the intensive care unit.
31 May, 2022 | 11:12h | UTCRelated:
M-A: Efficacy of physiotherapy interventions on weaning in mechanically ventilated critically ill patients.
27 May, 2022 | 11:29h | UTC
Strategies to prevent ventilator-associated pneumonia, ventilator-associated events, and nonventilator hospital-acquired pneumonia in acute-care hospitals: 2022 Update.
23 May, 2022 | 01:58h | UTC
Commentary on Twitter
Just published ?? @ICHEJournal @SHEA_Epi @IDSAInfo @APIC
Strategies to prevent ventilator-associated pneumonia, ventilator-associated events, and nonventilator hospital-acquired pneumonia in acute-care hospitals: 2022 Update #IDTwitter https://t.co/fipGfkyHi6 pic.twitter.com/c88X5GL0d6— Antibiotic Steward Bassam Ghanem?? (@ABsteward) May 20, 2022
Under a http://creativecommons.org/licenses/by/4.0/ license
Systematic Review: Prehabilitation vs. no prehabilitation to improve functional capacity, reduce postoperative complications and improve quality of life in colorectal cancer surgery.
23 May, 2022 | 01:31h | UTCSummary: Preparing a patient with bowel cancer for surgery with multiple interventions – Cochrane Library
The pandemic’s true health cost: how much of our lives has COVID stolen?
19 May, 2022 | 11:09h | UTCThe pandemic’s true health cost: how much of our lives has COVID stolen? – Nature
Commentary on Twitter
What's missed by our fixation on hospitalization and death metrics for the pandemic—the disability toll—the impact by disability-adjusted life years (DALYs) https://t.co/dFWNuVah3z@HollyElse @Nature #LongCovid pic.twitter.com/Fql0a4ObLH
— Eric Topol (@EricTopol) May 18, 2022
Cohort Study: Health outcomes in people 2 years after surviving hospitalization with COVID-19.
13 May, 2022 | 11:32h | UTC
[Preprint] Long Covid: A systematic review and meta-analysis of 120,970 patients.
13 May, 2022 | 11:30h | UTCLong Covid: A Systematic Review and Meta-Analysis of 120,970 Patients – Preprints with The Lancet
Commentary on Twitter
A systematic #LongCovid review of nearly 200 studies and over 120,000 participants, reinforces the high frequency of symptoms > 6 months, not linked to severity of acute illness, and potential for marked disabilityhttps://t.co/9NYQT1P79G pic.twitter.com/WFzBqghbGI
— Eric Topol (@EricTopol) May 6, 2022
Review: Comfort during non-invasive ventilation.
12 May, 2022 | 08:07h | UTCComfort During Non-invasive Ventilation – Frontiers in Medicine
Review: Mucus clearance strategies in mechanically ventilated patients.
12 May, 2022 | 08:06h | UTCMucus Clearance Strategies in Mechanically Ventilated Patients – Frontiers in Physiology
Brief Review | In search of the Holy Grail: identifying the best PEEP in ventilated patients.
9 May, 2022 | 01:50h | UTC
Commentary on Twitter
Best PEEP on MV?? Individual-specific providing oxygenation (SpO2 >90%/no excessive FiO2 + acceptable PaCO2 (<50/55 mmHg) & minimal need for fluids/cardioactives. Start at 10-12 but stay alert to hemodynamic impact & as set, serially asses need/adequacy.
?https://t.co/wdK92bs8B9 pic.twitter.com/NlTzoxfwa5— Intensive Care Medicine (@yourICM) May 5, 2022
Brief Review | Oxygen targets.
9 May, 2022 | 01:48h | UTCOxygen targets – Intensive Care Medicine (if the link is paywalled, try this one)
Related:
Commentary on Twitter
Oxygen targets in #ICU?? Supplemental O2 often required in critically ill, but balancing opposing risks hypo/hyperxaemia required to choose right amount to give. Hyperoxaemia associated with negative cellular/physiological effects: O2 can harm!#FOAMcc
? https://t.co/F4r3Qg7hXg pic.twitter.com/EizwMNjjnc— Intensive Care Medicine (@yourICM) May 7, 2022
RCT: Effect of early vs. standard approach to tracheostomy on functional outcome at 6 months among patients with severe stroke receiving mechanical ventilation.
6 May, 2022 | 11:13h | UTCEffect of Early vs Standard Approach to Tracheostomy on Functional Outcome at 6 Months Among Patients With Severe Stroke Receiving Mechanical Ventilation: The SETPOINT2 Randomized Clinical Trial – JAMA (free for a limited period)
Commentary on Twitter
In this study, among patients with severe stroke receiving mechanical ventilation, a strategy of early tracheostomy, compared with a standard approach to tracheostomy, did not significantly improve functional outcome at 6 months. https://t.co/bLZ4b6hBxr
— JAMA (@JAMA_current) May 4, 2022
Long COVID: aiming for a consensus.
6 May, 2022 | 11:03h | UTCLong COVID: aiming for a consensus – The Lancet Respiratory Medicine
Commentary on Twitter
There is an urgent need for unification of terminology for the sequelae of #SARSCoV2 infection to ensure that research is directed towards and translated into interventional trials to improve outcomes
NEW Comment—#LongCOVID: aiming for a consensushttps://t.co/dZO4rBVCSY pic.twitter.com/H5ezqL0RLb
— The Lancet Respiratory Medicine (@LancetRespirMed) May 5, 2022