Issue #193   -   Past Critical Care Newsletter issues

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Critical Care News - Curated Stories for Critical Care Professionals
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RECENT COVID-19 NEWS

 
Efficacy and Safety of the mRNA-1273 SARS-CoV-2 Vaccine

 

Efficacy and Safety of the mRNA-1273 SARS-CoV-2 Vaccine

The mRNA-1273 vaccine showed 94.1% efficacy at preventing COVID-19 illness, including severe disease. Aside from transient local and systemic reactions, no safety concerns were identified. The trial enrolled 30,420 volunteers... read more

 
 
Lung Ultrasound in the Critically Ill: The BLUE Protocol

 

Lung Ultrasound in the Critically Ill: The BLUE Protocol

Written by a pioneer in critical care ultrasound, this book discusses the basic technique and “signatures” of lung ultrasound and explains its main clinical applications. The tools and clinical uses of the BLUE... read more

 
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The Value of Decreasing the Duration of the Infectious Period of Severe ARDS COVID-19 Infection

 

The Value of Decreasing the Duration of the Infectious Period of Severe ARDS COVID-19 Infection

Finding medications or vaccines that may decrease the infectious period of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) could potentially reduce transmission in the broader population. We developed a computational... read more

 
 
Allergic Reactions After Receipt of the First Dose of Pfizer-BioNTech COVID-19 Vaccine

 

Allergic Reactions After Receipt of the First Dose of Pfizer-BioNTech COVID-19 Vaccine

Early safety monitoring of the Pfizer-BioNTech COVID-19 vaccine has detected 21 cases of anaphylaxis after reported administration of 1,893,360 first doses of Pfizer-BioNTech COVID-19 vaccine (11.1 cases per million vaccine... read more

 
 
ICU Protocols: A Step-wise Approach, Vol II

 

ICU Protocols: A Step-wise Approach, Vol II

The second edition of this highly successful book includes up-to-date notes on the step-wise management of clinical emergencies encountered in everyday intensive care units (ICU). Each thoroughly revised chapter provides... read more

 

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The Evolving Armamentarium of COVID-19 Therapeutics

 

The Evolving Armamentarium of COVID-19 Therapeutics

Multiple repositories have been created for the vast scientific outpouring of COVID-19 research. The NIH regularly updates its treatment guidelines, which will be the primary reference for this review. To cut to the chase,... read more

 
 
Unexpectedly High Frequency of Enterococcal Bloodstream Infections in COVID-19 Patients Admitted to an Italian ICU

 

Unexpectedly High Frequency of Enterococcal Bloodstream Infections in COVID-19 Patients Admitted to an Italian ICU

Coronavirus disease 2019 seemed to increase the frequency of bloodstream infections (particularly Enterococcus-related bloodstream infection) after ICU admission. This may have been due to enteric involvement in patients... read more

 
 
Understanding Moral Injury

 

Understanding Moral Injury

The Understanding Moral Injury video was put together by the LTLC-Critical Care programme. This is an HEE and NHSEI initiative aimed at supporting the cross-skilling of the London NHS workforce to manage existing and spikes... read more

 
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Estimate Artery Occlusion Pressure in Critically Ill Patients Under Mechanical Ventilation Using Doppler Echocardiography

 

Estimate Artery Occlusion Pressure in Critically Ill Patients Under Mechanical Ventilation Using Doppler Echocardiography

In mechanically ventilated critically ill patients, Doppler transthoracic echocardiography indices are highly specific but not sensitive to estimate pulmonary artery occlusion pressure. Transmitral early velocity wave recorded... read more

 
 
Acute Respiratory Distress Syndrome

 

Acute Respiratory Distress Syndrome

This book covers all clinical aspects of acute respiratory distress syndrome (ARDS), from definition to treatment, focusing on the more recent recommendations and evidence-based medicine. The addressed topics are the various... read more

 
 
Unexpectedly High Frequency of Enterococcal Bloodstream Infections in COVID-19 Patients

 

Unexpectedly High Frequency of Enterococcal Bloodstream Infections in COVID-19 Patients

Coronavirus disease 2019 seemed to increase the frequency of bloodstream infections (particularly Enterococcus-related bloodstream infection) after ICU admission. This may have been due to enteric involvement in patients... read more

 
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Management of late onset urea cycle disorders-a remaining challenge for the intensivist?

 

Management of late onset urea cycle disorders-a remaining challenge for the intensivist?

Awareness of urea cycle disorders in adults intensive care units can optimize early management and accordingly dramatically improve prognosis. By preventing hyperammonemia to induce brain edema and herniation leading to death.... read more

 
 
Neutrophilic Inflammation, Immunothrombosis May Distinguish Severe COVID-19 From Influenza

 

Neutrophilic Inflammation, Immunothrombosis May Distinguish Severe COVID-19 From Influenza

Severe coronavirus disease 2019 (COVID-19) is associated with immunothrombotic, neutrophil-containing vessel occlusions in the lung, with neutrophils representing the primary immune cell component associated with clinical... read more

 
 
Allergic Reactions to COVID-19 Vaccine

 

Allergic Reactions to COVID-19 Vaccine

To date, the development of mRNA vaccines for the prevention of infection with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has been a success story, with no serious concerns identified in the ongoing... read more

 
 
FDA Warns Against Cutting the COVID-19 Vaccine Dosing in Half

 

FDA Warns Against Cutting the COVID-19 Vaccine Dosing in Half

The Food and Drug Administration (FDA) is warning health care workers that any changes to the authorized dosing schedules of COVID-19 vaccines currently being administered would significantly place public health at risk and... read more

 
 
A Novel Negative Pressure-Flow Waveform to Ventilate Lungs for Normothermic Ex Vivo Lung Perfusion

 

A Novel Negative Pressure-Flow Waveform to Ventilate Lungs for Normothermic Ex Vivo Lung Perfusion

Ex vivo lung perfusion (EVLP) is increasingly used to treat and assess lungs before transplant. Minimizing ventilator induced lung injury (VILI) during EVLP is an important clinical need, and negative pressure ventilation... read more

 
 
How to be EPIC in the COVID-19 Era

 

How to be EPIC in the COVID-19 Era

Evolution is afoot. It’s entirely possible you have noticed somewhat of an alteration in the world around us. A pandemic—the downwind effect of a miniscule strand of RNA and its lollipop-studded shell, a savage little... read more

 
 
Extracorporeal Life Support for Adults

 

Extracorporeal Life Support for Adults

This book presents a concise, evidence-based review of extracorporeal life support (ECLS) for adult diseases. It describes the use of ECLS with patients who are experiencing severe hypoxemic respiratory failure (ARDS and... read more

 
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LATEST CRITICAL CARE PODCASTS
 

Every week we scour the web to bring you the latest podcast episodes related to critical care.

COVID-19 Pneumonia
Best practices in care of the critically ill patient with COVID-19 pneumonia are not known at this time. However, practical lessons from the ground are filtering in from those who have seen many of these patients, and Dr. Nicole King—critical care anesthesiologist, ECMO-ologist at the University of Cincinnati

The Truth About COVID-19 From a Pulmonologist
Since March, Covid-19 has dominated all of our lives. Rumors, false beliefs, and conspiracy theories have abounded. Are people really getting as sick from Covid as the media is portraying? If you’re young and healthy, are you immune from dying? Will a mask help prevent you from getting infected?

Pyroglutamic Acidosis
The clinical presentation will be a severe raised anion gap acidosis, typically with numbers that seem disproportionate to the usual house officer differential of “sepsis”.

Could meropenem work as an antidote for medications metabolized by UGT?
In this episode, I’ll discuss whether meropenem could theoretically work as an antidote for medications metabolized by UGT.

Preop assessment for ambulatory surgery
In this episode I welcome Dr. Bobbie Sweitzer to the show to discuss how to identify high risk patients for ambulatory surgery in order to reduce the risk of postop complications.

Pharmacy to Dose: The Critical Care Podcast – Practice-Based Research
04:17 – Defining practice-based research; 06:02 – Importance of research; 12:38 – Developing infrastructure that supports research; 18:59 – Finding a good research idea; 22:15 – Research v. MUE; 25:48 – Reducing duplicate research studies;

Bowel Obstruction & the Role of the Gastrografin Challenge
Dr. Martin Zielinski from the Mayo Clinic, Rochester, MN, joins us on Rounds to discuss best practices in the management of bowel obstruction.

Resus Tempo
In this episode, we talk about the tempo and mental modeling of resuscitation and flight medicine.

 
CRITICAL CARE UPCOMING EVENTS
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Comprehensive Review of Infectious Diseases
Comprehensive Review of Infectious Diseases
Dancing with Elephants: Mindfulness Training For Those Living With Dementia, Chronic Illness or an Aging Brain
Dancing with Elephants: Mindfulness Training For Those Living With Dementia, Chronic Illness or an Aging Brain
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