Issue #202   -   Past Critical Care Newsletter issues

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Left Ventricular Assist Device Implantation in Hypertrophic and Restrictive Cardiomyopathy

 

Left Ventricular Assist Device Implantation in Hypertrophic and Restrictive Cardiomyopathy

Left ventricular assist device (LVAD) implantation in patients with advanced heart failure due to hypertrophic or restrictive cardiomyopathy (HCM/RCM) presents technical and physiologic challenges. We conducted a systematic... read more

 
 
Monitoring Mechanical Ventilation Using Ventilator Waveforms

 

Monitoring Mechanical Ventilation Using Ventilator Waveforms

This book discusses the interpretation of mechanical ventilator waveforms. Each page shows a screenshot from a real patient and explains one or two messages. It starts with basic information about the waveforms and goes on... read more

 
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Prophylaxis for Pneumocystis Pneumonia in non‐HIV Immunocompromised Patients

 

Prophylaxis for Pneumocystis Pneumonia in non‐HIV Immunocompromised Patients

Our review shows that TMP/SMX prophylaxis is highly effective for prevention of Prophylaxis for Pneumocystis Pneumonia (PCP) in patients with hematological malignancies, bone marrow transplantation and solid organ transplantation,... read more

 
 
Balanced Opioid-free Anesthesia with Dexmedetomidine vs. Balanced Anesthesia with Remifentanil for Noncardiac Surgery

 

Balanced Opioid-free Anesthesia with Dexmedetomidine vs. Balanced Anesthesia with Remifentanil for Noncardiac Surgery

This trial refuted the hypothesis that balanced opioid-free anesthesia with dexmedetomidine, compared with remifentanil, would result in fewer postoperative opioid-related adverse events. Conversely, it did result in a greater... read more

 
 
Perioperative Fluid Management

 

Perioperative Fluid Management

This book presents the most recent evidence-based facts on perioperative fluid management and discusses fluid management from basic sciences to clinical applications and the patients’ outcomes. Recent advances in understanding... read more

 

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Could a Glass of Wine Diagnose Long COVID?

 

Could a Glass of Wine Diagnose Long COVID?

Acute COVID-19 infection ranges from no symptoms (asymptomatic) to life-threatening. What about long COVID (the symptoms occurring more than three weeks after infection, also known as post-acute COVID syndrome)? Could there... read more

 
 
Endemic COVID-19 Needs Novel, Prognostic Tests to Predict Severity and Progression

 

Endemic COVID-19 Needs Novel, Prognostic Tests to Predict Severity and Progression

COVID-19 has evolved into a long-term population health problem that requires new types of diagnostics. Diagnostic developers, therefore, are called on to expand their developmental focus to include novel tests to predict... read more

 
 
Early Mobilization of Patients Receiving Vasoactive Drugs in Critical Care Units

 

Early Mobilization of Patients Receiving Vasoactive Drugs in Critical Care Units

Evidence determining specific doses of vasoactive drugs that would allow safe mobilization of patients in critical care is lacking. The criteria that have been used to determine the eligibility to mobilize patients on vasoactive... read more

 
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Nursing in Critical Care Setting: An Overview from Basic to Sensitive Outcomes

 

Nursing in Critical Care Setting: An Overview from Basic to Sensitive Outcomes

This book provides essential insights into how the approach to nursing care in ICU patients has markedly changed over recent years. It shows how the focus has progressively moved away from the technical approach that characterized... read more

 
 
Monitoring tissue oxygenation index using near‐infrared spectroscopy during pre‐hospital resuscitation

 

Monitoring tissue oxygenation index using near‐infrared spectroscopy during pre‐hospital resuscitation

In this pilot study, we demonstrated the feasibility of ∆TOI as a dynamic value rather than single static value among OHCA patients in a pre-hospital setting. ∆TOI can be considered as a predictor of return of spontaneous... read more

 
 
Intraosseous vs. Intravenous Vascular Access During CPR for Out-of-hospital Cardiac Arrest

 

Intraosseous vs. Intravenous Vascular Access During CPR for Out-of-hospital Cardiac Arrest

The meta-analysis revealed no significant association between types of vascular access and neurological outcomes at hospital discharge among out-of-hospital Cardiac Arrest (OHCA) patients. Time to intervention was identified... read more

 
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Study Finds Lower Dose of Ketamine Equally Effective in Reducing Pain

 

Study Finds Lower Dose of Ketamine Equally Effective in Reducing Pain

Ketamine is known to provide pain relief comparable to opioid medications, which are highly addictive. In the recent study, appearing in the journal Academic Emergency Medicine, researchers studied 98 patients, ages 18 to... read more

 
 
Enhancing anti-tumour efficacy with immunotherapy combinations

 

Enhancing anti-tumour efficacy with immunotherapy combinations

Several tumour types are responsive to immunotherapy, as shown by regulatory approvals for immune checkpoint inhibitors. However, many patients either do not respond or do not have durable clinical benefit. Thus, there is... read more

 
 
Apremilast Not Likely to Reduce Time to Recovery or Mortality in Critically Ill Patients in I-SPY COVID-19 Trial

 

Apremilast Not Likely to Reduce Time to Recovery or Mortality in Critically Ill Patients in I-SPY COVID-19 Trial

Quantum Leap Healthcare Collaborative (QLHC), the sponsor of the I-SPY COVID Trial, announced that apremilast (Otezla), made by Amgen, has been dropped for futility. Apremilast was chosen for testing in the I-SPY COVID Trial... read more

 
 
The Bougie as an Airway Savior

 

The Bougie as an Airway Savior

Ever since the BEAM (Bougie Use in Emergency Airway Management) trial was published in JAMA in 2018, the use of the bougie has become increasingly mainstream. Some of the advantages of using a bougie are known, but there... 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 ICU and Critical Care Medicine.

End the draconian hospital visitation policies during COVID-19
At the start of the pandemic when hospitals were overrun, testing and PPE were scarce, and unknowns about COVID-19 transmission abound, such restrictions were reasonable, perhaps even essential.

Critical Perspective: Sedation in Mechanically Ventilated Adults with Sepsis
n this “Breathe Easy Critical Perspective” podcast, Dr. Dominique Pepper interviews Dr. Christopher Hughes. They discuss the 2021 NEJM February article that investigated the use of propofol vs. dexmedetomidine for sedation in mechanically ventilated adults with sepsis.

ICU sedation, mobility, and delirium with Dale Needham
How to manage the intubated critically ill patient while keeping them awake, non-delirious, and mobile, with Dr. Dale Needham, FCPA, MD, PhD.

Citrate and Continuous Renal Replacement Therapy
With widespread utilization of continuous renal replacement therapy, its critical to know about how citrate may have a role.

Addiction medicine during COVID-19
The rapid change-over to telemedicine in March of 2020 brought predictable challenges to health care at large and substance use disorder treatment in particular.

 
CRITICAL CARE UPCOMING EVENTS
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