Issue #206   -   Past Critical Care Newsletter issues
Critical Care News - Curated Stories for Critical Care Professionals

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Prone Position in Intubated, Mechanically Ventilated COVID-19 Patients

 

Prone Position in Intubated, Mechanically Ventilated COVID-19 Patients

During the COVID-19 pandemic, prone position has been widely adopted to treat mechanically ventilated patients with respiratory failure. The majority of patients improved their oxygenation during prone position, most likely... read more

 
 
Clinical, Biological and Molecular Aspects of COVID-19

 

Clinical, Biological and Molecular Aspects of COVID-19

The novel coronavirus 2019 (COVID-19) has caused a serious global pandemic in just eight months. Nearly every country and territory in the world has been affected by the virus. The virulence and infection rate of the virus... read more

 



 
Effect of intubation timing on clinical outcomes of critically ill patients with COVID-19

 

Effect of intubation timing on clinical outcomes of critically ill patients with COVID-19

The synthesized evidence suggests that timing of intubation may have no effect on mortality and morbidity of critically ill patients with COVID-19. These results might justify a wait-and-see approach, which may lead to fewer... read more

 
 
Effects of Ventilatory Rescue Therapies on the Cerebral Oxygenation of COVID-19 Patients

 

Effects of Ventilatory Rescue Therapies on the Cerebral Oxygenation of COVID-19 Patients

A new study by Masimo published in Critical Care evaluated the impact of a variety of rescue therapies on the systemic and cerebral oxygenation of mechanically ventilated COVID-19 patients suffering from acute respiratory... read more

 
 
A Controlled Trial of Methylprednisolone in COVID-19 Pneumonia

 

A Controlled Trial of Methylprednisolone in COVID-19 Pneumonia

The use of corticosteroids in patients with pneumonia secondary to COVID-19 has been a controversially hot topic, particularly early on in the pandemic. Prior evidence seen in Severe Acute Respiratory Syndrome (SARS) and... read more

 
 
Imaging the ICU Patient

 

Imaging the ICU Patient

Work in intensive care is dynamic and often requires swift decision-making to achieve the best patient outcome. This book serves as a practical guide for professionals working in this demanding area of medicine. It reviews... read more

 

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IVCDV is not a reliable indicator of preload responsiveness

 

IVCDV is not a reliable indicator of preload responsiveness

During mechanical ventilation with Vt = 6 mL/kg, the effects of passive leg raising (PLR) can be assessed by changes in pulse pressure variation (PPV). If inferior vena cava diameter (IVCDV) is used, it should be expressed... read more

 
 
Left Ventricular Unloading and ECpella Role

 

Left Ventricular Unloading and ECpella Role

The main reason for the emergency implantation of venoarterial extracorporeal membrane oxygenation (VA-ECMO) is the restoration of adequate systemic perfusion, while protecting the failing heart and promoting myocardial recovery... read more

 
 
Clinical Features and Predictors in Critically Ill COVID-19 Patients

 

Clinical Features and Predictors in Critically Ill COVID-19 Patients

We aim to describe a case series of critically and non-critically ill COVID-19 patients in Singapore. This was a multicentered prospective study with clinical and laboratory details. Details for fifty uncomplicated COVID-19... read more

 
 
Confirming a Pulse during Resuscitation

 

Confirming a Pulse during Resuscitation

Much has been written about using ultrasound in cardiac arrest. The REASON study found that identification of cardiac standstill in PEA or asystole is correlated with almost no chance of meaningful recovery and can assist... read more

 
 
Operative Lung Deflation During OLV with a DL-ETT

 

Operative Lung Deflation During OLV with a DL-ETT

Operative lung deflation during lung deflation during one-lung ventilation (OLV) with a double-lumen endotracheal tube (DL-ETT) is faster when the operative lumen remains closed before pleural opening thus preventing it from... read more

 
 
Hemodynamic Monitoring Using Echocardiography in the Critically Ill

 

Hemodynamic Monitoring Using Echocardiography in the Critically Ill

The hemodynamic evaluation of patients with acute circulatory failure and respiratory failure has in the past usually been performed using invasive procedures but in recent years less invasive monitoring devices have been... read more

 
 
ICU-specific Virtual Reality for Psychological Recovery After ICU COVID-19 Treatment

 

ICU-specific Virtual Reality for Psychological Recovery After ICU COVID-19 Treatment

A substantial number of ICU survivors are expected due to the SARS-CoV-2 outbreak, who are at risk for psychological impairments, such as post-traumatic stress disorder (PTSD), anxiety, and depression. We designed a COVID-19... read more

 
 
Expanding Post-Discharge Readmission Metrics in Patients with COPD

 

Expanding Post-Discharge Readmission Metrics in Patients with COPD

Of 1,384,025 hospitalizations, 11,304 encounters from 8097 patients met criteria to be index hospitalizations. Most index hospitalizations were inpatient hospitalizations (74.8%) versus observation hospitalizations (25.2%).... read more

 
 
Virus-Induced Changes of the Respiratory Tract Environment Promote Secondary Infections

 

Virus-Induced Changes of the Respiratory Tract Environment Promote Secondary Infections

Secondary bacterial infections enhance the disease burden of influenza infections substantially. Streptococcus pneumoniae (the pneumococcus) plays a major role in the synergism between bacterial and viral pathogens, which... read more

 
 
Mayo Clinic Critical and Neurocritical Care Board Review

 

Mayo Clinic Critical and Neurocritical Care Board Review

Mayo Clinic Critical and Neurocritical Care Board Review is an all-inclusive review of the pathophysiology and care of the neurocritically ill and critically ill patient. The book reviews the core major critical care and... read more

 
 
Contrast-enhanced Imaging in the Emergency Department

 

Contrast-enhanced Imaging in the Emergency Department

We continue with the topic of Contrast-enhanced imaging in the emergency department. “What is the creatinine?” asks the radiologist when an emergency contrast-enhanced computed tomography (CT) is requested for... 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.

Neuromuscular Blockade in ICU
The use of neuromuscular blockade is not uncommon however, it’s associated with many complications such as the increased risk of ICU acquired weakness, prolonged length of ICU stay along with the increased risk of corneal ulceration and VTE. In this episode, we discuss various indications for the use of NMB agents in ICU and review the available evidence on this topic.

What rifamycin-opioid interactions are most significant?
In this episode, I ll discuss a review article that identifies the most significant rifamycin-opioid interactions.

How do we manage pain in patients on Suboxone?
In this episode, we discuss how to manage acute and post-op pain in patients on opioid maintenance therapy with Suboxone.

Management of Massive Hemoptysis and Tracheal Complications in the ICU
Van K. Holden, MD, FCCP, Assistant Professor of Pulmonary & Critical Care Medicine and Director of the Pulmonary/Critical Care Medicine Fellowship Program at the University of Maryland

Necrotizing Soft Tissue Infections (NSTIs)
Rare. Morbid. Lethal. NSTIs area group of infections which result in aggressive tissue destruction, systemic toxicity, and can involve any layer of the soft tissue.

Which ICU Experience Is Best for CRNA School
Which ICU is best for CRNA? With so many different ICU positions to choose from, it can be challenging to find the placement that is going to serve your future CRNA path the best.

 
CRITICAL CARE UPCOMING EVENTS
 
Which haemodynamic monitoring tool?
Apr. 15, 2021 - Online

18th Annual Critical Care Symposium
Apr. 22, 2021 - Online

EuroELSO Virtual Congress 2021
May. 05, 2021 - Online

Blood Diseases in the ICU
May. 31, 2021 - Paris, France

LIVES Forum - Septic shock: From the bug to organ failure
Jun. 03, 2021 - Dublin, Ireland

ESPNIC 2021 Xperience
Jun. 15, 2021 - Online

See More Upcoming Events...

 
POPULAR CRITICAL CARE BOOKS
Animal Viruses and Humans, a Narrow Divide: How Lethal Zoonotic Viruses Spill Over and Threaten Us
Animal Viruses and Humans, a Narrow Divide: How Lethal Zoonotic Viruses Spill Over and Threaten Us
Unaccountable: What Hospitals Won’t Tell You and How Transparency Can Revolutionize Health Care
Unaccountable: What Hospitals Won’t Tell You and How Transparency Can Revolutionize Health Care
Handbook of ICU Therapy
Handbook of ICU Therapy
Wallach’s Interpretation of Diagnostic Tests
Wallach’s Interpretation of Diagnostic Tests
Pandemic: Tracking Contagions, from Cholera to Ebola and Beyond
Pandemic: Tracking Contagions, from Cholera to Ebola and Beyond
A Perspective on Post-Cardiac Arrest Syndrome
A Perspective on Post-Cardiac Arrest Syndrome
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