Issue #231   -   Past Critical Care Newsletter issues
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Metabolomic Diferences: COVID-19 vs. H1N1 Influenza in ARDS

 

Metabolomic Diferences: COVID-19 vs. H1N1 Influenza in ARDS

This study aimed to compare the specificity of the metabolic alterations induced by COVID-19 or Influenza A pneumonia (IAP) in acute respiratory distress syndrome (ARDS). Our findings support the concept that ARDS is associated... read more

 
 
Ventilator Modes Made Easy: An Easy Reference for RRT’s, RN’s, and Medical Residents

 

Ventilator Modes Made Easy: An Easy Reference for RRT’s, RN’s, and Medical Residents

Who says understanding ventilator modes has to be hard? This book gives you easy to understand information that every RRT, RN, or Resident always wishes they had. Each mode is described in simple language and answers the... read more

 

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Prevalence of Hepatopancreatic Injury in Patients with COVID-19

 

Prevalence of Hepatopancreatic Injury in Patients with COVID-19

COVID-19 can cause liver injury. Mortality, disease severity, and hospital length of stay are increased in COVID-19 patients with hepatopancreatic injury. Forty-five thousand three hundred sixty patients were included in... read more

 
 
Respiratory Monitoring in Mechanical Ventilation: Techniques and Applications

 

Respiratory Monitoring in Mechanical Ventilation: Techniques and Applications

This book covers the up-to-date advancement of respiratory monitoring in ventilation support as well as detecting the physiological responses to therapeutic interventions to avoid complications. Mechanical ventilation nowadays... read more

 
 
Safety and Efficacy of MUST-ARDS

 

Safety and Efficacy of MUST-ARDS

This important first study, using multipotent adult progenitor cells in ARDS patients (MUST-ARDS), was a phase 1/2 randomised, blinded, placebo-controlled trial that demonstrated safety and tolerability of intravenous administration... read more

 
 
Non-invasive vs. Invasive Respiratory Management Strategies in AHRF Patients

 

Non-invasive vs. Invasive Respiratory Management Strategies in AHRF Patients

When performing non-invasive ventilation among patients with de novo acute hypoxaemic respiratory failure (AHRF), it is important to avoid excessive tidal volume and lung injury. Although pressure support is needed for some... read more

 
 
Identification of Biomarkers, New Treatments, and Vaccines for COVID-19

 

Identification of Biomarkers, New Treatments, and Vaccines for COVID-19

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

 
 
Without POCUS we are Failing our CHF Patients

 

Without POCUS we are Failing our CHF Patients

In its most basic sense, the physical exam is a method of inferring the state of health of the internal organs. For two centuries, it has been accomplished through auscultation, inspection, palpation, and percussion. These... read more

 
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Semiquantitative Assessment of RFV with a Modified Subcostal Echocardiographic View

 

Semiquantitative Assessment of RFV with a Modified Subcostal Echocardiographic View

In patients presenting with RVF in the ICU (or in situations where the apical echocardiographic view is suboptimal for tricuspid annular assessment), SEATAK can be an alternative to TAPSE. Further research is needed to validate... read more

 
 
Rapidly Progressive Brain Atrophy in Septic ICU Patients

 

Rapidly Progressive Brain Atrophy in Septic ICU Patients

Many ICU patients with severe sepsis who developed prolonged mental status changes and neurological sequelae showed signs of brain atrophy. Patients with rapidly progressive brain atrophy were more likely to have required... read more

 
 
Burden of Post-Sepsis Morbidity Higher Than Previously Thought

 

Burden of Post-Sepsis Morbidity Higher Than Previously Thought

A recent cohort study published in JAMA based on data from 116,507 survivors of hospital-treated sepsis in Germany sheds light on the heavy burden of long-term effects of sepsis, the most severe complication of infections.... read more

 
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Noninvasive Ventilation and Outcomes in Bronchiolitis

 

Noninvasive Ventilation and Outcomes in Bronchiolitis

In a large cohort of infants at children’s hospitals, noninvasive and invasive ventilation increased significantly from 2010 to 2018. Hospital-level noninvasive ventilation utilization was not associated with a reduction... read more

 
 
The ICU Book

 

The ICU Book

A fundamental and respected resource book in critical care, The ICU Book, continues to provide the current and practical guidance that have made it the best-selling text in critical care. The text addresses both the medical... read more

 
 
COVID-19 Infection Triggers Profibrotic Macrophage Responses and Lung Fibrosis

 

COVID-19 Infection Triggers Profibrotic Macrophage Responses and Lung Fibrosis

COVID-19-induced acute respiratory distress syndrome (ARDS) is associated with prolonged respiratory failure and high mortality, but the mechanistic basis of lung injury remains incompletely understood. Here, we analyzed... read more

 
 
miR-221-5p-Mediated Downregulation of JNK2 Aggravates ALI

 

miR-221-5p-Mediated Downregulation of JNK2 Aggravates ALI

Sepsis and acute lung injury (ALI) are linked to mitochondrial dysfunction; however, the underlying mechanism remains elusive. We previously reported that c-Jun N-terminal protein kinase 2 (JNK2) promotes stress-induced mitophagy... read more

 
 
Recovery, Rehabilitation and Follow-up Services After Critical Illness

 

Recovery, Rehabilitation and Follow-up Services After Critical Illness

Overall, these data demonstrate a proliferation of recovery, follow-up and rehabilitation services for critically ill adults in the past decade across the UK, although service gaps remain suggesting further work is required... read more

 
 
Predict Sepsis-Associated Vasopressor Use in the ICU

 

Predict Sepsis-Associated Vasopressor Use in the ICU

Domain adaptation improved performance of a model predicting sepsis-associated vasopressor use during external validation. 40 retrospectively collected features from the electronic medical records of adult ICU patients at... read more

 
 
Severe Hyponatremia Management with DDAVP Clamp-Bolus Technique

 

Severe Hyponatremia Management with DDAVP Clamp-Bolus Technique

The DDAVP clamp technique has considerably simplified the management of severe hyponatremia. The DDAVP clamp was a substantial step forwards in the management of severe hyponatremia. It eliminated a lot of the variability... 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.

When can we use oral ketamine for procedural sedation?
This week, we talk about how to use oral ketamine for (minor) procedural sedation in the agitated/ combative patient.

Making the diagnosis with André Mansoor
Dr. André Mansoor (@AndreMansoor), associate professor of medicine in Portland, Oregon, author of the excellent Frameworks for Internal Medicine, and contributor to Physical Diagnosis PDX, talks us through a complex case of encephalopathy and respiratory failure to illustrate some principles of diagnostic reasoning.

Clinical Challenges in Surgical Critical Care: Arrhythmias
In this Critical Care episode of Behind the Knife, Drs. Bankhead, Dumas, & Park will address how to approach a critically ill patient who presents with an arrythmia.

Simple Things to Help Them Sleep
Characterisation of sleep in intensive care using 24-hour polysomnography: an observational study.

The ICU is no place for the elderly
Join Francesca Rubulotta and Karin Amrein as they debate whether ICU is a place for the elderly.

Recurrent clotting of the filter
Usually the topics here follow the well trodden path of Oh’s manual, but we’re looking at something primarily because it is an ideal question for a fellowship exam.

 
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FEATURED CRITICAL CARE BOOKS
Renal Replacement Therapy: Controversies and Future Trends Renal Replacement Therapy: Controversies and Future Trends

Controversies and trends have always been present in nephrology. Since its inception and throughout its development, renal replacement therapy has been shrouded in uncertainty, even as it advances, and it has always been... read more

A Nurse’s Story A Nurse’s Story

The team of nurses that Tilda Shalof found herself working with in the intensive care unit (ICU) of a big-city hospital was known as “Laura’s Line.” They were a bit wild: smart, funny, disrespectful of authority,... read more

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