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Sepsis is scurvy? Vitamin C, Thiamine, and Steroids

 

Sepsis is scurvy? Vitamin C, Thiamine, and Steroids

I have avoided commenting on vitamin C for sepsis, because commentary seemed rather unnecessary. The hype was obviously ridiculous. The chances of it helping were clearly low. The evidence of benefit was negligible. Others... read more

 
 
Hemodynamic Monitoring (Lessons from the ICU)

 

Hemodynamic Monitoring (Lessons from the ICU)

This book, part of the European Society of Intensive Care Medicine textbook series, teaches readers how to use hemodynamic monitoring, an essential skill for today’s intensivists. It offers a valuable guide for beginners,... read more

 

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The Family in Preventing Delirium in the ICU

 

The Family in Preventing Delirium in the ICU

Extended visits, development of family-mediated activities, and redirection are non-pharmacological strategies that reduce the incidence of delirium in the ICU and offer multiple benefits to the patient and family/caregiver.... read more

 
 
Plasma biomarkers of inflammation, coagulation, and brain injury as predictors of delirium duration in older hospitalized patients

 

Plasma biomarkers of inflammation, coagulation, and brain injury as predictors of delirium duration in older hospitalized patients

Plasma Biomarkers of systemic inflammation and endothelial activation are associated with ED delirium duration in older ED patients without dementia. A total of 156 patients were enrolled. IL-6 (POR = 1.59, 95%CI: 1.09–2.32)... read more

 
 
HFNO Alone or Alternating with NIV in ARF Patients

 

HFNO Alone or Alternating with NIV in ARF Patients

In critically ill immunocompromised patients with acute respiratory failure (ARF), the mortality rate did not differ between HFNO alone and non-invasive ventilation (NIV) alternating with high-flow nasal oxygen (HFNO). However,... read more

 
 
Reducing Mortality in Acute Kidney Injury

 

Reducing Mortality in Acute Kidney Injury

This book describes the techniques, strategies, and drugs that have been demonstrated by at least one paper published in a peer-reviewed journal to significantly influence survival in patients with or at risk for acute kidney... read more

 
 
Higher Dose Antibiotic Shown Safe in TB Patients Likely More Effective in Treating Deadliest Form of TB

 

Higher Dose Antibiotic Shown Safe in TB Patients Likely More Effective in Treating Deadliest Form of TB

A Johns Hopkins Children’s Center-led study in animals suggests that high doses of a widely used antibiotic called rifampin may safely treat and reduce the duration of treatment for the deadliest form of tuberculosis that... read more

 
 
Risks and Burdens of Incident Diabetes in Long COVID

 

Risks and Burdens of Incident Diabetes in Long COVID

In the post-acute phase, we report increased risks and 12-month burdens of incident diabetes and antihyperglycaemic use in people with COVID-19 compared with a contemporary control group of people who were enrolled during... read more

 
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Music Therapy Intervention to Treat Sedation-Related Delirium in Critical Care

 

Music Therapy Intervention to Treat Sedation-Related Delirium in Critical Care

Sedation is an essential component of treatment for some patients admitted to the intensive care unit, but it carries a risk of sedation-related delirium. Sedation-related delirium is associated with higher mortality and... read more

 
 
Moderate Procedural Sedation and Analgesia

 

Moderate Procedural Sedation and Analgesia

Introducing the definitive resource designed for practitioners working in the rapidly expanding area of moderate procedural sedation and analgesia clinical practice. Moderate Procedural Sedation and Analgesia: A Question... read more

 
 
Acute Kidney Injury Related to Intoxication From Synthetic Cannabis

 

Acute Kidney Injury Related to Intoxication From Synthetic Cannabis

Acute kidney injury (AKI) occurs infrequently in young patients and often raises concern for irreversible or deadly etiologies. However, AKI related to synthetic marijuana, colloquially known as K2, is an increasingly common... read more

 
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Multi-Organ Point-Of-Care Ultrasound in AKI

 

Multi-Organ Point-Of-Care Ultrasound in AKI

Acute kidney injury (AKI) is a clinical syndrome caused by a multitude of hemodynamic, toxic, and structural insults to the kidney, and portends worse patient outcomes. Despite careful history taking, physical examination,... read more

 
 
Prone Position Minimizes the Exacerbation of Effort-dependent Lung Injury

 

Prone Position Minimizes the Exacerbation of Effort-dependent Lung Injury

Prone position, independent of positive end-expiratory pressure levels, diminishes a maldistribution of lung stress and inflation imposed by spontaneous effort and mitigates spontaneous effort, resulting in less effort-dependent... read more

 
 
Bedside Procedures for the Intensivist

 

Bedside Procedures for the Intensivist

Bedside Procedures for the Intensivist delivers practical tips and clear, step-by-step instruction on the most common procedures in the ICU. The convenient and portable handbook focuses on ultrasound-guided techniques, including... read more

 
 
General Anesthesia vs. Sedation Using Hemodynamic Control During Intraarterial Treatment for Stroke

 

General Anesthesia vs. Sedation Using Hemodynamic Control During Intraarterial Treatment for Stroke

The functional outcomes 3 months after endovascular treatment for stroke were similar with general anesthesia and sedation. Our results, therefore, suggest that clinicians can use either approach. Of 351 randomized patients,... read more

 
 
Vasopressor Choice and Timing in Vasodilatory Shock

 

Vasopressor Choice and Timing in Vasodilatory Shock

Vasodilatory shock is the most common form of circulatory shock encountered in patients admitted to the intensive care unit (ICU). Sepsis is the predominant etiology, but other causes of vasodilatory shock include postoperative... read more

 
 
Hemodynamic Management Challenges of Septic Shock

 

Hemodynamic Management Challenges of Septic Shock

Sepsis is one of the main causes of admission to the Intensive Care Unit (ICU). It is defined as a life-threatening organ dysfunction, caused by dysregulated host response to infection (Singer et al. 2016). Septic shock is... 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. Here are the latest podcasts:

Does Tranexamic Acid Have a Role In Aneurysmal Subarachnoid Hemorrhage?
In this episode, I’ll discuss whether tranexamic acid has a role in the treatment of aneurysmal subarachnoid hemorrhage. Listen to podcast

Noradrenaline Vs Adrenaline in OHCA Patients
In this registry-based observational study, the authors identified patients admitted alive after OHCA to five university hospitals in France over a 7-y period between May 2011 and May 2018. Listen to podcast

Why does ketamine for RSI sometimes cause post-induction hemodynamic instability?
In this episode, I’ll discuss why ketamine can sometimes cause post-induction hemodynamic instability when it is used for rapid sequence intubation. Listen to podcast

Lipid Rescue Dosing for LAST vs Enteral Drug Toxicity
In this episode, I’ll discuss the dosing of lipid rescue therapy for LAST vs enteral drug toxicity. Listen to podcast

PANDEM Guidelines
The PANDEM guidelines evaluate current practices and provide recommendations for management of pain, agitation, iatrogenic withdrawal, neuromuscular blockade, delirium, ICU environment, and early mobility in critically ill infants and children. Listen to podcast

See More Podcasts...

 
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FEATURED CRITICAL CARE BOOKS
The Real Doctor Will See You Shortly: A Physician’s First Year The Real Doctor Will See You Shortly: A Physician’s First Year

In medical school, Matt McCarthy dreamed of being a different kind of doctor—the sort of mythical, unflappable physician who could reach unreachable patients. But when a new admission to the critical care unit almost died... read more

Clinical Examination Skills in the Adult Critically Ill Patient Clinical Examination Skills in the Adult Critically Ill Patient

This well-illustrated book provides detailed guidance on all aspects of physical examination in patients requiring emergency or intensive care. After an introductory section covering basic principles and the recognition of... read more

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