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NIV After Early Extubation Reduces Total Days Spent on i-MV

 

NIV After Early Extubation Reduces Total Days Spent on i-MV

Patients recovering from an episode of hypoxemic acute respiratory failure (hARF) may benefit from a weaning strategy based on early extubation followed by immediate noninvasive ventilation (NIV) application. Compared to... read more

 
 
Clinical Companion in Nephrology

 

Clinical Companion in Nephrology

The second edition of this educational book provides an updated resource on how best to discuss and manage acute and chronic presentations of renal diseases. All chapters have been reviewed and updated to reflect changes... read more

 

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Non-invasive Respiratory Support and P-SILI in COVID-19

 

Non-invasive Respiratory Support and P-SILI in COVID-19

Coronavirus disease 2019 (COVID-19) pneumonia is associated with hypoxemic respiratory failure, ranging from mild to severe. Due to the worldwide shortage of intensive care unit beds, a relatively high number of patients... read more

 
 
COVID-19 ARDS has higher EVLWi and PVPI values than non-COVID-19 ARDS

 

COVID-19 ARDS has higher EVLWi and PVPI values than non-COVID-19 ARDS

Compared to acute respiratory distress syndrome (ARDS) patients without COVID-19, patients with COVID-19 had similar lung mechanics, but higher extravascular lung water index (EVLWi) and pulmonary vascular permeability index... read more

 
 
Steer Clear of Magnesium for COPD

 

Steer Clear of Magnesium for COPD

Knowingly or not, we in emergency medicine tend to lean into the Dutch hypothesis, a 1960s postulate that asthma and COPD are part of a spectrum of common disease (chronic obstructive lung disease), and should be considered... read more

 
 
Workbook on Renal Replacement Therapy in ICU (ISCCM)

 

Workbook on Renal Replacement Therapy in ICU (ISCCM)

This workbook focuses on renal replacement therapy in ICU. The incidence of acute kidney injury in critically ill patients is increasing steeply. Acute kidney injury in this setting is associated with high morbidity and mortality.... read more

 
 
COVID-19 Pathophysiology: Looking Beyond Acute Disease

 

COVID-19 Pathophysiology: Looking Beyond Acute Disease

Careful descriptions of the clinical features of acute disease in patients infected with the novel coronavirus SARS-CoV-2 had begun to emerge before WHO declared the outbreak of COVID-19 a public health emergency of international... read more

 
 
Higher Level of Mobilization Improves Health Status

 

Higher Level of Mobilization Improves Health Status

In critically ill survivors, achieving higher levels of mobilization, but not increasing the number of active mobilization sessions, improved health status 6 months after ICU admission. The dosage of mobilization in ICU was... read more

 
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Why and How to Open ICU to Family Visits During the Pandemic

 

Why and How to Open ICU to Family Visits During the Pandemic

Since the lockdown because of the pandemic, family members have been prohibited from visiting their loved ones in hospital. While it is clearly complicated to implement protocols for the admission of family members, we believe... read more

 
 
Textbook of Cardiorenal Medicine

 

Textbook of Cardiorenal Medicine

This textbook provides a practical and board-driven resource to describe and define the emerging field of cardiorenal medicine. Covering all aspects of the topic with depth and relevance, this groundbreaking reference brings... read more

 
 
Diagnostic accuracy of prehospital serum S100B and GFAP in patients with mild TBI

 

Diagnostic accuracy of prehospital serum S100B and GFAP in patients with mild TBI

Early prehospital and in-hospital S100B levels  0.10 μg/L was 100% (95%CI: 89.1;100.0) in prehospital samples and 100% (95% CI 89.1;100.0) in in-hospital samples. The specificity was 15.4% (95%CI: 12.4;18.7) in prehospital... read more

 
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Quantitative Characterization of LV Function During Pulseless Electrical Activity Using Echocardiography

 

Quantitative Characterization of LV Function During Pulseless Electrical Activity Using Echocardiography

Left ventricular function measured by LVFS is positively correlated with higher probability of rates of return of spontaneous circulation (ROSC) and may be associated with higher chances of survival in patients with PEA arrest.... read more

 
 
Renal Failure and Replacement Therapies

 

Renal Failure and Replacement Therapies

Increased recognition of the overlap between critical care and renal medicine, and recent advances in the understanding of acute renal failure (ARF) and the application of renal replacement therapies (RRTs), have brought... read more

 
 
Severity of Hypoxemia may Explain Indeterminate Results in Pediatric Trials of iNO

 

Severity of Hypoxemia may Explain Indeterminate Results in Pediatric Trials of iNO

Inhaled nitric oxide (iNO) is used for refractory hypoxemia in acute respiratory distress syndrome (ARDS) via vasodilation of pulmonary arterioles to ventilated alveoli, particularly in pediatrics. However, iNO has not affected... read more

 
 
Protecting The Injured RV in COVID-19 ARDS

 

Protecting The Injured RV in COVID-19 ARDS

The abnormal interaction between the right ventricle (RV) and pulmonary vasculature in various disease states is associated with adverse clinical outcomes. Impaired RV physiology in acute respiratory distress syndrome (ARDS)... read more

 
 
The Predictive Role of Combined Cardiac and Lung Ultrasound in COVID-19

 

The Predictive Role of Combined Cardiac and Lung Ultrasound in COVID-19

In hospitalized patients with coronavirus disease 2019, a very limited echocardiographic examination is sufficient for outcome prediction. The addition of echocardiography in patients with high-risk MEWS decreases the rate... read more

 
 
Protocol and statistical analysis plan for the PREPARE II randomised clinical trial

 

Protocol and statistical analysis plan for the PREPARE II randomised clinical trial

Cardiovascular collapse is a common complication during tracheal intubation of critically ill adults. Whether administration of an intravenous fluid bolus prevents cardiovascular collapse during tracheal intubation remains... read more

 
 
Do team and task performance improve after training situation awareness?

 

Do team and task performance improve after training situation awareness?

This intervention study shows that a 2-h education in situation awareness improved parts of team performance in an acute care situation. Team leadership and task management improved in the intervention group, which may indicate... 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.

Effect of the use of an endotracheal tube and stylet versus an endotracheal tube alone on first-attempt intubation success
In this episode, powered by the ICM Journal, Prof Sheila Myatra interviews Prof Samir Jaber, principal investigator of the STYLETO trial group, the findings of which have been recently published in the ICM Journal.

Practitioners on Fire-Robin and Andy
Robin and Lee both joined me to talk about their journey on the advanced practice route and to share their advice.

Oncology patients in ICU
While it remains an uncommon event, some patients with cancer require ICU level care. Dr Tamishta Hensman joins Todd to discuss the latest data on survival, some common presentations, and some tips for talking to families.

How a health system used remote monitoring to free up ICU beds
A look at how Ochsner Health was able to free up ICU beds by implementing a remote monitoring program to treat COVID-19 patients.

Which works better for agitation in the ED – Droperidol, Ziprasidone, or Lorazepam?
In this episode, I’ll discuss which works better for agitation in the ED – droperidol, ziprasidone, or lorazepam?

Driving pressure to set tidal volume
Limiting tidal volumes to prevent lung injury has been a core plank of ICU care for the past 20 years. However, is it that simple? Dr Ewan Goligher joins us to discuss how using the driving pressure to set Vt may help tailor ventilation to the patient’s needs.

Suicide and self-harm in adult survivors of critical illness

 
CRITICAL CARE UPCOMING EVENTS
  See More Upcoming Events...

 
NEW CRITICAL CARE JOBS
 

Critical Care Intensivist Opening on the Beaches of the Florida Panhandle
The largest and fastest growing Intensivist group in the US is actively recruiting a Critical Care Intensivist to join their newest market on the Florida Gulf Coast.

Critical Care Intensivist Opening in Metro Virginia | Flexible Scheduling
The largest and fastest growing Intensivist group in the US is actively recruiting a Critical Care Intensivist to join a new market in Metro Virginia.

Critical Care Intensivist | Full time Salary to be consultant in Open ICU
This is your chance to join one of the last remaining independent hospitals in the state of Oklahoma where you can be part of a special family-like type of culture.

Duke Critical Care Anesthesiology Opportunities
The Department of Anesthesiology at Duke University Medical Center is seeking a full time critical care anesthesiologist. There is the potential to work at all three hospitals in the Duke Health system-Duke University Medical Center, Duke Regional Hospital and Duke Raleigh Hospital, with all three located in Durham and Raleigh.

Critical Care Intensivist - NewYork-Presbyterian/Hudson Valley Hospital, Westchester
NewYork-Presbyterian Hudson Valley Hospital is looking for a full time, Board Certified Intensivist to join our team in Cortlandt Manor, New York.

 
POPULAR CRITICAL CARE BOOKS
Neonatal and Pediatric Respiratory Care
Neonatal and Pediatric Respiratory Care
Nursing in Critical Care Setting: An Overview from Basic to Sensitive Outcomes
Nursing in Critical Care Setting: An Overview from Basic to Sensitive Outcomes
Noninvasive Mechanical Ventilation: Theory, Equipment, and Clinical Applications
Noninvasive Mechanical Ventilation: Theory, Equipment, and Clinical Applications
New Hope for Concussions TBI & PTSD
New Hope for Concussions TBI & PTSD
When Brains Collide: What Every Athlete and Parent Should Know About the Prevention and Treatment of Concussions and Head Injuries
When Brains Collide: What Every Athlete and Parent Should Know About the Prevention and Treatment of Concussions and Head Injuries
Mechanical Ventilation in the ICU: A New Approach and Treatment
Mechanical Ventilation in the ICU: A New Approach and Treatment
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