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Dexamethasone 12 mg vs. 6 mg for COVID-19 Patients with Severe Hypoxia

 

Dexamethasone 12 mg vs. 6 mg for COVID-19 Patients with Severe Hypoxia

Among patients with COVID-19 and severe hypoxia, dexamethasone 12 mg did not result in statistically significantly more days alive without life support at 28 days than dexamethasone 6 mg. However, the confidence interval... read more

 
 
Teaching Pearls in Noninvasive Mechanical Ventilation

 

Teaching Pearls in Noninvasive Mechanical Ventilation

This book uses real-world clinical case analyses of hot topics to provide insights into noninvasive mechanical ventilation (NIV). Written by leading international teachers and experts, it features a selection of “major... read more

 

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Nitrous Oxide Avoidance for Patients Undergoing Major Surgery

 

Nitrous Oxide Avoidance for Patients Undergoing Major Surgery

Avoidance of nitrous oxide and the concomitant increase in inspired oxygen concentration decreases the incidence of complications after major surgery, but does not significantly affect the duration of hospital stay. The routine... 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

 
 
ECMO for COVID-19

 

ECMO for COVID-19

Mortality after ECMO for patients with COVID-19 worsened during 2020. These findings inform the role of extracorporeal membrane oxygenation (ECMO) in COVID-19 for patients, clinicians, and policy makers. In 2020, 4,812 patients... read more

 
 
Waveform Capnography in the Intubated Patient

 

Waveform Capnography in the Intubated Patient

Waveform capnography is emerging as a standard monitoring tool to improve safety among intubated patients. Failure to use waveform capnography contributed to >70% of ICU-related airway deaths in the NAP4 audit. Capnography... read more

 
 
Longitudinal Respiratory Subphenotypes in COVID-19 Patients with ARDS

 

Longitudinal Respiratory Subphenotypes in COVID-19 Patients with ARDS

COVID-19-related ARDS has no consistent respiratory subphenotype. Patients diverged from a fairly homogenous to a more heterogeneous population, with trajectories of ventilatory ratio and mechanical power being the most discriminatory.... read more

 
 
Damage Control in Trauma Care: An Evolving Comprehensive Team Approach

 

Damage Control in Trauma Care: An Evolving Comprehensive Team Approach

This book describes current, evidence-based guidelines for damage control interventions across the field of trauma care with the aim of enabling clinicians to apply them to best effect in daily clinical practice. Emphasis... read more

 
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Ambulation Alone Not Effective Prophylaxis for Venous Thromboembolism

 

Ambulation Alone Not Effective Prophylaxis for Venous Thromboembolism

Our systematic review failed to find high-quality evidence to suggest that ambulation alone is an appropriate or effective prophylaxis for venous thromboembolism. Although some studies suggest that ambulation may reduce venous... read more

 
 
Suboptimal COVID-19 Vaccination Coverage Implications in Florida and Texas

 

Suboptimal COVID-19 Vaccination Coverage Implications in Florida and Texas

In July, 2021, another wave of COVID-19 began in the USA as the highly infectious delta (B.1.617.2) SARS-CoV-2 variant drove outbreaks predominantly affecting states with relatively low vaccination coverage. Some US states... read more

 
 
Validation of RSBI Displayed by the Ventilator vs. Standard Technique in Patients with Readiness for Weaning

 

Validation of RSBI Displayed by the Ventilator vs. Standard Technique in Patients with Readiness for Weaning

The ventilator significantly overestimates the RSBI value compared to the standard technique by Wright spirometer. The average RSBI vent value among 5 time points (0, 15, 30, 45, and 60 s) was found to best correlate with... read more

 
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A Novel Anatomic Landmark to Target the LV During Chest Compressions in Cardiac Arrest

 

A Novel Anatomic Landmark to Target the LV During Chest Compressions in Cardiac Arrest

A novel area of compression over the left sternal border at the inter-nipple line would result in compressions over the LV in nearly three-quarters of our study participants. Future research should investigate whether this... read more

 
 
Short-term and Long-term Rates of Postacute Sequelae of COVID-19 Infection

 

Short-term and Long-term Rates of Postacute Sequelae of COVID-19 Infection

In this systematic review, we evaluated the temporal progression of clinical abnormalities experienced by patients who recovered from an infection with SARS-CoV-2, starting with a mean of 30 days post–acute illness and... read more

 
 
Hypocalcemia in Jaundiced Neonates Receiving Phototherapy

 

Hypocalcemia in Jaundiced Neonates Receiving Phototherapy

Hypocalcemia is a common complication of phototherapy. Serum calcium levels should be monitored in all the full-term neonates receiving phototherapy. Hyperbilirubinemia was present in 23.3% of neonates admitted to the neonatal... read more

 
 
Scripts for Subconjunctival Hemorrhage, Fainting and Syncope, and Viral Illness

 

Scripts for Subconjunctival Hemorrhage, Fainting and Syncope, and Viral Illness

Many parts of the ED encounter interfere with patient or family comprehension, not the least of which is the ED’s noisy, hurried environment. But other factors affect what they understand and remember about the encounter—their... read more

 
 
Understanding Brain Injury in Pediatric ECMO

 

Understanding Brain Injury in Pediatric ECMO

Brain injury is frequent in extracorporeal membrane oxygenation patients, although the majority of survivors have favorable neurocognitive outcomes. More research is needed in order to understand the etiology of such injuries.... read more

 
 
COVID-19 Handbook: Navigating the Future of Healthcare

 

COVID-19 Handbook: Navigating the Future of Healthcare

The COVID-19 Handbook: Navigating the Future of Healthcare provides factual, evidence-based information on the coronavirus disease 2019 (COVID-19) pandemic. Presented in a concise PDF format, this valuable COVID-19 resource... read more

 
 
Approach to the Critically Ill Poisoned Patient

 

Approach to the Critically Ill Poisoned Patient

Toxicology histories are notoriously unreliable. Any available medical records, especially medication lists. Timing & amount of ingestions. Immediate vs. sustained-release formulations. Consider inquiring specifically... 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.

TTM following out-of-hospital cardiac arrest
In this episode of the ESICM Talk, powered by the ICM Journal, Claudio Sandroni, ICM Associate Editor, interviews Jerry Nolan and Shannon Fernando, among the authors of a systematic review of temperature targets.

Elevator Pitch: Using AI to Predict Patient Deterioration
In this “Breathe Easy Elevator Pitch” podcast, Dr. Siva Bhavani interviews Professor Peter Watkinson.

Time Limited Trials in the ICU
In this podcast we talk all about the results of the JAMA IM study, which were pretty darn impressive. The intervention resulted in significant reductions in duration of ICU stay (7.4 v 8.7 days), fewer invasive procedures, but no change in mortality, and no change in family satisfaction rating (which was high before and after the intervention).

Ventilator Management in the Awake and Walking COVID19 Unit
How is the “Awake and Walking ICU” keeping their COVID19 patients mentally and physically functional during severe COVID19? Do they face constant ventilator asychrony and how do they deal with it?

The Association of Workload and Outcomes in the Pediatric Cardiac ICU
Healthcare workload has emerged as an important metric associated with poor outcomes. To measure workload, studies have used bed occupancy as a surrogate.

How to Stop the ICU Team From Withdrawing Life Support Without Family Consent!
If treatment is withdrawn in intensive care without family or patient consent, that is murder. It’s either murder or it’s euthanasia. Depending on which way you look at it, but either murder or euthanasia is illegal. Both scenarios are illegal.

 
CRITICAL CARE UPCOMING EVENTS
 
NCS 19th Annual Meeting
Oct. 26, 2021 - Chicago, IL

Healthcare Quality and Safety 2021
Oct. 28, 2021 - Online

Critical Care Conference 2021: Learning from Crisis
Oct. 28, 2021 - Online

AARC Congress 2021
Nov. 06, 2021 - Phoenix, AZ

26th Brazilian Congress of Intensive Care Medicine
Nov. 07, 2021 - Online

Critical Care Echocardiography Review Course
Nov. 09, 2021 - Rosemont, IL

See More Upcoming Events...

 
NEW CRITICAL CARE JOBS
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POPULAR CRITICAL CARE BOOKS
Critical Care Reviews Book 2017 (Free eBook)
Critical Care Reviews Book 2017 (Free eBook)
Current Therapy of Trauma and Surgical Critical Care
Current Therapy of Trauma and Surgical Critical Care
Electronic Health Records & Preventing Healthcare-Associated Infection
Electronic Health Records & Preventing Healthcare-Associated Infection
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
Atlas of Interventional Pain Management
Atlas of Interventional Pain Management
Key Topics in Critical Care
Key Topics in Critical Care
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