Urinary Oxygenation as a Surrogate Measure of Medullary Oxygenation During Angiotensin II Therapy in Septic AKI

Urinary Oxygenation as a Surrogate Measure of Medullary Oxygenation During Angiotensin II Therapy in Septic AKI

In septic acute kidney injury (AKI), renal medullary and urinary hypoxia developed several hours before increases in currently used biomarkers. Angiotensin II transiently improved renal function without worsening medullary... read more

High Morning Cortisol Tied to Long-term Anxiety in Family Members of ICU Patients

High Morning Cortisol Tied to Long-term Anxiety in Family Members of ICU Patients

A new study published in the journal Critical Care Medicine finds that a biomarker may help identify which family members will be most emotionally impacted by their loved one's ICU stay. In particular, family members who... read more

Are Biomarkers Ready for Prime Time?

Kyle Enfield, MD, speaks with John A. Kellum, MD, MCCM, about his talk presented at the 46th Critical Care Congress in Honolulu, Hawaii entitled, "Are Biomarkers Ready for Prime Time?" Dr. Kellum works as an Intensivist in... read more

Updates on Sepsis from WSC

Updates on Sepsis from WSC

Fourth session from the World Sepsis Congress Spotlight: Maternal and Neonatal Sepsis - Updates on Sepsis.... read more

Platelets and Multi-Organ Failure in Sepsis

Platelets and Multi-Organ Failure in Sepsis

Platelets have received increasing attention for their role in the pathophysiology of infectious disease, inflammation, and immunity. In sepsis, a low platelet count is a well-known biomarker for disease severity and more... read more

Translational Evidence for Two Distinct Patterns of Neuroaxonal Injury in Sepsis

Translational Evidence for Two Distinct Patterns of Neuroaxonal Injury in Sepsis

Ischemic and diffuse neuroaxonal injury to the brain in experimental sepsis, human postmortem brains, and in vivo MRI suggest these two distinct lesion types to be relevant. Future studies should be focused on body fluid... read more

Biomarkers in AKI: That’s All the Story?

Biomarkers in AKI: That’s All the Story?

We would like to add to the recent editorial by McMahon on biomarkers of acute kidney injury (AKI), with a specific focus on biomarkers in the clinical setting of cardiac surgery-associated AKI (CSA-AKI). We agree with McMahon... read more

External validation of a biomarker and clinical prediction model for hospital mortality in ARDS

External validation of a biomarker and clinical prediction model for hospital mortality in ARDS

Mortality prediction in ARDS is important for prognostication and risk stratification. However, no prediction models have been independently validated. We validated a mortality prediction model for ARDS that includes age,... read more

In Treating Sepsis, Questions About Timing and Mandates

In Treating Sepsis, Questions About Timing and Mandates

The question of whether Rory's Regulations save lives isn’t asked or answered in the recent study. Sepsis deaths were already decreasing in the United States before the mandate, and determining its contribution to... read more

Heart Rate Variability in Critical Care Medicine

Heart Rate Variability in Critical Care Medicine

Heart rate variability (HRV) has been used to assess cardiac autonomic activity in critically ill patients, driven by translational and biomarker research agendas. Several clinical and technical factors can interfere with... read more

Sepsis Prediction in Critically Ill Patients by Platelet Activation Markers on ICU Admission

Sepsis Prediction in Critically Ill Patients by Platelet Activation Markers on ICU Admission

Platelets have been involved in both immune surveillance and host defense against severe infection. To date, whether platelet phenotype or other hemostasis components could be associated with predisposition to sepsis in critical... read more

Drink Coffee and Live Longer: Cohort Study

Drink Coffee and Live Longer: Cohort Study

A multinational cohort study on coffee drinking and mortality in 10 European countries. Coffee drinking was associated with reduced risk for death from various causes. This relationship did not vary by country. 521, 330 people... read more

New Biomarker Improves Early Sepsis Detection in the Emergency Department

New Biomarker Improves Early Sepsis Detection in the Emergency Department

Sepsis most often presents to the emergency department (ED), and delayed detection is harmful. The white blood count (WBC) is often used to detect sepsis in the ED. New research shows that volume increases of circulating... read more

Generalizable Biomarkers in Critical Care

Generalizable Biomarkers in Critical Care

The sequencing of the human genome and the subsequent availability of inexpensive, robust methods for "omics" profiling (e.g., genome-wide association studies, gene expression microarrays, and metabolomics) have... read more