The long sepsis journey in low- and middle-income countries begins with a first step… but on which road?

The long sepsis journey in low- and middle-income countries begins with a first step… but on which road?

Infection and sepsis are among the most frequent acute medical conditions worldwide and result in approximately eight million premature deaths each year, most of which occur in low and lower-middle income countries (LMICs).... read more

The Randomized Educational ARDS Diagnosis Study

The Randomized Educational ARDS Diagnosis Study

Radiographic criteria for acute respiratory distress syndrome have been criticized for poor reliability. Our objective was to test an educational intervention to improve the radiographic identification of acute respiratory... read more

Research Aims to Fine-Tune Sepsis Diagnosis

Research Aims to Fine-Tune Sepsis Diagnosis

Work designed to improve diagnosis of one of the leading causes of death in children is under way in Brisbane, led by a University of Queensland researcher. Mater Research Institute-UQ Associate Professor Luregn Schlapbach... read more

Distributions and Behavior of Vital Signs in Critically Ill Children by Admission Diagnosis

Distributions and Behavior of Vital Signs in Critically Ill Children by Admission Diagnosis

This is the first study reporting distributions of continuously measured physiologic variables and trends in their behavior according to admission diagnosis in critically ill children. Differences detected between and within... read more

The Sound of Air: Point-of-Care Lung Ultrasound in Perioperative Medicine

The Sound of Air: Point-of-Care Lung Ultrasound in Perioperative Medicine

Lung ultrasound (LUS) has emerged as an effective and accurate goal-directed diagnostic tool that can be applied in real time for the bedside assessment of patients with respiratory symptoms and signs. Lung ultrasound has... read more

Prognostic Effects of Delirium Motor Subtypes in Hospitalized Older Adults

Prognostic Effects of Delirium Motor Subtypes in Hospitalized Older Adults

One in three acutely ill hospitalized older adults who suffered hypo-active or mixed delirium died in the hospital. Clinicians should be aware that hypo-active symptoms of delirium, whether shown exclusively or in alternation... read more

Differential Diagnosis Between Newly Diagnosed Asthma and COPD Using EBC Metabolomics

Differential Diagnosis Between Newly Diagnosed Asthma and COPD Using EBC Metabolomics

Asthma and chronic obstructive pulmonary disease (COPD) are heterogeneous diseases with high pathological burden and healthcare costs. In the outpatient clinical practice, an accurate differential diagnosis is often very... read more

Vascular Access in Critically Ill Pediatric Patients With Obesity

Vascular Access in Critically Ill Pediatric Patients With Obesity

Severe obesity is associated with decreased overall likelihood of placement of a vascular access device but increased likelihood of peripherally inserted central catheter placement and of device-related complications. Patients... read more

Machine Learning Model Predicts Sepsis in ICU Patients 12 Hours Before Diagnosis

Machine Learning Model Predicts Sepsis in ICU Patients 12 Hours Before Diagnosis

A machine learning model accurately predicted the onset of sepsis in ICU patients four to 12 hours prior to clinical recognition in a recent study. The observational cohort study used data from more than 31,000 admissions... read more

Six-month Outcome of Immunocompromised Severe ARDS Patients Rescued by ECMO

Six-month Outcome of Immunocompromised Severe ARDS Patients Rescued by ECMO

Recently diagnosed immunodeficiency is associated with a much better prognosis in ECMO-treated severe ARDS. However, low 6-month survival of our large cohort of immunocompromised patients supports restricting ECMO to patients... read more

The role of serum amyloid A staining of granulomatous tissues for the diagnosis of sarcoidosis

The role of serum amyloid A staining of granulomatous tissues for the diagnosis of sarcoidosis

Previous studies demonstrated that SAA staining of sarcoidosis granulomas was qualitatively and quantitatively different from other granulomatous diseases. These data suggest that positive SAA staining of granulomatous tissue... read more

The Relationship between Clinical Experience and Quality of Health Care

The Relationship between Clinical Experience and Quality of Health Care

Physicians with more experience are generally believed to have accumulated knowledge and skills during years in practice and therefore to deliver high-quality care. However, evidence suggests that there is an inverse relationship... read more

Guidelines for the Diagnosis and Management of Critical Illness-Related Corticosteroid Insufficiency – Part I

Guidelines for the Diagnosis and Management of Critical Illness-Related Corticosteroid Insufficiency – Part I

Evidence-based recommendations for the use of corticosteroids in critically ill patients with sepsis and septic shock, acute respiratory distress syndrome, and major trauma have been developed by a multispecialty task force.... read more

Guidelines for Point-of-Care Use of Transesophageal Echocardiography in Cardiac Arrest Resuscitation

Guidelines for Point-of-Care Use of Transesophageal Echocardiography in Cardiac Arrest Resuscitation

In patients with cardiac arrest, transesophageal echocardiography (TEE) may provide greater benefits than transthoracic echocardiography (TTE) for imaging, diagnosis, and prognosis, according to a review paper published in... read more