Tag: ICU
PEEP’s Hidden Impact: The Rise in Mechanical Power
This study investigated how a stepwise increase in Positive End-Expiratory Pressure (PEEP) affects respiratory mechanics and mechanical power in mechanically ventilated adults. Using an incremental titration strategy,... read more
Mastering Non-Invasive Respiratory Support: A Guide to Success
This clinical guide provides an overview of non-invasive respiratory support (NIRS) techniques—including High-Flow Nasal Therapy (HFNT), Continuous Positive Airway Pressure (CPAP), and Bilevel Positive Airway Pressure (BiPAP)-for... read more
Post-Hospital AKI: A Long-Term Health Hazard
A systematic review and meta-analysis of 14 matched control studies, totaling over 1 million patients, investigated the long-term outcomes following an episode of Acute Kidney Injury (AKI) during hospitalization. The... read more
Hemodynamic Monitoring in the ICU
This book describes the pathophysiological significance of the hemodynamic monitoring parameters available to the clinician and their role in providing reliable and reproducible information on the cardiocirculatory status... read more
Neuro-ICU Admissions: Lower Mortality, Higher Disability Risk
This large-scale retrospective cohort study analyzed the clinical and epidemiological profiles of over 62,000 Intensive Care Unit (ICU) patients across seven hospitals, finding that the 10,884 patients admitted for primary... read more
Survival Shockwave: VV-ECMO Outperforms VA-ECMO in Respiratory Failure
This meta-analysis comparing venovenous (VV-ECMO) and venoarterial (VA-ECMO) extracorporeal membrane oxygenation for respiratory failure, encompassing 3,598 patients across eleven studies, found a significant survival advantage... read more
Sepsis Heart Mystery: Is Myocardial Dysfunction a Killer or Just a Sign of Sickness?
Sepsis-induced myocardial dysfunction (SIMD) is a common and clinically significant complication in critically ill patients with sepsis and septic shock. This systematic review confirms that SIMD is consistently linked to... read more
ICU Alert: Unraveling Mortality in Obstructive Pyelonephritis
This retrospective multicenter study investigated in-hospital mortality among 483 patients admitted to the ICU (8 centers) over a decade due to obstructive pyelonephritis, a severe condition often caused by kidney stones,... read more
The Falling Count: Platelet Trajectory Post-CRRT Predicts Mortality in AKI
This retrospective cohort study examined the dynamic changes in platelet counts—the platelet trajectory—around the initiation of Continuous Renal Replacement Therapy (CRRT) in over 2,200 critically ill adults with Acute... read more
Salinity Signal: Low Sodium-Chloride Difference Predicts Higher Mortality in Critically Ill Adults
This retrospective cohort study investigated the relationship between the easily calculated Sodium–Chloride Difference (SCD) at the time of ICU admission and the patient's subsequent 30-day mortality risk in 1,726 critically... read more
Mechanical Ventilation in Patient with Respiratory Failure
This handbook covers the principles of mechanical ventilation, making them easy to understand and apply in clinical settings. Presented in an accessible style and supplemented by a wealth of illustrations and graphs, it includes... read more
The Dual Deception: Amlodipine and Baclofen Overdose Mimics Brain Death and Triggers Cardiogenic Shock
This case study highlights the profound diagnostic challenge and dramatic presentation of a combined-drug overdose involving amlodipine and baclofen, a novel and previously unreported toxicological combination. Toxicological... read more
Coordinated Critical Care: Essential ICU Strategies for Severe Trauma
The effective management of severe trauma patients hinges on seamless, perfect coordination across prehospital care, the trauma bay, and the ICU. Once in the Intensive Care Unit, the primary goals are the prompt control of... read more
Handbook of Evidence-Based Critical Care
This updated and revised edition of the classic bedside pocket reference remains the gold standard in critical care medicine. The new edition maintains Dr. Marik's trademark humor and engaging writing style, while adding... read more
The Paradox of Recovery: Faster APACHE II Decline Does Not Guarantee Better Trauma Outcomes
This study investigated a novel metric, APACHE/m (the average daily decrease in the APACHE II score), to determine if a faster rate of physiological improvement predicts better post-ICU outcomes in trauma patients. While... read more
VA-ECMO in Septic Shock: A High-Stakes, High-Uncertainty Rescue
The use of Veno-Arterial Extracorporeal Membrane Oxygenation (VA-ECMO) as a rescue therapy for refractory septic shock remains a challenging, context-dependent, and uncertain strategy in adults. Current evidence shows... read more
Vasoactive Guard: Testing Arginine-Vasopressin to Shield Kidneys Post-Liver Transplant
This clinical trial investigates whether a low dose of argipressin (the active substance in REVERPLEG) administered during liver transplantation surgery can help prevent Acute Kidney Injury (AKI), a severe and common post-operative... read more
Handbook of Drugs in Intensive Care: An A-Z Guide
Now in its sixth edition, the Handbook of Drugs in Intensive Care is the essential guide to using drugs safely and effectively in the intensive care setting. The book is split into two sections: an A-Z guide to the drugs... read more
Scarred Lungs: Identifying Fibrosis Risk After COVID-19 ARDS
This substudy of the large, multicenter RECOVIDS cohort investigated the predictive factors for developing fibrotic changes (FC) in survivors of COVID-19-related Acute Respiratory Distress Syndrome (ARDS) six months after... read more
DeLLiriuM: LLMs Predict Delirium Risk in the ICU
DeLLiriuM is a novel large language model (LLM) designed to predict delirium in Intensive Care Unit (ICU) patients after the initial 24 hours of admission, using structured electronic health records (EHR). What sets DeLLiriuM... read more
Gut Feeling vs. Data: SDD Doesn’t Beat Standard Care for Ventilated Patients
This multi-center trial, spanning 26 Intensive Care Units (ICUs) in Australia and Canada and involving over 20,000 critically ill patients on mechanical ventilation, put a long-debated practice, Selective Decontamination... read more
The Crystal Ball of the ICU: Machine Learning Predicts Who’s Staying and Who’s Not
The PREMIER Study dove into the data of 996 patients experiencing Acute Hypoxemic Respiratory Failure (AHRF) who had been on mechanical ventilation (MV) for at least two days, aiming to develop a reliable way to predict their... read more
