Analgosedation practices and the impact of sedation depth on clinical outcomes among patients requiring mechanical ventilation

Analgesia and sedation are cornerstone therapies for mechanically ventilated patients. Despite data showing that early deep sedation in the intensive care unit influences outcome, this has not been investigated in the emergency... read more

Analgosedation practices and the impact of sedation depth on clinical outcomes among patients requiring mechanical ventilation

Frailty and Subsequent Disability and Mortality among Patients with Critical Illness

The prevalence of frailty (diminished physiologic reserve) and its effect on outcomes for those aged 18 years and older with critical illness is unclear. Frailty is common in critically ill adults aged 18 years and older... read more

Frailty and Subsequent Disability and Mortality among Patients with Critical Illness

WHO Resolution: Recognizing Sepsis as a Global Health Priority

The true burden of disease arising from sepsis remains unknown. The current estimates of 30 million episodes and 6 million deaths per year come from a systematic review that extrapolated from published national or local population... read more

WHO Resolution: Recognizing Sepsis as a Global Health Priority

Prevention of AKI and protection of renal function in ICU

Acute kidney injury (AKI) in the intensive care unit is associated with significant mortality and morbidity. The results of recent randomised controlled trials have allowed the formulation of new recommendations and/or increase... read more

Prevention of AKI and protection of renal function in ICU

Extracorporeal membrane oxygenation for poisoning in adult patients: outcomes and predictors of mortality

Data on outcomes from severe poisoning in adults receiving extracorporeal membrane oxygenation (ECMO) is currently confined to single-center experiences or specific etiologies. While ECMO cannot facilitate toxin removal,... read more

Extracorporeal membrane oxygenation for poisoning in adult patients: outcomes and predictors of mortality

Sepsis E-alert System with Response Team Improves Outcomes

According to a new study, the use of a multifaceted intervention including an electronic sepsis alert (e-alert) system with sepsis response team was associated with improvement in care processes of sepsis and septic shock... read more

Sepsis E-alert System with Response Team Improves Outcomes

Humidification During Mechanical Ventilation: A Systematic Review

Mechanical ventilation (MV) suppresses the mechanisms that heat and moisturise inhaled air; hence, humidification is mandatory during MV. However, a systematic review published in the journal Critical Care finds no clear... read more

Humidification During Mechanical Ventilation: A Systematic Review

Potential survival benefit of polymyxin B hemoperfusion in patients with septic shock

The purpose of this study was to investigate whether polymyxin B hemoperfusion (PMX-HP) improves the survival of patients with septic shock. Our results strongly suggest that PMX-HP reduces all-cause hospital mortality and... read more

Potential survival benefit of polymyxin B hemoperfusion in patients with septic shock

A Randomized Trial of the Amikacin Fosfomycin Inhalation System for the Adjunctive Therapy of Gram-Negative VAP

Clinical failures in ventilator-associated pneumonia (VAP) caused by gram-negative bacteria are common and associated with substantial morbidity, mortality, and resource utilization. In this trial of adjunctive aerosol therapy... read more

A Randomized Trial of the Amikacin Fosfomycin Inhalation System for the Adjunctive Therapy of Gram-Negative VAP

Intraoperative Infusion of Dexmedetomidine for Prevention of Postoperative Delirium and Cognitive Dysfunction in Elderly Patients

Intraoperative infusion of dexmedetomidine for prevention of postoperative delirium and cognitive dysfunction in elderly patients undergoing major elective non-cardiac surgery. Postoperative delirium occurs in 10% to 60%... read more

Intraoperative Infusion of Dexmedetomidine for Prevention of Postoperative Delirium and Cognitive Dysfunction in Elderly Patients

Malnutrition, Critical Illness Survivors, and Postdischarge Outcomes

The exposure of interest was malnutrition determined at intensive care unit (ICU) admission by a registered dietitian using clinical judgment and on data related to unintentional weight loss, inadequate nutrient intake, and... read more

Malnutrition, Critical Illness Survivors, and Postdischarge Outcomes

Systolic Blood Pressure Reduction and Risk of Cardiovascular Disease and Mortality

Clinical trials have documented that lowering blood pressure reduces cardiovascular disease and premature deaths. However, the optimal target for reduction of systolic blood pressure (SBP) is uncertain. This study suggests... read more

Systolic Blood Pressure Reduction and Risk of Cardiovascular Disease and Mortality

ER Overcrowding Delays Sepsis Treatment

Prompt antibiotic initiation is associated with improved mortality in sepsis and septic shock. However, new research shows that patients with sepsis, a life-threatening complication of an infection, had delays approaching... read more

ER Overcrowding Delays Sepsis Treatment

Association Between US Hospital Teaching Status and Mortality

In an observational study of approximately 21 million hospitalizations of Medicare beneficiaries, adjusted 30-day mortality rates were significantly lower at 250 major teaching hospitals compared with 894 minor teaching and... read more

Association Between US Hospital Teaching Status and Mortality

Prediction of Survival and Functional Outcomes After ICU Admission

This study assesses the 6-month discriminative accuracy of patient mortality and functional outcome predictions made by intensive care unit (ICU) physicians and nurses at the time of ICU admission. Intensive care unit physicians'... read more

Prediction of Survival and Functional Outcomes After ICU Admission

Effect of Home NIV on Outcomes After Acute COPD Exacerbation

This randomized clinical trial compares the effects of home oxygen therapy with vs without home noninvasive ventilation (NIV) on time to readmission or death in patients with persistent hypercapnia after an acute chronic... read more

Effect of Home NIV on Outcomes After Acute COPD Exacerbation

Early EEG for outcome prediction of postanoxic coma

We recently showed that electroencephalography (EEG) patterns within the first 24 hours robustly contribute to multimodal prediction of poor or good neurological outcome of comatose patients after cardiac arrest. Here, we... read more

Early EEG for outcome prediction of postanoxic coma

Malbrain Fluid Overload

Fluid overload is associated with increased morbidity and mortality. In this presentations an overview is given of the different definitions followed by a step-by-step description of the deleterious effects of fluid overload... read more

Malbrain Fluid Overload