Annals of B-Pod: Neurogenic Shock

Shock is defined as the failure of circulation to provide adequate oxygenation to meet cellular demand. To better identify and manage this compromised physiologic state, shock is subcategorized into four... read more

Annals of B-Pod: Neurogenic Shock

Clinics Aim to Improve Post-ICU Recovery

Ten days after arriving in the emergency department with pneumonia, 58-year-old Connie Bovier woke up in the intensive care unit (ICU). She survived acute respiratory distress syndrome (ARDS), sepsis, and a host of other... read more

Clinics Aim to Improve Post-ICU Recovery

In Shock: My Journey from Death to Recovery and the Redemptive Power of Hope

In Shock is a riveting first-hand account from a young critical care physician, who in the passage of a moment is transfigured into a dying patient. This transposition, coincidentally timed at the end of her medical training,... read more

In Shock: My Journey from Death to Recovery and the Redemptive Power of Hope

Artificial Intelligence in the ICU

ICU doctors are often required to analyse large volumes of complex, heterogeneous data to make life-critical decisions. Artificial Intelligence (AI), if used effectively, could reduce this burden by transforming data into... read more

Artificial Intelligence in the ICU

Early Resumption of β Blockers Is Associated with Decreased Atrial Fibrillation after Noncardiothoracic and Nonvascular Surgery

Resuming β blockers in chronic users by the end of the first postoperative day may be associated with lower odds of in-hospital atrial fibrillation. However, there seems to be little advantage to restarting on the day of... read more

Early Resumption of β Blockers Is Associated with Decreased Atrial Fibrillation after Noncardiothoracic and Nonvascular Surgery

Reprint of Recovery Programme for ICU Survivors Has No Effect on Relatives’ Quality of Life

The recovery programme intended for intensive care survivors did not have an effect on the relatives. Future recovery programmes should be targeted to help both patient and family, and future research should be conducted... read more

Reprint of Recovery Programme for ICU Survivors Has No Effect on Relatives’ Quality of Life

Surviving Refractory Out-of-Hospital Ventricular Fibrillation Cardiac Arrest

Multi-system organ failure is ubiquitous but treatable with adequate hemodynamic support. Neurologic recovery was prolonged requiring delayed prognostication. Immediate 24/7 availability of surgical and medical specialty... read more

Surviving Refractory Out-of-Hospital Ventricular Fibrillation Cardiac Arrest

Should ICU clinicians follow patients after ICU discharge? Yes

The trajectory of recovery from critical illness is often portrayed as a continuum. At one extremity lies an unstable patient dependent on life-sustaining treatments in the intensive care unit. At the... read more

Should ICU clinicians follow patients after ICU discharge? Yes

Commencing out of bed rehabilitation in critical care – what influences clinical decision-making?

These results confirm previous observational reports that the presence of an endotracheal tube (ETT) remains a major obstacle to the provision of rehabilitation for critically ill patients. Despite rehabilitation being effective... read more

Commencing out of bed rehabilitation in critical care – what influences clinical decision-making?

Probiotic and Synbiotic Therapy in the Critically Ill

Recent medical history has largely viewed our bacterial symbionts as pathogens to be eradicated rather than essential partners in optimal health. However, one of the most exciting scientific advances in recent years has been... read more

Probiotic and Synbiotic Therapy in the Critically Ill

Early Versus Late Initiation of Renal Replacement Therapy in Critically Ill Patients

Early initiation of renal replacement therapy (RRT) effect on survival and renal recovery of critically ill patients is still uncertain. We aimed to systematically review current evidence comparing outcomes of early versus... read more

Early Versus Late Initiation of Renal Replacement Therapy in Critically Ill Patients

Predictors of Return to Work in Survivors of Critical Illness

Major trauma, lower GCS and increased hospital length of stay predicted inability to return to work due to health at six-months post-ICU admission. Compared to employed patients, those who had not returned to work reported... read more

Predictors of Return to Work in Survivors of Critical Illness

Functional Recovery in Critically Ill Children, the “WeeCover” Multicenter Study

This study provides new information regarding functional outcomes and the factors that influence meaningful aspects of functioning in critically ill children. Identifying patients at greatest risk and modifiable targets for... read more

Functional Recovery in Critically Ill Children, the “WeeCover” Multicenter Study

Expectations of Recovery: ICU Anecdotes

Most of us believe we know our loved ones' wishes. You may know what your father's favorite meal is or what he enjoys doing on a Sunday afternoon. But do you know if he would want a feeding tube if he can’t eat? These kinds... read more

Expectations of Recovery: ICU Anecdotes

How You Can Protect Your Parent From Delirium

Unlike dementia, which is constant and gets progressively worse, delirium tends to come and go, fluctuating even in the course of a day. The symptoms are transitory, yet for people who develop delirium, it can be the start... read more

How You Can Protect Your Parent From Delirium

Critical Hemoglobin Desaturation Will Occur before Return to an Unparalyzed State following 1 mg/kg Intravenous Succinylcholine

The American Society of Anesthesiologists (ASA) difficult airway algorithm recommends that if initial attempts at tracheal intubation after the induction of general anesthesia are unsuccessful, the practitioner should "consider... read more

Critical Hemoglobin Desaturation Will Occur before Return to an Unparalyzed State following 1 mg/kg Intravenous Succinylcholine

Inspiratory Muscle Training for ICU Patients

Inspiratory muscle weakness is a known consequence of prolonged mechanical ventilation, and there is emerging evidence that specific inspiratory muscle training (IMT) can ameliorate this weakness. Australian researchers recommend... read more

Inspiratory Muscle Training for ICU Patients

Providing Psychological Support to People in Intensive Care

The Provision Of Psychological support to People in Intensive Care (POPPI) psychological intervention to reduce acute patient stress in critical care and prevent future psychological morbidity was feasible and acceptable.... read more

Providing Psychological Support to People in Intensive Care