Artificial Intelligence for Improved Patient Outcomes: Principles for Moving Forward with Rigorous Science

Artificial Intelligence for Improved Patient Outcomes provides new, relevant, and practical information on what AI can do in healthcare and how to assess whether AI is improving health outcomes. With clear insights and a... read more

Artificial Intelligence for Improved Patient Outcomes: Principles for Moving Forward with Rigorous Science

Cytokine Storm Syndrome

Cytokine Storm Syndromes, including HLH and MAS, are frequently fatal disorders, particularly if not recognized early and treated during presentation. The genetics of Cytokine Storm Syndromes are being defined with many of... read more

Cytokine Storm Syndrome

Seamless Surveillance: The Future of NICU Vital Sign Monitoring

A comprehensive systematic review evaluated 60 observational studies published between 2014 and 2024 to assess the potential of next-generation non-contact and wireless wearable technologies for vital sign monitoring in the... read more

Predictive Power: Wearable AI Foreshadows Hospital Deterioration

This study successfully developed and validated a deep learning-based continuous in-hospital deterioration prediction model using data collected from wearable chest-worn monitors. The researchers piloted two different Continuous... 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

Beyond Liver Failure: MELD-XI Predicts Sepsis Mortality

This retrospective cohort study investigated the utility of the MELD-XI (Model for End-Stage Liver Disease-Excluding INR) score as a predictor of 30-day mortality in over 16,600 adult ICU patients with sepsis, using data... read more

Brain Imaging Reveals Hidden Awareness in Critically Ill ICU Patients

This study investigated covert awareness—preserved consciousness without observable behavioral signs—in critically ill patients with acute brain injuries in the Intensive Care Unit (ICU). Researchers used functional... read more

AI Reinforcement Learning Slashes Kidney Injury Risk After Surgery

This study explored the use of Reinforcement Learning (RL)-a type of artificial intelligence—to personalize hemodynamic management (managing blood flow and pressure) in the intensive care unit (ICU) immediately following... read more

Better Kidney Score: 6-Hour Urine Test Outperforms Standard Measures for ICU Mortality

This prospective, single-center observational study investigated whether using 6-hour urine creatinine clearance (CrCl) could serve as a more effective measure for the kidney component of the SOFA score in ICU patients. Key... read more

No Survival Edge for LUCAS Device in Obese Cardiac Arrest Patients

This retrospective cohort study compared LUCAS®-assisted mechanical CPR with high-quality manual chest compressions in overweight and obese patients experiencing in-hospital cardiac arrest (IHCA). Summary of Findings: No... read more

Beyond the Diaphragm: Combined Muscle Ultrasound Predicts Extubation Success in Sepsis

This prospective observational study investigated a novel approach using combined ultrasound measurements of both the diaphragm and intercostal muscles to better predict extubation outcomes in mechanically ventilated patients... read more

Noninvasive Mechanical Ventilation: Theory, Equipment, and Clinical Applications

The new edition presents updates regarding new clinical applications of noninvasive mechanical ventilation and discusses recent technical advances in this field. The opening sections are devoted to theory, equipment, with... read more

Noninvasive Mechanical Ventilation: Theory, Equipment, and Clinical Applications

Machine Learning Can Effectively Identify Septic Patients with AKI

Causal Machine Learning (ML) framework outperformed random forest model in identifying patients with AKI and sepsis who benefit from restrictive fluid therapy. This provides a data-driven approach for personalized fluid management... read more

Predicting the Next 48 Hours: Machine Learning Delivers Dynamic, Interpretable ICU Mortality Forecasts

The LGBM-48h algorithm provides a dynamic, clinically applicable, and interpretable framework for 48-hour ICU mortality risk prediction. By establishing mortality risk-based categories and showing how key features change... read more

Pediatric ECMO Survivors Show Subtle but Significant Decline in Quality of Life and Physical Function

Pediatric ECMO survivors often experience slight but persistent reductions in their health-related quality of life compared to other critically ill PICU survivors, with the most notable impact seen in physical functioning.... read more

ICU Readmission Prediction Using Deep Learning Models

This systematic review provides the first comprehensive synthesis of the literature on the application of deep learning (DL) models to the task of predicting ICU readmission, offering insights into current approaches and... read more

The Norepinephrine Salt Shaker: It’s Not the Formulation, It’s the Reporting

All commercially available norepinephrine salt formulations are clinically equivalent. The critical focus for researchers and clinicians must shift from debating the formulation to ensuring clear and standardized reporting... read more

The MAP-SEPS Protocol: A New Frontier in Detecting Early Sepsis by Targeting Microcirculation

The MAP-SEPS trial is a prospective observational study designed to determine if a comprehensive, multimodal approach to peripheral perfusion monitoring can improve the early detection of sepsis and organ failure in critically... read more

Why Early mHLA-DR Fails and Dynamic Monitoring is Key to Immunosuppression in Septic Shock

This 20-year study of 1,023 septic shock patients confirms that the immune marker mHLA-DR is a robust biomarker for identifying the most immunosuppressed patients who face a higher risk of death and ICU-acquired infections. The... read more

Individualizing PEEP in Acute Brain Injury

The consensus is that Positive End-Expiratory Pressure (PEEP) can be safely used in most patients with Acute Brain Injury (ABI), provided its effects on the brain are closely monitored. PEEP Safety and ICP: While PEEP... read more

Unmasking the Burden: High IAH Prevalence, Associated Morbidity, and Novel Mortality Predictors in Critical Care

This study on 85 critically ill patients revealed a high prevalence of Intra-Abdominal Hypertension (IAH) (54.1%). Key Findings: Primary Contributors: The main factors driving IAH were intravenous (IV) fluid administration... read more