Liver Dysfunction and COVID-19 Infection

Liver Dysfunction and COVID-19 Infection

Severe acute respiratory syndrome coronavirus 2 infection is the cause of coronavirus disease 2019 (COVID-19), which predominantly affects the respiratory system; it also causes systemic and multi-organic disease. Liver... read more

Psychological burden in patients with COVID-19 and their relatives 90 days after hospitalization

Psychological burden in patients with COVID-19 and their relatives 90 days after hospitalization

COVID-19 is linked to clinically relevant psychological distress in a subgroup of patients and their relatives 90 days after hospitalization. If confirmed in an independent and larger patient cohort, knowledge about these... read more

Moderna Vaccine 94.1% Efficacy Preventing Symptomatic COVID-19

Moderna Vaccine 94.1% Efficacy Preventing Symptomatic COVID-19

The SARS-CoV-2 pandemic continues to be a global health concern. The mRNA-1273 (Moderna) vaccine was reported to have an efficacy of 94.1% at preventing symptomatic COVID-19 due to infection with ‘wild-type’ variants... read more

COVID-19 Surges Increased Patient Mortality

COVID-19 Surges Increased Patient Mortality

A recent study by scientists at the National Institutes of Health suggests that one in every four COVID-19 deaths in the United States may be attributed to hospitals strained by surging caseloads. Published in the Annals... read more

Reduced Sensitivity of COVID-19 Variant Delta to Antibody Neutralization

Reduced Sensitivity of COVID-19 Variant Delta to Antibody Neutralization

The SARS-CoV-2 B.1.617 lineage was identified in October 2020 in India1–5. It has since then become dominant in some indian regions and UK and further spread to many countries6. The lineage includes three main subtypes... read more

New Device for Intubation Through a Laryngeal Mask Airway

New Device for Intubation Through a Laryngeal Mask Airway

On review of the literature, it is abundantly obvious that an endotracheal tube (ETT) with a posterior-facing bevel and curved or tapered tip to center the tube on the scope and reduce hang-up is ideal for intubation over... read more

Is Daily Enoxaparin Dosing As Good As Twice Daily?

Is Daily Enoxaparin Dosing As Good As Twice Daily?

Venous thromboembolism (VTE) remains a big problem for trauma professionals and the patients they take care of. Every trauma center has some sort of VTE prophylaxis protocol for stratifying risk, prescribing mechanical... read more

Baseline FeNO as a prognostic biomarker for subsequent severe asthma exacerbations

Baseline FeNO as a prognostic biomarker for subsequent severe asthma exacerbations

In uncontrolled, moderate-to-severe asthma, higher baseline FeNO levels were associated with greater risk of severe asthma exacerbations, particularly in combination with elevated eosinophil count and prior exacerbations,... read more

Melatonin for Delirium Prevention in Hospitalized Patients

Melatonin for Delirium Prevention in Hospitalized Patients

Melatonin/ramelteon are associated with reduction in delirium incidence in hospitalized patients. However, this effect seems confined to surgical and ICU patients. The optimum dosage and formulation of melatonin, and... read more

Preoperative vena cava filter placement in recurrent cerebral fat embolism following traumatic multiple fractures

Preoperative vena cava filter placement in recurrent cerebral fat embolism following traumatic multiple fractures

Despite scarce evidence, we reckon that Inferior Vena Cava Filter (IVCF) could improve prognosis in selected patients with fat embolism syndrome (FES), especially those presenting high risk factors, after accurately weighing... read more

REGN monoclonal antibodies work in selected hospitalised COVID-19 patients

REGN monoclonal antibodies work in selected hospitalised COVID-19 patients

New findings suggest a significant benefit from REGN in terms of the primary outcome of mortality for patients who have low levels of their own antibodies at the time of admission. This was an unexpected result for me... read more

Multimorbidity on Long-Term Outcomes Following ICU Discharge

Multimorbidity on Long-Term Outcomes Following ICU Discharge

This national cohort study has demonstrated increased resource use for critical care survivors in the year following discharge but fails to replicate past findings of increased longer-term mortality. Multimorbidity, lifestyle... read more

Percutaneous Dilational Tracheostomy for COVID-19 Patients Requiring Mechanical Ventilation

Percutaneous Dilational Tracheostomy for COVID-19 Patients Requiring Mechanical Ventilation

Patients with COVID-19 who survive the early days of MV experience severe and prolonged respiratory failure. An early modified percutaneous dilational tracheostomy (PDT) was safe for patients and healthcare providers and... read more

Dealing with missing delirium assessments in prospective clinical studies of the critically ill

Dealing with missing delirium assessments in prospective clinical studies of the critically ill

For longitudinal data where a summary exposure is of interest, we recommend practitioners adopting the passive imputation strategy. Simulations show that all methods performed comparably when the proportion of missingness... read more