Effect of intubation timing on clinical outcomes of critically ill patients with COVID-19

The synthesized evidence suggests that timing of intubation may have no effect on mortality and morbidity of critically ill patients with COVID-19. These results might justify a wait-and-see approach, which may lead to fewer... read more

Effect of intubation timing on clinical outcomes of critically ill patients with COVID-19

Technical Aspects and Clinical Applications in Lung Ultrasound

Lung ultrasound is increasingly used in emergency departments, medical wards, and critical care units—adult, pediatric, and neonatal. In vitro and in vivo studies show that the number and type of artifacts visualized change... read more

Technical Aspects and Clinical Applications in Lung Ultrasound

Hemodynamic Profiling utility using Pulmonary Artery Catheters in Cardiogenic Shock

PAC usage in cardiogenic shock (CS) is being revitalized by recent positive analyses of large registry and administrative databases. To realize the full potential of pulmonary artery catheters (PAC), more research is urgently... read more

Hemodynamic Profiling utility using Pulmonary Artery Catheters in Cardiogenic Shock

Comparison of Two Delayed Strategies for RRT initiation for severe AKI

Delaying renal replacement therapy (RRT) for some time in critically ill patients with severe acute kidney injury (AKI) and no severe complication is safe and allows optimisation of the use of medical devices. Major uncertainty... read more

Comparison of Two Delayed Strategies for RRT initiation for severe AKI

Feasibility and Accuracy of ED Frailty Identification in Older Trauma Patients

This prospective study has demonstrated that screening for frailty in older major trauma patients within the Emergency Department is feasible and accurate using Clinical Frailty Scale (CFS). Patients age 65 years and... read more

Feasibility and Accuracy of ED Frailty Identification in Older Trauma Patients

Isavuconazole vs. Voriconazole for Antifungal Prophylaxis in Lung Transplant Recipients

Isavuconazole was effective and well tolerated as antifungal prophylaxis following lung transplantation. A single-center, retrospective study of patients who received isavuconazole (September 2015–February 2018) or voriconazole... read more

Isavuconazole vs. Voriconazole for Antifungal Prophylaxis in Lung Transplant Recipients

Multicomponent Non-pharmacological Intervention on Delirium and Sleep Quality in SICU

Delirium is a deleterious condition affecting up to 60% of patients in the surgical intensive care unit (SICU). Few SICU-focused delirium interventions have been implemented, including those addressing sleep-wake disruption,... read more

Multicomponent Non-pharmacological Intervention on Delirium and Sleep Quality in SICU

Drug Treatments for COVID-19

Corticosteroids and interleukin-6 inhibitors probably confer important benefits in patients with severe covid-19. Janus kinase inhibitors appear to have promising benefits, but certainty is low. Azithromycin, hydroxychloroquine,... read more

Drug Treatments for COVID-19

COVID-19 vaccines effective for pregnant women, likely protect their babies too

COVID-19 mRNA vaccines are extremely effective at protecting pregnant and lactating women against the virus, and likely provide protection for their babies as well, according to a study published March 25 in the American... read more

COVID-19 vaccines effective for pregnant women, likely protect their babies too

Decreased Intestinal Microbiome Diversity in Pediatric Sepsis

Intestinal dysbiosis was associated with altered short-chain fatty acid metabolites in children with sepsis, but these findings were not linked directly to mitochondrial or immunologic changes. More detailed mechanistic studies... read more

Decreased Intestinal Microbiome Diversity in Pediatric Sepsis

Vaccine-Induced Prothrombotic Immune Thrombocytopenia After AstraZeneca COVID-19 Vaccination

The United Kingdom, European Union, and Scandinavian countries have reported that the AstraZeneca COVID-19 vaccine appears to be associated with rare cases of serious blood clots, including blood clots in the brain. These... read more

Vaccine-Induced Prothrombotic Immune Thrombocytopenia After AstraZeneca COVID-19 Vaccination

Early Tracheotomy Shortens ICU Stay and Lowers Risk of VAP

Compared with late tracheotomy, early intervention was associated with lower ventilator-associated pneumonia (VAP) rates and shorter durations of mechanical ventilation and ICU stay, but not with reduced short-term, all-cause... read more

Early Tracheotomy Shortens ICU Stay and Lowers Risk of VAP

SARS-CoV Replication-transcription Complex Can Initiate RNA Synthesis

How viruses from the Coronaviridae family initiate viral RNA synthesis is unknown. Here we show that the SARS-CoV-1 and −2 Nidovirus RdRp-Associated Nucleotidyltransferase (NiRAN) domain on nsp12 uridylates the viral cofactor... read more

SARS-CoV Replication-transcription Complex Can Initiate RNA Synthesis

COVID-19 Infects Mouth Cells

Scientists have shown that SARS-CoV-2, the virus that causes COVID-19, can infect specific cells in the salivary gland in the mouth. The study by researchers from the Wellcome Sanger Institute, National Institutes of Health... read more

COVID-19 Infects Mouth Cells

Correlation Between COVID-19 Mortality and Autoantibodies in Patients Treated with Corticosteroids

Auto-reactivity in COVID-19 is increasingly being recognized and may identify a group of patients with inflammation severe enough to result in loss of self-tolerance. Corticosteroids are potent anti-inflammatory agents and... read more

Correlation Between COVID-19 Mortality and Autoantibodies in Patients Treated with Corticosteroids

Intubation Practices and Adverse Peri-intubation Events in Critically Ill Patients

In this observational study of intubation practices in critically ill patients from a convenience sample of 197 sites across 29 countries, major adverse peri-intubation events—in particular cardiovascular instability—were... read more

Intubation Practices and Adverse Peri-intubation Events in Critically Ill Patients

International Variation in Intubation and Extubation Practices Among Critically Ill Patients Receiving Mechanical Ventilation

Requiring invasive mechanical ventilation acutely outside an operating room is, for many, the definition of critical illness. Although there may be debate regarding whether patients treated with noninvasive ventilation or... read more

International Variation in Intubation and Extubation Practices Among Critically Ill Patients Receiving Mechanical Ventilation

Can Ultrasound Predict Histologic Pattern of Lung Injury in COVID‑19 patient?

We have read with great interest the study by de Almeida Monteiro et al. recently published in Intensive Care Medicine, where authors studied the relationship between histopathological data and lung ultrasonographic (LUS)... read more

Can Ultrasound Predict Histologic Pattern of Lung Injury in COVID‑19 patient?