Podcast Use and Preferred Content Among Residents

Podcast Use and Preferred Content Among Residents

This study is the first to report podcast content needs and preferred formats among specialty trainees. Anesthesia residents appear to have well defined podcast content preferences. In addition, senior and junior anesthesia... read more

Association of an Emergency Department–Based ICU With Survival and Inpatient ICU Admissions

Association of an Emergency Department–Based ICU With Survival and Inpatient ICU Admissions

The purpose of this study is to determine the association of a novel ED-based ICU, the Emergency Critical Care Center (EC3), with 30-day mortality and inpatient ICU admission. In this cohort study of 349,310 patient encounters... read more

A Core Outcome Set for Critical Care Ventilation Trials

A Core Outcome Set for Critical Care Ventilation Trials

The main objective for this study was to obtain international consensus on a set of core outcome measures that should be recorded in all clinical trials of interventions intended to modify the duration of ventilation for... read more

Does Head of Bed Elevation During Intubation Improve Patient Oriented Outcomes?

Does Head of Bed Elevation During Intubation Improve Patient Oriented Outcomes?

To date the study that has shown the biggest benefit to HOB elevation is the 2016 study performed by Khandelwal and colleagues in a teaching hospital system in Seattle, WA. 528 patients managed by anesthesiologists... read more

Reduced Level of Arousal on Hospital Admission

Reduced Level of Arousal on Hospital Admission

Reduced level of arousal on hospital admission may be a strong predictor of in-hospital mortality. Most evidence was of low quality. Reduced level of arousal is highly specific to delirium, better formal detection of hypoactive... read more

Effective Goal-Directed Therapy in TBI Patients May Improve Outcomes

Effective Goal-Directed Therapy in TBI Patients May Improve Outcomes

The purpose of this study was to estimate the impact of goal-directed therapy on outcome after traumatic brain injury (TBI). Goal-directed therapy was applied to standardize care in patients with moderate to severe traumatic... read more

Resuscitation Guided by Volume Responsiveness Does Not Reduce Mortality in Sepsis

Resuscitation Guided by Volume Responsiveness Does Not Reduce Mortality in Sepsis

The results of this systematic review and meta-analysis indicate that a volume responsiveness (VR) guided resuscitation strategy in sepsis patients confers no mortality benefit compared with usual care. The methods of... read more

Core Outcome Measures for Critical Care Ventilation Trials

Core Outcome Measures for Critical Care Ventilation Trials

The main objective for this study was to obtain international consensus on a set of core outcome measures that should be recorded in all clinical trials of interventions intended to modify the duration of ventilation for... read more

The negative effect of initial high-dose methylprednisolone and tapering regimen for ARDS

The negative effect of initial high-dose methylprednisolone and tapering regimen for ARDS

The efficacy of corticosteroid use in acute respiratory distress syndrome (ARDS) remains controversial. Generally, short-term high-dose corticosteroid therapy is considered to be ineffective in ARDS. On the other hand, low-dose,... read more

Continuous or Intermittent Feeding: Pros and Cons

Continuous or Intermittent Feeding: Pros and Cons

Although there are limited studies investigating the safety and efficacy of an intermittent rather than continuous feeding regimen in critically ill adults, there are several theoretical advantages. Further studies should... read more

Sex-specific Differences in Survival After Out-of-hospital Cardiac Arrest

Sex-specific Differences in Survival After Out-of-hospital Cardiac Arrest

This nationwide, population-based observational study in Japan included 386,535 adult patients aged ≥ 18 years with out-of-hospital cardiac arrest (OHCA). In all these patients, resuscitation was attempted by EMS personnel... read more

Predictive Utility of DNI in Patients with MOF After Severe Traumatic Injury

Predictive Utility of DNI in Patients with MOF After Severe Traumatic Injury

Post-injury multiple organ failure (MOF) is the result of a systemic uncontrolled inflammatory response and it is the one of leading cause of late post-injury mortality. Delta neutrophil index (DNI) may serve useful marker... read more

Hemodynamic Monitoring in the ECMO Patient

Hemodynamic Monitoring in the ECMO Patient

Hemodynamic monitoring in extracorporeal membrane oxygenation (ECMO) patients requires familiarity with the underlying pathophysiology and circulatory mechanics of extracorporeal flow. This review discusses the various monitoring... read more

State-Mandated Protocolized Sepsis Care Associated with Decrease in Sepsis Mortality

State-Mandated Protocolized Sepsis Care Associated with Decrease in Sepsis Mortality

Beginning in 2013, New York State implemented regulations mandating that hospitals implement evidence-based protocols for sepsis management, as well as report data on clinical outcomes to the state government. This study... read more