Patient Remains Awake for 90 Minutes of CPR

A man undergoing CPR, exhibited signs of conscious awareness for 90 minutes before the medical team stopped the life-sustaining procedure, according to a new case report. The 69-year-old man was admitted to a hospital in... read more

Patient Remains Awake for 90 Minutes of CPR

Automated System Detects Risk of VAP

Approximately 50 percent of all patients receiving mechanical ventilator support develop ventilator-associated pneumonia (VAP). Researchers at Massachusetts General Hospital (MGH) have developed an automated system for identifying... read more

Automated System Detects Risk of VAP

The Post-injury Inflammatory State and the Bone Marrow Response to Anemia

The pathophysiology of persistent injury-associated anemia is incompletely understood, and human data are sparse. Objective: To translate pre-clinical findings by characterizing injury-associated anemia among critically ill... read more

The Post-injury Inflammatory State and the Bone Marrow Response to Anemia

Early Interventions for the Prevention of Posttraumatic Stress Symptoms in Survivors of Critical Illness

Despite a paucity of high-quality clinical investigations, the preponderance of evidence to date suggests that 1) posttraumatic stress disorder among survivors of critical illness may be preventable and 2) early interventions... read more

Early Interventions for the Prevention of Posttraumatic Stress Symptoms in Survivors of Critical Illness

Temporal Biomarker Profiles and Their Association with ICU Acquired Delirium

While there are differences in markers (adiponectin and several brain proteins) between patients with and without delirium, the development of delirium is not preceded by a change in the biomarker profile of inflammatory... read more

Temporal Biomarker Profiles and Their Association with ICU Acquired Delirium

Implementing Treatment Algorithms for the Correction of Trauma Induced Coagulopathy

The 5-year TACTIC project is a multi-component study, a main focus of which is the development of European-wide clinical trial, entitled "Implementing Treatment Algorithms for the Correction of Trauma Induced Coagulopathy... read more

Implementing Treatment Algorithms for the Correction of Trauma Induced Coagulopathy

Whole Blood – More than the Sum of Its Components?

This retrospective analysis was conducted in a US Military population across 6 combat hospitals in Iraq and Afghanistan between January 2004 and October 2007. Patient's transfused at least 1 unit RBCs met inclusion criteria... read more

Muscle Weakness and 5-Year Survival in ARDS Survivors

At hospital discharge, >1/3 of Acute Respiratory Distress Syndrome (ARDS) survivors had muscle weakness. Greater strength at discharge and throughout follow-up was associated with improved 5-year survival. In patients with... read more

Muscle Weakness and 5-Year Survival in ARDS Survivors

Sepsis patients treated and released from emergency departments do well with outpatient follow-up

National guidelines assume that all patients who're diagnosed with clinical sepsis in an emergency department will be admitted to the hospital for additional care, but new research has found that many more patients are being... read more

Sepsis patients treated and released from emergency departments do well with outpatient follow-up

Early Noninvasive Ventilation and Nonroutine Transfusion for Acute Chest Syndrome in Sickle Cell Disease in Children

Early noninvasive ventilation combined with nonroutine transfusion is well tolerated in acute chest syndrome in children and may spare transfusion in some patients. Early recognition of patients still requiring transfusion... read more

Early Noninvasive Ventilation and Nonroutine Transfusion for Acute Chest Syndrome in Sickle Cell Disease in Children

The use of echocardiographic indices in defining and assessing right ventricular systolic function in critical care research

TAPSE seemed to be the most popular index in the last 2–3 years. Many studies used combinations of indices but, apart from cor pulmonale, we could not find a consistent pattern of RV assessment and definition of RV dysfunction... read more

The use of echocardiographic indices in defining and assessing right ventricular systolic function in critical care research

Medicaid Expansion Associated with Decline in ICU Stays

Medicaid expansion was associated with an early increase in insurance rates among hospitalized patients and a decline in ICU utilization rates among patients hospitalized with ACSCs. Further work is needed to explore whether... read more

Medicaid Expansion Associated with Decline in ICU Stays

Incidence of hypotension according to the discontinuation order of vasopressors in the management of septic shock

Tapering NE rather than AVP may be associated with a higher incidence of hypotension in patients recovering from septic shock who are on concomitant NE and AVP. However, further studies with larger sample sizes are required... read more

Incidence of hypotension according to the discontinuation order of vasopressors in the management of septic shock

The burdens of survivorship: an approach to thinking about long-term outcomes after critical illness

Internationally accepted approaches to the study of functioning and disability can inform critical care practitioners and scholars in their study of functional limitations, disability, and quality of life after critical illness... read more

The burdens of survivorship: an approach to thinking about long-term outcomes after critical illness

Vasopressors for Hypotensive Shock

This review seeks unbiased evidence about the effects of different drugs that enhance blood pressure on risk of dying in critically ill patients with impaired blood circulation. Review authors identified 28 randomized controlled... read more

Vasopressors for Hypotensive Shock

The Ten Pitfalls of Lactate Clearance in Sepsis

Clearance is the removal of a substance from blood, expressed as a volume (milliliters) over time (minutes). However, changes in lactate levels are the sum of ongoing production and removal from the blood by excretion (e.g.,... read more

The Ten Pitfalls of Lactate Clearance in Sepsis

Low-dose Corticosteroids for Adult Patients with Septic Shock

The results of this systematic review provide an evidence summary to inform clinicians regarding decisions to use corticosteroids in adult patients with septic shock. We found that assignment to treatment with corticosteroids... read more

Low-dose Corticosteroids for Adult Patients with Septic Shock