Anxiety, Depression and PTSD After Critical Illness

Anxiety, Depression and PTSD After Critical Illness

Survivors of intensive care are known to be at increased risk of developing longer-term psychopathology issues. We present a large UK multicentre study assessing the anxiety, depression and post-traumatic stress disorder... read more

Association of Corticosteroid Treatment With Outcomes in Adult Patients With Sepsis

Association of Corticosteroid Treatment With Outcomes in Adult Patients With Sepsis

In this meta-analysis of 37 RCTs (including 9564 patients), corticosteroid treatment was significantly associated with reduced 28-day mortality, ICU mortality, and in-hospital mortality among patients with sepsis. However,... read more

Lactate and Stepwise Lactate Kinetics Used to Guide Resuscitation

Lactate and Stepwise Lactate Kinetics Used to Guide Resuscitation

Lactate is an important parameter for monitoring tissue perfusion at present. Lactate kinetics are particularly important to evaluate the response of ICU patients. Therefore, lactate can be the starting point for resuscitation,... read more

Probiotics for the Prevention of Antibiotic-associated Diarrhea in Children

Probiotics for the Prevention of Antibiotic-associated Diarrhea in Children

Antibiotic-associated diarrhea (AAD) occurs when antibiotics disturb the natural balance of "good" and "bad" bacteria in the intestinal tract causing harmful bacteria to multiply beyond their normal numbers. The symptoms... read more

Prophylactic Antibiotics After Cardiac Arrest?

Prophylactic Antibiotics After Cardiac Arrest?

This is a multicenter, double-blind, placebo-controlled trial of patients resuscitated from shockable out-of-hospital cardiac arrest.​ Patients were randomized to placebo versus intravenous amoxicillin-clavulanate for two... read more

Infusion of Prostacyclin vs Placebo for 72-hours in Patients With Septic Shock Suffering From Organ Failure

Infusion of Prostacyclin vs Placebo for 72-hours in Patients With Septic Shock Suffering From Organ Failure

The purpose of this trial is to investigate the efficacy and safety of continuous intravenous administration of low dose iloprost versus placebo for 72-hours, in up to a total of 380 patients with septic shock suffering from... read more

How Should We Treat Acinetobacter Pneumonia?

How Should We Treat Acinetobacter Pneumonia?

The optimal treatment for multidrug-resistant A. baumannii pneumonia has not been established. New therapeutic options are urgently needed. Well designed, randomized controlled trials must been conducted to comprehensively... read more

Transport of a Prone Position ARDS Patient

Transport of a Prone Position ARDS Patient

Critical care transport of prone acute respiratory distress syndrome (ARDS) patients is a feasible and cost-effective intervention that will help prevent treatment delays and interruptions. A nonphysician critical care... read more

Septic Shock and the Use of Norepinephrine IMCU

Septic Shock and the Use of Norepinephrine IMCU

Elderly patients with septic shock treated with norepinephrine (NE) displayed a better Intermediate Care Unit (IMCU) survival at the ward and at 30 days than previously expected. Our retrospective chart study did not... read more

Quality Metrics For The Evaluation of RRS

Quality Metrics For The Evaluation of RRS

A consensus process was used to develop ten metrics for better understanding the course and care of deteriorating ward patients. Others are proposed for further development. Consensus emerged that core outcomes for... read more

XueBiJing Injection vs. Placebo for Critically Ill Patients with Severe Community-Acquired Pneumonia

In critically ill patients with severe community-acquired pneumonia, XueBiJing injection led to a statistically significant improvement in the primary endpoint of the pneumonia severity index as well a significant improvement... read more

ED Management of Smoke Inhalation Injury in Adults

ED Management of Smoke Inhalation Injury in Adults

When treating patients who have suffered injury in a fire, managing their airway is as critical as treating their burns. Following on the February 2018 issue on Thermal Burns, this issue reviews strategies for diagnosing... read more

Impact of timing of continuous intravenous anesthetic drug treatment on outcome in refractory status epilepticus

Impact of timing of continuous intravenous anesthetic drug treatment on outcome in refractory status epilepticus

Patients with refractory status epilepticus (RSE) treated with continuous intravenous anesthetic drugs (cIVADs) may benefit from early initiation of such therapy. When cIVADs are applied in RSE, prescribing them early... read more

Short-term vs. Conventional Glucocorticoid Therapy in Acute Exacerbations of COPD

Short-term vs. Conventional Glucocorticoid Therapy in Acute Exacerbations of COPD

In patients presenting to the emergency department with acute exacerbations of Chronic Obstructive Pulmonary Disease (COPD), 5-day treatment with systemic glucocorticoids was noninferior to 14-day treatment with regard to... read more