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Critical Care & Emergencies (all articles)

Personalized nutrition therapy in critical care: 10 expert recommendations

10 Jul, 2023 | 13:36h | UTC

Personalized nutrition therapy in critical care: 10 expert recommendations – Critical Care

 


How to avoid harm with feeding critically ill patients: a synthesis of viewpoints of a basic scientist, dietitian and intensivist

10 Jul, 2023 | 13:34h | UTC

How to avoid harm with feeding critically ill patients: a synthesis of viewpoints of a basic scientist, dietitian and intensivist – Critical Care

 


Consensus Paper | Adult cardiac surgery-associated acute kidney injury

7 Jul, 2023 | 16:18h | UTC

Adult Cardiac Surgery-Associated Acute Kidney Injury: Joint Consensus Report – Journal of Cardiothoracic and Vascular Anesthesia

 


Consensus Paper | The place of new antibiotics for Gram-negative bacterial infections in intensive care

7 Jul, 2023 | 16:15h | UTC

The place of new antibiotics for Gram-negative bacterial infections in intensive care: report of a consensus conference – Annals of Intensive Care

 


Review | Acute-on-chronic liver failure

7 Jul, 2023 | 16:09h | UTC

Acute-on-chronic liver failure: far to go—a review – Critical Care

Related:

EASL Clinical Practice Guidelines on acute-on-chronic liver failure – Journal of Hepatology

Guidelines for the management of adult acute and acute-on-chronic liver failure in the ICU

 


M-A | Clinical tests for confirming tracheal intubation or excluding esophageal intubation

3 Jul, 2023 | 14:19h | UTC

Clinical tests for confirming tracheal intubation or excluding oesophageal intubation: a diagnostic test accuracy systematic review and meta-analysis – Anaesthesia

 


M-A | Higher versus lower blood pressure targets after cardiac arrest

3 Jul, 2023 | 14:18h | UTC

Higher versus lower blood pressure targets after cardiac arrest: Systematic review with individual patient data meta-analysis – Resuscitation

 


Review | Respiratory challenges and ventilatory management in different types of acute brain-injured patients

3 Jul, 2023 | 14:17h | UTC

Respiratory challenges and ventilatory management in different types of acute brain-injured patients – Critical Care

 


RCT | Substituting saline with balanced crystalloid solution reduces delayed graft function in kidney transplantation

30 Jun, 2023 | 14:56h | UTC

Summary: The BEST-Fluids study was a pragmatic, multicentre, double-blind, randomized controlled trial carried out across 16 hospitals in Australia and New Zealand, aimed at comparing the use of balanced crystalloid solution (Plasma-Lyte 148) and saline in deceased donor kidney transplantation. The sample size comprised of 808 participants, who were either adults or children of any age, with the primary outcome defined as delayed graft function (DGF) occurring within 7 days post-transplantation.

Findings from the trial revealed that the balanced crystalloid group experienced less DGF than the saline group, with 121 out of 404 participants (30%) and 160 out of 403 participants (40%), respectively. This result yields an adjusted relative risk of 0.74 and an adjusted risk difference of 10.1%.

The study suggests that balanced crystalloid solution significantly reduces the incidence of DGF compared to saline. As no significant safety concerns were raised during the trial, the researchers recommend the use of balanced crystalloid solution as the standard-of-care intravenous fluid in deceased donor kidney transplantation. However, the study doesn’t indicate any significant differences in graft failure or mortality rates, which calls for further research.

Article: Balanced crystalloid solution versus saline in deceased donor kidney transplantation (BEST-Fluids): a pragmatic, double-blind, randomised, controlled trial – The Lancet (free registration required)

 


M-A | Tracheostomy timing not a key determinant of clinical outcomes in critically ill stroke patients

30 Jun, 2023 | 14:50h | UTC

Tracheostomy timing and outcome in critically ill patients with stroke: a meta-analysis and meta-regression – Critical Care

 


SR | Medical equipment that improve safety and outcomes of inter-facility transportation of critically ill patients

30 Jun, 2023 | 14:48h | UTC

Medical equipment that improve safety and outcomes of inter-facility transportation of critically ill patients: A systematic review – Medicine

 


Update on transfusion-related acute lung injury: an overview of its pathogenesis and management

30 Jun, 2023 | 14:31h | UTC

Update on transfusion-related acute lung injury: an overview of its pathogenesis and management – Frontiers in Immunology

 


AHA Scientific Statement | Considerations on the management of acute postoperative ischemia after cardiac surgery

29 Jun, 2023 | 14:07h | UTC

Considerations on the Management of Acute Postoperative Ischemia After Cardiac Surgery: A Scientific Statement From the American Heart Association – Circulation

 


Clinical Trial Update | Equal long-term health and survival from restrictive vs. standard IV fluid therapy in septic shock patients

29 Jun, 2023 | 14:01h | UTC

Long-term effects of restriction of intravenous fluid in adult ICU patients with septic shock – Intensive Care Medicine

Original Study: RCT: A restrictive intravenous fluid strategy does not improve outcomes in ICU patients with septic shock.

 


Position Statement | Prehospital hemorrhage control and treatment by clinicians

27 Jun, 2023 | 14:02h | UTC

Prehospital Hemorrhage Control and Treatment by Clinicians: A Joint Position Statement – Annals of Emergency Medicine

 


EASL Clinical Practice Guidelines on acute-on-chronic liver failure

27 Jun, 2023 | 14:00h | UTC

EASL Clinical Practice Guidelines on acute-on-chronic liver failure – Journal of Hepatology

 

Commentary on Twitter

 


Position Paper | Assessing and managing frailty in emergency laparotomy

27 Jun, 2023 | 13:45h | UTC

Assessing and managing frailty in emergency laparotomy: a WSES position paper – World Journal of Emergency Surgery

 


Review | Management of short-term mechanical circulatory support for cardiogenic shock in adults in the intensive cardiac care unit

27 Jun, 2023 | 13:42h | UTC

Step by step daily management of short-term mechanical circulatory support for cardiogenic shock in adults in the intensive cardiac care unit: a clinical consensus statement of the Association for Acute CardioVascular Care of the European Society of Cardiology SC, the European Society of Intensive Care Medicine, the European branch of the Extracorporeal Life Support Organization, and the European Association for Cardio-Thoracic Surgery – European Heart Journal. Acute Cardiovascular Care

 


Special Series | Emergencies in vascular surgery

27 Jun, 2023 | 13:41h | UTC

Homepage – Seminars in Vascular Surgery

Descending thoracic aortic emergencies: Past, present, and future

Thoracic aortic emergencies involving the aortic arch: An integrated cardiovascular surgical treatment approach

Ruptured abdominal aorto-iliac aneurysms: Diagnosis, treatment, abdominal compartment syndrome, and role of simulation-based training

Contemporary multimodal approach to diagnosis and treatment of vascular graft and endograft infections

Acute management of mesenteric emergencies: Tailoring the solution to the problem

Resuscitative balloon occlusion of the aorta in the modern era: Expanding indications, optimal techniques, unresolved issues, and current results

Acute perioperative complications after arterial and venous femoral access in major vascular and cardiac procedures: Ischemic or hemorrhagic patterns and how to solve them

 


Review | Differentiating infection, colonization, and sterile inflammation in critical illness

26 Jun, 2023 | 00:41h | UTC

Differentiating infection, colonisation, and sterile inflammation in critical illness: the emerging role of host-response profiling – Intensive Care Medicine (free for a limited period)

 

Commentary on Twitter

 


Review | Update on the management of patients with HIV infection in anesthesia and critical care

26 Jun, 2023 | 00:36h | UTC

Update on the management of patients with HIV infection in anaesthesia and critical care – BJA Education

 


Review | Therapeutic drug monitoring of antimicrobials in critically ill obese patients

26 Jun, 2023 | 00:29h | UTC

Therapeutic Drug Monitoring of Antimicrobials in Critically Ill Obese Patients – Antibiotics

 

Commentary on Twitter

 


Retrospective study | Increasing prevalence and severity of carbapenem-resistant Klebsiella Pneumoniae in ICUs

23 Jun, 2023 | 13:25h | UTC

Clinical characteristics of carbapenem-resistant Klebsiella pneumoniae infection/colonisation in the intensive care unit: a 9-year retrospective study – BMJ Open

 


Scientific Advisory | Expedited CT scanning with iodinated contrast when necessary favored over renal concerns in emergencies

22 Jun, 2023 | 15:19h | UTC

Joint Advisory Statement between Royal College of Radiologists & Royal College Emergency Medicine regarding Emergency Computed Tomography scans and the use of Intravenous Iodinated Contrast Agents

Related:

Radiographic Contrast Media and the Kidney – Clinical Journal of the American Society of Nephrology 

Contrast-Associated Acute Kidney Injury – Journal of Clinical Medicine

Canadian Association of Radiologists Guidance on Contrast Associated Acute Kidney Injury – Canadian Association of Radiologists Journal

Use of Intravenous Iodinated Contrast Media in Patients with Kidney Disease: Consensus Statements from the American College of Radiology and the National Kidney Foundation – Radiology

SIRM-SIN-AIOM: appropriateness criteria for evaluation and prevention of renal damage in the patient undergoing contrast medium examinations—consensus statements from Italian College of Radiology (SIRM), Italian College of Nephrology (SIN) and Italian Association of Medical Oncology (AIOM) – La radiologia medica

Association of Intravenous Radiocontrast With Kidney Function: A Regression Discontinuity Analysis – JAMA Internal Medicine

 


Review | Nonsurgical management of major hemorrhage

22 Jun, 2023 | 15:16h | UTC

Nonsurgical management of major hemorrhage – Canadian Medical Association Journal

 


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