Clinical Benefit of Extubation in Patients on Venoarterial Extracorporeal Membrane Oxygenation
OBJECTIVES:
Although patients on venoarterial extracorporeal membrane oxygenation for refractory cardiogenic shock are usually supported with mechanical ventilation, it is not clear whether sedation cessation and extubation might improve outcomes.
DESIGN:
Retrospective cohort study with propensity score overlap weighting analysis.
SETTING:
Three ICUs in a 1,500-bed tertiary university hospital.
PATIENTS:
From an overall cohort of 641 patients with venoarterial-extracorporeal membrane oxygenation support, the primary analysis was performed in 344 patients who had been successfully decannulated in or...
Source: Critical Care Medicine - April 21, 2022 Category: Emergency Medicine Tags: Clinical Investigations Source Type: research
Extended Lung Ultrasound to Differentiate Between Pneumonia and Atelectasis in Critically Ill Patients: A Diagnostic Accuracy Study
CONCLUSIONS:
In critically ill patients with pulmonary consolidation on chest radiograph, an extended lung ultrasound protocol is an accurate and directly bedside available tool to differentiate pneumonia from atelectasis. It outperforms standard lung ultrasound and clinical scores. (Source: Critical Care Medicine)
Source: Critical Care Medicine - April 21, 2022 Category: Emergency Medicine Tags: Clinical Investigations Source Type: research
Hastening Death in Canadian ICUs: End-of-Life Care in the Era of Medical Assistance in Dying*
CONCLUSIONS:
Most Canadian intensivists surveyed do not think that medical assistance in dying has changed their approach to end of life in the ICU. A significant minority are ethically conflicted about the current approach to assisted dying/euthanasia in Canada. Almost half believe it is ethical to intentionally hasten death during withdrawal of life-sustaining therapies if death is expected. (Source: Critical Care Medicine)
Source: Critical Care Medicine - April 21, 2022 Category: Emergency Medicine Tags: Feature Articles Source Type: research
Neighborhood Socioeconomic Disadvantage and Disability After Critical Illness*
CONCLUSIONS:
Neighborhood socioeconomic disadvantage is associated with a higher disability burden in the 12 months after a critical illness. Future studies should evaluate barriers to functional recovery for ICU survivors living in disadvantaged neighborhoods. (Source: Critical Care Medicine)
Source: Critical Care Medicine - April 21, 2022 Category: Emergency Medicine Tags: Feature Articles Source Type: research
Effects of Prone Position on Lung Recruitment and Ventilation-Perfusion Matching in Patients With COVID-19 Acute Respiratory Distress Syndrome: A Combined CT Scan/Electrical Impedance Tomography Study*
OBJECTIVES:
Prone positioning allows to improve oxygenation and decrease mortality rate in COVID-19–associated acute respiratory distress syndrome (C-ARDS). However, the mechanisms leading to these effects are not fully understood. The aim of this study is to assess the physiologic effects of pronation by the means of CT scan and electrical impedance tomography (EIT).
DESIGN:
Experimental, physiologic study.
SETTING:
Patients were enrolled from October 2020 to March 2021 in an Italian dedicated COVID-19 ICU.
PATIENTS:
Twenty-one intubated patients with moderate or severe C-ARDS.
INTERVENTIONS:...
Source: Critical Care Medicine - April 21, 2022 Category: Emergency Medicine Tags: Feature Articles Source Type: research
Executive Summary: Surviving Sepsis Campaign: International Guidelines for the Management of Sepsis and Septic Shock 2021: Erratum
No abstract available (Source: Critical Care Medicine)
Source: Critical Care Medicine - April 1, 2022 Category: Emergency Medicine Tags: Online Errata Source Type: research
The authors reply
No abstract available (Source: Critical Care Medicine)
Source: Critical Care Medicine - April 1, 2022 Category: Emergency Medicine Tags: Online Letters to the Editor Source Type: research
Airway Pressure Release Ventilation in Acute Respiratory Failure Due to COVID-19: When One Door Closes
No abstract available (Source: Critical Care Medicine)
Source: Critical Care Medicine - April 1, 2022 Category: Emergency Medicine Tags: Online Letters to the Editor Source Type: research
The authors reply
No abstract available (Source: Critical Care Medicine)
Source: Critical Care Medicine - April 1, 2022 Category: Emergency Medicine Tags: Online Letters to the Editor Source Type: research
Bringing Hidden Biases Into Light: Comments on an Observational Study on the Use of Antifibrinolytics for Pediatric Patients With Life-Threatening Hemorrhage
No abstract available (Source: Critical Care Medicine)
Source: Critical Care Medicine - April 1, 2022 Category: Emergency Medicine Tags: Online Letters to the Editor Source Type: research
The authors reply
No abstract available (Source: Critical Care Medicine)
Source: Critical Care Medicine - April 1, 2022 Category: Emergency Medicine Tags: Online Letters to the Editor Source Type: research
Optimal Evidence Grading of Simultaneous Use of Hypertonic Saline and Furosemide for Fluid Overload
No abstract available (Source: Critical Care Medicine)
Source: Critical Care Medicine - April 1, 2022 Category: Emergency Medicine Tags: Online Letters to the Editor Source Type: research
The authors reply
No abstract available (Source: Critical Care Medicine)
Source: Critical Care Medicine - April 1, 2022 Category: Emergency Medicine Tags: Online Letters to the Editor Source Type: research
Early Vasopressor Initiation Increases Mortality in Patients With Septic Shock: Less Intensive Intervention or More Critically Ill Patients?
No abstract available (Source: Critical Care Medicine)
Source: Critical Care Medicine - April 1, 2022 Category: Emergency Medicine Tags: Online Letters to the Editor Source Type: research
The authors reply
No abstract available (Source: Critical Care Medicine)
Source: Critical Care Medicine - April 1, 2022 Category: Emergency Medicine Tags: Online Letters to the Editor Source Type: research
