Critical Care Reviews Newsletter
Newsletter 508 | September 6th 2021
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Welcome to the 508th Critical Care Reviews Newsletter, bringing you the best critical care research and open access articles from across the medical literature over the past seven days.
The highlight of this week's edition is the publication of the REST trial, presented at eCCR21 in January. Other notable publications include randomised controlled trials comparing low-normal vs high-normal oxygenation targets & an investigation on the efficacy and safety of baricitinib for the treatment of hospitalised adults with COVID-19; systematic reviews and meta analyses on targeted temperature management in adult cardiac arrest & ivermectin for preventing and treating COVID‐19; and observational studies on one-year outcomes of critically ill paediatric patients post–COVID-19 multisystem inflammatory syndrome & pulmonary aspergillosis in critically ill COVID-19 patients.
There are also guidelines on valvular heart disease & anticoagulation for thromboprophylaxis in patients with COVID-19; narrative reviews on pediatric airway management in times of COVID-19 & kidney failure after liver transplantation; editorials on climate change & early mobilization and rehabilitation; and commentaries on mechanical support strategies for children with severe cardiac failure & selective digestive decontamination; as well as correspondence on the resurgence of SARS-CoV-2 infection in a highly vaccinated health system workforce & COVID-19 associated pulmonary aspergillosis.
If you only have time to read one review article this week, try this one, from the annual Annual Update in Intensive Care and Emergency Medicine 2021 book, on whether there is still a place for aortic counterpulsation in cardiac surgery and patients with cardiogenic shock.
Research
Randomised Controlled Trials
- McNamee. Effect of Lower Tidal Volume Ventilation Facilitated by Extracorporeal Carbon Dioxide Removal vs Standard Care Ventilation on 90-Day Mortality in Patients With Acute Hypoxemic Respiratory Failure. The REST Randomized Clinical Trial. JAMA 2021;epublished August 31st
- Gelissen. Effect of Low-Normal vs High-Normal Oxygenation Targets on Organ Dysfunction in Critically Ill Patients. A Randomized Clinical Trial. JAMA 2021;epublished August 31st
- Evered. Anaesthetic depth and delirium after major surgery: a randomised clinical trial. Br J Anaesth 2021;epublished August 28th
- Marconi. Efficacy and safety of baricitinib for the treatment of hospitalised adults with COVID-19 (COV-BARRIER): a randomised, double-blind, parallel-group, placebo-controlled phase 3 trial. Lancet Respir Med 2021;epublished September 1st
- Thanapongsatorn. Comprehensive versus standard care in post-severe acute kidney injury survivors, a randomized controlled trial. Crit Care 2021;25:322
- Metoprolol in Critically Ill Patients With COVID-19. J Am Coll Cardiol 2021,78(10):1001–1011
- Seidelman. Impact of Antibiotic Stewardship Rounds in the Intensive Care Setting: a prospective cluster-randomized crossover study. Clin Infect Dis 2021;epublished August 30th
Systematic Reviews & Meta Analyses
- Granfeldt. Targeted Temperature Management in Adult Cardiac Arrest: Systematic Review and Meta-Analysis. Resuscitation 2021;epublished August 29th
- Chorath. Association of Early vs Late Tracheostomy Placement With Pneumonia and Ventilator Days in Critically Ill Patients: A Meta-analysis. JAMA Otolaryngol Head Neck Surg 2021;147(5):450-459
- Boucher. The cost of the Acute Respiratory Distress Syndrome: A systematic review. Chest 2021;epublished August 31st
- Pop. Ivermectin for preventing and treating COVID‐19. Cochrane Database Syst Rev 2021;2021(7):CD015017
- Liu. Gastric-tube versus post-pyloric feeding in critical patients: a systematic review and meta-analysis of pulmonary aspiration- and nutrition-related outcomes. Eur J Clin Nutrition 2021;75:1337–1348
- Kreuzberger. SARS-CoV-2-neutralising monoclonal antibodies for treatment of COVID-19. Cochrane Database Syst Rev 2021;epublished September 2nd
- Snow. Convalescent plasma for COVID-19: a meta-analysis, trial sequential analysis, and meta-regression. Br J Anaesth 2021;epublished August 29th
Observational Studies
- Risk factors and outcome of pulmonary aspergillosis in critically ill coronavirus disease 2019 patients- a multinational observational study by the European Confederation of Medical Mycology. Clin Microbiol Infect 2021;epublished August 25th
- Adelman. Secondary Bacterial Pneumonias and Bloodstream Infections in Patients Hospitalized with COVID-19. Ann Am Thorac Soc 2021;189(9):1584-1587
- Davies. One-Year Outcomes of Critical Care Patients Post–COVID-19 Multisystem Inflammatory Syndrome in Children. JAMA Pediatr 2021;epublished August 30th
- Wallenburg. High unbound flucloxacillin fraction in critically ill patients. J Antimicrob Chemother 2021;epublished August 31st
- Mehta. Utilization and effect of neuromuscular blockade in a randomized trial of high-frequency oscillation. J Crit Care 2021;66:86-92
Protocols and Statistical Analysis Plans
- Voiriot. Combined use of a broad-panel respiratory multiplex PCR and procalcitonin to reduce duration of antibiotics exposure in patients with severe community-acquired pneumonia (MULTI-CAP): a multicentre, parallel-group, open-label, individual randomised trial conducted in French intensive care units. BMJ Open 2021;11(8):e048187
- Garcia. Rationale and Design of the Awake Prone Position for Early Hypoxemia in COVID-19 Study Protocol: A Clinical Trial. Ann Am Thorac Soc 2021;189(9):1560-1566
Guidelines
- 2021 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy: Developed by the Task Force on cardiac pacing and cardiac resynchronization therapy of the European Society of Cardiology (ESC) With the special contribution of the European Heart Rhythm Association (EHRA). Eur Heart J 2021;epublished August 29th
- 2021 ESC/EACTS Guidelines for the management of valvular heart disease: Developed by the Task Force for the management of valvular heart disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS)
Eur Heart J 2021;epublished August 28th - Coloretti. Rationale for Polyclonal Intravenous Immunoglobulin Adjunctive Therapy in COVID-19 Patients: Report of a Structured Multidisciplinary Consensus. J Clin Med 2021;10(16):3500
- Woods-Hill. Consensus Recommendations for Blood Culture Use in Critically Ill Children Using a Modified Delphi Approach. Ped Crit Care Med 2021;22(9):774-784
- American Society of Hematology living guidelines on the use of anticoagulation for thromboprophylaxis in patients with COVID-19: May 2021 update on the use of intermediate intensity anticoagulation in critically ill patients. Blood Adv 2021;epublished September 22nd
Reviews
Clinical
COVID-19
- Matava. Pediatric Airway Management in Times of COVID-19—a Review of the Evidence and Controversies. Curr Anesthesiol Rep 2021;11:243–247
- Richardson. Pain Management in Children During the COVID-19 Pandemic. Curr Anesthesiol Rep 2021;11:214–222
Neurological
- Pruvost-Robieux. Evoked- and Event-Related Potentials as Biomarkers of Consciousness State and Recovery. J Clin Neurophysiol 2021;epublished August 30th
- Kalagara. Ultrasound Imaging of the Spine for Central Neuraxial Blockade: a Technical Description and Evidence Update. Curr Anesthesiol Rep 2021;11:326–339
Circulatory
- Perchermeier. The Use of Corticosteroids for Cardiopulmonary Bypass in Adults. Curr Anesthesiol Rep 2021;11:292–297
- Labus. Role of Echocardiography for the Perioperative Assessment of the Right Ventricle. Curr Anesthesiol Rep 2021;11:306–317
- Koechlin. Aortic Valve Neocuspidization Using Autologous Pericardium (Ozaki Procedure): an Alternative to Aortic Valve Replacement in Adult Cardiac Surgery?. Curr Anesthesiol Rep 2021;11:318–325
Nutrition
Renal
Sepsis
Paediatrics
Perioperative
Annual Update in Intensive Care and Emergency Medicine 2021
- Heringlake. Still a place for aortic counterpulsation in cardiac surgery and patients with cardiogenic shock?. Crit Care 2021;25:309
- Rozemeijer. Measuring vitamin C in critically ill patients: clinical importance and practical difficulties—Is it time for a surrogate marker?. Crit Care 2021;25:310
- Weinstein. Advanced management of intermediate-high risk pulmonary embolism. Crit Care 2021;25:311
- Skrifvars. Monitoring and modifying brain oxygenation in patients at risk of hypoxic ischaemic brain injury after cardiac arrest. Crit Care 2021;25:312
- Ostermann. Acute kidney injury in ECMO patients. Crit Care 2021;25:313
- Yagi. Management of acute metabolic acidosis in the ICU: sodium bicarbonate and renal replacement therapy. Crit Care 2021;25:314
- Roca. To prone or not to prone ARDS patients on ECMO. Crit Care 2021;25:315
- Williams. Tracheostomy for COVID-19: evolving best practice. Crit Care 2021;25:316
- Grasselli. Secondary infections in critically ill patients with COVID-19. Crit Care 2021;25:317
- Ltaief. Pathophysiology and clinical implications of the veno-arterial PCO2 gap. Crit Care 2021;25:318
Non-Clinical
Editorials
Commentaries
- Hoskote. What’s new in mechanical support strategies for the intensivist in children with severe cardiac failure. Intensive Care Med 2021;epublished August 19th
- Velu. Post-mortem dissection of COVID-19: a pathogenic role for macrophages?. Intensive Care Med 2021;epublished September 1st
- Hurley. Selective digestive decontamination, a seemingly effective regimen with individual benefit or a flawed concept with population harm? Crit Care 2021;25:323
Correspondence
- Keehner. Resurgence of SARS-CoV-2 Infection in a Highly Vaccinated Health System Workforce. N Engl J Med 2021;epublished September 1st
- Avdeev. Can We Reliably Predict the Failure of Noninvasive Ventilation in COVID-19–associated Acute Hypoxemic Respiratory Failure? Ann Am Thor Soc 2021;18(9):1594-1595
- Wendel Garcia. Cytokine adsorption in severe, refractory septic shock. Intensive Care Med 2021;epublished September 1st
- Prattes. COVID-19 associated pulmonary aspergillosis: regional variation in incidence and diagnostic challenges. Intensive Care Med 2021;epublished September 1st
- de Metz. Behavioural artificial intelligence technology for COVID-19 intensivist triage decisions: making the implicit explicit. Intensive Care Med 2021;epublished August 25th
Case Reports
- Fiorentino. Intermittent Abdominal Pressure Ventilation: An Alternative for Respiratory Support. Can Respir J 2021;2021:5554765
- Singh. Paranephric air in COVID-ARDS patient: an extension of pneumothorax. Intensive Care Med 2021;August 30th
- Bajwa. Argyria: a cause of pseudocyanosis. QJM 2021;114(5):341
- Banerjee. Intraosseus route for thrombolysing acute stroke is safe and successful. QJM 2021;114(5):324–325