Critical Care Reviews Newsletter
Newsletter 532 | February 20th 2022
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Conservative vs Restrictive Fluid Therapy in Septic Shock
Welcome to the 532nd 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 highlights of this week's edition are randomised controlled trials comparing supraglottic airway device and endotracheal intubation on return of spontaneous circulation in adults with out-of-hospital cardiac arrest & an evidence-based feeding guideline for critically ill patients; systematic reviews and meta analyses on the asssociation of PEEP and lung recruitment selection strategies with mortality in ARDS & retracted articles in critical care medicine; and observational studies on the association of COVID-19 ARDS with symptoms of posttraumatic stress disorder in family members after ICU discharge & whether unprecedented ICU capacity strain impacts patient outcome?.
There are also guidelines on thromboprophylaxis in patients with COVID-19 & acute oxygen use in adults; narrative reviews on EEG patterns in critical care & acute coronary syndromes; editorials on SGLT-2 inhibitors & dyspnea and mechanical ventilation; and commentaries on achieving diagnostic excellence for older patients & when physicians spread unscientific information about COVID-19; as well as correspondence on de-adoption of chlorhexidine oral care and ICU mortality & time to tailor the one-size-fits-all approach.
If you only have time to read one review article this week, try this one on whole blood resuscitation of the severely injured trauma patient.
Critical Care Reviews Meeting 2022
We're fortunate to host the results of several major randomised controlled trials at #CCR22, including the CLASSIC trial, comparing conservative with liberal fluid therapy in patients with septic shock. It's one of the most topical questions in critical care. Join us to hear the results, an independent editorial and a panel discussion to place this trial in context. Registration for the Critical Care Reviews Meeting 2022, on June 15th to 17th at Titanic Belfast, is open.
After 2 years away from Titanic Belfast, here is a reminder of our major trial results session format at the Critical Care Reviews Meeting. Sit back and enjoy Bala Venkatesh present the results of the landmark ADRENAL trial.
Next Critical Care Reviews Livestream
We're back in two weeks, on Monday March 7th, with the results of the randomised controlled RePHILL trial, investigating whether pre-hospital blood product resuscitation, with up to two units each of packed red blood cells and lyophilised plasma, will improve tissue perfusion (as measured by lactate clearance) and reduce mortality in trauma patients with haemorrhagic shock, compared to the current standard practice of crystalloid (normal saline) resuscitation.
You can watch the previous 10 major trial results livestreams we have broadcast over the past year on our livestream webpage.
Next Critical Care Reviews Podcast
We have three podcasts due for release over the next few weeks, including the follow-up podcasts to both the PLUS and RECOVERY-RS trial result livestreams. In addition, there is a fascinating discussion with Pär Johansson from Copenhagen on the COMBAT-COVID trial. You can check out all our podcasts from the last 12 months on our podcast page.
Research
Randomised Controlled Trials
- Lee. Effect of Placement of a Supraglottic Airway Device vs Endotracheal Intubation on Return of Spontaneous Circulation in Adults With Out-of-Hospital Cardiac Arrest in Taipei, Taiwan. A Cluster Randomized Clinical Trial. JAMA Netw Open 2022;5(2):e2148871
- Ke. Actively implementing an evidence-based feeding guideline for critically ill patients (NEED): a multicenter, cluster-randomized, controlled trial. Crit Care 2022;26:46
- Supady. Cytokine adsorption in patients with post-cardiac arrest syndrome after extracorporeal cardiopulmonary resuscitation (CYTER) – A single-centre, open-label, randomised, controlled trial. Resuscitation 2022;epublished February 7th
- Lim. Efficacy of Ivermectin Treatment on Disease Progression Among Adults With Mild to Moderate COVID-19 and ComorbiditiesThe I-TECH Randomized Clinical Trial. JAMA Intern Med 2022;epublished February 18th
Systematic Review & Meta Analyses
- Dianti. Association of PEEP and Lung Recruitment Selection Strategies with Mortality in Acute Respiratory Distress Syndrome: A Systematic Review and Network Meta-Analysis. Am J Respir Crit Care Med 2022;epublished February 17th
- Archilletti. Timing of mechanical circulatory support during primary angioplasty in acute myocardial infarction and cardiogenic shock: Systematic review and meta-analysis. Catheter Cardiovasc Interv 2022;epublished February 19th
- Audisio. Systematic review of retracted articles in critical care medicine. Br J Anaesth 2022;epublished February 15th
- Zhang. Mortality in cardiogenic shock patients receiving mechanical circulatory support: a network meta-analysis. BMC Cardiovasc Disord 2022;22:48
- Sanaie. Comparison of subglottic vs. non-subglottic secretion drainage in prevention of Ventilator Associated Pneumonia: A systematic review and meta-analysis. Trend Anaesth Crit Care 2022;epublished February 16th
Observational Studies
- Azoulay. Association of COVID-19 Acute Respiratory Distress Syndrome With Symptoms of Posttraumatic Stress Disorder in Family Members After ICU Discharge. JAMA 2022;epublished February 18th
- Wilcox. Does Unprecedented ICU Capacity Strain, As Experienced During the COVID-19 Pandemic, Impact Patient Outcome? Crit Care Med 2022;epublished February 15th
- Gershengorn. High-Flow Nasal Cannula Failure Odds is Largely Independent of Duration of Use in COVID-19. Am J Respir Crit Care Med 2022;epublished February 17th
- Bassetti. Risk Factors for Intra-Abdominal Candidiasis in Intensive Care Units: Results from EUCANDICU Study. Infect Dis Ther 2022;epublished February 19th
- Xiao. Long-term Outcomes of Post-Cardiac Arrest Patients with Severe Neurological and Functional Impairments at Hospital Discharge. Resuscitation 2022;epublished February 17th
- Ranieri. High-Flow Nasal Oxygen for Severe Hypoxemia: Oxygenation Response and Outcome in Patients with COVID-19. Am J Respir Crit Care Med 2022;205(4):431–439
- Thille. Beneficial Effects of Noninvasive Ventilation after Extubation in Obese or Overweight Patients: A Post Hoc Analysis of a Randomized Clinical Trial. Am J Respir Crit Care Med 2022;205(4):440–449
- De By. The European Registry for Patients with Mechanical Circulatory Support of the European Association for Cardio-Thoracic Surgery: third report. Eur J Cardiothorac Surg 2022;epublished February 12th
Guidelines
- Moores. Thromboprophylaxis in Patients with COVID-19. A Brief Update to the CHEST Guideline and Expert Panel Report. Chest 2022;epublished February 12th
- Thoracic Society of Australia and New Zealand Position Statement on Acute Oxygen Use in Adults: 'Swimming between the flags'. Respirology 2022;epublished February 17th
- A Decision Tree Approach to Airway Management Pathways in the 2022 Difficult Airway Algorithm of the American Society of Anesthesiologists. Anesth Analg 2022;epublished February 16th
- European Stroke Organisation (ESO)–European Society for Minimally Invasive Neurological Therapy (ESMINT) expedited recommendation on indication for intravenous thrombolysis before mechanical thrombectomy in patients with acute ischemic stroke and anterior circulation large vessel occlusion. J NeuroIntervent Surg 2022;14:209
- Implementing advance care plans in the peri-operative period, including plans for cardiopulmonary resuscitation: Association of Anaesthetists clinical practice guideline. Anaesthesia 2022;epublished February 15th
Reviews
Clinical
COVID-19
- Jiang. Cytokine storm in COVID-19: from viral infection to immune responses, diagnosis and therapy. Int J Biol Sci 2022;18(2):459-472
- Abrignani. COVID-19, Vaccines, and Thrombotic Events: A Narrative Review. J Clin Med 2022;11:948
- Harvey. CRITCON-Pandemic levels: A stepwise ethical approach to clinician responsibility. JICS 2022;23(1):70-77
Neurological
- Chacón-Aponte. Brain-lung interaction: a vicious cycle in traumatic brain injury. Acute Crit Care 2022;epublished February 11th
- Anderson. Electroencephalogram patterns in critical care: A primer for acute care doctors. JICS 2022;23(1):58-69
Circulatory
- Bhatt. Diagnosis and Treatment of Acute Coronary Syndromes. JAMA 2022;327(7):662-675
- Wilde. Diagnosis, management and therapeutic strategies for congenital long QT syndrome. Heart 2022;108:332-338
Sepsis
- Das. Alternative Treatment Strategies for Secondary Bacterial and Fungal Infections Associated with COVID-19. Infect Dis Ther 2022;11:53–78
- Kunz Coyne. Therapeutic Strategies for Emerging Multidrug-Resistant Pseudomonas aeruginosa. Infect Dis Ther 2022;epublished February 12th
Trauma
- Brill. The Role of TEG and ROTEM in Damage Control Resuscitation. Shock 2021;56(1S):52-61
- McCoy. Back to the Future: Whole Blood Resuscitation of the Severely Injured Trauma Patient. Shock 2021;56(1S):9-15
Paediatrics
- Bjorklund. Pediatric Critical Care in Resource Limited Settings—Lessening the Gap Through Ongoing Collaboration, Advancement in Research and Technological Innovations. Front Pediatr 2022;9:791255
- Huebschmann. Cognitive and Psychological Outcomes Following Pediatric Cardiac Arrest. Front. Pediatr 2022;10:780251
- Massaud-Ribeiro. Pediatric Sepsis Research: Where Are We and Where Are We Going? Front. Pediatr 2022;10:829119
Obstetrics
Miscellaneous
- Acharya. The role of the ADVanced Organ Support (ADVOS) system in critically ill patients with multiple organ failure. Artificial Organs 2022;epublished February 6th
- Williams. Presumed Dissent? Opt-Out Organ Donation and the Exclusion of Organs and Tissues. Medical Law Review 2022;epublished February 16th
- Wu. Mitochondrial ACOD1/IRG1 in infection and sterile inflammation. J Intensive Med 2022;epublished February 12th
Pre-Clinical
Editorials
- Madhok. SGLT-2 inhibitors: Proliferating indications and perioperative pitfalls. J Cardiothorac Vasc Anesth 2022;epublished February 18th
- Schwartzstein. Dyspnea and Mechanical Ventilation: The Emperor Has No Clothes. Am J Respir Crit Care Med 2022;epublished February 8th
- Curtis. Providing Compassionate Care in the Intensive Care Unit. Am J Respir Crit Care Med 2022;epublished February 7th
- Yuan. Post-intensive care syndrome: Time for a robust outcome measure? Nurs Crit Care 2022;27(1):8-9
- Schmidt. Two years of the COVID-19 pandemic: an anesthesiology perspective. Braz J Anesth 2022;epublished February 19th
Commentaries
- Bhattacharyya. Challenges in Inferring Intrinsic Severity of the SARS-CoV-2 Omicron Variant. N Engl J Med 2022; 386:e14
- Cassel. Achieving Diagnostic Excellence for Older Patients. JAMA 2022;epublished February 17th
- Rubin. When Physicians Spread Unscientific Information About COVID-19. JAMA 2022;epublished February 16th
Correspondence
- Arnold. Corticosteroids for Pleural Infection; Should We STOPPE Studying? Am J Respir Crit Care Med 2022;epublished February 7th
- Sassoon. The Double-Edged Sword of Reverse Triggering: Impact on the Diaphragm. Am J Respir Crit Care Med 2022;epublished February 4th
- Florio. A Physiological Hypothesis to Support the Use of CPAP at Extubation Among Patients with Obesity. Am J Respir Crit Care Med 2022;epublished February 4th
- Kairaitis. Ventilation is not Depressed in Hypoxemic Patients with Acute COVID-19 Infection. Am J Respir Crit Care Med 2022;epublished February 7th
- Blot. De-adoption of chlorhexidine oral care and ICU mortality. Intensive Care Med 2022;epublished January 17th
- Skurzak. Goal-directed therapy in sepsis strikes back. Intensive Care Med 2022;epublished November 8th
- Sanfilippo. Timing of intubation, beds in intensive care and inter-hospital transfer: rings of a complex chain during pandemic conditions. Crit Care 2022;26:44
- Shah. Inspiratory and peripheral muscle strength as predictors for extubation failure in COVID-19 patients. Crit Care 2022;26:45
- Postle. Rapid Phospholipid Turnover after Surfactant Nebulization in Severe COVID-19 Infection: A Randomized Clinical Trial. Am J Respir Crit Care Med 2022;205(4):471–473
- Kuindersma. Time to Tailor the One-Size-Fits-All Approach? Am J Respir Crit Care Med 2022;205(4):479–480