Critical Care Reviews Newsletter
Newsletter 595 | May 7th, 2023
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MERCY Trial Results Presentation at CCR23
Welcome to the 595th 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 systematic reviews and meta analyses on lower vs higher fluid volumes in adult patients with sepsis & autoresuscitation after circulatory arrest; and observational studies on intraarrest transport, extracorporeal cardiopulmonary resuscitation, and early invasive management in refractory out-of-hospital cardiac arrest & intensivist physician-to-patient ratios and mortality in the intensive care unit.
There are also guidelines on the differential diagnosis of suspected chronic obstructive pulmonary disease exacerbations in the acute care setting & a brain-based definition of death and criteria for its determination after arrest of circulation or neurologic function in Canada; narrative reviews on the role of hormones in sepsis & microcirculatory dysfunction in cardiogenic shock; editorials on clinical practice guidelines for acute-on-chronic liver failure & personalized noninvasive respiratory support for acute hypoxemic respiratory failure; and commentaries on vasopressor weaning in sepsis & why anticoagulant studies on sepsis fail frequently ––– start with SCARLET.
If you only have time to read one review article this week, try this one on artificial intelligence in critical illness.
Critical Care Reviews Meeting 2023
We have completed the programme for the Critical Care Reviews Meeting 2023 with the addition of the MERCY Trial. This international randomised controlled trial compares the continuous infusion of meropenem with its bolus administration in critically ill patients with sepsis and septic shock. The results will be presented by Giacomo Monti and Giovanni Landoni (Milan, Italy). The full programme is now available. There are 7 major trial result sessions, 6 trials reviews, 2 panel discussions and the John Hinds Lecture. Join us in Titanic Belfast for the best critical care trials in the world.
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Research
Systematic Review & Meta Analyses
- Zhang. Nebulized colistin as the adjunctive treatment for ventilator-associated pneumonia: A systematic review and meta-analysis. J Crit Care 2023;77:154315
- Collet. Heterogeneity in the definition of delirium in ICUs and association with the intervention effect in randomized controlled trials: a meta-epidemiological study. Crit Care 2023;27(1):170
- Sivapalan. Lower vs Higher Fluid Volumes in Adult Patients with Sepsis - An Updated Systematic Review with Meta-Analysis and Trial Sequential Analysis. Chest 2023;epublished May 2nd
- Wang. Optimizing enteral nutrition delivery by implementing volume-based feeding protocol for critically ill patients: an updated meta-analysis and systematic review. Crit Care 2023;27(1):173
- Parada-Gereda. Effectiveness of diaphragmatic ultrasound as a predictor of successful weaning from mechanical ventilation: a systematic review and meta-analysis. Crit Care 2023;27(1):174
- Hong. A systematic review and meta-analysis of glucocorticoids treatment in severe COVID-19: methylprednisolone versus dexamethasone. BMC Infect Dis 2023;23(1):290
- Watanabe. Extracorporeal Membrane Oxygenation in Children With COVID-19: A Systematic Review and Meta-Analysis. Pediatr Crit Care Med 2023;24(5):406-416
- Bruno. The Clinical Frailty Scale for mortality prediction of old acutely admitted intensive care patients: a meta-analysis of individual patient-level data. Ann Intensive Care 2023;13:37
- Zorko. Autoresuscitation after circulatory arrest: an updated systematic review. Can J Anaesth 2023;epublished May 2nd
Observational Studies
- Eimer. The role of PEEP for cannulation of the subclavian vein: A prospective observational study. PLoS One 2023;18(4):e0285110
- Sarti. Death determination by neurologic criteria-what do families understand? Can J Anaesth 2023;epublished May 2nd
- Bruno. The Clinical Frailty Scale for mortality prediction of old acutely admitted intensive care patients: a meta-analysis of individual patient-level data. Ann Intensive Care 2023;13:37
- Kahn. Intensivist physician-to-patient ratios and mortality in the intensive care unit. Intensive Care Med 2023;epublished May 3rd
- de Brabander. Persistent alveolar inflammatory response in critically ill patients with COVID-19 is associated with mortality. Thorax 2023;epublished May 4th
- Wieruszewski. Initiating angiotensin II at lower vasopressor doses in vasodilatory shock: an exploratory post-hoc analysis of the ATHOS-3 clinical trial. Crit Care 2023;27(1):175
- Belohlavek. Intraarrest transport, extracorporeal cardiopulmonary resuscitation, and early invasive management in refractory out-of-hospital cardiac arrest: an individual patient data pooled analysis of two randomised trials. eClinicalMedicine 2023;epublished May 4th
- Isaak. Cardiovascular Magnetic Resonance in Survivors of Critical Illness: Cardiac Abnormalities Are Associated With Acute Kidney Injury. J Am Heart Assoc 2023;12:e029492
- Bembea. Extracorporeal Membrane Oxygenation Characteristics and Outcomes in Children and Adolescents With COVID-19 or Multisystem Inflammatory Syndrome Admitted to U.S. ICUs. Pediatr Crit Care Med 2023;24(5):356–371
- Abback. Multiple trauma in pregnant women: injury assessment, fetal radiation exposure and mortality. A multicentre observational study. Scand J Trauma Resusc Emerg Med 2023;31(1):22
Guidelines
- Shemie. A brain-based definition of death and criteria for its determination after arrest of circulation or neurologic function in Canada: a 2023 clinical practice guideline. Can J Anesth 2023;epublished May 2nd
- Cortegiani. Rationale and clinical application of antimicrobial stewardship principles in the intensive care unit: a multidisciplinary statement. J Anesth Analg Crit Care 2023;3:11
- Rabie. Expert consensus statement on venovenous extracorporeal membrane oxygenation ECMO for COVID-19 severe ARDS: an international Delphi study. Ann Intensive Care 2023;13:36
- Celli. Differential Diagnosis of Suspected Chronic Obstructive Pulmonary Disease Exacerbations in the Acute Care Setting: Best Practice. Am J Respir Crit Care Med 2023;207(9):134–1144
- Research Bronchoscopies in Critically Ill Research Participants. An Official American Thoracic Society Workshop Report. Ann Am Thorac Soc 2023;20(5):621–631
- Martin. Management of Gastrointestinal Bleeding and Resumption of Oral Anticoagulant Therapy in Patients with Atrial Fibrillation: A Multidisciplinary Discussion. Am J Cardiovasc Drugs 2023
- Polish recommendations for diagnosis and therapy of paediatric stroke. Neurol Neurochir Pol 2023 May 5
- Ushio. Sepsis‐induced disseminated intravascular coagulation: an international estrangement of disease concept. Acute Med Surg 2023;10(1):e00843
- Han. Chinese expert consensus on clinical application of percutaneous mechanical circulatory support devices in interventional therapy for patients with complex cardiovascular disease. Eur Heart J 2023;44(18):1586–1588
- Kopeć. Role of catheter-directed therapies in the treatment of acute pulmonary embolism. Expert opinion of the Polish PERT Initiative, Working Group on Pulmonary Circulation, Association of Cardiovascular Interventions, and Association of Intensive Cardiac Care of the Polish Cardiac Society. Kardiol Pol 2023;81(4):423-440
- El Husseini. Cognitive Impairment After Ischemic and Hemorrhagic Stroke: A Scientific Statement From the American Heart Association/American Stroke Association. Stroke 2023
- Higuera-de-la-Tijera. Current vision on diagnosis and comprehensive care in hepatic encephalopathy. Rev Gastroenterol Mex 2023;epublished April 29th
Canadian Journal of Anesthesia Issue on Organ Donation
- Escoto. Research and Innovation in Organ Donation: Recommendations From an International Consensus Forum. Transplant Direct 2023;9(5):e1446
- Walton. Organ and Tissue Donation Consent Model and Intent to Donate Registries: Recommendations From an International Consensus Forum. Transplant Direct 2023;9(5):e1416
- Toews. Legislation and Policy Recommendations on Organ and Tissue Donation and Transplantation From an International Consensus Forum. Transplant Direct. 2023;9(5):e1395
- Sánchez-Ibañez. Tissue and Cell Donation: Recommendations From an International Consensus Forum. Transplant Direct 2023;9(5):e1466
- Gardiner. Baseline Ethical Principles and a Framework for Evaluation of Policies: Recommendations From an International Consensus Forum. Transplant Direct 2023;9(5):e1471
- Williment. Organ Donation Organization Architecture: Recommendations From an International Consensus Forum. Transplant Direct 2023;9(5):e1440
Reviews
Clinical
COVID-19
Neurological
- Vitt. Multimodal and autoregulation monitoring in the neurointensive care unit. Front Neurol 2023;14:1155986
- Wexler. Neuroendocrine Disruptions Following Head Injury. Curr Neurol Neurosci Rep 2023;epublished May 6th
- Smith. Candidate neuroinflammatory markers of cerebral autoregulation dysfunction in human acute brain injury. J Cereb Blood Flow Metab 2023;epublished May 3rd
- Ly. Convexity subarachnoid haemorrhage: a practical guide. Practical Neurology 2023;epublished April 28th
Circulatory
- Merdji. Microcirculatory dysfunction in cardiogenic shock. Ann Intensive Care 2023;13(1):38
- King. POCUS for Diastolic Dysfunction: A Review of the Literature. POCUS J 2023;8(1):88–92
Airway
Respiratory
- Macido A Brief Overview of the Use of Extracorporeal Membrane Oxygenation (ECMO) in COVID-19 Patients with Severe Acute Respiratory Distress Syndrome (ARDS). International Journal of Critical Care 2023;17(1):36–46
- McNicholas. Awake prone positioning in acute hypoxaemic respiratory failure. European Respiratory Review 2023;32:220245
Endocrine
Sepsis
- Ushio. Sepsis‐induced disseminated intravascular coagulation: an international estrangement of disease concept. Acute Med Surg 2023;10(1):e843
- Mokrani. Antibiotic stewardship in the ICU: time to shift into overdrive. Ann Intensive Care 20236;13(1):39
- Congedi. Multidrug-resistant organisms in lung transplant: a narrative review. Curr Opin Organ Transplant 2023;28(3):174–179
Trauma
Paediatrics
Obstetrics
Miscellaneous
Non-Clinical
Canadian Journal of Anesthesia Issue on Organ Donation
- Weiss. International Donation and Transplantation Legislative and Policy Forum: Methods and Purpose. Transplant Direct 2023;9(5):e1351
- Pope. Consent for determination of death by neurologic criteria in Canada: an analysis of legal and ethical authorities, and consensus-based working group recommendations. Can J Anaesth 2023 May 2nd
- Simpson. Navigating disagreement and conflict in the context of a brain-based definition of death. Can J Anaesth 2023 May 2nd
- Kanji. Potential pharmacological confounders in the setting of death determined by neurologic criteria: a narrative review. Can J Anaesth 2023 May 2nd
- Klowak. Diagnostic test accuracy for cessation of circulation during death determination: a systematic review. Can J Anaesth 2023 May 3rd
- Shemie. Infratentorial brain injury and death by neurologic criteria in Canada: a narrative review. Can J Anaesth 2023 May 3rd
- Lalgudi Ganesan. Brain-based arterial pulse pressure threshold for death determination: a systematic review. Can J Anaesth 2023 May 3rd
Editorials
- Engelmann. Clinical practice guidelines for acute-on-chronic liver failure: are we ready for reaching global consensus? Hepatobiliary Surg Nutr 2023;12(2):239-243
- Grieco. Personalized noninvasive respiratory support for acute hypoxemic respiratory failure. Intensive Care Med 2023;epublished April 28th
- Batten. More than patient benefit: taking a broader view of ICU admission decisions. Intensive Care Med 2023;epublished May
- Kumar. Hydroxocobalamin in Refractory Vasodilatory Shock: More Questions than Answers. J Cardiothorac Vasc Anesth 2023;epublished May 5th
- Weiss. 10 clinical tips for advancing patient safety when using syringe pump systems for microinfusion intravenous drug therapy. Eur J Anaesthesiol 2023;40(6):p 387-390
- Schweizer. Implementation of 2022 ESC guidelines for cardiovascular assessment before non-cardiac surgery: Major concerns to meet in the near future! Eur J Anaesthesiol 2023;40(6):385-386
- Lilien. Hyperoxia-Induced Lung Injury in Acute Respiratory Distress Syndrome: What is its Relative Impact? Am J Physiol Lung Cell Mol Physiol 2023 May 2
- Perelman. Patient Autonomy and Outcome – Jehovah's Witnesses and Cardiac Surgery. J Cardiothorac Vasc Anesth 2023;epublished April 30th
Commentaries
Correspondence
I hope you find this newsletter useful.
Until next week
Rob