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Critical Care Reviews Newsletter
Newsletter 688 | February 16th, 2025
Welcome to the 688th 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 on early hydrocortisone versus placebo in neonatal shock & intravenous nerinetide for acute cerebral ischaemia; systematic reviews and meta analyses on antibiotic prophylaxis in polytrauma patients & high-flow nasal oxygen therapy in patients with hypercapnic respiratory failure; and observational studies on serum chloride concentration and outcomes in adults receiving intravenous fluid therapy with a balanced crystalloid solution or 0.9% sodium chloride & acute pulmonary embolism in children and adolescents in the USA.
There are also guidelines on red blood cell transfusion in critically ill adults & diagnosis and management of candidiasis; narrative reviews on traumatic brain injury & noninvasive respiratory supports in the management of severe asthma exacerbations; editorials on AI in neurocritical care & venovenous ECMO in patients with shock; and commentaries on the overreliance on p-values in critical care research & a checklist for environmentally responsible research within the ICU.
If you only have time to read one review article this week, try this one on the etiology and management of critical acute right heart failure.
Critical Care Reviews Meeting 2025
There's now less than 4 months to go until CCR25. If you haven't booked yet, don't leave it too long! 1, 2 and 3-day registrations are available.
Research
Randomised Controlled Trials
- Dudeja. Early hydrocortisone versus placebo in neonatal shock - a double-blind randomized controlled trial. J Perinatol 2025;epublished February 13th
- Zou. Physiologic comparison of airway pressure release ventilation and low tidal volume ventilation in ARDS: a randomized controlled trial. Chest 2025;167(2):453-465
- Christenson. Efficacy and safety of intravenous nerinetide initiated by paramedics in the field for acute cerebral ischaemia within 3 h of symptom onset (FRONTIER): a phase 2, multicentre, randomised, double-blind, placebo-controlled study. Lancet 2025;405(10478):571-582
- Hill. Efficacy and safety of nerinetide in acute ischaemic stroke in patients undergoing endovascular thrombectomy without previous thrombolysis (ESCAPE-NEXT): a multicentre, double-blind, randomised controlled trial. Lancet 2025;405(10478):560-570
- Capdevila. Ultrasound-guided transcutaneous phrenic nerve stimulation in critically ill patients: a new method to evaluate diaphragmatic function. Anesthesiology 2025;142(3):522-531
- Shankar-Hari. A randomized, double-blind, placebo-controlled trial of IL-7 in critically ill COVID-19 patients. JCI Insight 2025;epublished February 4th
- McMichael. Prospective randomized pilot study comparing bivalirudin versus heparin in neonatal and pediatric extracorporeal membrane oxygenation. Ped Crit Care Med 2025;26(1):e86-e94
- Dijk. Evaluation of a Clinical Decision Support System for Imaging Requests. A Cluster Randomized Clinical Trial. JAMA 2025;epublished February 10th
- Cosgrave. Can nebulised heparin reduce acute lung injury in patients with SARS‑CoV‑2 requiring advanced respiratory support in Ireland: the CHARTER‑Ireland phase Ib/IIa, randomised, parallel-group, open-label study. Intensive Care Med Exp 2025;13(1):15
Systematic Review & Meta Analyses
- Gajardo. Early high-sensitivity troponin elevation and short-term mortality in sepsis: a systematic review with meta-analysis. Crit Care 2025;29:76
- Dahms. Effectiveness of antibiotic prophylaxis in polytrauma patients: a systematic review and meta-analysis. Eur J Trauma Emerg Surg 2025;51(1):105
- Xing. Comparing adsorptive blood purification modalities for sepsis patients: a systematic review and network meta-analysis. Respir Med 2025;epublished February 12th
- Ma. Effect of liberal glucose control on critically ill patients: a systematic review and meta-analysis. BMC Endocr Disord 2025;25:36
- Špoljar. Ethics and end-of-life in pediatric and neonatal ICUs: a systematic review of recommendations. BMC Palliat Care 2025;24:36
- Farley. The Effects of Inspiratory Muscle Training in Critically ill Adults: A Systematic Review and Meta-Analysis. J Intensive Care Med 2025;epublished February 9th
- Guan. High-flow nasal oxygen therapy in patients with hypercapnic respiratory failure: A systematic review and meta-analysis. Eur J Intern Med 2025;epublished February 8th
Observational Studies
- Wolf. Acute pulmonary embolism in children and adolescents in the USA (2016 and 2019): a nationwide retrospective cohort study. Lancet Respir Med 2025;epublished February 4th
- Mitting. Sedation and ventilator weaning bundle and time to extubation in infants with bronchiolitis: secondary analysis of the Sedation AND Weaning in Children (SANDWICH) trial. Ped Crit Care Med 2025;epublished February 12th
- Betensky. Mechanical thromboprophylaxis and hospital-acquired venous thromboembolism among critically ill adolescents: a U.S. Pediatric Health Information Systems registry study, 2016–2023. Ped Crit Care Med 2025;26(1):e33-e41
- Jakobsen. Semi-autonomous drone delivering automated external defibrillators for real out-of-hospital cardiac arrest: a Danish feasibility study. Resuscitation 2025;epublished February 15th
- Michel-Behnke. Landiolol is effective and safe in paediatric supraventricular tachycardia: evidence from a European prospective multicentre open-label Phase III study (LANDI-PED). EP Europace 2025;epublished February 14th
- Kim. Diastolic blood pressures and end tidal carbon dioxides during cardiopulmonary resuscitations and their association with outcomes in adult out-of-hospital cardiac arrest patients: a preplanned secondary analysis of the Augmented Medication CardioPulmonary Resuscitation (AMCPR) trial. Resuscitation 2025;epublished February 12th
- Buiteman-Kruizinga. Association of ventilation volumes, pressures and rates with the mechanical power of ventilation in patients without acute respiratory distress syndrome: exploring the impact of rate reduction. Anaesthesia 2025;epublished January 13th
- Kyriakopoulos. Informing management of patients developing cardiogenic shock at a spoke and being transferred to a hub. J Am Heart Assoc 2025;epublished February 14th
- Aissaoui. Diagnostic performance and impact on antimicrobial treatment of a multiplex polymerase chain reaction in critically ill patients with pneumonia: a multicenter observational study (The MORICUP-PCR Study: Morocco ICU Pneumonia-PCR study). Crit Care Explor 2025;7(2):e1220
- Ramanan. Serum chloride concentration and outcomes in adults receiving intravenous fluid therapy with a balanced crystalloid solution or 0.9% sodium chloride. Intensive Care Med 2025;epublished February 10th
- Kumta. Ceftriaxone population pharmacokinetics in plasma and cerebrospinal fluid of neurocritical care patients. Int J Antimicrob Agents 2025;epublished February 7th
- Hollmén. Neuroprotective Effects of Inhaled Xenon Gas on Brain Structural Gray Matter Changes After Out-of-Hospital Cardiac Arrest Evaluated by Morphometric Analysis: A Substudy of the Randomized Xe-Hypotheca Trial. Neurocrit Care 2025;42(1):131-141
- Petrosino. Neurological Pupil Index and Intracranial Hypertension in Patients With Acute Brain Injury: A Secondary Analysis of the ORANGE Study. JAMA Neurol 2025;82(2):176-184
Protocols
Guidelines
- Red Blood Cell Transfusion in Critically Ill Adults. An American College of Chest Physicians Clinical Practice Guideline. Chest 2025;167(2):477-489
- Evolution of Critical Care Cardiology: An Update on Structure, Care Delivery, Training, and Research Paradigms: A Scientific Statement From the American Heart Association. Circulation 2025;epublished February 13th
- Global guideline for the diagnosis and management of candidiasis: an initiative of the ECMM in cooperation with ISHAM and ASM. Lancet Infect Dis 2025;epublished February 13th
- Frontera. Guidelines for Seizure Prophylaxis in Patients Hospitalized with Nontraumatic Intracerebral Hemorrhage: A Clinical Practice Guideline for Health Care Professionals from the Neurocritical Care Society. Neurocrit Care 2025;42:1–21
- Niedzwecki. Early initiation of rehabilitation therapies in children with severe traumatic brain injury: an algorithm based on expert panel recommendations. J Trauma Acute Care Surg 2025;epublished February 6th
- 2024 EACTS/EACTAIC/EBCP Guidelines on cardiopulmonary bypass in adult cardiac surgery. Br J Anaesth 2025;epublished February 14th
- Indocyanine green fluorescence-guided surgery in the emergency setting: the WSES international consensus position paper. World J Emerg Surg 2025;20(1):13
- ORCHESTRA Delphi Consensus: diagnostic and therapeutic management of SARS-CoV-2 infection in solid organ transplant recipients. Clin Microbiol Infect 2025;epublished February 13th
Reviews
Clinical
Neurological
- Slot. Update on traumatic brain injury in the ICU. Curr Opin Anesthesiol 2025;epublished February 12th
- Bankole. Minimally invasive surgery for spontaneous intracerebral hemorrhage: a review. J Clin Med 2025;14:1155
- Liu. A review of advances in multimodal treatment strategies for chronic disorders of consciousness following severe traumatic brain injury. Int J Gen Med 2025;epublished February 14th
Circulatory
- Luk. The Etiology and Management of Critical Acute Right Heart Failure. Can J Cardiol 2025;epublished February 10th
- Hung. Enhancing Care in Cardiogenic Shock: The Role of Palliative Care in Acute Cardiogenic Shock Through Destination Therapy. Can J Cardiol 2025;epublished February 4th
- So. The Role of a Cardiogenic Shock Team in Decision Making Surrounding Mechanical Circulatory Support. Can J Cardiol 2025;epublished February 7th
- Leo. Feasibility and role of cardiac magnetic resonance in intensive and acute cardiovascular care. J Clin Med 2025;14(4):1112
- Sardone. Management of vascular access in the setting of percutaneous mechanical circulatory support (pMCS): sheaths, vascular access and closure systems. J Pers Med 2023;13(2):293
- Zakynthinos. Septic cardiomyopathy: difficult definition, challenging diagnosis, unclear treatment. J Clin Med 2025;14(3):986
- Siddiqui. Recent advances in cardiac resynchronization therapy: current treatment and future direction. J Clin Med 2025;14(3):889
- Camaj. Drug-coated balloons for the treatment of coronary artery disease: a review. JAMA Cardiol 2025;10(2):189-198
Resuscitaton
- Algahtani. Ventilation and Oxygenation During and After Adult Cardiopulmonary Resuscitation: Changing Paradigms. Respir Care 2024;69(12):1573-1586
- Bertini. Rising above the limits of critical care ECMO: a narrative review. Medicina 2025;61:174
Airway
Respiratory
- Cuttone. An Updated Review on the Use of Noninvasive Respiratory Supports in the Management of Severe Asthma Exacerbations. Medicina 2025;61:328
- Silva. Beyond the Lungs: Extrapulmonary Effects of Non-Invasive and Invasive Ventilation Strategies. J Clin Med 2025;14(4):1242
- Franciosi. Diffuse Cystic Lung Disease. A Clinical Guide to Recognition and Management. Chest 2025;167(2):529-547
- Zhou. Pathophysiological mechanisms of ARDS: a narrative review from molecular to organ-level perspectives. Respir Res 2025;26(1):54
Nutrition
Hepatobiliary
- Ghabril. Drug‐induced liver injury in patients with chronic liver disease. Liver Int 2025;45(3):e70019
- Valainathan. Prognosis algorithms for acute decompensation of cirrhosis and ACLF. Liver Int 2024;45(3):e15927
- Koratala. HepatoCardioRenal syndrome: integrating pathophysiology with clinical decision-making via POCUS. Cardiorenal Med 2025;epublished February 11th
Renal
- Brooke. Ten tips on how to reduce iatrogenic acute kidney injury. Clin Kid J 2025;18(2):sfae412
- Gómez-Johnson. Point-of-care ultrasound in nephrology: beyond kidney ultrasound. Diagnostics 2025;15(3):297
- Sumi. Pathophysiology, symptoms, outcomes, and evaluation of hyponatremia: comprehension and best clinical practice. Clin Exp Nephrol 2025;29:134–148
Metabolic
Haematological
Sepsis & Infectious Diseases
- Zhang. Sepsis subphenotypes: bridging the gaps in sepsis treatment strategies. Front Immunol 2025;16:1546474
- La Via. Critical care pharmacology of antiretroviral therapy in adults. Eur J Drug Metab Pharmacokinet 2025;epublished February 12th
Trauma
Paediatrics
- Fernández-Sarmiento. The Resuscitation, Equilibrium and De-escalation (RED) strategy: a phased, personalized hemodynamic support in children with sepsis. Front Pediatr 2025;13:1530984
- Rowland. Supporting the bereaved child in the adult ICU: a narrative review. Intensive Care Med 2025;epublished February 12th
- Dost. Regional anesthesia for pediatric cardiac surgery: a review. BMC Anesthesiol 2025;25:77
- Gunst. On how to feed critically ill children in intensive care: a slowly shifting paradigm. Clin Nutr 2025;46:169-180
Perioperative
Miscellaneous
- Nasim. Clinical outcomes of machine perfusion and temperature control systems in heart transplantation: where we stand. J Clin Med 2025;14:1152
- Garde. Review article: somatization disorders in emergency department: a critical overview of current challenges and future directions. Emerg Med Australas 2025;37(1):e70009
- Honoré. Early detection, diagnosis, prevention, and treatment of infection to avoid sepsis and septic shock in severely burned patients: a narrative review. Eur Burn J 2025;6:6
- Guevarra. Point-of-care ultrasonography in the critical care unit: an update. Curr Cardiol Rep 2025;27(1):54
Editorials
- Hemphill. AI in neurocritical care: what to expect. Intensive Care Med 2025;epublished February 11th
- Twagirumugabe. The new global definition of ARDS: a broader global lens on the care of patients with ARDS. Chest Crit Care 2024;epublished December 19th
- Rubin. Venovenous extracorporeal membrane oxygenation in patients with shock: considerations for candidacy selection. Chest Crit Care 2024;epublished December 19th
- Zanierato. The anesthetist perspective: optimization of cardiac allograft from withdrawal of life support to reperfusion in the controlled donation after circulatory death. Ann Cardiothorac Surg 2025;14(1):58-60
- Clark. Ethical considerations in controlled donation after circulatory death. Ann Cardiothorac Surg 2025;14(1):61-63
Commentaries
- Patel. Death by p-value: the overreliance on p-values in critical care research. Crit Care 2025;29:73
- Smale. A checklist for environmentally responsible research within the ICU. Intensive Care Med 2025;epublished February 12th
- Farbu. Balloon occlusion of the aorta during cardiac arrest -a death blow to the intestines?. Scand J Trauma Resusc Emerg Med 2025;33:24
- Cotter. Increasing evidence supports the benefits of rapid uptitration of the neurohormonal blockade in HFmrEF/HFpEF patients with AHF. J Card Fail 2025;epublished February 11th
- Mahar. Statistical documentation for multi-disease, multi-domain platform trials: our experience with the Staphylococcus aureus Network Adaptive Platform trial. Trials 2025;26(1):49
- Ostertag. My journey through my husband’s coma. Intensive Care Med 2025;epublished February 13th
Correspondence
Case Reports
- Schram. POCUS and pre-eclampsia: bedside echocardiography to guide resuscitation in cardiogenic shock with pre-eclampsia with severe features – a case report from a low and middle income country. Int J Obstet Anesth 2025;62:104342
- Carron. Near-infrared spectroscopy during organ donation in brain-dead patients. Indian J Anaesth 2024;68(12):1095-1098
- Shi. An immunocompetent 56-year-old woman with multiple enlarged lymph nodes and recurrent fevers. Chest 2025;167(2):e41-e45
- Naiditch. A 40-year-old with prior stem cell transplant for chronic myeloid leukemia presents with dyspnea and respiratory failure. Chest 2025;167(2):e47-e51
- Wade. A 21-year-old man with unilateral chest pain, lobar consolidation, and pleural effusion. Chest 2025;167(2):e53-e56
- Wang. Echocardiographic image of left ventricular thrombus formation during cardiac contractility recovery under extracorporeal membrane oxygenation support. Chest 2025;167(2):e57-e62
I hope you find this newsletter useful.
Until next week
Rob