Critical Care Medicine

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Review Critical Care Medicine

Calcaneal tuberosity avulsion fractures - A review

Zhiyi Liu, Guodong Hou, Wencong Zhang, Junyan Lin, Jinrong Yin, Huan Chen, Guowei Huang, Aiguo Li

Summary: Calcaneal tuberosity avulsion fracture, an extra-articular injury, is a rare fracture caused internally by intense contraction of the gastrocnemius-soleus complex, and externally by low-energy (possibly high-energy). The risk of injuries to the skin and Achilles tendon around the calcaneal tuberosity is closely related to the Lee classification and Carnero-Martin de Soto Classification of this type of fracture. Diagnosis is typically confirmed through X-ray, digital imaging, and CT, but MRI should also be used to assess the soft tissue. Recent advances in understanding this fracture have led to the development of different internal fixation devices and surgical procedures that provide stable fracture reduction and resistance to Achilles tendon forces. This article reviews the new insights into the anatomy, classification, risk factors, and treatment modalities of calcaneal tuberosity avulsion fracture in recent years.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)

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Article Critical Care Medicine

Recurrent delirium episodes within the intensive care unit: Incidence and associated factors

Christina Boncyk, Kimberly Rengel, Joanna Stollings, Matt Marshall, Xiaoke Feng, Matthew Shotwell, Pratik P. Pandharipande, Christopher G. Hughes

Summary: This study describes the incidence and factors associated with recurrent delirium in the intensive care unit (ICU). The researchers found that over 10% of delirious ICU patients experienced recurrent symptoms, and factors such as age, duration of mechanical ventilation, and medication exposure were associated with recurrence.

JOURNAL OF CRITICAL CARE (2024)

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Article Critical Care Medicine

Cost of U.S emergency department and inpatient visits for fall injuries in older adults

Lisa Reider, Jason R. Falvey, Safiyyah M. Okoye, Jennifer L. Wolff, Joseph F. Levy

Summary: Falls are a leading cause of injury and hospital readmissions in older adults, with over 3 million seeking hospital care for fall injuries annually in the United States. The annual acute treatment costs for these injuries amount to $20 billion, indicating the urgent need for evidence-based fall prevention interventions and investments in geriatric emergency departments.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)

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Article Critical Care Medicine

Fragility spinal fractures among cirrhotic liver transplant candidates in Croatia

Andrija Jurina, Valentina Delimar, Zlatko Giljevic, Tajana Filipec Kanizaj, Andro Matkovic, Dinko Vidovic, Nikolina Jurjevic, Vinko Vidjak, Zeljko Duic, Mario Cuk, Mladen Japjec, Tomislav Dujmovic, Andrea Radeljak, Mirjana Marjana Kardum Paro, Marijana Vucic-Lovrencic, Mario Staresinic

Summary: This study investigated the prevalence of fragility spinal fractures among liver transplant candidates with cirrhosis. The results showed the detrimental impact of chronic liver disease and hepatic osteodystrophy on bone strength, and the correlation between DXA measurement and lumbar fragility fractures. These findings highlight the importance of adequate bone evaluation in liver transplant candidates.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)

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Article Critical Care Medicine

Smartphone applications for measuring noise in the intensive care unit: A feasibility study

Pyoung Jik Lee, Thomas Hampton

Summary: This study found that smartphone applications with low-cost external microphones can reliably measure average noise levels in both laboratory and field settings, but show significant differences compared to professional equipment when measuring maximum noise levels.

JOURNAL OF CRITICAL CARE (2024)

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Article Critical Care Medicine

Socioeconomic status is associated with greater hazard of post-discharge mortality than race, gender, and ballistic injury mechanism in a young, healthy, orthopedic trauma population

Jacob Hartline, Christopher T. Cosgrove, Nathan N. O'Hara, Qasim M. Ghulam, Zachary D. Hannan, Robert V. O'Toole, Marcus F. Sciadini, Christopher G. Langhammer

Summary: In a young, healthy orthopedic trauma population with isolated extremity injury, traditional demographic factors and ballistic injury mechanism have a greater predictive value for long-term mortality after hospital discharge compared to popular markers of socioeconomic status.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)

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Article Critical Care Medicine

Leaving no culture undrawn: Time to revisit the CLABSI and CAUTI metrics

Sarah E. Nelson, Spyridoula Tsetsou, John Liang

Summary: This article discusses a range of issues associated with tracking CLABSI and CAUTI metrics, including lack of evidence, moral distress, and definition problems. It recommends forming a task force consisting of key stakeholders to improve the use of these metrics.

JOURNAL OF CRITICAL CARE (2024)

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Article Critical Care Medicine

Resuscitative transesophageal echocardiography during the acute resuscitation of trauma: A retrospective observational study

Ross Prager, Eric Walser, Kaan Y. Balta, Anton Nikouline, William R. Leeper, Kelly Vogt, Neil Parry, Robert Arntfield

Summary: Resuscitative TEE has been shown to be a valuable diagnostic tool in trauma care, with the potential to impact treatment strategies and diagnostic approaches for patients in the trauma bay.

JOURNAL OF CRITICAL CARE (2024)

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Article Critical Care Medicine

Plasma citrulline concentration and plasma LPS detection among critically ill patients a prospective observational study

Claire Chaignat, Laurent Lagrost, Karena Moretto, Jean-Paul Pais de Barros, Hadrien Winiszewski, Jacques Grober, Philippe Saas, Gael Piton

Summary: The aim of this study was to investigate the correlation between plasma citrulline levels and plasma lipopolysaccharide (LPS) concentration, as well as the impact of sepsis on gut function in critically ill patients. The results showed no correlation between plasma citrulline concentration and plasma LPS concentration or activity. However, septic patients had significantly lower plasma citrulline levels. Additionally, abdominal sepsis was associated with higher plasma LPS activity compared to extra-abdominal sepsis.

JOURNAL OF CRITICAL CARE (2024)

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Article Critical Care Medicine

Comparison of various surrogate markers for venous congestion in predicting acute kidney injury following cardiac surgery: A cohort study

Zhi-Tao Li, Da-Bing Huang, Jian-Feng Zhao, Hui Li, Shui-Qiao Fu, Wei Wang

Summary: Venous congestion is associated with AKI after cardiac surgery, but not necessarily with CRRT. Among the markers tested, IRVF exhibits the strongest correlation with AKI.

JOURNAL OF CRITICAL CARE (2024)

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Article Critical Care Medicine

Prevalence of life-sustaining treatment limitations in Polish very old intensive care patients (VIPs). A post-hoc analysis of two prospective observational studies

Pawel Pasieka, Anna Surowka, Jakub Fronczek, Evan Skwara, Miroslaw Czuczwar, Michal Borys, Pawel Krawczyk, Miroslaw Zietkiewicz, Lukasz R. Nowak, Maciej Zukowski, Katarzyna Kotfis, Katarzyna Cwyl, Jacek Skowronek, Joanna Solek-Pastuszka, Jowita Biernawska, Pawel Grudzien, Pawel Nasilowski, Natalia Popek, Waldemar Cyrankiewicz, Katarzyna Sierakowska, Wojciech Mudyna, Szymon Bialka, Dorota Studzinska, Szymon Bernas, Mariusz Piechota, Waldemar Machala, Lukasz Sadowski, Jan Stefaniak, Radoslaw Owczuk, Malgorzata Szymkowiak, Ryszard Gawda, Natalia Kozera, Barbara Adamik, Waldemar Gozdzik, Agnieszka Wieczorek, Jaroslaw Janc, Anna Kluzik, Janusz Trzebicki, Pawel Zatorski, Wojciech Gola, Hubert Hymczak, Lukasz J. Krzych, Szymon Czajka, Urszula Kosciuczuk, Bartosz Kudlinski, Hans Flaatten, Wojciech Szczeklik

Summary: The study aims to evaluate whether there is an increased propensity to limit life-sustaining treatment (LST) among elderly patients in Poland from 2018-2019 compared to 2016-2017. The results show that clinicians in Poland have become more proactive in limiting LST in critically ill patients aged 80 and above during the studied period, although the prevalence of LST limitations in Poland remains low.

JOURNAL OF CRITICAL CARE (2024)

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Article Critical Care Medicine

Comparison of the operation safety and biomechanical stability of sacral alar-iliac vs. sacroiliac screws in the fixation of sacroiliac joint in simulated models of low bone density

Shihao Du, Xin Li, Changbao Wei, Yunhong Ma, Jun Liu, Yongwe Wu

Summary: The stability of S1AIS and S2AIS is similar, both stronger than that of SIS and TSTIS. However, the safety zone of S2AIS at the insertion point is smaller than that of S1AIS. Therefore, considering both safety and stability, S1AIS is the preferred choice for fixation of sacroiliac joint dislocation in simulated models of low bone density.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)

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Article Critical Care Medicine

Mechanical ventilation practices in Asian intensive care units: A multicenter cross-sectional study

Kyung Hun Nam, Jason Phua, Bin Du, Shinichiro Ohshimo, Hwa Jung Kim, Chae-Man Lim, Sheila Nainan Myatra, Nik Azman Bin Nik Adib, Yaseen M. Arabi, Ming-Cheng Chan, Mohammad Omar Faruq, Ike Sri Redjeki, Do Ngoc Son, Khalid Mahmood Khan Nafees, Dilshan Priyankara, Boonsong Patjanasoontorn, Jose Emmanuel Palo, Aidos Konkayev, Gentle Sunder Shrestha, Younsuck Koh

Summary: This study investigated the current practices of mechanical ventilation in Asian intensive care units. The results showed that low tidal volume ventilation and sufficient PEEP were underused in patients with ARDS, while intermediate tidal volumes were commonly used in patients without ARDS. Country income, age, and severity of illness were associated with mortality.

JOURNAL OF CRITICAL CARE (2024)

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Article Critical Care Medicine

The effect of intravenous milrinone in adult critically ill patients: A meta-analysis of randomized clinical trials

Jingyuan Xu, Yanjie Zhang, Jie Jiang, Yi Yang, Fengmei Guo

Summary: This meta-analysis examined the effect of milrinone on prognosis in adult critically ill patients and found a significant decrease in the incidence of ventricular arrhythmia in patients with cardiac surgery. However, there was no significant reduction in all-cause mortality or the incidence of myocardial infarction. More research is needed to determine the reliable and conclusive evidence for the effects of milrinone.

JOURNAL OF CRITICAL CARE (2024)

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Article Critical Care Medicine

The human gut microbiome in critical illness: disruptions, consequences, and therapeutic frontiers

Jaeyun Sung, Sanu S. Rajendraprasad, Kemuel L. Philbrick, Brent A. Bauer, Ognjen Gajic, Aditya Shah, Krzysztof Laudanski, Johan S. Bakken, Joseph Skalski, Lioudmila V. Karnatovskaia

Summary: With a large number of cells and genes, the human gut microbiome is crucial for health and disease. Modern living disrupts the balance between the host and its microbiome, leading to adverse impacts on critical illness and patient outcomes. Restoring the gut microbiome shows promise for preventing and treating critical illnesses.

JOURNAL OF CRITICAL CARE (2024)

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Article Critical Care Medicine

Impact of missing values on the ability of the acute physiology and chronic health evaluation III and Japan risk of death models to predict mortality

Katsura Hayakawa, Shigehiko Uchino, Hideki Endo, Kazuki Hasegawa, Kazuya Kiyota

Summary: This study assessed the performance of the APACHE III and JROD models under different conditions of missing variables and found that a higher number of missing physiological variables led to underestimated predicted mortality rates and higher standardized mortality ratios.

JOURNAL OF CRITICAL CARE (2024)

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Article Critical Care Medicine

Preoperative COVID-19 infection status negatively impacts postoperative outcomes of geriatric hip fracture surgery

Mohamed Elbuzidi, Alyssa N. Wenzel, Andrew Harris, Majd Marrache, Julius K. Oni, Harpal S. Khanuja, Vishal Hegde

Summary: A retrospective propensity score matched cohort study was conducted using the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database to compare outcomes for patients with recently diagnosed COVID-19 infection and those without COVID-19 infection undergoing operative treatment of hip fractures. The results showed that COVID-19-positive patients had a higher risk of 30-day mortality, pneumonia, unplanned intubation, septic shock, longer length of hospital stay, and discharge to an acute care hospital. Active COVID-19 infection is an independent risk factor for complications and increased resource utilization in these patients.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)

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Letter Anesthesiology

Shoulder tip pain after cesarean delivery: A prospective questionnaire survey

Kei Ugata, Katsushi Doi, Noritaka Imamachi, Keita Matsumoto, Hiroyuki Kushizaki

ANAESTHESIA CRITICAL CARE & PAIN MEDICINE (2024)

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Article Critical Care Medicine

In-hospital complications of work-related musculoskeletal injuries

Win Wah, Janneke Berecki-Gisolf, Karen Walker-Bone

Summary: This study aimed to identify the incidence and factors associated with in-hospital complications of work-related musculoskeletal injuries. The results showed that age, gender, area-level disadvantage, hospital type, comorbidity, emergency admissions, anesthesia, and the type of injury were all associated with in-hospital complications. The most common complications were cardiovascular, gastrointestinal complications and adverse drug events.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)

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Correction Critical Care Medicine

Arterialization of plantar venous system via vein graft: A novel technique for reconstruction of heel pad degloving injuries ( vol 54,110826 , 2023)

Hokuto Morii, Takahiro Inui, Hiroki Shibayama, Kazunori Oae, Fumio Onishi, Takuya Hashimoto, Koichi Inokuchi, Makoto Sawano

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)

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