Critical Care Medicine

Article Critical Care Medicine

Diagnostic Performance of a telephone questionnaire for fracture-related infections (FRIs) in open tibia fracture patients in Tanzania

Patricia Rodarte, Jamieson O'Marr, Billy Haonga, Deogratias Patrick, Kian Niknam, Mayur Urva, Abigail Cortez, Willem-Jan Metsemakers, David Shearer, Saam Morshed

Summary: This study evaluates the diagnostic performance of telephone questionnaires in identifying patients with fracture-related infections (FRIs) after open tibia fracture fixation in Tanzania. The study shows that telephone questionnaires have adequate diagnostic performance, with drainage being the main indicator for FRIs.

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

Article Critical Care Medicine

Intraoperative tissue sampling for histology in chronic osteomyelitis shows high neutrophil infiltration centrally and low remains in debrided presumed infection-free regions

Louise Kruse Jensen, Henrik Elvang Jensen, Hans Gottlieb

Summary: This study describes the histopathology of debrided bone tissue in chronic osteomyelitis (CO). The inflammatory response still exists after debridement, although it fades from the center. Sampling of debrided bone tissue must be performed initially during surgery to avoid underestimation of neutrophil infiltration.

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

Article Critical Care Medicine

Heart Transplantation- Postoperative Considerations

Gozde Demiralp, Robert T. Arrigo, Christopher Cassara, Maryl R. Johnson

CRITICAL CARE CLINICS (2024)

Article Critical Care Medicine

End-of-Life Planning in Patients with Mechanical Circulatory Support

Katie P. Truong, James N. Kirkpatrick

Summary: The increasing use of MCS in advanced heart failure patients has led to a greater need for end-of-life management, including MCS device withdrawal and advance care planning. Preparedness planning and palliative care services are important in ensuring a smooth transition to the end of life. Ethical dilemmas can complicate end-of-life care, and withdrawal/deactivation should follow a set protocol that addresses psychosocial/spiritual needs and patient comfort.

CRITICAL CARE CLINICS (2024)

Article Critical Care Medicine

Design and Execution of Clinical Trials in the Cardiac Intensive Care Unit

Jacob B. Pierce, Willard N. Applefeld, Balimkiz Senman, Daniel B. Loriaux, Patrick R. Lawler, Jason N. Katz

Summary: Due to the increasing medical complexity of patients, heterogeneity of treatment effects in broad clinical syndromes, and significant competing risks for morbidity and mortality, future clinical trials in the CICU are likely to benefit from innovative approaches to trial design, analysis, and execution, such as incorporating novel trial endpoints, Bayesian analysis strategies, trial networks and clinical registries, adaptive platform trials, and comprehensive research programs. It will be crucial for the authors as a field to articulate priorities for future research and embrace these novel techniques that will ultimately help take better care of patients in the contemporary CICU.

CRITICAL CARE CLINICS (2024)

Article Critical Care Medicine

The Changing Epidemiology of the Cardiac Intensive Care Unit

Gurleen Kaur, David D. Berg

CRITICAL CARE CLINICS (2024)

Article Critical Care Medicine

Current and Future Role of Ultrasonography in the Cardiac Intensive Care Unit

Leon Zhou, Brandon M. Wiley

CRITICAL CARE CLINICS (2024)

Article Critical Care Medicine

Valvular Heart Disease in the Cardiac Intensive Care Unit

Emily K. Zern, Rachel C. Frank, Evin Yucel

CRITICAL CARE CLINICS (2024)

Article Critical Care Medicine

Cardiogenic Shock Pathogenesis, Classification, and Management

Dhruv Sarma, Jacob C. Jentzer

CRITICAL CARE CLINICS (2024)

Article Critical Care Medicine

Management of Arrhythmias in the Cardiovascular Intensive Care Unit

Brent Klinkhammer, Taya V. Glotzer

CRITICAL CARE CLINICS (2024)

Article Critical Care Medicine

The vocal cords are predominantly closed in preterm infants <30 weeks gestation during transition after birth; an observational study

Veerle Heesters, Janneke Dekker, Timothy J. R. Panneflek, Kristel L. A. M. Kuypers, Stuart B. Hooper, Remco Visser, Arjan B. te Pas

Summary: This study visualized the closure of vocal cords during apnea, in between breaths, and during breath holds in preterm infants using ultrasonography. The closure of vocal cords impaired the effect of respiratory support.

RESUSCITATION (2024)

Correction Critical Care Medicine

Intradepartmental orthopaedic fragility fracture liaison improves osteoporosis follow-up and treatment (vol 54, 110985, 2023)

Annemarie C. Galasso, Leah N. Herzog, Molly Sekar, Stacy L. Rothwell, Langdon A. Hartsock, Kristoff R. Reid

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

Article Critical Care Medicine

Management of Patients After Cardiac Arrest

Damien Smith, Benjamin B. Kenigsberg

CRITICAL CARE CLINICS (2024)

Article Critical Care Medicine

Pendelluft in hypoxemic patients resuming spontaneous breathing: proportional modes versus pressure support ventilation

Daniel H. Arellano, Roberto Brito, Caio C. A. Morais, Pablo Ruiz-Rudolph, Abraham I. J. Gajardo, Dannette V. Guinez, Marioli T. Lazo, Ivan Ramirez, Veronica A. Rojas, Maria A. Cerda, Juan N. Medel, Victor Illanes, Nivia R. Estuardo, Alejandro R. Bruhn, Laurent J. Brochard, Marcelo B. P. Amato, Rodrigo A. Cornejo

Summary: A study comparing NAVA and PAV+ with PSV found that although NAVA and PAV+ were better at tracking patient respiratory effort compared to PSV, the occurrence of pendelluft was higher in patients resolving ARDS. Additionally, the magnitude of pendelluft was associated with respiratory effort and intrinsic drive.

ANNALS OF INTENSIVE CARE (2023)

Article Critical Care Medicine

Individual response in patient's effort and driving pressure to variations in assistance during pressure support ventilation

Mattia Docci, Emanuele Rezoagli, Maddalena Teggia-Droghi, Andrea Coppadoro, Matteo Pozzi, Alice Grassi, Isabella Bianchi, Giuseppe Foti, Giacomo Bellani

Summary: This study systematically assessed the changes in patient's effort, driving pressure, and tidal volume in response to variations in pressure support ventilation (PSV), as well as confirmed the reliability of respiratory system compliance measurement during PSV.

ANNALS OF INTENSIVE CARE (2023)

Article Critical Care Medicine

Sex difference in the risk of extubation failure in ICUs

Arnaud W. Thille, Florence Boissier, Remi Coudroy, Sylvain Le Pape, Francois Arrive, Laura Marchasson, Jean-Pierre Frat, Stephanie Ragot

Summary: This study examines the difference in risk of extubation failure between males and females in the ICU. The results show that males have a higher risk of reintubation within 48 hours after extubation compared to females. However, there was no significant difference in the reintubation rate at day 7 between males and females. The study concludes that sex is independently associated with reintubation and suggests that future studies should further explore the role of sex in critically ill patients' outcomes.

ANNALS OF INTENSIVE CARE (2023)

Review Critical Care Medicine

Using Optic Nerve Sheath Diameter for Intracranial Pressure (ICP) Monitoring in Traumatic Brain Injury: A Scoping Review

Karol Martinez-Palacios, Sebastian Vasquez-Garcia, Olubunmi A. Fariyike, Chiara Robba, Andres M. Rubiano

NEUROCRITICAL CARE (2023)

Article Critical Care Medicine

Mesenchymal Stem Cell Therapy in Acute Intracerebral Hemorrhage: A Dose-Escalation Safety and Tolerability Trial

Nisha C. Durand, H. G. Kim, Vishal N. Patel, Marion T. Turnbull, Jason L. Siegel, David O. Hodge, Rabih G. Tawk, James F. Meschia, W. David Freeman, Abba C. Zubair

Summary: This study investigated the safety and tolerability of using allogeneic bone marrow-derived mesenchymal stem/stromal cells for the treatment of patients with acute ICH, which showed promising results.

NEUROCRITICAL CARE (2023)

Review Critical Care Medicine

Cryotherapy in Postoperative Shoulder Surgery: A Systematic Review

Anna Julia Brittes Gabiatti, Geovana Bressiani Hillesheim, Milena Zambiazi Gomildes, Dernival Bertoncello, Marcia Rosangela Buzanello, Gladson Ricardo Flor Bertolini

Summary: Cryotherapy appears to be a promising adjunctive treatment for postoperative shoulder pain, providing pain relief. However, the existing evidence has limitations, and more high-quality studies are needed to establish its full effectiveness.

THERAPEUTIC HYPOTHERMIA AND TEMPERATURE MANAGEMENT (2023)