Critical Care Reviews Newsletter
Newsletter 552 | July 21st 2022
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Dr Neill Adhikari discusses the results of the LOVIT trial at CCR22
Welcome to the 552nd Critical Care Reviews Newsletter, bringing you the best critical care research and open access articles from across the medical literature for the week of July 4th to 10th.
The highlights of this week's edition are randomised controlled trials on oral sabizabulin for high-risk, hospitalized adults with Covid-19 & high-dose dexamethasone and oxygen support strategies in ICU patients with severe COVID-19 acute hypoxemic respiratory failure; systematic reviews and meta analyses on extravascular lung water & early low-calorie enteral nutrition support; and observational studies on fluid accumulation and major adverse kidney events in sepsis & management of pediatric shock in the post-fluid expansion as supportive therapy trial era.
There are also guidelines on temporary mechanical circulatory support in cardiogenic shock & hereditary angioedema; narrative reviews on electrical impedance tomography in ARDS & surviving sepsis campaign guidelines 2021; an editorial on resuscitation for moribund alpinists stranded at high altitudes; and commentaries on optimising aerosolized therapies & blood transfusion.
If you only have time to read one review article this week, try this one on identifying encephalopathies from acute metabolic derangements.
We've started to release the videos from CCR22. First up is the LOVIT trial, demonstrating harm from vitamin C in the management of sepsis.
You can now become a Supporter of CCR, where you can contribute as little as the price of a cup of coffee per month or make a one-off donation to assist us. All our content is freely available without the need to register. Help us share science for the benefit of all.
Research
Randomised Controlled Trials
- Barnette. Oral Sabizabulin for High-Risk, Hospitalized Adults with Covid-19: Interim Analysis. NEJM Evidence 2022;epublished July 6th
- Bouadma. High-Dose Dexamethasone and Oxygen Support Strategies in Intensive Care Unit Patients With Severe COVID-19 Acute Hypoxemic Respiratory Failure. The COVIDICUS Randomized Clinical Trial. JAMA Intern Med 2022;epublished July 5th
- Liu. Safety and efficacy of ciprofol vs. propofol for sedation in intensive care unit patients with mechanical ventilation: a multi-center, open label, randomized, phase 2 trial. Chin Med J 2022;135(9):1043-1051
- Chhetri. Safety and Feasibility Assessment of Repetitive Vascular Occlusion Stimulus (RVOS) Application to Multi-Organ Failure Critically Ill Patients: A Pilot Randomised Controlled Trial. J Clin Med 2022;11(14):3938
Systematic Reviews & Meta Analyses
- Gavelli. Extravascular lung water levels are associated with mortality: a systematic review and meta-analysis. Crit Care 2022;26:202
- Valla. Gastric Point-of-Care Ultrasound in Acutely and Critically Ill Children (POCUS-ped): A Scoping Review. Front Pediatr 10:921863
- Jiang. Effect of Early Low-Calorie Enteral Nutrition Support in Critically Ill Patients: A Systematic Review and Meta-analysis. Biomed Res Int 2022;epublished July 4th
Observational Studies
- Mele. Fluid accumulation and major adverse kidney events in sepsis: a multicenter observational study. Ann. Intensive Care 2022;12:62
- Wendel-Garcia. Dynamics of disease characteristics and clinical management of critically ill COVID-19 patients over the time course of the pandemic: an analysis of the prospective, international, multicentre RISC-19-ICU registry. Crit Care 2022;26(1):199
- Kuai. Comparison of diagnostic criteria for acute kidney injury in critically ill children: a multicenter cohort study. Crit Care 2022;26:207
- Brakenridge. Evaluation of a Multivalent Transcriptomic Metric for Diagnosing Surgical Sepsis and Estimating Mortality Among Critically Ill Patients. JAMA Netw Open 2022;5(7):e2221520
- Obonyo. A Clinical and Physiological Prospective Observational Study on the Management of Pediatric Shock in the Post-Fluid Expansion as Supportive Therapy Trial Era. Ped Crit Care Med 2022;23(7):502-513
- Alten. Preventing Cardiac Arrest in the Pediatric Cardiac Intensive Care Unit Through Multicenter Collaboration. JAMA Pediatr 2022;epublished July 5th
Guidelines
- Escalating and De-escalating Temporary Mechanical Circulatory Support in Cardiogenic Shock: A Scientific Statement From the American Heart Association. Circulation 2022;epublished July 7th
- The international WAO/EAACI guideline for the management of hereditary angioedema-The 2021 revision and update. Allergy 2022;77(7):1961-1990
Reviews
Clinical
Neurological
- Wijdicks. Identifying encephalopathies from acute metabolic derangements. J Intern Med 2022;epublished July 9th
- Gitti. Seeking the Light in Intensive Care Unit Sedation: The Optimal Sedation Strategy for Critically Ill Patients. Front Med 2022;9:901343
- Trifan. Neurological Manifestations of Myocarditis. Curr Neurol Neurosci Rep 2022;22:363–374
Circulatory
Respiratory
- Gragossian. Acute Respiratory Distress Syndrome. Emerg Med Clin 2022;epublished May 9th
- Jimenez. Electrical Impedance Tomography in Acute Respiratory Distress Syndrome Management. Crit Care Med 2022;50(8):1210-1223
- Murray . Reverse Triggering: An Introduction to Diagnosis, Management, and Pharmacologic Implications. Front Pharmacol 2022;13:879011
Hepatobiliary
- Abbas. Acute-on-chronic liver failure (ACLF) in 2022: have novel treatment paradigms already arrived? Expert Rev Gastroenterol Hepatol 2022;epublished July 4th
- Wandji. Liver Transplantation in Alcohol-related Liver Disease and Alcohol-related Hepatitis. J Clin Exper Hepatol 2022;epublished July 5th
Renal
- Ali. Strategies for Renal Protection in Cardiovascular Interventions. Korean Circ J 2022;52(7):485-495
- Shah. Pregnancy-Related Acute Kidney Injury: Do We Know What to Do? Nephron 2022;epublished July 6th
Haematological
Sepsis
Paediatrics
Perioperative
Non-Clinical
Commentaries
- Kotfis. The future of intensive care: delirium should no longer be an issue. Crit Care 2022;26(1):200
- Poujol. Feelings of strangeness in intensive care units patients. Intensive Care Med 2022;epublished July 9th
- Dhanani. Optimising aerosolized therapies in critically ill patients. Intensive Care Med 2022;epublished July 8th
- Robba. Monitoring cerebral oxygenation in acute brain-injured patients. Intensive Care Med 2022;epublished July 7th
- Hernandez. Invasive arterial pressure monitoring: much more than mean arterial pressure! Intensive Care Med 2022;epublished July 8th
- Vlaar. Blood transfusion: the search for the sweet spot. Intensive Care Med 2022;epublished July 8th
Correspondence
Case Reports
- Hemamalini. The role of transesophageal echocardiography in evaluation and management of hypoxia following lung transplantation. Ann Card Anaesth 2022;25:356-8
- Mavrothalassitis. Four Acid-Base Disturbances in a Critically-Ill Patient Undergoing Emergent Abdominal Surgery. Case Reports Crit Care 2022;1285598