Critical Care Reviews Newsletter
Newsletter 581 | January 29th, 2023
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CCR23 Provisional Programme Due Soon
Welcome to the 581st 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 extracorporeal CPR for refractory out-of-hospital cardiac arrest & higher protein dosing in critically ill patients with high nutritional risk; systematic reviews and meta analyses on dexmedetomidine for the prevention of delirium & extracorporeal cardiopulmonary resuscitation; and observational studies on a wearable cardiac ultrasound imager & diastolic blood pressure thresholds during pediatric cardiopulmonary resuscitation. There are also guidelines on pediatric Acute Respiratory Distress Syndrome & surgical management and mechanical circulatory support in high-risk pulmonary embolisms; narrative reviews on liberation from mechanical ventilation in the cardiac ICU & biventricular assist devices and the total artificial heart; editorials on liberation from continuous kidney replacement therapy & advancing precision-based antimicrobial dosing; and commentaries on whether nephrologists or intensivists should manage kidney replacement therapy in the ICU & conditional power: how likely is trial success?
If you only have time to read one review article this week, try this one on ultrasonographic assessment of diaphragmatic function and its clinical application in the management of patients with acute respiratory failure.
Critical Care Reviews Meeting 2023
We've been quietly working on the CCR23 programme over the past several months and hope to start announcing the provisional trials and faculty this week. As usual, we'll host major trial results, review some of the best trials of the previous 12 months and have expert panel discussions on various aspects of clinical trials. If you haven't yet registered, don't wait too long, or you might be disappointed. Belfast gets very busy during the Summer, so book your hotel now before the rush. We have discounted rates with partner hotels available on the meeting webpage.
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ps: many thanks to my friends and colleagues in Denmark for such superb hospitality this week at the wonderful Danish Intensive Care Symposium.
Research
Randomised Controlled Trials
- Suverein. Early Extracorporeal CPR for Refractory Out-of-Hospital Cardiac Arrest. N Engl J Med 2023;388:299-309
- Heyland. The effect of higher protein dosing in critically ill patients with high nutritional risk (EFFORT Protein): an international, multicentre, pragmatic, registry-based randomised trial. Lancet 2023;epublished January 25th
- Chhabria. A randomized controlled trial comparing non-invasive ventilation delivered using neurally adjusted ventilator assist (NAVA) or adaptive support ventilation (ASV) in patients with acute exacerbation of chronic obstructive pulmonary disease. J Crit Care 2023;75:154250
- Monard. Cytokine hemoadsorption with CytoSorb® in post-cardiac arrest syndrome, a pilot randomized controlled trial. Crit Care 2023;27:36
- Pichler. Cerebral regional tissue Oxygen Saturation to Guide Oxygen Delivery in preterm neonates during immediate transition after birth (COSGOD III): multicentre randomised phase 3 clinical trial. BMJ 2023;380:e072313
- Guidry. Trial of antibiotic restraint in presumed pneumonia: A Surgical Infection Society multicenter pilot. J Trauma Acute Care Surg 2023;94(2):232-240
- Llewelyn. Antibiotic review kit for hospitals (ARK-Hospital): a stepped-wedge cluster-randomised controlled trial. Lancet Infect Dis 2023;23(2):207-221
Systematic Review & Meta Analyses
- Grundeis. Remdesivir for the treatment of COVID‐19. Cochrane Database of Systematic Reviews 2023, Issue 1. Art. No.: CD014962
- Maagaard. Dexmedetomidine for the prevention of delirium in adults admitted to the intensive care unit or postoperative care unit: a systematic review of randomised clinical trials with meta-analysis and Trial Sequential Analysis. Acta Anaesthesiol Scand 2023;epublished January 26th
- Scquizzato. Extracorporeal cardiopulmonary resuscitation: pre-hospital or in-hospital cannulation? J Cardiothorac Vasc Anesth 2023;epublished January 20th
- Utsumi. Targeted Temperature Management in Pediatric Traumatic Brain Injury: A Systematic Review and Network Meta-Analysis. World Neurosurg 2023;epublished January 19th
Observational Studies
- Hu. A wearable cardiac ultrasound imager. Nature 2023;613:667–675
- Wang. The safety and efficacy of mesenchymal stromal cells in ARDS: a meta-analysis of randomized controlled trials. Crit Care 2023;27:31
- Abate. Pattern of disease and determinants of mortality among ICU patients on mechanical ventilator in Sub-Saharan Africa: a multilevel analysis. Crit Care 2023;27:37
- Russell. Thromboembolic and bleeding events in ICU patients with COVID‐19: A nationwide, observational study. Acta Anaesthesiol Scand 2023;67(1):76–85
- Tsao. Heart Disease and Stroke Statistics—2023 Update: A Report From the American Heart Association. Circulation 2023;epublished January 25th
- Tie. Trends in Intra-Aortic Balloon Pump Use in Cardiogenic Shock After the SHOCK-II Trial. Am J Cardiol 2023 Jan 20;191:125-132
- Huet. Impact of continuous hypertonic (NaCl 20%) saline solution on renal outcomes after traumatic brain injury (TBI): a post hoc analysis of the COBI trial. Crit Care 2023;27(1):42
- Berg. Diastolic blood pressure threshold during pediatric cardiopulmonary resuscitation and survival outcomes: a multicenter validation study. Crit Care Med 2023;51(1):91-102
Guidelines
- Emeriaud. Executive Summary of the Second International Guidelines for the Diagnosis and Management of Pediatric Acute Respiratory Distress Syndrome (PALICC-2). Ped Crit Care Med 2023;24(2):143-168
- Anticoagulation in adult patients supported with extracorporeal membrane oxygenation: guidance from the Scientific and Standardization Committees on Perioperative and Critical Care Haemostasis and Thrombosis of the International Society on Thrombosis and Haemostasis. J Thromb Haemost 2022;epublished December 20th
- Surgical Management and Mechanical Circulatory Support in High-Risk Pulmonary Embolisms: Historical Context, Current Status, and Future Directions: A Scientific Statement From the American Heart Association. Circulation 2023;epublished January 23rd
- Andreotti. Acute, periprocedural and longterm antithrombotic therapy in older adults: 2022 Update by the ESC Working Group on Thrombosis. Eur Heart J 2023;44(4):262–279
- 2022 SPILF - Clinical Practice Guidelines for the Diagnosis and Treatment of Disco-Vertebral Infection in Adults. Infect Dis Now 2023;epublished January 20th
- On-site Treatment of Avalanche Victims: Scoping Review and 2023 Recommendations of the International Commission for Mountain Emergency Medicine (ICAR MedCom). Resuscitation 2023;epublished January 25th
- Sakuramoto. Clinical practice competencies for standard critical care nursing: consensus statement based on a systematic review and Delphi survey. BMJ Open 2023;13(1):e068734
- Communication from the Scientific Standardization Committees of the International Society on Thrombosis and Haemostasias on vascular endothelium-related biomarkers in disseminated intravascular coagulation. J Thromb Haemost 2022;epublished December 22nd
- Feleszko. Pathogenesis, immunology, and immune-targeted management of the multisystem inflammatory syndrome in children (MIS-C) or pediatric inflammatory multisystem syndrome (PIMS): EAACI Position Paper. Ped Allerg Immunol 2023;34(1):e13900
- Hayden. The Infectious Diseases Society of America Guidelines on the Diagnosis of COVID-19: Antigen Testing. Clin Infect Dis 2023;epublished January 26th
- Communication from the Scientific and Standardization Committee of the International Society on Thrombosis and Haemostasis on sepsis-induced coagulopathy in the management of sepsis. J Thromb Haemost 2023;21(1):145-153
- Recommendations for Cardiac Point-of-Care Ultrasound in Children: A Report from the American Society of Echocardiography. J Am Soc Echocardiography 2023;epublished January 23rd
Reviews
Clinical
COVID-19
Neurological
- Brunker. Elderly Patients and Management in Intensive Care Units (ICU): Clinical Challenges. Clin Interv Aging 2023;18:93–112
- Pisano. Old issues and new challenges in cardiothoracic anesthesiology: Work in progress… Front Anesthesiol 2023;epublished January 25th
Circulatory
- James. Supporting the "forgotten" ventricle: The evolution of percutaneous RVADs. Front Cardiovasc Med 2023;9:1008499
- Kuroda. Biventricular assist devices and total artificial heart: Strategies and outcomes. Front Cardiovasc Med 2023 Jan 6;9:972132
- Mauro. Acute Heart Failure: Diagnostic–Therapeutic Pathways and Preventive Strategies—A Real-World Clinician’s Guide. J Clin Med 2023;12:846
- Shirejini. Current and future strategies to monitor and manage coagulation in ECMO patients. Thrombosis J 2023;21:11
- Soliman-Aboumarie. How to assess systemic venous congestion with point of care ultrasound. Eur Heart J Cardiovasc Imag 2023;24(2):177–180
Airway
Respiratory
- Wieruszewski. Extracorporeal Membrane Oxygenation in Acute Respiratory Failure. Pulm Ther 2023;epublished January 21st
- Fei. Pulmonary drug delivery for acute respiratory distress syndrome. Pulm Pharmacol Therapeutics 2023;79:102196
- Shahu. Liberation From Mechanical Ventilation in the Cardiac Intensive Care Unit. JACC Adv 2023;2(1):100173
- Nicolotti. Difficult Respiratory Weaning after Cardiac Surgery: A Narrative Review. J Clin Med 2023;12(2):497
- Saad. Ultrasonographic Assessment of Diaphragmatic Function and Its Clinical Application in the Management of Patients with Acute Respiratory Failure. Diagnostics 2022;13(3):411
- Cappadona. Extracorporeal Carbon Dioxide Removal: From Pathophysiology to Clinical Applications; Focus on Combined Continuous Renal Replacement Therapy. Biomedicines 2023;11(1):142
Gastrointestinal
Nutrition
Hepatobiliary
Renal
- Stasi. New Frontiers in Sepsis-Induced Acute Kidney Injury and Blood Purification Therapies: The Role of Polymethylmethacrylate Membrane Hemofilter. Blood Purif 2023;epublished January 24th
- Yu. Diagnosis, pathophysiology and preventive strategies for cardiac surgery-associated acute kidney injury: a narrative review. Eur J Med Res 2023;28:45
- Chávez-Íñiguez. How to interpret serum creatinine increases during decongestion. Front Cardiovasc Med 2023;9:1098553
Sepsis
- Serrano. Monitoring of the Forgotten Immune System during Critical Illness—A Narrative Review. Medicina 2023;59(1):61
- Li. Vancomycin Resistance in Enterococcus and Staphylococcus aureus. Microorganisms 2023;11(1):24
Non-Clinical
Indian Journal of Anaesthesia series on Updates in Anaesthesia
- Nath. Recent advances in anaesthesia for intrauterine and foetal surgery. Indian J Anaesth 2023;67(1):11-18
- Kurdi. Recent advances in obstetric anaesthesia and critical care. Indian J Anaesth 2023;67(1):19-26
- Rai. Recent advances in paediatric anaesthesia. Indian J Anaesth 2023;67(1):27-31
- Kumar. Recent advances in anaesthesia for abdominal solid organ transplantation. Indian J Anaesth 2023;67(1):32-38
- Jindal. Update on preoperative evaluation and optimisation. Indian J Anaesth 2023;67(1):39-47
- Myatra. Recent advances in airway management. Indian J Anaesth 2023;67(1):48-55
- Bajwa. Recent advancements in total intravenous anaesthesia and anaesthetic pharmacology. Indian J Anaesth 2023;67(1):56-62
- Kurdi. Recent advancements in regional anaesthesia. Indian J Anaesth 2023;67(1):63-70
- Balakrishnan. Newer frontiers in onco-anaesthesia and palliative medicine. Indian J Anaesth 2023;67(1):71-77
- Ramachandran. Recent advances in cardiac anaesthesia. Indian J Anaesth 2023;67(1):78-84
- Sethuraman. Recent advancements in the practice of neuroanaesthesia and neurocritical care: An update. Indian J Anaesth 2023;67(1):85-90
- Dhulkhed. A novel approach in understanding the basic modes of ventilation in a recent generation mechanical ventilator– A review of the underlying principles. Indian J Anaesth 2023;67(1):91-101
- Gopal. Recent advancements in critical care: Part I. Indian J Anaesth 2023;67(1):102-109
- Gopal. Recent advances in critical care: Part II. Indian J Anaesth 2023;67(1):110-116
- Suryawanshi. Anaesthetic management of robot-assisted laparoscopic surgery. Indian J Anaesth 2023;67(1):117-122
- Malhotra. Recent trends in chronic pain medicine. Indian J Anaesth 2023;67(1):123-129
- Krishna. Recent advances in perioperative blood management. Indian J Anaesth 2023;67(1):130-138
- Hemantkumar. Recent advances in research, training and teaching in anaesthesia and critical care. Indian J Anaesth 2023;67(1):139-145
- Gupta. Recent advances in system management, decision support systems, artificial intelligence and computing in anaesthesia. Indian J Anaesth 2023;67(1):146-151
- Mahender. Recent advances in geriatric anaesthesia. Indian J Anaesth 2023;67(1):152-158
Editorials
- Deep. Liberation from continuous kidney replacement therapy—is it an art or a science? Pediatr Nephrol 2023;epublished January 28th
- Pantazopoulos. Cutting-Edge Approaches in Respiratory and Critical Care Medicine. J Pers Med 2023;13(1):105
- Wang. Intensive Care during the COVID-19 Pandemic. Vaccines 2023;11(1):125
- Cotta. Advancing precision-based antimicrobial dosing in critically ill patients. Intensive Care Med 2023;epublished January 25th
- Russell. Multidrug-resistant bacteria in the grey shades of immunosuppression. Intensive Care Med 2023;epublished January 23rd
- Methangkool. Recommendations for transesophageal echocardiographic screening in TAVR: insights for the cardiothoracic anesthesiologist. J Cardiothoracic Vasc Anesth 2023;epublished January 28th
Commentaries
- Saville. Conditional Power: How Likely Is Trial Success? JAMA 2023;epublished January 23rd
- Kotani. An updated “norepinephrine equivalent” score in intensive care as a marker of shock severity. Crit Care 2023;27:29
- Wong. Minimum important difference is minimally important in sample size calculations. Trials 2023;24:34
- Hifumi. The difference in the association between included ECPR patients and neurological outcomes. Crit Care 2023;27(1):39
- Edlow. Misdiagnosis in the Emergency Department. Time for a System Solution. JAMA 2023;epublished January 27th
- Via. The interplay between left ventricular diastolic and right ventricular dysfunction: challenges in the interpretation of critical care echocardiography studies. Egypt Heart J 2023;75(1):7
- Palevsky. Nephrologists Rather Than Intensivists Should Manage Kidney Replacement Therapy in the ICU: PRO. Kidney360 2023;4(1):7-9
- Bagshaw. Nephrologists Rather Than Intensivists Should Manage Kidney Replacement Therapy in the ICU: CON. Kidney360 2023;4(1):10-12
Correspondence
- Gawda. The cephalic vein catheterization: maybe yes, but when there is no alternative. Crit Care 2023;27:27
- Belletti. P-SILI in critically ill COVID-19 patients: Macklin effect and the choice of noninvasive ventilatory support type. Crit Care 2023;27:38
- Hifumi. The difference in the association between included ECPR patients and neurological outcomes. Crit Care 2023;27:39
- Schnaubelt. The Chainmail of Survival-A modern concept of an adaptive approach towards cardiopulmonary resuscitation. Resuscitation 2023;epublished January 25th
- Finazzi. SARS-CoV-2 breakthrough infections in vaccinated individuals requiring ventilatory support for severe acute respiratory failure. Intensive Care Med 2023;epublished January 25th
- Frigieri. Application of non-invasive ICP waveform analysis in acute brain injury: Intracranial Compliance Scale. Intensive Care Med Exp 2023;11(1):5
I hope you find this newsletter useful.
Until next week
Rob