
Critical Care Reviews Newsletter
Newsletter 695 | April 6th, 2025
9 Week to CCR25
Welcome to the 695th 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 intra-aortic balloon support for heart failure-related cardiogenic shock & flexible-tip bougie vs. stylet for tracheal intubation with a hyperangulated videolaryngoscope in critical care; systematic reviews and meta analyses on the association between energy delivery and outcomes in adult critically ill patients diagnosed with or at risk of malnutrition & remote ischaemic preconditioning and survival in noncardiac surgery; and observational studies on metabolic septic shock sub-phenotypes & cardiac arrest during long-distance running races.
There are also guidelines on fluid therapy in adult critically ill patients & diagnosis of adult ARDS and non-mechanical ventilation treatment in China; narrative reviews on high-resolution multimodality neuromonitoring for traumatic brain injury management & vasoactive agents in cardiogenic shock related to myocardial infarction and acute decompensated heart failure; editorials on vasoplegia in cardiac surgery & evidence, implementation, and challenges in mechanical ventilation; and commentaries on clinician prediction of hyperinflammatory ARDS subphenotypes & what Is the new research in pediatric ARDS since the 2023 consensus conference?.
If you only have time to read one review article this week, try this one on sepsis subphenotypes, theragnostics and personalized sepsis care.
Critical Care Reviews Meeting 2025
The provisional scheduling for the Critical Care Reviews Meeting 2025 is now available. Twelve of the hottest trial results to be presented this year are on the programme. One-day, two-day and three-day in-person registrations are available. If you can't make it to Titanic Belfast, join us online, either as a virtual delegate to claim CPD/CME points, and support this not-for-profit meeting, or simply watch the free livestream.
Wednesday, June 11th
- TARGET Protein - Augmented Administration of Enteral Protein to Critically Ill Adults
- TTM2 - Biomarkers of Brain Injury after Cardiac Arrest
- ENCOMPASS - Engagement and Collaborative Management to Proactively Advance Sepsis Survivorship
- RESCUE 3 - Temporary Transvenous Diaphragm Pacing versus Standard of Care for Weaning From Mechanical Ventilation
Thursday, June 12th
- UK-ROXS - Conservative Oxygenation in Critically ill Mechanically Ventilated Patients
- NOTACS - Nasal High-Flow Oxygen Therapy after Cardiac Surgery
- ANH - Acute normovolemic hemodilution in cardiac surgery patients
- FLUID - Crystalloid FLUID Choices for Resuscitation of Hospital Patients
Friday, June 13th
- GASTROSAM - Gastroenteritis Rehydration Of children with Severe Acute Malnutrition
- PRINCE - Ischaemic Preconditioning in Non Cardiac Surgery
- PROMIZING - Proportional Assist Ventilation for Minimizing the Duration of Mechanical Ventilation
- INdex - CT-Perfusion and CT-Angiography for Death by Neurologic Criteria
- John Hinds Lecture - "Ukuthola ubuhle"
Research
Randomised Controlled Trials
- Morici. Early Intra-Aortic Balloon Support for Heart Failure-Related Cardiogenic Shock: A Randomized Clinical Trial. JACC 2025;epublished March 30th
- Taboada. Flexible-tip bougie vs. stylet for tracheal intubation with a hyperangulated videolaryngoscope in critical care: a randomised controlled trial. Anaesthesia 2025;epublished March 30th
- Yan. Alteplase for Posterior Circulation Ischemic Stroke at 4.5 to 24 Hours. N Engl J Med 2025;392:1288-1296
- Iten. Adjunctive Sedation with Dexmedetomidine for the Prevention of Severe Inflammation and Septic Encephalopathy: A Pilot Randomized Controlled Study. Crit Care Med 2025;epublished March 31st
- Rossetti. Real-time surveillance system for patient deterioration: a pragmatic cluster-randomized controlled trial. Nat Med 2025;epublished April 2nd
- Ware. A randomized trial of open lung protective ventilation compared to conventional mechanical ventilation in deceased organ donors. J Heart Lung Transplant 2025;epublished April 3rd
- Glargaard. A Randomized Controlled Trial of Thoracentesis in Acute Heart Failure. Circulation 2025;epublished April 1st
- Moharana. Electrocardiometry for the Management of Pediatric Septic Shock: A Pilot Randomized Controlled Trial. Crit Care Explor 2025;7(4):e1242
- Douin. Targeted Normoxemia and Supplemental Oxygen-Free Days in Critically Injured Adults: A Stepped-Wedge Cluster Randomized Clinical Trial. JAMA Netw Open 2025;8(3):e252093
Systematic Review & Meta Analyses
- Essa. Optimal Tracheostomy Timing After Traumatic Complete Spinal Cord Injury: A Comparative Analysis of Ultraearly, Early, and Delayed Practice. Neurosurgery 2025;epublished April 4th
- Boni. Early versus late tracheostomy in critically ill patients: an umbrella review of systematic reviews of randomised clinical trials with meta-analyses and trial sequential analysis. BMJ Open Respir Res 2025;12(1):e002434
- Wu. Effect of hydrocortisone-fludrocortisone combination on mortality in septic shock: a systematic review and meta-analysis. Infection 2025;53(2):553-560
- Chong. Association Between Energy Delivery and Outcomes in Adult Critically Ill Patients Diagnosed With or At Risk of Malnutrition: A Systematic Review and Meta-analysis With Trial Sequential Analysis. Nutr Rev 2025;epublished April 2nd
- Med Intensiva. Early mobilisation in patients with shock and receiving vasoactive drugs in the intensive care unit: A systematic review and meta-analysis of observational studies. Med Intensiva 2025;49(4):193-204
- Fresilli. Remote ischaemic preconditioning and survival in noncardiac surgery: a meta-analysis of randomised trials. Br J Anaesth 2025;epublished April 3rd
- Guan. High-flow nasal oxygen therapy in patients with hypercapnic respiratory failure: A systematic review and meta-analysis. Eur J Intern Med 2025;134:119-129
- Sarhan. Efficacy and Safety of Andexanet Alfa Versus Four Factor Prothrombin Complex Concentrate for Emergent Reversal of Factor Xa Inhibitor Associated Intracranial Hemorrhage: A Systematic Review and Meta-Analysis. Neurocrit Care 2025;42:701-714
- Terrett. Elevated Blood Pressure and Culprit Aneurysm Rebleeding During the Unsecured Period of Aneurysmal Subarachnoid Hemorrhage: A Systematic Review. Neurocrit Care 2025;42:351-362
- Dengler. Safety of early chemoprophylaxis for venous thromboembolism after traumatic brain injury: a systematic review and meta-analysis. J Neurosurg 2024;142(4):1046-1057
- Wang. Red blood cell transfusion strategy in traumatic brain injury patients: a systematic review and meta-analysis. Eur J Med Res 2025;30(1):220
- Xue. Effects of intracranial pressure monitoring in pediatric severe traumatic brain injury: a meta-analysis of cohort studies. Front Neurol 2025;16:1557820
Observational Studies
- Antcliffe. Metabolic septic shock sub-phenotypes, stability over time and association with clinical outcome. Intensive Care Med 2025;epublished March 31st
- Kim. Cardiac Arrest During Long-Distance Running Races. JAMA 2025;epublished March 30th
- Machado. Association between Wealth and Mortality in the United States and Europe. N Engl J Med 2025;392:1310-1319
- Dionne. Diarrhea in Mechanically Ventilated Patients: A Nested Multicenter Substudy. Crit Care Med 2025;epublished April 4th
- Zhang. Effects of Intensive Blood Pressure Lowering on Brain Swelling in Thrombolyzed Acute Ischemic Stroke: The ENCHANTED Results. Stroke 2025;epublished April 3rd
- Ray. Severity of Impaired Oxygenation and Conservative Oxygenation Targets in Mechanically Ventilated Children: A Post Hoc Subgroup Analysis of the Oxy-PICU Trial of Conservative Oxygenation. Pediatr Crit Care Med 2025;26(4):e492-e497
- Medina. Multicentre comparison of various microaxial pump devices as a bridge to durable assist device implantation. ESC Heart Fail 2025;epublished April 4th
- Weiss. Time Course of Kidney Injury Biomarkers in Children With Septic Shock: Nested Cohort Study Within the Pragmatic Pediatric Trial of Balanced Versus Normal Saline Fluid in Sepsis Trial. Pediatr Crit Care Med 2025;epublished April 2nd
- Bouali. Psychoactive substance use in elderly patients: Insights from the addiction in intensive cardiac care units (ADDICT-ICCU) study. Arch Cardiovasc Dis 2025;epublished March 20th
- Jeffcote. Development of a Quality Indicator Set for the Optimal Acute Management of Moderate to Severe Traumatic Brain Injury in the Australian Context. Neurocrit Care 2025;42:485-494
- Lo Coco. PLACE: Multicenter Study for Right Ventricular Failure on Mechanical Cardiocirculatory Supports. ASAIO J 2025;71(4):290-299
Protocols
- Ceric. Continuous deep sedation versus minimal sedation after cardiac arrest and resuscitation (SED-CARE): A protocol for a randomized clinical trial. Acta Anaesthesiol Scand 2025;69(5):e70022
- Labbé. Risk, rate or rhythm control for new onset supraventricular arrhythmia during septic shock: protocol for the CAFS multicentre, parallel-group, open-label trial. BMJ Open 2025;15:e090404
- Ramanan. Buffered salt solution versus 0.9% sodium chloride as fluid therapy for patients presenting with moderate to severe diabetic ketoacidosis: Study protocol for a Phase-3 cluster-crossover, blinded, randomised, controlled trial. Crit Care Resusc 2025;27(1):100104
- O’Gara. Inhaled sedation versus propofol in respiratory failure in the ICU (INSPiRE-ICU2): study protocol for a multicenter randomized controlled trial. Trials 2025;26:114
Guidelines
- ESICM. 2025 clinical practice guideline on fluid therapy in adult critically ill patients: part 2—the volume of resuscitation fluids. Intensive Care Med 2025;epublished March 31st
- Sun. Guidelines for Diagnosis of Adult Acute Respiratory Distress Syndrome (ARDS) and Non-Mechanical Ventilation Treatment in China (2023). Intensive Care Res 2025;epublished April 2nd
- Huber-Wagner. Imaging strategies for patients with multiple and/or severe injuries in the resuscitation room: a systematic review and clinical practice guideline update. Eur J Trauma Emerg Surg 2025;51(1):158
- European Society of Cardiology. Clinical consensus statement on indications for conduction system pacing. EP Europace 2025;27(4):euaf050
- Sick-Samuels. Diagnostic Stewardship of Endotracheal Aspirate Cultures in Hospitalized Children With Artificial Airways: Expert Consensus Statements From the BrighT STAR Respiratory Collaborative. Pediatr Crit Care Med 2025;26(4):e569-e582
- Sarani. Goal-directed transfusion algorithm for trauma patients with severe hemorrhage using TEG 6S: Results of a Delphi consensus survey and expert panel recommendations. J Trauma Acute Care Surg 2025;epublished April 2nd
- Resuscitative Endovascular Balloon Occlusion of the Aorta in surgical and trauma patients: a systematic review, meta-analysis and practice management guideline from the Eastern Association for the Surgery of Trauma. Trauma Surg Acute Care Open 2025;10:e001730
- Expert Consensus Statement on the Evaluation, Treatment, and Transfer of Cardiogenic Shock Using a Delphi Method Approach - A Report of the Japan Critical Care Cardiology Committee (J4CS). Circ J 2025;epublished March 29th
- Recognizing malnutrition in adults with critical illness: Guidance statements from the Global Leadership Initiative on Malnutrition. JPEN J Parenter Enteral Nutr 2025;epublished March 31st
Reviews
Clinical
Neurological
- Bögli. Unlocking the potential of high-resolution multimodality neuromonitoring for traumatic brain injury management: lessons and insights from cases, events, and patterns. Crit Care 2025;29:139
- Liu. Neuroinflammatory Mechanisms of Adult Sepsis-Associated Encephalopathy: Implications for Blood–Brain Barrier Disruption and Oxidative Stress. Diagnostics 2025;15(7):873
- Adams. Psychological first aid in the intensive care unit. World J Crit Care Med 2025;14(2):98939
Circulatory
- Becerra. The current use of vasoactive agents in cardiogenic shock related to myocardial infarction and acute decompensated heart failure. Am Heart J Plus 2025;52:100524
- Deniau. Therapeutic novelties in acute heart failure and practical perspectives. Anaesth Crit Care Pain Med 2025;epublished January 21st
- Belfiore. Catecholamines in sepsis: pharmacological insights and clinical applications—a narrative review. J Anesth Analg Crit Care 2025;5:17
- Leinweber. Evaluation and treatment of ruptured abdominal aortic aneurysm. Br J Surg 2025;112(4):znaf051
- Chin. Venous excess ultrasound: A mini-review and practical guide for its application in critically ill patients. World J Crit Care Med 2025;14(2):101708
- Bellolio. Evaluating patients with chest pain in the emergency department. BMJ 2025;388:r136
Respiratory
- Halawa. Role of interventional pulmonology in intensive care units: A scoping review. World J Crit Care Med 2025;14(2):99654
- Bianchini. Lung Ultrasound in Mechanical Ventilation: A Purposive Review. Diagnostics 2025;15:870
Hepatobiliary
- Liu. The current applications and future directions of terlipressin. Hepatol Commun 2025;9(4):e0685
- Brown. Screening and management of portal hypertension and varices in cirrhosis: Expert perspectives. Hepatol Commun 2025;9(4):e0682
- Roy. Ascites in patients with end-stage renal disease: Challenges and solutions from diagnosis to management. Hepatol Commun 2025;9(4):e0687
- Del Cioppo. Hepatic cirrhosis and decompensation: Key indicators for predicting mortality risk. World J Hepatol 2025;17(3):104580
- Abi-Aad. Pathogenesis and Management of Intestinal Failure-Associated Liver Disease. Semin Liver Dis 2025;epublished March 18th
Renal
- Bonilla. Acute Kidney Injury and Critical Care Nephrology. Adv Kidney Dis Health 2025;32(1):12-23
- Nagalingam. Clinical Assessment of Fluid Status in Adults With Acute Kidney Injury: A Scoping Review. J Ren Care 2025;51(2):e70014
Endocrine
Sepsis & Infectious Diseases
- Antcliffe. Sepsis subphenotypes, theragnostics and personalized sepsis care. Intensive Care Med 2025;epublished March 31st
- Vazquez. Invasive Candidiasis in the Intensive Care Unit: Where Are We Now? J Fungi 2025;11:258
- Ding. Recent advances in membrane and sorbent design for blood purification in sepsis and septic shock. Chem 2025;epublished April 3rd
- Silva. Key fungal coinfections: epidemiology, mechanisms of pathogenesis, and beyond. mBio 2025;epublished April 2nd
- Nedel. Why should lymphocytes immune profile matter in sepsis? World J Crit Care Med 2025;14(2):98791
Trauma
Paediatrics & Neonatology
Perioperative
- Mansi. Anaesthetic implications of psilocybin and lysergic acid diethylamide: what is old is now new: A narrative review on psychedelics and anaesthesia. Eur J Anaesthesiol 2025;42(5):430-434
- Monsel. Current insights into anaesthesia and critical care management of patients with hepatocellular carcinoma: Multifaceted implications for the anaesthesiologist and intensive care physician. Eur J Anaesthesiol 2025;42(5):435-448
- Ishizawa. Preoperative Cognitive Optimization and Postoperative Cognitive Outcomes: A Narrative Review. Clin Interv Aging 2025;20:395-402
- Niemann. Retained blood syndrome after cardiac surgery. Eur J Cardiothorac Surg 2025;67(Suppl_1):i3-i8
- Khader. How soon should we remove a chest drain following anatomic lung resection? Eur J Cardiothorac Surg 2025;67(Suppl_1):i27-i30
- Di Franco. Posterior left pericardiotomy: what is the advantage in cardiac surgery? Eur J Cardiothorac Surg 2025;67(Suppl_1):i18-i26
Artificial Intelligence
- Guo. Artificial intelligence in surgical medicine: a brief review. Ann Med Surg 2025;87(4):2180-2186
Pre-Clinical
Editorials
- Augoustides. Vasoplegia in Cardiac Surgery – progress in definition, etiology and integrated therapy. J Cardiothorac Vasc Anesth 2025;epublished April 2nd
- Bolliger. Transfusion, Bleeding, or Coagulopathy: What Matters Most in Patients After Cardiac Surgery? J Cardiothorac Vasc Anesth 2025;epublished April 2nd
- Loberger. Digesting a Slice of the SANDWICH Trial and Its Effect on a Bronchiolitis Subpopulation. Pediatr Crit Care Med 2025;26(4):e549-e551
- Cavallazzi. Evidence, implementation, and challenges in mechanical ventilation. J Bras Pneumol 2025;51(1):e20250071
- Horwitz. Intracranial pressure monitoring in older adults with severe traumatic brain injury: questions remain unanswered. Trauma Surg Acute Care Open 2025;10(1):e001819
Commentaries
- Unic-Stojanovic. Vasoplegic syndrome in cardiac surgery: bridging therapeutic gaps with best practices and future research. Interdiscip Cardiovasc Thorac Surg 2025;40(4):ivaf075
- Raimann. Diagnosis of brain death and consecutive donor management under combined circulatory support with ECMELLA therapy. Front Med 2025;12:1569951
- Besen. Common pitfalls in critical care research. Crit Care Sci 2025;37:e20250339
- Tasker. What Is the New Research in Pediatric Acute Respiratory Distress Syndrome Since the 2023 Consensus Conference? Pediatr Crit Care Med 2025;26(4):e544-e548
- Kitsios. Clinician Prediction of Hyperinflammatory ARDS Subphenotypes: Overestimated but Prognostic. Am J Respir Crit Care Med 2025;epublished April 1st
- Wijdicks. Futurology: What Would Future Historians of Neurocritical Care Write About? Neurocrit Care 2025;42:722-725
Correspondence
- Martin-Loeches. Clinical Guidelines: Asking the Right Questions to Guide Fungal Infection Management. Am J Respir Crit Care Med 2025;epublished April 2nd
- Epelbaum. Reply to Martin-Loeches and Rodriguez: Clinical Guidelines: Asking the Right Questions to Guide Fungal Infection Management. Am J Respir Crit Care Med 2025;epublished March 28th
- de Grooth. Credible Subgroup Effects in Randomized Clinical Trials. Am J Respir Crit Care Med 2025;epublished March 28th
Case Reports
- Prakashbabu. A dragon in the heart? An interesting observation in two cases of constrictive pericarditis. J Cardiothorac Vasc Anesth 2025;epublished April 3rd
- Singh. Spinal Cord Infarction as a Complication of VA-ECMO With Microaxial Flow Pump in Cardiogenic Shock. JACC Case Rep 2025;30(7):103378
- Meza-González. Untangling Mechanical Complications of Acute Myocardial Infarction. JACC Case Rep 2025;30(7):103400
- Wang. Multidisciplinary management of thoracic aortic injury with hemodynamically unstable pelvic fracture in the elderly. J Cardiothorac Surg 2025;20:171
- Yamanaka. Fatal coronary embolism in infective endocarditis: a case of sudden circulatory collapse. Eur Heart J 2025;46(13):1271
I hope you find this newsletter useful.
Until next week
Rob