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Critical Care

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Critical Care

Integrated Respiratory and Functional Training Enhances Weaning and Recovery After Emergency Abdominal Surgery: Insights from a Randomized Controlled Trial

This RCT demonstrates that combining multidimensional functional training with inspiratory muscle training and chest physiotherapy improves weaning success, muscle strength, functional independence, pain reduction, and ICU stay following em

Oct 21, 2026
Critical Care

Implementing a Provincial Web-Based Family Satisfaction Survey in ICUs: Insights from Ontario’s Quality Improvement Initiative

A province-wide quality improvement initiative in Ontario implemented a web-based Family Satisfaction in ICU (FS-ICU) survey across adult level 3 ICUs, revealing high satisfaction scores yet highlighting challenges in participation and comp

Oct 20, 2026
Cardiology

Temporary Mechanical Circulatory Support in Cardiogenic Shock: Key Recommendations from the 2026 EAPCI–ACVC Consensus

The 2026 EAPCI–ACVC consensus refines use of temporary mechanical circulatory support in acute myocardial infarction with cardiogenic shock, emphasizing phenotype-driven device selection, SCAI/SHARC staging, multidisciplinary shock teams an

Oct 19, 2026
Clinical Updates

Isoflurane-Based Inhaled Sedation for Acute Hypoxemic Respiratory Failure: Insights from the SAVE-ICU Randomized Clinical Trial

This review critically examines the SAVE-ICU trial assessing isoflurane inhaled sedation versus intravenous sedation in mechanically ventilated adults with acute hypoxemic respiratory failure, highlighting implications for clinical practice

Oct 19, 2026
Clinical Updates

Evaluation of a Commercial Pediatric Sepsis Early Detection Alert in Emergency Departments: Efficacy, Equity, and Clinical Implications

This review synthesizes evidence evaluating the Epic Pediatric Sepsis Early Detection Model (PESM), highlighting its low sensitivity for early sepsis identification, disparities in performance across demographics, and implications for clini

Oct 19, 2026
Critical Care

Impact of Prioritization on Severe Primary Graft Dysfunction After Lung Transplantation: Disentangling Risk Factors and Outcomes

Prioritized lung transplant recipients exhibit higher severe PGD rates and mortality, yet prioritization itself is not an independent PGD predictor; pre-transplant ECMO is the primary risk factor.

Oct 19, 2026
Critical Care

Reevaluating Oliguria Thresholds in Critical Care: Implications for AKI, CKD, and Mortality Risk

New evidence suggests lower urine output thresholds than current standards better predict acute kidney injury, chronic kidney disease, and mortality in critically ill patients, urging redefinition of oliguria parameters in AKI diagnostics.

Oct 19, 2026
Clinical Updates

High-Frequency Chest Wall Oscillation in Acute Respiratory Failure With Bronchial Hypersecretion: Evidence Synthesis and Clinical Implications

This review synthesizes current evidence on high-frequency chest wall oscillation (HFCWO) for airway clearance in acute respiratory failure with bronchial hypersecretion, highlighting recent RCT findings, mechanistic insights, and future re

Oct 19, 2026
Critical Care

Reevaluating Ventilation Rates During Pediatric CPR: New Insights into Age-Stratified Outcomes

This article explores findings from a multicenter study evaluating the impact of cardiopulmonary resuscitation ventilation rates on survival in pediatric intensive care, identifying age-specific ventilation targets linked to improved outcom

Oct 18, 2026
Critical Care

Assessing Muscle Recovery: Responsiveness of the K-Force Grip Dynamometer in ICU-Acquired Weakness Patients

This study confirms the K-Force grip dynamometer as a responsive tool to detect short-term changes in handgrip strength in ICU-acquired weakness patients, supporting its clinical utility in critical care rehabilitation.

Oct 17, 2026
Cardiology

Impact of Prolonged Inotropic Use on Outcomes During VA ECMO Support in Cardiogenic Shock

Higher cumulative inotropic exposure during VA ECMO support in cardiogenic shock is associated with increased risk of ECMO weaning failure, mortality, arrhythmias, and delayed lactate clearance, highlighting the need for prospective trials

Oct 17, 2026
Critical Care

An Infant With Extreme Hypernatremia Treated With Peritoneal Dialysis

A 34-day-old male infant with serum sodium >200 mmol/L from accidental salt ingestion was successfully treated with peritoneal dialysis, leading to full recovery.

Oct 16, 2026
Critical Care

Impact of Diabetes and Atherosclerotic Cardiovascular Disease on the Prognostic Role of sTNFR1 in Sepsis Mortality

This study reveals how diabetes and ASCVD alter the link between soluble TNF receptor 1 levels and 90-day sepsis mortality, informing biomarker-guided risk assessment and understanding of sepsis pathobiology.

Oct 16, 2026
Critical Care

Optimizing Early Resuscitation in Septic Shock: Balancing Fluids and Vasopressors

A large randomized trial finds no difference in 90-day days alive and out of hospital between early vasopressors with restricted fluids versus higher fluids with delayed vasopressors in septic shock, though pulmonary edema was less frequent

Oct 16, 2026Sign in to read
Critical Care

Validating the Patient Dignity Inventory to Enhance Recovery in Acute Respiratory Failure Survivors

This study validates the Patient Dignity Inventory (PDI) as a reliable tool to assess dignity-related distress over 12 months in acute respiratory failure survivors, supporting dignity-centered interventions to improve long-term psychosocia

Oct 15, 2026
Clinical Updates

Modulation of Respiratory Drive by Ondansetron in Acute Respiratory Distress Syndrome: Emerging Evidence and Clinical Implications

Ondansetron, a 5-HT3 antagonist, reduces respiratory drive in ARDS patients on mechanical ventilation by attenuating pulmonary C-fiber mediated stimulation, potentially lessening lung injury and improving oxygenation.

Oct 14, 2026
Critical Care

Optimizing Care for Neonates with Transient Tachypnea: Strategies to Reduce NICU Length of Stay and Interventions

Standardizing care for neonates with transient tachypnea significantly reduced NICU length of stay and medical interventions without compromising safety or breastfeeding rates.

Oct 13, 2026
Critical Care

Racial and Ethnic Disparities in Physical Impairment Among ICU Survivors: Implications for Post-Hospital Care

Non-Hispanic Black and Hispanic ICU survivors exhibit higher rates of physical impairment at discharge and increased healthcare utilization within one year, highlighting critical racial and ethnic disparities in post-ICU recovery.

Oct 13, 2026
Clinical Updates

Individualized Treatment Effects of Cefepime vs Piperacillin-Tazobactam in Adults Hospitalized with Acute Infection: A Review of Evidence and Clinical Implications

This review synthesizes evidence on how individual patient characteristics modify the comparative effects of cefepime versus piperacillin-tazobactam on acute kidney injury and neurologic outcomes in adults hospitalized with acute infection.

Oct 13, 2026
Critical Care

Optimizing ICU Pharmacist Workload: Impact on Patient Mortality and Medication Management

This study identifies higher pharmacist-to-patient ratios and interruptions in comprehensive medication management as key contributors to increased mortality among ICU patients, highlighting the need for optimized pharmacist staffing in cri

Oct 11, 2026Sign in to read
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