Critical Care Alert
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Intravenous Fluids in ICU Patients with Septic Shock: Is Restriction the Answer?
In an international, randomized trial of 1,554 patients with septic shock who had already received > 1 liter of intravenous fluids, patients assigned to the restrictive-fluid group compared to the standard-fluid group did not have reduced mortality at 90 days.
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Updates in Stress Ulcer Prophylaxis
The development of esophageal, gastric, and duodenal erosions or ulcers may increase the morbidity and mortality of critically ill patients. Stress ulcer prophylaxis can be administered pharmacologically to prevent gastrointestinal bleeding from the ulcers.
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Biden Administration Invests in Pediatric Mental Healthcare Expansion
Announcement made on the same day various organizations call for optimizing resources for pediatric emergencies.
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Nurses at Rural Facilities Explain Barriers to End-of-Life Care
Family members often disagree with one another and misunderstand the meaning of “lifesaving measures.”
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Limitation of Tidal Volume Is Cardioprotective Among Mechanically Ventilated Patients Undergoing Cardiac Surgery
In this experimental study, rising tidal volume increased right ventricular afterload.
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Family Members of Critically Ill Patients with SARS-CoV-2 Pneumonia Have a High Burden of Symptoms of PTSD
This multicenter cohort study revealed a high incidence of PTSD symptoms among family members of COVID-19 patients at three months after the ICU admission.
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Appropriate Oxygenation Targets in the Treatment of Hypoxemic Respiratory Failure
The care of critically ill patients in the ICU remains challenging. Recent studies support current protocols for the delivery of oxygen to patients who require supplemental oxygen due to respiratory failure of varying etiologies. Broad oxygenation targets of SpO2 between 88% to 97% continue to be supported by recent trials.
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A Collaborative Three-Step Physician and Nurse Support Strategy for Families of Patients Dying in the ICU
When physicians and nurses offer collaborative and repeated support to families of patients dying in the intensive care unit, it may decrease prolonged grief, depression, and anxiety symptoms.
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Frailty Is Associated with Longer Duration of Mechanical Ventilation and Higher Mortality
In this retrospective, population-based cohort study, patients with frailty spent more time on mechanical ventilation, had longer intensive care unit and hospital stays, and had higher mortality than patients without frailty.
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Ethics of Lung Transplantation in COVID-19
This article will explore the history and epidemiology of lung transplantation and discuss its application and ethics in the COVID-19 pandemic.