Hot Articles

The following articles have been chosen as the most noteworthy publications in critical care since December 2011.

2019

Randomised Controlled Trials

Pilot Randomised Controlled Trials

Observational Studies

Guidelines & Position Statements

Randomised Controlled Trials

American Thoracic Society Meeting

Pilot RCTs

Observational Studies

American Thoracic Society Meeting

Guidelines & Position Statements

Randomised Controlled Trials

Pilot RCTs

Guidelines & Position Statements

Randomised Controlled Trials

American College of Cardiology Meeting

Pilot RCTs

Guidelines & Position Statements

Randomised Controlled Trials

Society of Critical Care Medicine Congress 2019

Observational Studies

Guidelines & Position Statements

2018

Randomised Controlled Trials

Pilot RCTs

Observational Studies

Guidelines & Position Statements

Chinese Combat Injury Guidelines

American Society of Haematology Venous Thromboembolism Guideline

Randomised Controlled Trials

ESICM Trials

Non-ESICM Trials

Guidelines & Position Statements

Randomised Controlled Trials

Guidelines & Position Statements

Randomised Controlled Trials

Observational Studies

Guidelines & Position Statements

Randomised Controlled Trials


Guidelines & Position Statements

2017

Randomised Controlled Trials

Guidelines & Position Statements

Laptook. Effect of Therapeutic Hypothermia Initiated After 6 Hours of Age on Death or Disability Among Newborns With Hypoxic-Ischemic Encephalopathy. A Randomized Clinical Trial. JAMA 2017;318(16):1550-1560

Stöckl. Continuous versus intermittent neuromuscular blockade in patients during targeted temperature management after resuscitation from cardiac arrest—A randomized, double blinded, double dummy clinical trial. Resuscitation 2017;120:14-19

Koster. Safety of mechanical chest compression devices AutoPulse and LUCAS in cardiac arrest: a randomized clinical trial for non-inferiority. European Heart Journal 2017;38(40):3006–3013

The Implementation of Targeted Temperature Management: An Evidence-Based Guideline from the Neurocritical Care Society. Neurocrit Care 2017;epublished October 16th

Right heart dysfunction and failure in heart failure with preserved ejection fraction: mechanisms and management. Position statement on behalf of the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail 2017;epublished October 16th

Koch. A Randomized Clinical Trial of Red Blood Cell Transfusion Triggers in Cardiac Surgery. Ann Thorac Surg 2017;104(4):1243-1250

Jaillette. Impact of tapered-cuff tracheal tube on microaspiration of gastric contents in intubated critically ill patients: a multicenter cluster-randomized cross-over controlled trial. Intensive Care Med 2017;43(11):1562–1571

Guidelines for the diagnosis and management of critical illness-related corticosteroid insufficiency (CIRCI) in critically ill patients (Part II): Society of Critical Care Medicine (SCCM) and European Society of Intensive Care Medicine (ESICM) 2017. Intnsive Care Med 2017;epublished October 31st

Treatment and Outcome of Hemorrhagic Transformation After Intravenous Alteplase in Acute Ischemic Stroke: A Scientific Statement for Healthcare Professionals From the American Heart Association / American Stroke Association. Stroke 2017;epublished November 2nd

Thiele. PCI Strategies in Patients with Acute Myocardial Infarction and Cardiogenic Shock (CULPRIT-SHOCK). N Engl J Med 2017;epublished October 30th

van Brunschot. Endoscopic or surgical step-up approach for infected necrotising pancreatitis: a multicentre randomised trial. Lancet 2017;epublished November 3rd

European Stroke Organization guideline for the diagnosis and treatment of cerebral venous thrombosis – endorsed by the European Academy of Neurology. Eur J Neurol 2017;24:1203–1213

30th Annual ESICM Congress (LIVES2017, Vienna) 

New Engl J Med - Age of Transfused Red Cells

JAMA - Alveolar Recruitment in ARDS

JAMA - Intra-Operative Blood Pressure Management

JAMA - Systematic ICU Admission for Elderly Sick Patients

JAMA - Early Goal-Directed Sepsis Care in Zambia

Intensive Care Medicine - Early Goal-Directed Nutrition

Intensive Care Medicine - Airway Pressure Release Ventilation

Intensive Care Medicine - Spontaneous Breathing Trials

Intensive Care Medicine - Biomarker-Guided Strategy for Discontinuing Antifungal Therapy

Kneyber. Recommendations for mechanical ventilation of critically ill children from the Paediatric Mechanical Ventilation Consensus Conference (PEMVECC). Intensive Care Med 2017;epublished September 22nd


Intensive Care Medicine - Positioning for VAP


Intensive Care Medicine - Adrenal Insufficiency Guideline


Circulation - Cardiogenic Shock Guideline


Lancet Respiratory Medicine - Sedation Interruption


Chest - Checklists for ICU Intubation


Critical Care Medicine - Nebulized Versus IV Amikacin in VAP


European Respiratory Journal - HAP / VAP Guideline


Annals of Surgery - Transfusion Thresholds in Burns


Critical Care - Loxapine for Agitation


Critical Care - Recombinant ACE 2 in ARDS


J Crit Care - Enteral Nutrition as Stress Prophylaxis


Am J Respir Crit Care Med - Coping Skills in ICU Survivors


European Respiratory Journal - NIV Guideline

NEJM - Oxygen in Acute Myocardial Infarction


Crit Care Resusc - Earplugs for Sleep Quality


Resuscitation - Intermittent vs Continuous Neuromuscular Blockade during Temperature Management post Cardiac Arrest


JAMA - Ganciclovir in CMV-Positive Critically Ill Patients


Critical Care - Serlipressin in Septic Shock


Critical Care Medicine - Simulation for ECMO Emergencies


Critical Care Medicine - Exposure Keratopathy


Critical Care - Software-Guided Glycaemic Control


Thorax - Rehabilitation in the ICU

JAMA - 24 vs 48 Hours of Hypothermia post Cardiac Arrest


JPEN - Paediatric Nutritional Support Guideline


Journal of Intensive Care - Japanese ARDS Guideline


Chinese Medical Journal - EEG Monitoring Guideline


Lancet respiratory Medicine - Simvastatin for Prevention & Treatment of ICU Delirium


Journal of Critical Care - Furosemide in Early Acute Kidney Injury


Lancet - Procalcitonin-Guided Antibiotics in Early Sepsis


Minerva Pneumologica - NIV vs IMV in Hypoxaemic Respiratory Failure


JAMA Cardiology - Spironolactone in Acute Heart Failure


Anaesth Crit Care Pain - French TTM Guideline


World Jounal of Emergency Surgery - Intra-Abdominal Infections Guideline


Critical Care Medicine - Blood flow & CRRT Circuit Lifespan


European Heart Journal - Safety of Mechanical Chest Compression Devices


Journal of Korean medical Science - Mild Hypothermia for Poor Grade Subarachnoid Haemorrhage


Critical Care Medicine - Shenfu Injection post Cardiac Arrest


JAMA - Cooling post Neonatal Hypoxic-Ischaemic Encephalopathy

Circulation - N-Acetylcysteine & Nitrate Therapy in STEMI


Thorax - Post ICU Rehabilitation

McDowell. Effectiveness of an exercise programme on physical function in patients discharged from hospital following critical illness: a randomised controlled trial (the REVIVE trial) Thorax 2017;72:594-595


JAMA - FAST Scan in Paediatric Trauma


J Allergy Clin Immunol Pract - Icatibant for ACE Inhibitor-Induced Angioedema


Ann Emerg Med - High Flow Nasal Oxygen in Cardiogenic Pulmonary Oedema


Critical Care - Supplementary Parenteral Nutrition


JAMA Surgery - Intraoperative Dexmedetomidine & Post-Op Cognitive Dysfunction


Intensive Care Med - AKI Guideline

American Thoracic Society Conference

NEJM - Angiotensin II for Septic Shock


NEJM - Time to Treatment in Sepsis


JAMA - Outcome Prediction ICU



Thorax - BTS Oxygen Use Guideline


Crit Care Medicine - Paediatric & Neonatal Septic Shock Guideline


Neurology - Brain Injury after CPR Guideline


Chest - Positioning for Endotracheal Intubation


Resuscitation - Video versus Direct Laryngoscopy for Paramedic Endotracheal Intubation


European Journal of Anaesthesiology - Severe Perioperative Bleeding Guideline


Annals of Intensive Care - Post Extubation High Flow Nasal Oxygen


Crit Care Medicine - Stress Ulcer Prophylaxis


American Heart Journal - Nitric Oxide in Acute PE


N Eng J Med - Bystander Efforts in Out-of-Hospital Cardiac Arrest

Lancet - Tranexamic Acid for Post Partum Haemorrhage


Lancet Haematology - FFP vs Coagulation Factor Concentrates for Traumatic Coagulopathy


JAMA Internal Medicine - Antiviral Therapy for CMV Reactivation


Annals of Thoracic Surgery - Corticosteroids in Neonatal Cardiac Operations


JAMA - Postoperative Troponin Elevation in Noncardiac Surgery


Intensive Care Medicine - Immunoglobulin for Necrotising Soft Tissue Infection


New England Journal of Medicine - Ularitide in Acute Heart Failure


Intensive Care Medicine - NIV Post Extubation in Chronic Respiratory Disorders


Intensive Care Medicine - IV Chloride Restriction in Cardiac Surgery

Critical Care Medicine - Transfusion in Critically Ill Oncology Patients


J Trauma - Damage Control Resuscitation Guideline


J Crit Care - Tracheostomy Guideline


Intensive Care Med - Condolence Letter


JPEN J Parenter Enteral Nutr - Parenteral Nutrition Guideline


Intensive Care Medicine - Early Enteral Nutrition Guideline


Critical Care Medicine - Contrast-Induced Nephropathy


Critical Care - Pseudomonas Vaccine

Society of Critical Care Medicine Annual Congress

JAMA - Video vs Direct Laryngoscopy for Intubation in ICU

N Engl J Med - Therapeutic Hypothermia for Paediatric Cardiac Arrest

N Engl J Med - Paediatric Glycaemic Control

JAMA - Intubation during Cardiac Arrest


Crit Care Med - Surviving Sepsis Campaign Guidelines


Crit Care Med - Family-Centred Care Guidelines


Chest - Liberation from Mechanical Ventilation Guidelines

2016

NEJM - Age of Transfused Blood


NEJM - Tranexamic Acid for Coronary Artery Surgery


Intensive Care Medicine - High Flow Nasal Oxygen post Abdominal Surgery


Intensive Care Medicine - Balanced versus Unbalanced Crystalloids


Intensive Care Medicine - HFNO vs NIV for Pre-Oxygenation in Hypoxic ICU patients


Critical Care - Steroids in Early Sepsis-Associated ARDS


Am J Respir Crit Care Med - Helium / Oxygen in Exacerbations of COPD


Intensive Care Medicine - Intravascular Catheter Dressings


J Crit Care - Intensity of Feeding

ESICM 2016

NEJM - Levosimendan in Sepsis

JAMA - HFNO vs NIV

JAMA - OXYGEN-ICU

JAMA - EMPIRICUS

JAMA - Intubation during Paediatric Cardiac Arrest

Therapeutic Hypothermia & Cardiac Arrest

JAMA - Steroids in Sepsis

Intensive Care Medicine - Fluid Resuscitation in Sepsis


Intensive Care Medicine - Nitric Oxide during Cardiopulmonary Bypass


Intensive Care Medicine - NAVA


Intensive Care Medicine - IV Iron for Anaemia


Intensive Care Medicine - Recovery Programme


Lancet - Early, Goal-Directed Mobilisation


Critical Care Medicine - Dopamine vs Adrenaline in Septic Shock


 Neurosurgery - 4th Brain Trauma Foundation TBI Guideline


NEJM - High Flow Nasal Oxygen for Preterm Infants


Crit Care Med - Stress Ulcer Prophylaxis


Liver International - Vasopressor Support for Cirrhosis & Septic Shock


NEJM - Decompressive Craniotomy


Am J Respir Crit Care Med - Sevoflurane for Sedation ARDS


Chinese Medical Journal - Evaluation of Coma after Cardiac Arrest


N Engl J Med - Factor Xa Inhibitor Related Bleeding

Lancet Respiratory Medicine - Sedation & Analgesia


JAMA Cardiology - Nonshockable Out-of-Hospital Cardiac Arrest


Shock - Hydrocortisone in Septic Shock


JAMA Internal Medicine - Sodium Selenite & Procalcitonin in Sepsis


Journal of Critical Care - Heparin for Pneumonia in Ventilated Patients


European Heart Journal - Acute Heart Failure Guideline


Clinical Infectious Diseases - HAP & VAP Guideline


Am J Respir & Crit Care Med - Burnout Syndrome in Critical Care Professionals


JAMA - Palliative Care-Led Meetings

Lancet - Platelet Transfusion in Haemorrhagic Stroke


JAMA - Timing of Renal Replacement Therapy in AKI


American Thoracic Society Meeting

New England Journal of Medicine:     Timing of Renal Replacement Therapy in AKI

JAMA:     Aspirin for the Prevention of ARDS

JAMA:     Helmet NIV for ARDS

American Journal of Kidney Disease:     Renal Replacement Therapy Dose


Journal of the American College of Cardiology:     Early Aldosterone Blockade in Acute MI


Resuscitation:     Video Laryngoscopy during CPR


Critical Care:     European Guideline on Bleeding & Coagulopathy post Trauma


JAMA:     Checklists


Resuscitation:     Hypercapnoea post Cardiac Arrest


NEJM:     Antiarrhythmics in Out-of-Hospital Cardiac Arrest


Critical Care:     Steroids for Refractory Shock post Cardiac Arrest


Intensive Care Medicine:     Probiotics for the Prevention of VAP

Brussel's International Symposium on Intensive Care & Emergency Medicine

JAMA:  Dexmedetomidine Sedation in ICU

JAMA: High-Flow Nasal Oxygen post Extubation

JAMA: Non-Invasive Ventilation post Extubation after Abdominal Surgery

JAMA: Secondary Infections post Sepsis

NEJM: Early TPN in Childern


Critical Care Medicine:  Fragility Index in Critical Care


Journal of Infection - UK Meningitis Guidelines


JAMA - Sepsis Definition


JAMA - Statins for AKI


JAMA - ARDS Epidemiology

Lancet Respiratory Medicine - Effect of Light on Delirium


Intensive Care Medicine - Blood Pressure Targets in Shock


NICE Trauma Guideline


JAMA - Acetazolamide for COPD


Intensive Care Medicine - Percutaneous Dilational Tracheostomy


Pediatric Crit Care Med - Aminophylline for Prevention of AKI

Blue Journal - End-of-Life Communication


JPEN J Parenter Enteral Nutr - Nutritional Support in the Critically Ill


Intensive Care Medicine - Continuous vs Intermittent Beta Lactam Infusion


Chest - Antithrombotic Therapy for VTE


Resuscitation - TTM post Cardiac Arrest


German Medical Society - Delirium, Analgesia & Sedation Guideline


Annals of Intensive Care - Renal Replacement Therapy Guideline


ANZICS - Acute Pain Management Scientific Evidence

2015

Journal of Thrombosis and Haemostasis - Guideline on Antidotes for Direct Oral Anticoagulants


American Journal of Respiratory & Critical Care Medicine:     Physical Therapy for Respiratory Failure


NICE Guideline on Acute Heart Failure


NICE Guideline on IV Fluid Therapy in Young People


Journal of Trauma:  Western Trauma Guidelines


Critical Care Medicine:     SCCM Guideline on Ultrasound in Critical Care


Critical Care Medicine: SCCM Guideline on Organ Procurement


Critical Care Medicine:    SCCM Guideline on ICU Process & Structures


Lancet Infectious Diseases:     Body Surface Decolonization & UTIs


JAMA:     Transfusion in Anaemic Children with Elevated Lactate

Intensive Care Medicine:  Post-Resuscitation Care Guideline


American Heart Association:  ST-Elevation MI Guideline Update


American Heart Association:  Infective Endocarditis Guideline


2015 Cardiac Arrest Guidelines

  1. Part 1: Executive Summary: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015;132:S315-S367
  2. Part 2: Evidence Evaluation and Management of Conflicts of Interest: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015;132:S368-S382
  3. Part 3: Ethical Issues: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015;132:S383-S396
  4. Part 4: Systems of Care and Continuous Quality Improvement: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015;132:S397-S413
  5. Part 5: Adult Basic Life Support and Cardiopulmonary Resuscitation Quality: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015;132:S414-S435
  6. Part 6: Alternative Techniques and Ancillary Devices for Cardiopulmonary Resuscitation: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015;132:S436-S443
  7. Part 7: Adult Advanced Cardiovascular Life Support: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015;132:S444-S464
  8. Part 8: Post–Cardiac Arrest Care: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015;132:S465-S482
  9. Part 9: Acute Coronary Syndromes: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015;132:S483-S500
  10. Part 10: Special Circumstances of Resuscitation: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015;132:S501-S518
  11. Part 11: Pediatric Basic Life Support and Cardiopulmonary Resuscitation Quality: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015;132:S519-S525
  12. Part 12: Pediatric Advanced Life Support: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
  13. Circulation 2015;132:S526-S542
  14. Part 13: Neonatal Resuscitation: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015;132:S543-S560
  15. Part 14: Education: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015;132:S561-S573

ESICM Hot Topics and New Trials

N Engl J Med:     Plasmalyte vs Saline

JAMA:     Paracetamol for Fever in Critically ill with Suspected Infection

Lancet:     Erythropoietin for Traumatic Brain Injury

N Engl J Med:     Hypothermia for Intracranial Hypertension in Traumatic Brain Injury


Am J Respir Crit Care Med:     Apnoeic Oxygenation

JAMA:     ICU Admission for Older Adults with Pneumonia


JAMA:     Do-Not-Resuscitate Status


 

NEJM:     CVC Insertion Site


Clinical Drug Investigation:  Esmolol for Sepsis


Lancet:     Methylprednisolone for Cardiopulmonary Bypass


Lancet:     Sigmoid Diverticulitis

Lancet:  CVC Line Infection Prevention


American Journal of Respiratory & Crit Care Med:     End-of-Life Care


Critical Care:     Laxative Therapy


Lancet:  Oxyenation Target in Bronchiolitis


Lancet:  Bubble CPAP for Paediatric Pneumonia


European Journal of Anesthesiology:     Pre-Oxygenation


Critical Care Medicine:     Vasopressors for Paediatric Septic Shock


Blue Journal:     Oxygenation Targets in Mechanically Ventilated Patients


Journal of Hepatology:     Plasma Exchange for Acute Liver Failure


Circulation:     ESC Guidelines on Pulmonary Hypertension | Pericardial Disease | Non-Persistent ST Elevation Coronary Syndromes | Infective Endocarditis

British Journal of Haematology:     Guideline on Admission for Haematology Cancer Patients


Journal of Trauma:  Early Surgery in Traumatic Brain Injury


Annals of Surgery:     Cryopreserved Packed Red Cells


NEJM / Lancet:     Idarucizumab for Dabigatran


Lancet:     Bioprosthetic Total Artificial Heart Heart


New England Journal of Medicine:     Hypothermia for Deceased Kidney Donor Graft

JAMA:     Bystander CPR


Blue Journal:     β-Lactam Infusion in Severe Sepsis


Perioperative Medicine:     Stroke Volume Variation


Critical Care Medicine:    Critical Care Interventions


Blue Journal:     Haemofiltration for Postcardiac Surgery Shock


Annals of Surgery:     Abdominal Vacuum Therapy post Laparotomy


Annals of Intensive Care:     Guideline on Cardiogenic Shock

Journal of Trauma:     Guideline on ED Thoracotomy


Critical Care Medicine:     Hypothermia for Paediatric Traumatic Brain Injury


Circulation:     Targeted Temperature Management


New England Journal of Medicine:     Out-of-Hospital CPR


New England Journal of Medicine:     Stroke Thrombolysis


New England Journal of Medicine:     Stroke Thrombectomy


Blue Journal:     Guideline on Requests for Inappropriate ICU Therapy


Blue Journal:     Guideline on Managing Conscientious Objections in ICM


Journal of Cardiac Failure:     Statement on Percutaneous Mechanical Circulatory Support

European Heart Journal:     Guideline on Acute Heart Failure


Stroke:     Guideline on Spontaneous Intracerebral Haemorrhage


Critical Care Medicine:     Talactoferrin for Sepsis


New England Journal of Medicine:     Intra-Abdominal Infection


American Thoracic Society Meeting 2015

New England Journal of Medicine:     Underfeeding

New England Journal of Medicine:     High Flow Nasal Oxygen

Journal of the American Medical Association:     High Flow Nasal Oxygen


Lancet:     Red Cell Transfusion in Upper GI Haemorrhage


 British Medical Journal:     MRSA Therapy


AJRCCM:     GUIDELINE - Conscientious Objections in ICU

Intensive Care Society:     Provision of Intensive Care Servces


Neurocritical Care:     Hemispheric Infarction


Neurocritical Care:     Devastating Brain Injury


Swiss Medical Weekly:     Ethics in ICU


New England Journal of Medicine:     Paediatric Therapeutic Hypothermia post Cardiac Arrest


New England Journal of Medicine:     Alcoholic Hepatitis


Intensive Care Medicine:     High Flow Nasal Cannulae Oxygen for Intubation


JAMA Internal Medicine:     Post ICU Rehabilitation