ICU Management & Practice, Volume 22 - Issue 5, 2022 Bedside Point-of-Care Ultrasound Use in the Critically Ill Historical Perspectives and a Path Forward Critical Care Ultrasound is a rapidly evolving field with an ever-expanding footprint in ICUs. While much progress has been made, ongoing efforts need to continue towards demonstrating impact on patient-oriented outcome measures and on defining educational curricula and competency requirements. Poin...

Viral-associated Pulmonary Aspergillosis: Have We Finally Overcome the Debate of Colonization versus Infection? Werner C. Albrich and  Frédéric Lamoth Am J Respir Crit Care Med 2023; 208: 230-231 Invasive pulmonary aspergillosis (IPA) has emerged in the ICU setting following the recent influenza H1N1 and coronavirus disease (COVID-19) pandemics. Viral-associated IPA (VAPA) is quite different than classical IPA in terms of pathogenicity and clinical presentation i...

ICU Management & Practice, Volume 23 - Issue 2, 2023 Early Mobilisation in Patients Undergoing Extracorporeal Membrane Oxygenation Extracorporeal membrane oxygenation is a resource that is accessible in hospitals and intensive care units all over the world. In serious situations, ECMO therapy is intended to provide haemodynamic and/or ventilatory support. Because of this, many people refer to the ECMO patient as "the most critical patient." As a result, the...

COMMENT|ONLINE FIRST Ultra-low tidal volume ventilation for lung protection: not so fast Laura A Buiteman-Kruizinga, Marcus J Schultz Lancet Respir Med Published:July 12, 2023DOI:https://doi.org/10.1016/S2213-2600(23)00225-4 Since 2000, following the publication of the ARMA study,1 low tidal volume (VT) ventilation (LTV) has been the standard of care for patients with acute respiratory distress syndrome (ARDS). LTV often refers to ventilation with VT of 6·0 mL...

ICU Management & Practice, Volume 23 - Issue 2, 2023 Predictive Analytics for Kidney Support in the ICU The timing and application of dialysis in the ICU is highly variable contributing to poor outcomes. A clinical decision support system (CDSS) incorporating a dynamic predictive algorithm for organ support could improve outcomes. Background Multiorgan failure (MOF) and acute kidney injury (AKI) are frequently encountered in critically ill patients an...

Editorial  July 25, 2023 Time for Acute Bacterial Rhinosinusitis Point-of-Care Testing—Snot or Not Sophie G. Shay, Jennifer J. Shin JAMA Otolaryngol Head Neck Surg. Published online July 25, 2023. doi:10.1001/jamaoto.2023.2612 The diagnosis of acute bacterial rhinosinusitis in children is clinically challenging due to symptom overlap with acute viral upper respiratory illnesses. To help address this frequent conundrum, Shaikh and colleagues d...

EDITORIAL Routine Early ECLS in Infarct-Related Cardiogenic Shock? Jane A. Leopold, Darren B. Taichman N Engl J Med August 26, 2023DOI: 10.1056/NEJMe2309395 The 30-day mortality among patients with an acute myocardial infarction complicated by cardiogenic shock who undergo coronary-artery revascularization procedures approaches 50% in contemporary clinical trials and registries.1 In patients with persistent hemodynamic compromise and organ hypoperfusion d...

Editorial  July 25, 2023 Acute Bacterial Sinusitis: Limitations of Test-Based Treatment Tania M. Caballero, Brandon S. A. Altillo, Aaron M. Milstone JAMA. 2023;330(4):326-327. doi:10.1001/jama.2023.11365 Millions of cases of upper respiratory tract infections (URTIs) occur in the US each year and are more common among children than adults. Most URTIs are viral in origin and self-limited, but up to 50% of all patient encounters for viral URTI ...

ICU Management & Practice, Volume 23 - Issue 2, 2023 Kidney Replacement Therapy in the Intensive Care Unit Kidney Replacement Therapy is a commonly used therapeutic strategy in the intensive care unit for patients who develop Acute Kidney Injury or who already have a diagnosis of chronic kidney disease. ICU staff should know when to use it and which type is most suitable for the circumstances. Epidemiology and Outcomes of AKI Acute kidney injury (AKI)...

Editorials Private equity takeovers are harming patients Merrill Goozner BMJ 2023; 382 doi: https://doi.org/10.1136/bmj.p1396 (Published 19 July 2023)Cite this as: BMJ 2023;382:p1396 Evidence review suggests that costs rise and quality falls at acquired healthcare providers Private equity investment in healthcare provider institutions reached record highs in recent years in both the US and Europe, with US acquisitions accounting for three quarters of the co...