ORIGINAL ARTICLE Selective Decontamination of the Digestive Tract in Adult Mechanically Ventilated Patients — An Updated Systematic Review with Bayesian Meta-Analysis Naomi E. Hammond, Anthony Devaux, Ruan Vlok, et al NEJM Evidence Published April 15, 2026 DOI: 10.1056/EVIDoa2500264 Abstract BACKGROUND There is uncertainty whether the use of selective decontamination of the digestive tract (SDD) as a preventive antimicrobial strategy reduces mortality...

Original Investigation  Caring for the Critically Ill Patient Gastric Residual Volume Assessment in Critically Ill Children: The GASTRIC-PICU Randomized Clinical Trial Lyvonne N. Tume, Paul R. Mouncey, Julia M. Broomhall, et al JAMA Published Online: June 12, 2026 doi: 10.1001/jama.2026.10639 Key Points Question  Is not routinely assessing gastric residual volume noninferior to regular assessment to guide enteral feeding in children wit...

ORIGINAL ARTICLE Prehospital Resuscitation with Type O Whole Blood for Trauma and Hemorrhage Jason L. Sperry, Francis X. Guyette, Bryan A. Cotton, et al N Engl J Med 2026;394:2317-2328 DOI: 10.1056/NEJMoa2602167 Abstract BACKGROUND Blood transfusion before arrival at a hospital reduces mortality from traumatic hemorrhage and shock. Whether transfusion with whole blood is more beneficial than transfusion with blood components is uncertain, as are the e...

ONLINE FIRST (FREE ACCESS) PHYSIOLOGY IN CRITICAL ILLNESS OPEN ACCESS ~ Understanding the Disease Fever dreams: demons and nightmares in an ICU bedMart, M.F., Shehabi, Y. STANDARD OF CARE IN INTENSIVE CARE What's New in Intensive Care Peripheral muscle ultrasound in the ICU: current evidence, limitations, and future directionsBald, A., Daum, N. & Schaller, S.J. LATEST ARTICLES Original Short-term light sedation with remimazolam besylate vers...

ORIGINAL ARTICLE Sodium Bicarbonate for Critically Ill Adults with Metabolic Acidosis and Shock The SODa-BIC Investigators and the Australian and New Zealand Intensive Care Society Clinical Trials Group N Engl J Med Published June 12, 2026 DOI: 10.1056/NEJMoa2600526 Abstract BACKGROUND Metabolic acidosis is common in critically ill patients and is associated with organ dysfunction and death. Sodium bicarbonate is used to correct acidemia, but its bene...

Effect of Respiratory Training on Lung Function in ICU Patients In ICU Tue, 10 Feb 2026 A recent review evaluated the effects of respiratory muscle training (RMT) on lung function and mechanical ventilation outcomes in adult patients. The authors address a clinically important issue: mechanically ventilated patients frequently develop respiratory muscle weakness and diaphragmatic atrophy due to prolonged disuse, sedation and neuromuscular blockade, whi...

Original Investigation  Critical Care Medicine Remote Monitoring Approaches to Reduce Readmissions After Infection and Sepsis: A Randomized Clinical Trial Sachin Yende, Victor B. Talisa, Kristin Mayes, et al JAMA Netw Open 2026;9;(6):e2616641. doi:10.1001/jamanetworkopen.2026.16641 Key Points Question  Does remote monitoring help individuals remain at home following hospitalization for serious infections?...

ORIGINAL ARTICLE Carbocisteine or Hypertonic Saline for Acute Respiratory Failure Bronwen Connolly, Naomi Dickson, Christina Campbell, et al N Engl J Med Published June 10, 2026 DOI: 10.1056/NEJMoa2603406 Abstract BACKGROUND Mucoactive agents are widely used in patients with acute respiratory failure despite limited evidence of their effectiveness or safety. METHODS We conducted a multicenter, open-label, randomized trial with a 2-by-2 factorial...

Red Blood Cells Transfusion Decision‑Making Process in Non‑Bleeding Patients In ICU Tue, 10 Feb 2026 A new review examines how red blood cell (RBC) transfusion decisions in non-bleeding critically ill adults should move beyond reliance on haemoglobin (Hb) thresholds alone and instead incorporate a more physiologically informed, multimodal assessment of tissue oxygenation and perfusion. Although restrictive transfusion strategies are widely recommended ...

ORIGINAL ARTICLE Vasopressors or Fluids in Early Septic Shock The ARISE FLUIDS Investigators, the ANZICS Clinical Trials Group, and the ACEM Clinical Trials Network N Engl J Med Published June 11, 2026 DOI: 10.1056/NEJMoa2516225 Abstract BACKGROUND The optimal approach to early resuscitation in septic shock is unknown. Equipoise exists between the use of larger volumes of intravenous fluids to restore perfusion and the use of early vasopressor therapy...