Prolonged vs Shorter Awake Prone Positioning - COVID-19 With Acute Respiratory Failure In ICU Mon, 5 Aug 2024 Awake prone positioning has been shown to reduce endotracheal intubation in patients with COVID-19-related acute hypoxaemic respiratory failure (AHRF). This method has also become standard care for patients with moderate to severe acute respiratory distress syndrome (ARDS).  During the COVID-19 pandemic, studies suggested that awak...

Original Investigation  Cardiology August 21, 2024 Sex, Atrial Fibrillation, and Long-Term Mortality After Cardiac Surgery Sergey Karamnov, Natalia Sarkisian, Jakob Wollborn, et al JAMA Netw Open. 2024;7(8):e2426865. doi:10.1001/jamanetworkopen.2024.26865 Key Points Question  Do the incidence of postoperative atrial fibrillation (poAF) and associated long-term mortality after cardiac surgery ...

Prolonged awake prone positioning in COVID-19: recommendations and outlook Lei, R., Yue, C., Li, R. et al. Intensive Care Med (2024). https://doi.org/10.1007/s00134-024-07640-z We read with great interest the article by Liu et al. recently published in Intensive Care Medicine [1]. This landmark study conducted a multicenter, randomized controlled trial to evaluate the effects of prolonged versus shorter awake prone positioning on intubation rates and mortality in...

Original Investigation  May 19, 2024 Bisoprolol in Patients With Chronic Obstructive Pulmonary Disease at High Risk of Exacerbation: The BICS Randomized Clinical Trial Graham Devereux, Seonaidh Cotton, Mintu Nath, et al JAMA. 2024;332(6):462-470. doi:10.1001/jama.2024.8771 Key Points Question  For people with chronic obstructive pulmonary disease (COPD) at high risk of exacerbations, does bisoprolol reduc...

Barriers to Female Leadership in Intensive Care Medicine In ICU Mon, 26 Aug 2024 The field of intensive care medicine faces a significant gender imbalance in leadership positions, with women underrepresented due to various factors, including gender bias, societal messages, and a confidence gap that leads to self-censorship. Many qualified women face obstacles like outdated leadership models and systemic biases, which hinder their advancement. To add...

Original Investigation  Public Health June 13, 2024 Hand Hygiene Education Components Among First-Year Nursing Students: A Cluster Randomized Clinical Trial Jing Chen, Lin Yang, Yim-Wah Mak, et al JAMA Netw Open. 2024;7(6):e2413835. doi:10.1001/jamanetworkopen.2024.13835 Key Points Question  Which components of an educational program featuring a handwashing instructional video and hand sca...

ONLINE FIRST (FREE ACCESS) LATEST ARTICLES Original The use of echocardiography in the management of shock in critical care: a prospective, multi-centre, observational study Flower L. et al “It’s all about setting the stage.” The nurse facilitator trial: perceived outcomes and implementation issues. A qualitative study among ICU clinicians and nurse facilitators Renet A .et al Long-term effects of flexible visitation in the intensive care unit on fami...

Fluid responsiveness in acute respiratory distress syndrome patients: a post hoc analysis of the HEMOPRED study Joseph, A., Evrard, B., Petit, M. et al. Intensive Care Med(2024). https://doi.org/10.1007/s00134-024-07639-6 Abstract Purpose Optimal fluid management in patients with acute respiratory distress syndrome (ARDS) is challenging due to risks associated with both circulatory failure and fluid overload. The performance of dynamic indices to predict fl...

High vs Standard Protein Provision and Functional Recovery - PRECISe In ICU Mon, 26 Aug 2024 Rapid skeletal muscle wasting during critical illness negatively affects both short- and long-term outcomes after ICU admission. Increasing dietary protein intake may help reduce muscle wasting and improve post-ICU function. ICU-acquired weakness (ICU-AW) is common among ICU survivors and negatively impacts both short- and long-term outcomes. It results from...

Epidemiology of acute hypoxaemic respiratory failure in Australian and New Zealand intensive care units during 2005–2022. A binational, registry-based study Ling, R.R., Ponnapa Reddy, M., Subramaniam, A. et al. Intensive Care Med (2024). https://doi.org/10.1007/s00134-024-07609-y Abstract Purpose Acute hypoxaemic respiratory failure (AHRF) is a common reason for intensive care unit (ICU) admission. However, patient characteristics, outcomes, and trends over...