Keeping the ARDS Patient Dry In ICU Thu, 19 Mar 2026 Fluid management in acute respiratory distress syndrome (ARDS) remains a complex and evolving area, with no single ‘optimal’ strategy. Discussing this @ISICEM, Prof Daniel De Backer emphasised that while avoiding fluid overload is important, the key challenge is tailoring therapy to the individual patient rather than adhering to rigid ‘dry’ or ‘wet’ approaches. Historically, fluid management in AR...

JOURNAL ARTICLE EDITOR'S CHOICE Retreatment With Nirmatrelvir/Ritonavir Following Return of COVID-19 Symptoms and SARS-CoV-2 Positivity Wuyan Zhang, Steven G Terra, Edward Alan Weinstein, et al Clinical Infectious Diseases, Volume 82, Issue 1, 15 January 2026, Pages e33–e40, https://doi.org/10.1093/cid/ciaf548 Abstract Background Rebound of coronavirus disease 2019 (COVID-19) is defined as return of symptoms and/or viral positivity af...

JOURNAL ARTICLE Comparing Generative Artificial Intelligence vs Experts for Detection of Catheter-Associated Urinary Tract Infection Shatha Alshanqeeti, Karen Coffey, Karrie Mcdermott, et al Clinical Infectious Diseases, Volume 82, Issue 1, 15 January 2026, Pages 148–150, https://doi.org/10.1093/cid/ciaf486 Abstract A retrospective cohort study compared generative artificial intelligence (GenAI) versus infection control expert for catheter-as...

Original Investigation  Association of VA Surgeons Delayed Diagnosis of Anastomotic Leak and Failure to Rescue After Colon Resection Samantha L. Savitch, Kiran H. Lagisetty, Pasithorn A. Suwanabol JAMA Surg Published Online: February 11, 2026 doi: 10.1001/jamasurg.2025.6551 Key Points Question  Is delay in detection of anastomotic leak after colon resection associated with failure to rescue? Fi...

Digital Twins and ICU Care In ICU Thu, 19 Mar 2026 In an interview with ISICEM News, Nathalie Layios, Thomas Desaive, and Vincent Uyttendaele of the University of Liège shared insights on how digital twins could transform ICU care.  The concept of a digital twin, defined as a continuously updated computational replica of a patient or physiological system, is rapidly transitioning from engineering into intensive care medicine, where it...

Editorial  Reconsidering Oxygen at Birth for Preterm Infants: Lessons From TORPIDO 30/60 Alyssa R. Thomas, Elizabeth E. Foglia JAMA 2026;335;(6):495-496. doi:10.1001/jama.2025.23127 At birth, newborns must transition from the low-oxygen environment of the womb to postnatal normoxemia. Most preterm newborns require supplemental oxygen to support this process. Yet, active debate remains about the optimal starting fraction of inspired oxygen (Fio2) for prete...

Original Investigation  Targeted Oxygen for Initial Resuscitation of Preterm Infants: The TORPIDO 30/60 Randomized Clinical Trial Ju Lee Oei, Adrienne Kirby, Javeed Travadi, et al JAMA 2026;335;(6):523-530. doi:10.1001/jama.2025.23327 Key Points Question  Does initiating resuscitation of extremely preterm newborns with a higher level of fraction of inspired oxygen (Fio2; 0.6) reduce risk of death or brain in...

Editorial Telesurgery 2.0 Prokar Dasgupta, Findlay MacAskill BMJ 2026; 392 doi: https://doi.org/10.1136/bmj.s138 (Published 28 January 2026)Cite this as: BMJ 2026;392:s138 As practice re-emerges, patient engagement and standardisation of evaluation are crucial Interest in telesurgery has been renewed around 20 years after it first came into use. With telesurgery, a remote surgeon is able to operate with a tool on a patient over a distance between two hospit...

Research Reliability of urological telesurgery compared with local surgery: multicentre randomised controlled trial Ye Wang, Dan Xia, Wanhai Xu, et al BMJ 2026; 392 doi: https://doi.org/10.1136/bmj-2024-083588 (Published 28 January 2026)Cite this as: BMJ 2026;392:e083588 Abstract Objective To investigate whether the reliability of telesurgery is non-inferior to that of standard local surgery in patients undergoing urological robotic operations. Desi...

Precision and Practicality in Fluid Responsiveness In ICU Thu, 19 Mar 2026 At the 45th ISICEM in Brussels, Prof Sheila Myatra spoke about fluid responsiveness in ICU patients with acute circulatory failure, emphasising its critical role in guiding safe and effective fluid therapy. While intravenous fluids are a first-line intervention, only around 50% of patients are true fluid responders, meaning their cardiac output increases by at least 15% after fl...