#ISICEM23: Low vs Standard Calorie and Protein Feeding Critical illness requiring organ support is associated with high mortality and prolonged recovery. The acute phase is characterised by anorexia, metabolic disorders, endocrine dysfunction, and hypercatabolism with muscle wasting. Nutritional support is essential during this phase. Calorie and protein deficits have been linked to higher risks of healthcare-associated infections, ICU-acquired weakness, prolonged inva...

Conference Reports and Expert Panel Open Access Published: 16 June 2023 ESICM guidelines on acute respiratory distress syndrome: definition, phenotyping and respiratory support strategies Grasselli, G., Calfee, C.S., Camporota, L. et al. Intensive Care Med (2023). https://doi.org/10.1007/s00134-023-07050-7 Domain 6: PEEP and recruitment maneuvers Question 6.1: In patients with ARDS undergoing invasive mechanical ventilation, does ...

EDITORIAL Transcatheter Therapy for Tricuspid Regurgitation — First Act Mathias Orban, Steffen Massberg N Engl J Med 2023; 388:1902-1903DOI: 10.1056/NEJMe2302457 Severe tricuspid regurgitation is associated with impaired quality of life and poor survival.1 The condition is managed medically with diuretic agents; surgery is of limited use, since many patients have a variety of coexisting conditions that increase surgical risk. Current U.S. and European soc...

ICU Management & Practice, Volume 23 - Issue 1, 2023 Biomarkers of Infection in the Intensive Care Unit Biomarkers are an area of rapid discovery in critical care medicine today. They have the potential to improve our ability to identify and manage patients at increased risk of organ failure and death. This article provides an overview of biomarkers of infection in the intensive care unit. The heterogeneity of sepsis makes its identification challenging ...

Conference Reports and Expert Panel Open Access Published: 16 June 2023 ESICM guidelines on acute respiratory distress syndrome: definition, phenotyping and respiratory support strategies Grasselli, G., Calfee, C.S., Camporota, L. et al. Intensive Care Med (2023). https://doi.org/10.1007/s00134-023-07050-7 Domain 1: ARDS definition Domain 2: ARDS phenotyping Question 2.1: How do we define an ARDS sub-phenotype? Based on the currently avai...

ORIGINAL ARTICLE Early versus Later Anticoagulation for Stroke with Atrial Fibrillation Urs Fischer, Masatoshi Koga, Daniel Strbian, et al N Engl J Med May 24, 2023DOI: 10.1056/NEJMoa2303048 Abstract BACKGROUND The effect of early as compared with later initiation of direct oral anticoagulants (DOACs) in persons with atrial fibrillation who have had an acute ischemic stroke is unclear. METHODS We performed an investigator-initiated, open-label tria...

ONLINE FIRST (FREE ACCESS) LATEST ARTICLES OriginalIntensivist physician-to-patient ratios and mortality in the intensive care unitKahn J.M.. et al. OPEN ACCESS ~ What's New in Intensive CareWhat’s new in therapeutic drug monitoring of antimicrobials?Sjövall F., Lanckohr C. and Bracht H. Ventilator associated tracheobronchitis and pneumonia: one infection with two facesMartin-Loeches I., Povoa P. and Nseir S. To mobilise or not to mobilise: is that the righ...

Original Investigation  Caring for the Critically Ill Patient May 21, 2023 Intervention to Promote Communication About Goals of Care for Hospitalized Patients With Serious Illness: A Randomized Clinical Trial J. Randall Curtis, Robert Y. Lee, Lyndia C. Brumback, et al JAMA. Published online May 21, 2023. doi:10.1001/jama.2023.8812 Key Points Question  Can a patient-specific, clinician-facing communication-priming intervention ...

#ISICEM23: Effects of Therapeutic-Dose Heparin in Hospitalised Patients With COVID-19 At the #ISICEM23 this week in Brussels, the benefits and harms of therapeutic-dose heparin varied by hospitalised COVID-19 patient characteristics were discussed, and the importance of considering the heterogeneity of treatment effect (HTE) in the design and analysis of randomised clinical trials was highlighted. To date, RCTs that have tested therapeutic-dose heparin in COVID-...

Medical News & Perspectives  May 3, 2023 Artificial Intelligence, Emerging Threats, and Diagnostic Advances—Highlights From ECCMID, Europe’s Largest Infectious Disease Conference Preeti Malani JAMA. Published online May 3, 2023. doi:10.1001/jama.2023.6066 For more than 14 000 infectious diseases physicians, clinical microbiologists, and public health professionals, gathering in Copenhagen, Denmark, in April was a special occasion. The Eur...