Research Estimated impact from the withdrawal of primary care financial incentives on selected indicators of quality of care in Scotland: controlled interrupted time series analysis Daniel R Morales, Mark Minchin, Evangelos Kontopantelis, et al BMJ 2023; 380 doi: https://doi.org/10.1136/bmj-2022-072098 (Published 22 March 2023)Cite this as: BMJ 2023;380:e072098 Abstract Objective To determine whether the withdrawal of the Quality and Outcomes Framework...

ICU Management & Practice, Volume 22 - Issue 5, 2022 The Role of Lung Imaging to Personalise Lung Ventilation in ARDS Patients Computed tomography (CT) remains an invaluable technique to evaluate lung morphology and response to ventilatory strategy and to understand the pathophysiology of Acute Respiratory Distress Syndrome (ARDS) patients. The first report of Acute Respiratory Distress Syndrome (ARDS) in 1967 described patients with severe hypoxaemia an...

ARTICLES|ONLINE FIRST Assessing COVID-19 pandemic policies and behaviours and their economic and educational trade-offs across US states from Jan 1, 2020, to July 31, 2022: an observational analysis Thomas J Bollyky, Emma Castro, Aleksandr Y Aravkin, et al Lancet Published:March 23, 2023 DOI:https://doi.org/10.1016/S0140-6736(23)00461-0 Summary Background The USA struggled in responding to the COVID-19 pandemic, but not all states struggled equally. I...

ICU Management & Practice, Volume 22 - Issue 5, 2022 The Use of Critical Care Ultrasound Critical care ultrasound examination should be considered in specific situations in the intensive care unit. It has become increasingly important to understand and master all the possible applications and future innovations of ultrasonography in the critical care setting. Point of care application of ultrasound has been widely validated as an essential imaging techni...

ARTICLES|ONLINE FIRST Evaluating the impact of alcohol minimum unit pricing on deaths and hospitalisations in Scotland: a controlled interrupted time series study Grant M A Wyper, Daniel F Mackay, Catriona Fraser, et al. Lancet Published:March 20, 2023 DOI:https://doi.org/10.1016/S0140-6736(23)00497-X Summary Background Since May 1, 2018, every alcoholic drink sold in Scotland has had minimum unit pricing (MUP) of £0·50 per unit. Previous studies have...

GUIDELINES Published: 04 April 2023 ERS/ESICM/ESCMID/ALAT guidelines for the management of severe community-acquired pneumonia Ignacio Martin-Loeches, Antoni Torres, Blin Nagavci, et al Intensive Care Med (2023). https://doi.org/10.1007/s00134-023-07033-8 Question 1: In patients with sCAP, should rapid microbiological techniques be added to current testing of blood and respiratory tract samples? RecommendationsIf the technology is available, we&nb...

ORIGINAL ARTICLE Covid-19 Surveillance Testing and Resident Outcomes in Nursing Homes Brian E. McGarry, Ashvin D. Gandhi, Michael L. Barnett N Engl J Med 2023; 388:1101-1110DOI: 10.1056/NEJMoa2210063 Abstract BACKGROUND Despite widespread adoption of surveillance testing for coronavirus disease 2019 (Covid-19) among staff members in skilled nursing facilities, evidence is limited regarding its relationship with outcomes among facility residents. METHO...

ICU Management & Practice, Volume 22 - Issue 5, 2022 The Clinical Utility of Estimated Plasma Volume in Critical Care An overview of clinical evidence that demonstrates the prognostic value of estimated plasma volume (ePVS) in critically ill patients. Relevance Plasma volume (PV) is the total volume of blood plasma – the extracellular fluid volume of the vascular space. It is associated with regulating interstitial and intravascular spaces; hence it c...

Viewpoint  March 20, 2023 The Rapid Growth of Mega-Journals: Threats and Opportunities John P. A. Ioannidis, Angelo Maria Pezzullo, Stefania Boccia JAMA. Published online March 20, 2023. doi:10.1001/jama.2023.3212 Mega-journals, those that publish large numbers of articles per year,1 are growing rapidly across science and especially in biomedicine. Although 11 Scopus-indexed journals published more than 2000 biomedical full papers (articles o...

ORIGINAL ARTICLE Acute Effects of Coffee Consumption on Health among Ambulatory Adults Gregory M. Marcus, David G. Rosenthal, Gregory Nah, et al N Engl J Med 2023; 388:1092-1100DOI: 10.1056/NEJMoa2204737 Abstract BACKGROUND Coffee is one of the most commonly consumed beverages in the world, but the acute health effects of coffee consumption remain uncertain. METHODS We conducted a prospective, randomized, case-crossover trial to examine the effects...