ICU Management & Practice, Volume 22 - Issue 5, 2022 Point of Care Ultrasound: The Critical Imaging Tool for the Critically Unwell This article aims to discuss the specific role of point of care ultrasound (POCUS) in the diagnosis and management of pathology in the critical care setting, as well as a specific tool to aid in invasive procedures. We discuss the ABCDE assessment of patients within critical care using POCUS. Introduction Since its introdu...

Original Investigation  February 24, 2023 Effect of Tight Glycemic Control on Pancreatic Beta Cell Function in Newly Diagnosed Pediatric Type 1 Diabetes: A Randomized Clinical Trial Jennifer McVean, Gregory P. Forlenza, Roy W. Beck, et al JAMA. 2023;329(12):980-989. doi:10.1001/jama.2023.2063 Key Points Question  Does near normalization of glucose levels preserve pancreatic beta cell function in youth with newly diagnosed type 1 diabetes? ...

Research Comparative effectiveness and safety of analgesic medicines for adults with acute non-specific low back pain: systematic review and network meta-analysis Michael A Wewege, Matthew K Bagg, Matthew D Jones, et al BMJ 2023; 380 doi: https://doi.org/10.1136/bmj-2022-072962 (Published 22 March 2023)Cite this as: BMJ 2023;380:e072962 Abstract Objective To evaluate the comparative effectiveness and safety of analgesic medicines for acute non-specific...

ONLINE FIRST (FREE ACCESS) LATEST ARTICLES GuidelinesERS/ESICM/ESCMID/ALAT guidelines for the management of severe community-acquired pneumoniaMartin-Loeches I. et al. OPEN ACCESS ~  OriginalArgumentation in end-of-life conversations with families in Dutch intensive care units: a qualitative observational studyAkkermans A. et al. OriginalsHospital factors that influence ICU admission decision-making: a qualitative study of eight hospitalsValley T.S. et al...

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...