ICU Management & Practice, Volume 22 - Issue 1, 2022 Doing More Can Be Worse: Ten Common Errors in the ICU Some of the most common interventions in the ICU can be associated with poor results. We present ten situations in which doing less is better for the critically ill patient. Introduction For decades, the focus of patient management in the Intensive Care Unit (ICU) has been to perform a large number of interventions in critically ill patients, man...

Original Investigation  September 20, 2022 Effect of Helmet Noninvasive Ventilation vs Usual Respiratory Support on Mortality Among Patients With Acute Hypoxemic Respiratory Failure Due to COVID-19: The HELMET-COVID Randomized Clinical Trial Yaseen M. Arabi, Sara Aldekhyl, Saad Al Qahtani, et al JAMA. 2022;328(11):1063-1072. doi:10.1001/jama.2022.15599 Key Points Question  What is the effect of noninvasive ventilation delivered b...

Editorials Physician burnout undermines safe healthcare Matthias Weigl BMJ 2022; 378 doi: https://doi.org/10.1136/bmj.o2157 (Published 14 September 2022)Cite this as: BMJ 2022;378:o2157 Urgent action is required to protect patients, physicians, and health systems A substantial proportion of healthcare professionals report symptoms of burnout.12 Research into the negative ramifications of physician burnout is abundant, with key insights already establis...

ICU Management & Practice, Volume 22 - Issue 2, 2022 Sepsis in Critical Care: Effective Antimicrobial Strategies in ICU ICU sepsis is associated with a mortality rate >25%, with nosocomial infection most lethal, and community acquired infection more common. Optimal management requires identification of the site of infection (lung, abdomen and blood stream most commonly), a focus on the likely pathogens based on risk factors for resistance, and provision ...

Research Efficacy and safety of extended duration to perioperative thromboprophylaxis with low molecular weight heparin on disease-free survival after surgical resection of colorectal cancer (PERIOP-01): multicentre, open label, randomised controlled trial Rebecca C Auer, Michael Ott, Paul Karanicolas, et al BMJ 2022; 378 doi: https://doi.org/10.1136/bmj-2022-071375 (Published 13 September 2022)Cite this as: BMJ 2022;378:e071375 Abstract Objective To d...

Editorials Self-testing for covid-19 Timothy Feeney, Charles Poole BMJ 2022; 378 doi: https://doi.org/10.1136/bmj.o2055 (Published 14 September 2022)Cite this as: BMJ 2022;378:o2055 Adding oropharyngeal to nasal sampling is not the answer to underperforming tests In a linked paper, Schuit and colleagues (doi:10.1136/bmj-2022-071215) tackle the issue of self-testing for covid-19.1 Despite a recent meta-analysis of the sensitivity and specificity of sing...

Research Associations of physician burnout with career engagement and quality of patient care: systematic review and meta-analysis Alexander Hodkinson, Anli Zhou, Judith Johnson, et al BMJ 2022; 378 doi: https://doi.org/10.1136/bmj-2022-070442 (Published 14 September 2022)Cite this as: BMJ 2022;378:e070442 Abstract Objective To examine the association of physician burnout with the career engagement and the quality of patient care globally. Design&nb...

ICU Management & Practice, Volume 22 - Issue 2, 2022 Rationale Behind Practice: Landiolol in Critical Care A summary of data regarding the use of landiolol as a potential immunomodulator in septic patients and its effectiveness and safety in the management of new-onset postoperative atrial fibrillation (POAF). Cardiovascular Dysfunction and Sepsis Cardiovascular dysfunction is a common complication of sepsis. Approximately 40 to 50% of patients with p...

Research Diagnostic accuracy of covid-19 rapid antigen tests with unsupervised self-sampling in people with symptoms in the omicron period: cross sectional study Ewoud Schuit, Roderick P Venekamp, Lotty Hooft, et al BMJ 2022; 378 doi: https://doi.org/10.1136/bmj-2022-071215 (Published 14 September 2022)Cite this as: BMJ 2022;378:e071215 Abstract Objective To assess the performance of rapid antigen tests with unsupervised nasal and combined oropharyngea...

CHEST INFECTIONS: ORIGINAL RESEARCH| VOLUME 162, ISSUE 3, P543-555, SEPTEMBER 01, 2022 Influenza Testing and Treatment Among Patients Hospitalized With Community-Acquired Pneumonia Abhishek Deshpande, Michael Klompas, Pei-Chun Yu, et al Chest 2022; 162: 543-555 Published:February 05, 2022 DOI:https://doi.org/10.1016/j.chest.2022.01.053 Background Influenza is a leading cause of community-acquired pneumonia (CAP), and results of influenza t...