ORIGINAL ARTICLE Endovascular Therapy for Acute Stroke with a Large Ischemic Region Shinichi Yoshimura, Nobuyuki Sakai, Hiroshi Yamagami, et al N Engl J Med February 9, 2022DOI: 10.1056/NEJMoa2118191 Abstract BACKGROUND Endovascular therapy for acute ischemic stroke is generally avoided when the infarction is large, but the effect of endovascular therapy with medical care as compared with medical care alone for large strokes has not been well studie...

Association Between Age and Neurological Outcomes in OHCA There is very little information about the differences in outcomes between young and old patients who receive extracorporeal cardiopulmonary resuscitation (ECPR) for out-of-hospital cardiac arrest (OHCA). In this study, researchers aimed to investigate the differences in outcomes between patients aged 75 years and older and patients younger than 75 years. All patients included in the analysis were those w...

ORIGINAL ARTICLE Effectiveness of the BNT162b2 Vaccine after Recovery from Covid-19 Ariel Hammerman, Ruslan Sergienko, Michael Friger, et al N Engl J Med February 16, 2022DOI: 10.1056/NEJMoa2119497 Abstract BACKGROUND The risk of infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) decreases substantially among patients who have recovered from coronavirus disease 2019 (Covid-19). However, it is unknown how long protective immunity ...

ARTICLES|ONLINE FIRST Namilumab or infliximab compared with standard of care in hospitalised patients with COVID-19 (CATALYST): a randomised, multicentre, multi-arm, multistage, open-label, adaptive, phase 2, proof-of-concept trial Benjamin A Fisher, Tonny Veenith, Daniel Slade, et al Lancet Respir Med Published:December 16, 2021DOI:https://doi.org/10.1016/S2213-2600(21)00460-4 Summary Background Dysregulated inflammation is associated with poor outcomes...

CORRESPONDENCE Effectiveness of Homologous or Heterologous Covid-19 Boosters in Veterans Florian B. Mayr, Victor B. Talisa, Obaid Shaikh, et al N Engl J Med February 9, 2022DOI: 10.1056/NEJMc2200415 TO THE EDITOR: Vaccine effectiveness against coronavirus disease 2019 (Covid-19) wanes over time, and boosters are now recommended for residents of the United States starting at the age of 12 years.1 Clinical trials have shown that receipt of a booster that...

ICU Management & Practice, Volume 21 - Issue 3, 2021 Airway Management in Critically Ill Patients – Striving to Improve Outcomes Tracheal intubation in critically ill patients requires planning, preparation and optimisation of patient’s physiology prior to the procedure. Reducing repeated attempts at tracheal intubation, improving peri-intubation oxygenation, and haemodynamic optimisation, are some of the steps that can reduce the antecedent morbidity and m...

ARTICLES| VOLUME 399, ISSUE 10325, P656-664, FEBRUARY 12, 2022 A three-step support strategy for relatives of patients dying in the intensive care unit: a cluster randomised trial Nancy Kentish-Barnes, Sylvie Chevret, Sandrine Valade, et al Lancet 2022; 399: 656-664 Summary Background In relatives of patients dying in intensive care units (ICUs), inadequate team support can increase the prevalence of prolonged grief and other psychological...

ONLINE FIRST (FREE ACCESS) LATEST ARTICLES OPEN ACCESS ~ Consensus and Expert RecommendationBasic ultrasound head-to-toe skills for intensivists in the general and neuro intensive care unit population: consensus and expert recommendations of the European Society of Intensive Care MedicineRobba C. et al. Individualised versus conventional glucose control in critically-ill patients: the CONTROLING study—a randomized clinical trialBohé J. et al. OriginalDexametha...

ORIGINAL ARTICLE Final Analysis of Efficacy and Safety of Single-Dose Ad26.COV2.S Jerald Sadoff, Glenda Gray, An Vandebosch, et al N Engl J Med February 9, 2022DOI: 10.1056/NEJMoa2117608 Abstract BACKGROUND The Ad26.COV2.S vaccine was highly effective against severe–critical coronavirus disease 2019 (Covid-19), hospitalization, and death in the primary phase 3 efficacy analysis. METHODS We conducted the final analysis in the double-blind phase of o...

ICU Management & Practice, Volume 20 - Issue 3, 2020 Angiotensin II in Post Cardiopulmonary Bypass Vasoplegia - The Experience So Far Post cardiopulmonary bypass vasoplegia is common, and associated with poor outcomes. Traditional management strategies involving escalating doses of catecholamines, vasopressin and adjuncts such as methylene blue and hydroxycobalamin or ascorbic acid have not shown promising results. Since ACE enzyme dysfunction, high serum r...