A CT Scanner in Your Pocket? x-ray lung image in tablet computer, stethoscope, medical document on desk of doctor. top view. medical technology concept. Lung ultrasound (LUS) is still a young diagnostic tool. However, its use is growing quite rapidly. LUS is an important component of ultrasound courses around the world. It is also incorporated into many shock and hypoxia assessment protocols. LUS is now included as a part of the examination by the National Board of ...

Effect of Reduced Exposure to Vasopressors on 90-Day Mortality in Older Critically Ill Patients With Vasodilatory Hypotension: A Randomized Clinical Trial François Lamontagne, Alvin Richards-Belle, Karen Thomas, et al JAMA. 2020;323(10):938-949. doi:10.1001/jama.2020.0930 Abstract Importance Vasopressors are commonly administered to intensive care unit (ICU) patients to raise blood pressure. Balancing risks and benefits of vasopressors is a challenge, parti...

Optimal Approach to Fluid Resuscitation for Patients in Shock Treatment of a patient in critical condition in the ICU ward Initial fluid resuscitation practices for patients with haemodynamic shock remain controversial. There is significant variability in these practices, and the impact of this is still poorly understood. Overall, non-patient-centred resuscitation practices, conflicting treatments, variability, and failure to meet targets for initial resuscitation a...

ARTICLES| VOLUME 8, ISSUE 3, P247-257, MARCH 01, 2020 Development and validation of parsimonious algorithms to classify acute respiratory distress syndrome phenotypes: a secondary analysis of randomised controlled trials Pratik Sinha, Kevin L Delucchi, Daniel F McAuley, et al Lancet Respir Med 2020; 8: 247-257 Summary Background Using latent class analysis (LCA) in five randomised controlled trial (RCT) cohorts, two distinct phenotypes of ...

Oxygen Therapy in Acute Care Medicine service with a critical patient in the ICU. Oxygen therapy is a commonly used strategy in modern medicine. In most situations with declining oxygen saturations, clinicians are quick to use this technique. While effective in the setting of hypoxia, there are, however, some circumstances in which excess oxygen is indiscriminately administered for extended periods. In healthcare, there has been a significant shift from the conce...

ARTICLES| VOLUME 8, ISSUE 3, P258-266, MARCH 01, 2020 Sepsis-associated acute respiratory distress syndrome in individuals of European ancestry: a genome-wide association study Beatriz Guillen-Guio, Jose M Lorenzo-Salazar, Shwu-Fan Ma, et al Lancet 2020; 8: 258-266 Summary Background Acute respiratory distress syndrome (ARDS) is a lung inflammatory process caused mainly by sepsis. Most previous studies that identified genetic risks for ARD...

Can the Ultrasound Probe Replace the Stethoscope? Multi-frequency medical device for ultrasound scanner Auscultation is used in most routine examinations of critically ill patients and is considered to be one of the essential components of the clinical examination. Two of the most frequent pathologies encountered in critically ill patients are pulmonary oedema and pneumonia. Both of these conditions often coexist.  In recent years, many clinicians have started to...

ORIGINAL ARTICLE Nonsedation or Light Sedation in Critically Ill, Mechanically Ventilated Patients Hanne T. Olsen, Helene K. Nedergaard, Thomas Strøm, et al Abstract BACKGROUND In critically ill, mechanically ventilated patients, daily interruption of sedation has been shown to reduce the time on ventilation and the length of stay in the intensive care unit (ICU). Data on whether a plan of no sedation, as compared with a plan of light sedation, has an effec...

VITAMINS Trial: No Significant Benefit of Vitamin C Cocktail Sepsis is a life-threatening condition that causes nearly one-third to half of all hospital deaths. It is also responsible for more than 5 million deaths worldwide each year. Patients with septic shock are an important subgroup of sepsis. These patients have circulatory and metabolic abnormalities that further increase their mortality risk. New treatments could potentially improve outcomes for such p...

ARTICLES|ONLINE FIRST Sepsis-associated acute respiratory distress syndrome in individuals of European ancestry: a genome-wide association study Beatriz Guillen-Guio, Jose M Lorenzo-Salazar, Shwu-Fan Ma, et al Lancet Respir Med Published:January 23, 2020 DOI:https://doi.org/10.1016/S2213-2600(19)30368-6 Summary Background Acute respiratory distress syndrome (ARDS) is a lung inflammatory process caused mainly by sepsis. Most previous studies that identifi...