Effect of adhesive tape versus endotracheal tube fastener in critically ill adults The securement method of endotracheal tubes should ideally prevent dislodgement and minimise complications. Endotracheal tube fastener can reduce complications among critically ill patients who are undergoing endotracheal intubation.  You might also like:UK study: extubating ventilated patients on vasoactive infusions 'safe' A study was conducted with critically ill adults who ...

ARTICLES|ONLINE FIRST Causes of severe pneumonia requiring hospital admission in children without HIV infection from Africa and Asia: the PERCH multi-country case-control study The Pneumonia Etiology Research for Child Health (PERCH) Study Group Lancet Published: June 27, 2019 DOI:https://doi.org/10.1016/S0140-6736(19)30721-4 Summary Background 背景 Pneumonia is the leading cause of death among children younger than 5 years. In this study, we estimated c...

Resuscitation in septic shock: is less better? On Day 2 of the Euroanaesthesia Congress 2019 (#EA19), there was a session on Resuscitation in septic shock: is less better? Three key speakers Gernot Marx (Aachen, Germany), Claude Martin (Marseille, France) and Jean-Louis Vincent (Brussels, Belgium), spoke about less fluid, less vasopressors and less inotropes in septic shock. The central message of this session was simple: less is more in sepsis.  The session was...

ARTICLES|ONLINE FIRST The burden of Legionnaires' disease in New Zealand (LegiNZ): a national surveillance study Patricia C Priest, Sandy Slow, Stephen T Chambers, et al Lancet Published:June 10, 2019 DOI:https://doi.org/10.1016/S1473-3099(19)30113-6 Summary Background 背景 Legionnaires' disease is under-diagnosed because of inconsistent use of diagnostic tests and uncertainty about whom to test. We assessed the increase in case detection following large...

Acute pain in the ICU: management beyond the usual therapeutic strategies At this year’s Euroanaesthesia 2019 in Vienna, Austria, Prof. Caterina Aurilio (Naples, Italy), talked about acute pain management in the ICU. She started her presentation with the definition of pain as outlined by the International Association for the Study of Pain (IASP). Pain is an "unnecessary sensory and emotional experience associated with actual or potential tissue damage, or desc...

ARTICLES| VOLUME 19, ISSUE 6, P601-610, JUNE 01, 2019 Effect of carbapenem resistance on outcomes of bloodstream infection caused by Enterobacteriaceae in low-income and middle-income countries (PANORAMA): a multinational prospective cohort study Andrew J Stewardson, Kalisvar Marimuthu, Sharmila Sengupta, et al Lancet Infect Dis 2019; 19: 601-610 Summary Background 背景 Low-income and middle-income countries (LMICs) are under-represented i...

ONLINE FIRST THIS WEEK(FREE ACCESS) Review ~ Assoun S. - Molecular targeted therapy-related life-threatening toxicity in patients with malignancies. A systematic review of published cases Original ~ Haines K. J. - Key mechanisms by which post-ICU activities can improve in-ICU care: results of the international THRIVE collaboratives Imaging in Intensive Care Medicine ~ Salden R. L. T. N. - Camel shape in transpulmonary thermodilution monitoringWhat's new in intensive ca...

ARTICLES|ONLINE FIRST Association between urinary dickkopf-3, acute kidney injury, and subsequent loss of kidney function in patients undergoing cardiac surgery: an observational cohort study Stefan J Schunk, Alexander Zarbock, Melanie Meersch, et al Lancet Published:June 12, 2019 DOI:https://doi.org/10.1016/S0140-6736(19)30769-X Summary Background 背景 Cardiac surgery is associated with a high risk of postoperative acute kidney injury (AKI) and sub...

Highlights from the pro-con debate on guidelines At this year’s Euroanaesthesia Congress #EA19, there was a short debate on the topic of guidelines. Talking about the pros was Edoardo De Robertis, Past-Chair, ESA Guidelines Committee, University of Perugia, Italy, and talking about the cons was Arash Afshari, Chair, ESA Guidelines Committee, Rigshospitalet, Copenhagen, Denmark  Here are some highlights from both sides of the debate! Dr. Arash Afshari“I think tha...

ARTICLES|ONLINE FIRST Chlorhexidine for meatal cleaning in reducing catheter-associated urinary tract infections: a multicentre stepped-wedge randomised controlled trial Oyebola Fasugba, Prof Allen C Cheng, Victoria Gregory, et al Lancet Infect Dis Published: April 12, 2019 DOI: https://doi.org/10.1016/S1473-3099(18)30736-9 Summary Background 背景 Evidence for the benefits of antiseptic meatal cleaning in reducing catheter-associated urinary tract i...