Critical Care Reviews Newsletter
Newsletter 518 | November 15th 2021
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CCR22 Registration Opens Late November
Welcome to the 518th Critical Care Reviews Newsletter, bringing you the best critical care research and open access articles from across the medical literature over the past seven days. The highlights of this week's edition are a Bayesian analysis of the COVID-STEROID-2 trial, comparing 12mg with 6mg of dexamethasone in severe COVID-19 (livestream presentation video); systematic reviews and meta analyses on steroids for ARDS & vitamin C, glucocorticoids, and vitamin B1 in sepsis & septic shock; and observational studies on the medium-term functional impact of COVID-19 critical illness & insights from patients screened but not randomised in the HYPERION trial.
There are also guidelines on the management of the difficult airway & non-invasive imaging in coronary syndromes; narrative reviews on ultrasound assessment in cardiogenic shock weaning & cardiac arrhythmias in COVID-19; editorials on VV ECMO in patients with COVID-19 respiratory failure & peri-induction hemodynamic management; and commentaries on non-invasive respiratory support in acute COVID-19 pneumonia & life lessons after a career in intensive care medicine; as well as correspondence on electrical impedance tomography to set PEEP during pediatric ECMO for respiratory failure & goal-directed therapy. If you only have time to read one review article this week, try this superb one on the immunology of sepsis.
COCA Livestream Trial Results Presentation
The results of the COCA trial, investigating calcium for out-of-hospital cardiac arrest, will be presented at a Critical Care Reviews Trial Results Livestream, on Tuesday November 30th at 19:30 UTC+0. Further details are available on the livestream webpage. As always, viewing is free; in addition, we have applied for CPD points for those wishing to claim them - these will be available shortly for a small charge.
Critical Care Reviews Meeting 2022
After the virtual eCCR21 meeting this year, in 2022 we return to the iconic Titanic Belfast for our 10th anniversary meeting next June, 15th to 17th, 2022. Including major trial results presentations, reviews of the best trials of the preceding year and talks on various aspects of trials, CCR22 has become the niche meeting for the latest in critical care trials. Registration will open shortly, initially for registered CCR subscribers, before opening to the wider critical care community. The meeting sells out every year, so don't wait and miss out.
Research
Randomised Controlled Trials
- Granholm. Dexamethasone 12 mg versus 6 mg for patients with COVID-19 and severe hypoxaemia: a pre-planned, secondary Bayesian analysis of the COVID STEROID 2 trial. Intensive Care Med 2021;epublished November 10th
- Mazeraud. Intravenous immunoglobulins in patients with COVID-19-associated moderate-to-severe acute respiratory distress syndrome (ICAR): multicentre, double-blind, placebo-controlled, phase 3 trial. Lancet respir Med 2021;epublished November 11th
- LeCouffe. A Randomized Trial of Intravenous Alteplase before Endovascular Treatment for Stroke. N Engl J Med 2021;385:1833-1844
- Pfeffer. Angiotensin Receptor-Neprilysin Inhibition in Acute Myocardial Infarction. N Engl J Med 2021;385(20):1845-1855
- Kalal. Mannitol is comparable to hypertonic saline for raised intracranial pressure in Acute Liver Failure (MAHAL Study): A RCT. Dig Dis 2021;epublished November 11th
Systematic Reviews & Meta Analyses
- Yoshihiro. Steroid treatment in patients with acute respiratory distress syndrome: a systematic review and network meta-analysis. J Anesth 2021;epublished November 10th
- Loftus. Association of Postoperative Undertriage to Hospital Wards With Mortality and Morbidity. JAMA Netw Open 2021;4(11):e2131669
- Fujii. Effect of adjunctive vitamin C, glucocorticoids, and vitamin B1 on longer-term mortality in adults with sepsis or septic shock: a systematic review and a component network meta-analysis. Intensive Care Med 2021;epublished November 9th
- Lan. Janus kinase inhibitors for hospitalized patients with COVID-19: a meta-analysis of randomized controlled trials. Expert Rev Anti Infect Ther 2021;epublished November 6th
- Maraolo. The Use of Tocilizumab in Patients with COVID-19: A Systematic Review, Meta-Analysis and Trial Sequential Analysis of Randomized Controlled Studies. J Clin Med 2021;10(21):4935
- Kubo. Short- versus prolonged-course antibiotic therapy for sepsis or infectious diseases in critically ill adults: a systematic review and meta-analysis. Infect Dis 2021;epublished November 12th
- Sanfilippo. Hemoperfusion and blood purification strategies in patients with COVID- 19: A systematic review. Artificial Organs 2021;45:1466–1476
Observational Studies
- Compagnone. Residual lung damage following ARDS in COVID-19 ICU survivors. Acta Anaesthesiol Scand 2021;epublished November 10th
- Van Aerde. Aerobic exercise capacity in long-term survivors of critical illness: secondary analysis of the post-EPaNIC follow-up study. Intensive Care Med 2021;epublished November 8th
- Mistry. Restrictive versus Liberal Transfusion in Patients with Diabetes Undergoing Cardiac Surgery: An Open-Label Randomized, Blinded Outcome Evaluation Trial. Diabetes Obes Metab 2021;epublished November 7th
- Hodgson. The impact of COVID-19 critical illness on new disability, functional outcomes and return to work at 6 months: a prospective cohort study. Crit Care 2021;25:382
- Gray. Long-term outcomes of adults with acute respiratory failure treated with veno-venous extracorporeal membrane oxygenation. Anaesth Intensive Care 2021;epublished November 12th
- Lascarrou. Insights from patients screened but not randomised in the HYPERION trial. Ann Intensive Care 2021;11:156
- Ang. Understanding Preventable Deaths in the Geriatric Trauma Population: Analysis of 3,452,339 Patients From the Center of Medicare and Medicaid Services Database. Am Surg 2021;epublished November 11th
- Harrison. Timing and burden of persistent critical illnessin UK intensive care units: An observational cohort study. JICS 2021;epublished November 5th
Protocols
- Dylla. A multicenter cluster randomized, stepped wedge implementation trial for targeted normoxia in critically ill trauma patients: study protocol and statistical analysis plan for the Strategy to Avoid Excessive Oxygen (SAVE-O2) trial. Trials 2021;22(1):784
- Weiss. PRagMatic Pediatric Trial of Balanced vs nOrmaL Saline FlUid in Sepsis: study protocol for the PRoMPT BOLUS randomized interventional trial. Trials 2021;22(1):776
Guidelines
- 2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway. Anesthesiology 2021;epublished November 12th
- The Saudi Critical Care Society practice guidelines on the management of COVID-19 in the ICU: Therapy section. J Infect Public Health 2021;epublished October 20th
- Evaluation and management of cancer patients presenting with acute cardiovascular disease: a Consensus Document of the Acute CardioVascular Care (ACVC) association and the ESC council of Cardio-Oncology—Part 1: acute coronary syndromes and acute pericardial diseases. Eur Heart J Acute Cardiovasc Care 2021;10(8):947–959
- Hung. Nutrition Support for Acute Kidney Injury 2020 - Consensus of the Taiwan AKI Task Force. J Chin Med Assoc 2021;epublished November 11th
- Thoracic Anesthesia during the COVID-19 Pandemic: 2021 Updated Recommendations by the European Association of Cardiothoracic Anaesthesiology and Intensive Care (EACTAIC) Thoracic Subspecialty Committee. J Cardiothorac Vasc Anesth 2021;35(12):3789-3796
- Non-invasive Imaging in Coronary Syndromes — Recommendations of the European Association of Cardiovascular Imaging and the American Society of Echocardiography, in Collaboration with the American Society of Nuclear Cardiology, Society of Cardiovascular Computed Tomography and Society for Cardiovascular Magnetic Resonance. Eur Heart J - Cardiovascular Imaging 2021;epublished November 9th
Reviews
Clinical
COVID-19
- White. Diagnosis of invasive fungal disease in coronavirus disease 2019: approaches and pitfalls. Curr Opin Infect Dis 2021;34(6):573-580
- Łykowska-Szuber. Liver Injury in Patients with Coronavirus Disease 2019 (COVID-19)—A Narrative Review. J Clin Med 2021;10(21):5048
- Giustivi. Respiratory Monitoring at Bedside in COVID-19 Patients. J Clin Med 2021;10(21):4943
- Ego. How to Manage Withdrawal of Sedation and Analgesia in Mechanically Ventilated COVID-19 Patients? J Clin Med 2021;10(21):4917
- Arco-Torres. Pharmacological Treatments against COVID-19 in Pregnant Women. J Clin Med 2021;10(21):4896
- Plášek. COVID-19 Associated Coagulopathy: Mechanisms and Host-Directed Treatment. Am J Med Sci 2021;epublished November 6th
- Dawood. The Impact of COVID-19 on Liver Injury: COVID-19 and Liver Injury. Am J Med Sci 2021;epublished November 6th
- Kumar. Calming the cytokine storm of COVID-19 through inhibition of JAK2/STAT3 signaling. Drug Discovery Today 2021;epublished October 28th
- Al-Kuraishy. Covid-19-Induced Dysautonomia: A Menace of Sympathetic Storm. ASN Neuro Jan-Dec 2021;13:17590914211057635
- Agarwal. Concept design of the physical structure for ICU ventilators for COVID-19 pandemic. Sens Int 2021;2:100092
- Plášek. COVID-19 Associated Coagulopathy: Mechanisms and Host-Directed Treatment. Am J Med Sci 2021;epublished November 6th
- Karamchandani. Cardiac Arrhythmias in Critically Ill Patients With COVID-19: A Brief Review. J Cardiothorac Vasc Anesth 2021;35(12):3789-3796
- Moore. Hypercoagulability of COVID-19 and Neurological Complications: A Review. J Stroke Cerebrovasc Dis 2021;31(1):106163
Neurological
- Davis. Ischemic Penumbra: A Personal View. Cerebrovasc Dis 2021;50:1–10
- Bradbury. Viscoelastic Testing and Coagulopathy of Traumatic Brain Injury. J Clin Med 2021;10(21):5039
- Sandoval Karamian. Current and Future Uses of Continuous EEG in the NICU. Front Pediatr 2021;9:768670
- Induruwa. Sepsis-driven atrial fibrillation and ischaemic stroke. Is there enough evidence to recommend anticoagulation? Eur J Intern Med 2021;epublished November 9th
Circulatory
- Muñoz-Rodríguez. Ultrasound Assessment in Cardiogenic Shock Weaning: A Review of the State of the Art. J Clin Med 2021;10(21):5108
- Varma. Perioperative right ventricular function and dysfunction in adult cardiac surgery—focused review (part 2—management of right ventricular failure). Indian J Thorac Cardiovasc Surg 2021;epublished November 4th
Respiratory
Hepatobiliary
- Khanam. Acute-on-Chronic Liver Failure: Pathophysiological Mechanisms and Management. Front Med 2021;8:752875
- Kim. The Role of Gut Dysbiosis in Acute-on-Chronic Liver Failure. Int J Mol Sci 2021;22(21):11680
- Sharma. Value of Liver function tests in cirrhosis. J Clin Exp Hepatol 2021;epublished November 12th
Renal
- Tsiakas. Plasma Exchange in ANCA-Associated Vasculitis: A Narrative Review. J Clin Med 2021;10(21):5154
- Nagasubramanian. The future of the artificial kidney. Indian J Urol 2021;37(4):310-317
Endocrine
Sepsis
- van der Poll. The immunology of sepsis. Immunity 2021;54(11):2450-2464
- Tourelle. Sepsis and the Human Microbiome. Just Another Kind of Organ Failure? A Review. J Clin Med 2021;10(21):4831
- Johnson. Antibiotic Treatment, Mechanisms for Failure, and Adjunctive Therapies for Infections by Group A Streptococcus. Front Microbiol 2021;12:760255
- Manabe. Cerebral dysfunctions caused by sepsis during ageing. Nat Rev Immunol 2021;epublished November 11th
Non-Clinical
Series from Translational Pediatrics
- Lee. Translating scientific evidence into the art of caring for critically ill children across the globe. Transl Pediatr 2021;10(10):2643-2645
- Mataya. Multiple organ involvement and ICU considerations for the care of acute liver failure (ALF) and acute on chronic liver failure (ACLF) in children. Transl Pediatr 2021;10(10):2749-2762
- Ranjit. Challenges and Solutions in translating sepsis guidelines into practice in resource-limited settings. Transl Pediatr 2021;10(10):2646-2665
- Wiens. Challenges in pediatric post-sepsis care in resource limited settings: a narrative review. Transl Pediatr 2021;10(10):2666-2677
- Schlapbach. Metabolic resuscitation in pediatric sepsis: a narrative review. Transl Pediatr 2021;10(10):2678-2688
- Yehya. Potential therapeutics in pediatric acute respiratory distress syndrome: what does the immune system have to offer? A narrative review. Transl Pediatr 2021;10(10):2689-2699
- Miller. A narrative review of advanced ventilator modes in the pediatric intensive care unit. Transl Pediatr 2021;10(10):2700-2719
- Ganeshalingham. Serum biomarkers in severe paediatric traumatic brain injury—a narrative review. Transl Pediatr 2021;10(10):2720-2737
- Fainberg. Pediatric brain death certification: a narrative review. Transl Pediatr 2021;10(10):2738-2748
- Mataya. Multiple organ involvement and ICU considerations for the care of acute liver failure (ALF) and acute on chronic liver failure (ACLF) in children. Transl Pediatr 2021;10(10):2749-2762
- Ong. A narrative review of skeletal muscle atrophy in critically ill children: pathogenesis and chronic sequelae. Transl Pediatr 2021;10(10):2763-2777
- Fan. Enteral feeding and the microbiome in critically ill children: a narrative review. Transl Pediatr 2021;10(10):2778-2791
- Ravikumar. Application of bench studies at the bedside to improve outcomes in the management of severe diabetic ketoacidosis in children—a narrative review. Transl Pediatr 2021;10(10):2792-2798
- Berry. A scoping review to inform a multi-disciplinary approach for nutrition therapy in critically ill children with pressure injuries. Transl Pediatr 2021;10(10):2799-2813
- Balit. Sedation protocols in the pediatric intensive care unit: fact or fiction? Transl Pediatr 2021;10(10):2814-2824
- Crowe. What is the prevalence and risk factors of burnout among pediatric intensive care staff (PICU)? A review. Transl Pediatr 2021;10(10):2825-2835
- Kirby. Rationing in the Pediatric Intensive Care Unit—ethical or unethical? Transl Pediatr 2021;10(10):2836-2844
- Morrow. Building a culture of early mobilization in the pediatric intensive care unit—a nuts and bolts approach. Transl Pediatr 2021;10(10):2845-2857
- Long. Transitions from short to long-term outcomes in pediatric critical care: considerations for clinical practice. Transl Pediatr 2021;10(10):2858-2874
Editorials
- Hayanga. Venovenous extracorporeal membrane oxygenation in patients with COVID-19 respiratory failure. J Thorac Cardiovasc Surg 2021 2021;epublished October 12th
- Harvey. Peer review guidance for evaluating the narrative review: Lessons applied from the systematic review. J Cardiothoracic Vasc Anesth 2021 2021;epublished November 13th
- Nabzdyk. Proactive Approach to Peri-Induction Hemodynamic Management in Critically Ill Patients. J Cardiothoracic Vasc Anesth 2021 2021;35(12):3489-3492
- Huang. 2021 Clinical Practice Guidelines for Anesthesiologists on Patient Blood Management in Cardiac Surgery. J Cardiothoracic Vasc Anesth 2021 2021;35(12):3493-3495
- Douglas. The AHA/ACC Consensus Conference: A Roadmap for Success or Just a Long Road? J Cardiothoracic Vasc Anesth 2021 2021;35(12):3472-3482
- Future Perspectives of Mechanical Circulatory Support with Left Ventricular Assist Devices: Lessons Learned from the HeartWare Ventricular Assist Device. ASAIO Journal 2021;epublished November 10th
- Dotan. Post-COVID syndrome: the aftershock of SARS-CoV-2. Int J Infect Dis 2021;epublished November 13th
Commentaries
- Weerakkody. Non-invasive respiratory support in the management of acute COVID-19 pneumonia: considerations for clinical practice and priorities for research. Lancet Respir Med 2021;epublished November 9th
- Curtis. Life lessons after a career in intensive care medicine. Intensive Care Med 2021;epublished November 8th
- Shemie. Learning from a social experiment in consent for deceased organ donation. CMAJ 2021;193(45):E1735-E1736
- Bews. Peripartum cardiomyopathy. CMAJ 2021;193(45):E1733
- Ramachandran. Strengthening the FDA’s Enforcement of ClinicalTrials.gov Reporting Requirements. JAMA 2021;epublished November 12th
- Omar. A few sick men in a golf car? Burned‑out practitioners in a burned‑out world. Intensive Care Med 2021;epublished November 6th
- Winck. Non-invasive respiratory support for COVID-19-related acute respiratory failure. Chin Med J 2021;epublished November 10th
- Rotenstein. How to Measure Progress in Addressing Physician Well-being. Beyond Burnout. JAMA 2021;epublished November 10th
Correspondence
- Collins. A recurring case of ‘no trace, right place’ during emergency tracheal intubations in the critical care setting. Anaesthesia 2021;76(12):1671-1671
- Di NarDo. Electrical Impedance Tomography to Set Positive End Expiratory Pressure During Pediatric Extracorporeal Membrane Oxygenation for Respiratory Failure... Is it Feasible? ASAIO Journal 2021;epublished November 10th
- Skurzak. Goal-directed therapy in sepsis strikes back. Intensive Care Med 2021;epublished November 8th
- Bohé. Individualized glycaemic management for critically ill patients. Authors’ reply. Intensive Care Med 2021;epublished November 9th
Case Reports
- Patel. McConnell's sign: Echocardiography in the management of acute pulmonary embolism. Clin Case Rep 2021;9(10):e04994
- Chen. Pseudomyocardial Infarction: An Atypical Presentation of Chest Wall Necrotizing Fasciitis. Int J Infect Dis 2021;epublished November 9th
- Flores-Umanzor . Thrombosis and bleeding in critical COVID-19 patients: two sides of the same coin. J Cardiovasc Med 2021;22(9):723-725
- Sharma. ECMO for Metabolic Crisis in a Patient with Mitochondrial Disease. Case Reports in Anesthesiology 2021;Article ID 9914311
I hope you find this newsletter useful.
Until next week
Rob
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