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Critical Care

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Critical Care

Hospital Variation in Early Tracheostomy and Life-Sustaining Treatment Withdrawal in Severe TBI: Insights from a Nationwide Study

This nationwide study reveals that hospitals with higher tendencies for early tracheostomy in severe TBI patients also show increased rates of withdrawal of life-sustaining treatment, highlighting significant practice variability and its po

Oct 1, 2026
Critical Care

Exploring ICU Staff Perspectives on Brain Death: Insights from a Swiss Multicenter Survey

A Swiss study reveals ICU professionals’ perceptions, knowledge, and ethical views on brain death, highlighting knowledge gaps and the positive impact of clinical experience on understanding.

Oct 1, 2026
Critical Care

International Validation of Sepsis Temperature-Trajectory Subphenotypes Reveals Immune and Coagulation Profiles with Implications for Immunoglobulin Therapy

This study validates temperature-trajectory sepsis subphenotypes in a large Chinese ICU cohort, linking immune and coagulation dysfunction with mortality and highlighting differential responses to immunoglobulin therapy, particularly benefi

Oct 1, 2026
Critical Care

Quantitative Pupillometry in Post-Cardiac Arrest Neuroprognostication: Insights from a Bicentric Study

This bicentric study evaluates quantitative pupillary light reflex (qPLR) alongside EEG, SSEPs, and NSE for neuroprognostication in comatose post-cardiac arrest patients, revealing strong correlations but limitations in sensitivity and pred

Sep 30, 2026Sign in to read
Critical Care

Positive Pleural Fluid Cultures in ICU Patients: Insights from a Decade-Long Population-Based Study

This comprehensive 10-year ICU study reveals a low prevalence of positive pleural fluid cultures, highlights the significant link to suspected pleural infection, and associates culture positivity with higher 90-day mortality, informing targ

Sep 30, 2026
Critical Care

Multicomponent Pulmonary Rehabilitation Significantly Enhances Weaning Outcomes in Elderly Patients on Prolonged Mechanical Ventilation

A randomized controlled trial demonstrates that a multicomponent pulmonary rehabilitation program markedly improves ventilator weaning success and physiological recovery in patients aged 80 and older undergoing prolonged mechanical ventilat

Sep 30, 2026Sign in to read
Cardiology

Lidocaine Versus Amiodarone for Refractory Ventricular Fibrillation in Adult In-Hospital Cardiac Arrest: Evidence from a Nationwide Chinese Registry

A nationwide prospective study shows no significant difference in survival or neurological outcomes between lidocaine and amiodarone for adult in-hospital cardiac arrest patients with refractory ventricular fibrillation or pulseless ventric

Sep 30, 2026
Critical Care

Plasma sRAGE Biomarker Guides Personalized Lung Recruitment Strategies in ARDS: Insights from the LIVE Trial

Baseline plasma sRAGE levels identify differential mortality benefits from lung recruitment in ARDS, enabling personalized ventilation strategies unlike inflammatory phenotyping. High sRAGE patients benefit from recruitment maneuvers, while

Sep 28, 2026
Critical Care

Perceived Inappropriateness of Intensive Care Treatment: Prevalence, Predictors, and Impact on Patient Outcomes in Dutch ICUs

This nationwide study reveals that 26% of ICU clinicians perceive at least one patient’s care as inappropriate, linked to ethical climate and team dynamics, and predicts poorer patient outcomes including mortality and severe disabilit

Sep 27, 2026
Superintelligence

Evaluating ChatGPT-4o in Critical Care Board Review: High Accuracy but Risky Multimodal Interpretations

ChatGPT-4o achieves high accuracy on critical care board questions but shows notable limitations in image interpretation and reasoning, posing potential clinical risks.

Sep 27, 2026
Critical Care

Enhancing Shock Evaluation: Feasibility and Impact of Transesophageal Lung Ultrasound Combined with Resuscitative Transesophageal Echocardiography

Integrating transesophageal lung ultrasound with resuscitative transesophageal echocardiography in mechanically ventilated shock patients improves operator-reported shock etiology identification with minimal added procedure time, suggesting

Sep 27, 2026
Critical Care

Unveiling Pre-Hospitalization Healthcare Encounters in Pediatric Sepsis: Opportunities for Early Detection and Intervention

Over half of pediatric sepsis hospitalizations are preceded by healthcare visits within 7 days, highlighting a critical window for early sepsis recognition and intervention in children.

Sep 27, 2026Sign in to read
Critical Care

Evolving Competence in Goals-of-Care Discussions Among Internal Medicine Physicians: Insights from a Qualitative Study Across Training Levels

This qualitative study explores how internal medicine clinicians develop skills in discussing goals of care, revealing a progression from basic understanding to advanced, integrated communication approaches, and underscores the need for str

Sep 26, 2026Sign in to read
Clinical Updates

Inequalities in Mortality Following SARS-CoV-2 Infection Among People with Severe Mental Illness During and After COVID-19 Vaccination Roll-Out in England: A Comprehensive Review

This review synthesizes evidence on persistent excess mortality after SARS-CoV-2 infection in people with severe mental illness (SMI) during and following COVID-19 vaccination roll-out in England, highlighting disparities in mortality risk

Sep 24, 2026
Critical Care

Evolving Predictors of Severe COVID-19 Compared to Seasonal Influenza: Insights from a Nationwide Swedish Cohort

This nationwide Swedish study tracks shifting predictors of critical illness during different COVID-19 pandemic periods and compares them to seasonal influenza, highlighting vaccination status and age as key risk factors for severe outcomes

Sep 24, 2026
Critical Care

Epidemiology and Outcomes of CRRT in Critically Ill Cirrhosis Patients: Insights from the HRS-HARMONY and CRRTnet Registries

This study analyzes the epidemiology, treatment processes, and outcomes of critically ill cirrhosis patients undergoing continuous renal replacement therapy, highlighting high mortality rates, anticoagulation practices, and implications of

Sep 24, 2026Sign in to read
Critical Care

Optimizing Pediatric Cardiac Arrest Outcomes through Airway Patency Assessment via Capnography

This study demonstrates that higher airway opening index (AOI), measured by capnography during pediatric CPR, correlates with improved survival and neurological outcomes. AOI is a novel, quantitative marker of airway patency linked to post-

Sep 24, 2026Sign in to read
Critical Care

Optimizing Etiologic Investigations After Status Epilepticus: Diagnostic Yield and Therapeutic Implications from the ICTAL Registry

Etiologic investigations after status epilepticus (SE) demonstrate variable diagnostic yield and significantly influence treatment decisions, especially when guided by clinical pretest probability. Tailored diagnostic strategies enhance tim

Sep 23, 2026
Critical Care

Pre-ICU Balanced Crystalloids Reduce Mortality in Sepsis: Insights from a Large Multicenter Cohort Study

A large multicenter study shows that balanced crystalloids administered before ICU admission in sepsis patients reduce 30-day mortality compared to saline, supporting early fluid choice’s impact on sepsis outcomes.

Sep 23, 2026
Critical Care

Incidence and Implications of Early Alloantibody Formation After Trauma Resuscitation With Rh(D)+ Whole Blood Versus Rh(D)- Red Blood Cells

A large retrospective study demonstrates that transfusion of low-titer group O whole blood (LTOWB) in trauma resuscitation carries a low and comparable risk of early red blood cell alloimmunization relative to component therapy, including a

Sep 21, 2026
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  1. 01Critical Care

    Plasma sRAGE Biomarker Guides Personalized Lung Recruitment Strategies in ARDS: Insights from the LIVE Trial

  2. 02Critical Care

    Burn Injury Reprograms Extracellular Vesicle Communication: Linking Immune Activation and Neuroinflammation

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