Richard Descamps, Mouhamed D. Moussa, Emmanuel Besnier, Marc-Olivier Fischer, Sébastien Preau, Fabienne Tamion, Cédric Daubin, Nicolas Cousin, André Vincentelli, Julien Goutay and Damien Du Cheyron
doi : 10.1186/s13054-021-03554-0
Critical Care 2021 25:127
Hemorrhagic events remain a major concern in patients under extracorporeal membrane oxygenation (ECMO) support. We tested the association between anticoagulation levels and hemorrhagic events under ECMO using anti-Xa activity monitoring.
Thomas Langer, Matteo Brioni, Amedeo Guzzardella, Eleonora Carlesso, Luca Cabrini, Gianpaolo Castelli, Francesca Dalla Corte, Edoardo De Robertis, Martina Favarato, Andrea Forastieri, Clarissa Forlini, Massimo Girardis, Domenico Luca Grieco, Lucia Mirabella, Valentina Noseda, Paola Previtali
doi : 10.1186/s13054-021-03552-2
Critical Care 2021 25:128
Limited data are available on the use of prone position in intubated, invasively ventilated patients with Coronavirus disease-19 (COVID-19). Aim of this study is to investigate the use and effect of prone position in this population during the first 2020 pandemic wave.
Somnath Bose, Benjamin Hoenig, Maria Karamourtopoulos, Valerie Banner-Goodspeed and Samuel Brown
doi : 10.1186/s13054-021-03565-x
Critical Care 2021 25:129
Mailis Maes, Ellen Higginson, Joana Pereira-Dias, Martin D. Curran, Surendra Parmar, Fahad Khokhar, Delphine Cuchet-Lourenço, Janine Lux, Sapna Sharma-Hajela, Benjamin Ravenhill, Islam Hamed, Laura Heales, Razeen Mahroof, Amelia Soderholm, Sally Forrest, Sushmita Sridhar
doi : 10.1186/s13054-021-03560-2
Critical Care 2021 25:130
Maria Vincenza Mastrolia, Edoardo Marrani, Giovanni Battista Calabri, Manuela L’Erario, Ilaria Maccora, Silvia Favilli, Pier Paolo Duchini, Ilaria Pagnini and Gabriele Simonini
doi : 10.1186/s13054-021-03548-y
Critical Care 2021 25:131
Wojciech Dabrowski, Dorota Siwicka-Gieroba, Chiara Robba, Rafael Badenes and Manu L. N. G. Malbrain
doi : 10.1186/s13054-021-03506-8
Critical Care 2021 25:132
Jordy P. Pijl, Mark Londema, Thomas C. Kwee, Maarten W. N. Nijsten, Riemer H. J. A. Slart, Rudi A. J. O. Dierckx, Peter H. J. van der Voort, Andor W. J. M. Glaudemans and Janesh Pillay
doi : 10.1186/s13054-021-03557-x
Critical Care 2021 25:133
2-Deoxy-2-[18F]fluoro-D-glucose (FDG) positron emission tomography (PET)/computed tomography (CT) is an advanced imaging technique that can be used to examine the whole body for an infection focus in a single examination in patients with bloodstream infection (BSI) of unknown origin. However, literature on the use of this technique in intensive care patients is scarce. The purpose of this study was to evaluate the diagnostic yield of FDG-PET/CT in intensive care patients with BSI.
Shaobo Duan, Luwen Liu, Yongqing Chen, Long Yang, Ye Zhang, Shuaiyang Wang, Liuwei Hao and Lianzhong Zhang
doi : 10.1186/s13054-021-03563-z
Critical Care 2021 25:134
Teleultrasound provides an effective solution to problems that arise from limited medical resources, a lack of local expertise, and scenarios where the risk of infection is high. This study aims to explore the feasibility of the application of a 5G-powered robot-assisted teleultrasound diagnostic system in an intensive care unit.
Hideto Yasuda, Hiromu Okano, Takuya Mayumi, Chihiro Narita, Yu Onodera, Masaki Nakane and Nobuaki Shime
doi : 10.1186/s13054-021-03550-4
Critical Care 2021 25:135
High-flow nasal cannula oxygenation (HFNC) and noninvasive positive-pressure ventilation (NPPV) possibly decrease tracheal reintubation rates better than conventional oxygen therapy (COT); however, few large-scale studies have compared HFNC and NPPV. We conducted a network meta-analysis (NMA) to compare the effectiveness of three post-extubation respiratory support devices (HFNC, NPPV, and COT) in reducing the mortality and reintubation risk.
Osama Abou-Arab, Mouhamed D. Moussa, Christophe Beyls and Yazine Mahjoub
doi : 10.1186/s13054-021-03473-0
Critical Care 2021 25:136
Gian Paolo Castelli, Claudio Pognani, Carlo Sozzi, Massimo Franchini and Luigi Vivona
doi : 10.1186/s13054-021-03572-y
Critical Care 2021 25:137
Michele F. Eisenga
doi : 10.1186/s13054-021-03542-4
Critical Care 2021 25:138
Stéphane Dauger, Renaud Blondé, Olivier Brissaud, Marie-Odile Marcoux, François Angoulvant and Michael Levy
doi : 10.1186/s13054-021-03562-0
Critical Care 2021 25:139
Fabienne Venet, Martin Cour, Thomas Rimmelé, Sebastien Viel, Hodane Yonis, Remy Coudereau, Camille Amaz, Paul Abraham, Céline Monard, Jean-Sebastien Casalegno, Karen Brengel-Pesce, Anne-Claire Lukaszewicz, Laurent Argaud and Guillaume Monneret
doi : 10.1186/s13054-021-03558-w
Critical Care 2021 25:140
Since the onset of the pandemic, only few studies focused on longitudinal immune monitoring in critically ill COVID-19 patients with acute respiratory distress syndrome (ARDS) whereas their hospital stay may last for several weeks. Consequently, the question of whether immune parameters may drive or associate with delayed unfavorable outcome in these critically ill patients remains unsolved.
Adrian-Iustin Georgevici, Theodoros Kyprianou, Jennifer Herzog-Niescery, Livia Procopiuc, Sivakkanan Loganathan, Thomas Peter Weber and Martin Bellgardt
doi : 10.1186/s13054-021-03556-y
Critical Care 2021 25:141
Intensive care unit (ICU) physicians have extended the minimum alveolar concentration (MAC) to deliver and monitor long-term volatile sedation in critically ill patients. There is limited evidence of MAC’s reliability in controlling sedation depth in this setting. We hypothesized that sedation depth, measured by the electroencephalography (EEG)-derived Narcotrend-Index (burst-suppression N_Index 0—awake N_Index 100), might drift downward over time despite constant MAC values.
Céline Gélinas, Mélanie Bérubé, Kathleen A. Puntillo, Madalina Boitor, Melissa Richard-Lalonde, Francis Bernard, Virginie Williams, Aaron M. Joffe, Craig Steiner, Rebekah Marsh, Louise Rose, Craig M. Dale, Darina M. Tsoller, Manon Choinière and David L. Streiner
doi : 10.1186/s13054-021-03561-1
Critical Care 2021 25:142
Pain assessment in brain-injured patients in the intensive care unit (ICU) is challenging and existing scales may not be representative of behavioral reactions expressed by this specific group. This study aimed to validate the French-Canadian and English revised versions of the Critical-Care Pain Observation Tool (CPOT-Neuro) for brain-injured ICU patients.
Mathieu Blot, Marine Jacquier, Ludwig-Serge Aho Glele, Guillaume Beltramo, Maxime Nguyen, Philippe Bonniaud, Sebastien Prin, Pascal Andreu, Belaid Bouhemad, Jean-Baptiste Bour, Christine Binquet, Lionel Piroth, Jean-Paul Pais de Barros, David Masson, Jean-Pierre Quenot and Pierre-Emmanuel Charles
doi : 10.1186/s13054-021-03559-9
Critical Care 2021 25:143
no abstract
Fabiana Madotto, Bairbre McNicholas, Emanuele Rezoagli, Tài Pham, John G. Laffey and Giacomo Bellani
doi : 10.1186/s13054-021-03465-0
Critical Care 2021 25:144
To determine the frequency of, and factors associated with, death in hospital following ICU discharge to the ward.
Chiara Giraudo, Giovanni Frattin, Giulia Fichera, Raffaella Motta and Roberto Stramare
doi : 10.1186/s13054-021-03564-y
Critical Care 2021 25:145
Victoria S. Owen, Brianna K. Rosgen, Stephana J. Cherak, Andre Ferland, Henry T. Stelfox, Kirsten M. Fiest and Daniel J. Niven
doi : 10.1186/s13054-021-03553-1
Critical Care 2021 25:146
It is unclear whether vasopressors can be safely administered through a peripheral intravenous (PIV). Systematic review and meta-analysis methodology was used to examine the incidence of local anatomic adverse events associated with PIV vasopressor administration in patients of any age cared for in any acute care environment.
Jean-Louis Vincent, Nicole P. Juffermans, Karen E. A. Burns, V. Marco Ranieri, Chryssa Pourzitaki and Francesca Rubulotta
doi : 10.1186/s13054-021-03569-7
Critical Care 2021 25:147
There is a large gender gap in critical care medicine with women underrepresented, particularly in positions of leadership. Yet gender diversity better reflects the current critical care community and has multiple beneficial effects at individual and societal levels. In this Viewpoint, we discuss some of the reasons for the persistent gender imbalance in critical care medicine, and suggest some possible strategies to help achieve greater equity and inclusion. An explicit and consistent focus on eliminating gender inequity is needed until gender diversity and inclusion become the norms in critical care medicine.
Pavan K. Bhatraju, Eric D. Morrell, Leila Zelnick, Neha A. Sathe, Xin-Ya Chai, Sana S. Sakr, Sharon K. Sahi, Anthony Sader, Dawn M. Lum, Ted Liu, Neall Koetje, Ashley Garay, Elizabeth Barnes, Jonathan Lawson, Gail Cromer, Mary K. Bray…
doi : 10.1186/s13054-021-03547-z
Critical Care 2021 25:148
Analyses of blood biomarkers involved in the host response to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) viral infection can reveal distinct biological pathways and inform development and testing of therapeutics for COVID-19. Our objective was to evaluate host endothelial, epithelial and inflammatory biomarkers in COVID-19.
Christian Jung, Hans Flaatten, Jesper Fj?lner, Raphael Romano Bruno, Bernhard Wernly, Antonio Artigas, Bernardo Bollen Pinto, Joerg C. Schefold, Georg Wolff, Malte Kelm, Michael Beil, Sigal Sviri, Peter Vernon van Heerden, Wojciech Szczeklik, Miroslaw Czuczwar, Muhammed Elhadi
doi : 10.1186/s13054-021-03551-3
Critical Care 2021 25:149
The COVID-19 pandemic has led highly developed healthcare systems to the brink of collapse due to the large numbers of patients being admitted into hospitals. One of the potential prognostic indicators in patients with COVID-19 is frailty. The degree of frailty could be used to assist both the triage into intensive care, and decisions regarding treatment limitations. Our study sought to determine the interaction of frailty and age in elderly COVID-19 ICU patients.
Brendan Le Daré, Christelle Boglione-Kerrien, Florian Reizine, Jean-Pierre Gangneux and Astrid Bacle
doi : 10.1186/s13054-021-03568-8
Critical Care 2021 25:152
Mohammed Sayed, David Ria?o and Jes?s Villar
doi : 10.1186/s13054-021-03566-w
Critical Care 2021 25:150
Usually, arterial oxygenation in patients with the acute respiratory distress syndrome (ARDS) improves substantially by increasing the level of positive end-expiratory pressure (PEEP). Herein, we are proposing a novel variable [PaO2/(FiO2xPEEP) or P/FPE] for PEEP???5 to address Berlin’s definition gap for ARDS severity by using machine learning (ML) approaches.
Jérôme Pugin, Thomas Daix, Jean-Luc Pagani, Davide Morri, Angelo Giacomucci, Pierre-François Dequin, Christophe Guitton, Yok-Ai Que, Gianluca Zani, David Brealey, Alain Lepape, Ben Creagh-Brown, Duncan Wyncoll, Daniela Silengo, Irina Irincheeva, Laurie Girard
doi : 10.1186/s13054-021-03576-8
Critical Care 2021 25:151
The early recognition and management of sepsis improves outcomes. Biomarkers may help in identifying earlier sub-clinical signs of sepsis. We explored the potential of serial measurements of C-reactive protein (CRP), procalcitonin (PCT) and pancreatic stone protein (PSP) for the early recognition of sepsis in patients hospitalized in the intensive care unit (ICU).
Paul-Henri Wicky, Michael S. Niedermann and Jean-François Timsit
doi : 10.1186/s13054-021-03571-z
Critical Care 2021 25:153
We reviewed similarities and differences of ventilator associated pneumonia in Sars-Cov2 infection and with other ARDS. The differences in epidemiology and outcome will be detailed. Possible explanations of differences in pathophysiology of VAP in Sarscov2 infections will be cited and discussed.
Pedro D. Wendel Garcia, Alessio Caccioppola, Silvia Coppola, Tommaso Pozzi, Arianna Ciabattoni, Stefano Cenci and Davide Chiumello
doi : 10.1186/s13054-021-03578-6
Critical Care 2021 25:154
Acute respiratory distress syndrome remains a heterogeneous syndrome for clinicians and researchers difficulting successful tailoring of interventions and trials. To this moment, phenotyping of this syndrome has been approached by means of inflammatory laboratory panels. Nevertheless, the systemic and inflammatory expression of acute respiratory distress syndrome might not reflect its respiratory mechanics and gas exchange.
Andrea Lavinio, Ari Ercole, Denise Battaglini, Sandra Magnoni, Rafael Badenes, Fabio Silvio Taccone, Raimund Helbok, William Thomas, Paolo Pelosi and Chiara Robba
doi : 10.1186/s13054-021-03543-3
Critical Care 2021 25:155
Critical illness from SARS-CoV-2 infection (COVID-19) is associated with a high burden of pulmonary embolism (PE) and thromboembolic events despite standard thromboprophylaxis. Available guidance is discordant, ranging from standard care to the use of therapeutic anticoagulation for enhanced thromboprophylaxis (ET). Local ET protocols have been empirically determined and are generally intermediate between standard prophylaxis and full anticoagulation. Concerns have been raised in regard to the potential risk of haemorrhage associated with therapeutic anticoagulation. This report describes the prevalence and safety of ET strategies in European Intensive Care Unit (ICUs) and their association with outcomes during the first wave of the COVID pandemic, with particular focus on haemorrhagic complications and ICU mortality.
Shaun Davidson, Mauricio Villarroel, Mirae Harford, Eoin Finnegan, Jo?o Jorge, Duncan Young, Peter Watkinson and Lionel Tarassenko
doi : 10.1186/s13054-021-03574-w
Critical Care 2021 25:156
Disrupted vital-sign circadian rhythms in the intensive care unit (ICU) are associated with complications such as immune system disruption, delirium and increased patient mortality. However, the prevalence and extent of this disruption is not well understood. Tools for its detection are currently limited.
Djahid Kennouche, Eric Luneau, Thomas Lapole, Jérome Morel, Guillaume Y. Millet and Julien Gondin
doi : 10.1186/s13054-021-03567-9
Critical Care 2021 25:157
Around one third of intensive care unit (ICU) patients will develop severe neuromuscular alterations, known as intensive care unit-acquired weakness (ICUAW), during their stay. The diagnosis of ICUAW is difficult and often delayed as a result of sedation or delirium. Indeed, the clinical evaluation of both Medical Research Council score and maximal voluntary force (e.g., using handgrip and/or handheld dynamometers), two independent predictors of mortality, can be performed only in awake and cooperative patients. Transcutaneous electrical/magnetic stimulation applied over motor nerves combined with the development of dedicated ergometer have recently been introduced in ICU patients in order to propose an early and non-invasive measurement of evoked force. The aim of this narrative review is to summarize the different tools allowing bedside force evaluation in ICU patients and the related experimental protocols. We suggest that non-invasive electrical and/or magnetic evoked force measurements could be a relevant strategy to characterize muscle weakness in the early phase of ICU and diagnose ICUAW.
Pengping Li, Wei Wu, Tingting Zhang, Ziyu Wang, Jie Li, Mengyan Zhu, Yuan Liang, Wenhua You, Kening Li, Rong Ding, Bin Huang, Lingxiang Wu, Weiwei Duan, Yi Han, Xuesong Li, Xin Tang
doi : 10.1186/s13054-021-03555-z
Critical Care 2021 25:158
COVID-19 has resulted in high mortality worldwide. Information regarding cardiac markers for precise risk-stratification is limited. We aim to discover sensitive and reliable early-warning biomarkers for optimizing management and improving the prognosis of COVID-19 patients.
Kenneth R. Hoffman, Aidan J. C. Burrell, Arne Diehl and Warwick Butt
doi : 10.1186/s13054-021-03582-w
Critical Care 2021 25:159
Christoph Fisser, Maren Winkler, Maximilian V. Malfertheiner, Alois Philipp, Maik Foltan, Dirk Lunz, Florian Zeman, Lars S. Maier, Matthias Lubnow and Thomas Müller
doi : 10.1186/s13054-021-03581-x
Critical Care 2021 25:160
During venovenous extracorporeal membrane oxygenation (vvECMO), direct thrombin inhibitors are considered by some potentially advantageous over unfractionated heparin (UFH). We tested the hypothesis that Argatroban is non-inferior to UFH regarding thrombosis and bleeding during vvECMO.
Monique Boede, Jochen S. Gensichen, James C. Jackson, Fiene Ei?ler, Thomas Lehmann, Sven Schulz, Juliana J. Petersen, Florian P. Wolf, Tobias Dreischulte and Konrad F. R. Schmidt
doi : 10.1186/s13054-021-03577-7
Critical Care 2021 25:161
Advances in critical care medicine have led to a growing number of critical illness survivors. A considerable part of them suffers from long-term sequelae, also known as post-intensive care syndrome. Among these, depressive symptoms are frequently observed. Depressive symptom trajectories and associated factors of critical illness survivors have rarely been investigated. Study objective was to explore and compare different trajectories of depressive symptoms in sepsis survivors over 1 year after discharge from ICU.
Faeq Husain-Syed, Claudio Ronco, Thorsten Wiech, Matthias Hecker and Werner Seeger
doi : 10.1186/s13054-021-03579-5
Critical Care 2021 25:162
Gianmaria Cammarota, Rachele Simonte and Edoardo De Robertis
doi : 10.1186/s13054-021-03573-x
Critical Care 2021 25:163
Klaus Stahl, Heiko Schenk, Christian Kühn, Olaf Wiesner, Marius M. Hoeper and Sascha David
doi : 10.1186/s13054-021-03584-8
Critical Care 2021 25:164
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