Today's paper of the day is on ten rules for optimizing ventilatory settings and targets in post-cardiac arrest patients criticalcarereviews.com/latest-evidenc… Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2023

Fluids in #ICU? Analysis of BaSICS trial 🫧 pt characteristics explain less of use variance vs enrolling site 🫧volume & effects of BS mostly interact in #sepsis: benefit of BS in pts receiving more fluid or enrolled in sites using higher volumes found 🖇️bit.ly/46NOygx

🫁 #ARDS?? Intriguing & complex acute clinical disorder, still underrecognized and untreated. Identifying a biomarker that predicts the development of ARDS or progression of severity would be helpful. Editorial 🖇️ bit.ly/3NllwOc 🧪 Refers to 🔓 rdcu.be/dqoxX

Haloperidol vs placebo in acutely admitted critically ill adults with delirium, follow-up of AID #ICU trial 💉treatment with haloperidol reduces long-term mortality but doesn't appear to improve longterm outcome of health-related quality of life #FOAMcc 🔓bit.ly/3tEmeiU

Major haemorrhage in critical care 🩸pathophysiology of hemorrhagic coagulopathies: trauma, postpartum, chronic liver disease, DIC, uremia, anticoagulation 🔍diagnosis & evaluation 📃protocols 🩸management post bleeding & massive transfusion 🤔 & more 🔓bit.ly/3tNpTLt

Trajectory of very old critically ill pts 🖥️dataset to describe potential candidates for #ICU admission 🤝 implementing shared‑decision making 🔮prognostic uncertainty 🛑when/how to decide to limit &/or stop LST 🏥a life after ICU? 🏥alternative to ICU 🔓 rdcu.be/dwrbP

🧠 Early methylprednisolone in comatose #OHCA patients: may improve outcome?? STEROHCA RCT on 🚑 prehospital single high-dose IV (250 mg) vs placebo Full results #FOAMcc on Intensive Care Medicine 🔓 rdcu.be/dqJU7 Editorial 🔓rdcu.be/drREl ⬇️ Below visual abstract

Antibiotics in anesthesia and critical care CCR Journal Watch criticalcarereviews.com/latest-evidenc… Get the latest critical care literature every weekend via the CCR Newsletter - subscribe at criticalcarereviews.com/newsletters/su…

Caso de patrón obstructivo. Muy llamativo el flujo espiratorio y la onda de capnografía

Dyspnea in acutely ill adults on MV ERS ESICM statement 🫁 conceptual, semantic & operational challenges 🫁 pathophysiology & MV associated factors 🫁 prevalence & (under)estimation 🫁 tools to detect in communicative/non pts 🫁 how to relieve 🔓 rdcu.be/dzq9F

🟥Propuesta de algoritmo sobre cómo emplear diferentes opciones terapéuticas para lograr descongestión en ICA. 🫀💦 1️⃣Diuréticos de ASA vía IV: bolos (2, 3 o 4 veces/día), dosis más alta en 👥️con TFG⤵️ (40-160 mg furo). 2️⃣iSGLT2 y ARM: modificadores de la enfermedad,

Updated #ARDS guidelines ESICM vs American Thoracic Society (ATS)?🪡🧵 1/4 🌊Both reached overwhelmingly similar conclusions. emphasizing challenges in issuing recommendations that apply to all + importance of individualising care for #ECMO, higher PEEP strategies, NMBAs 🔓rdcu.be/dHb9X

We use diuretics every day in the ICU. Prescribing them is never a one-size-fits-all approach. This paper reviews different strategies we can utilize in our patients. 🎩 tip to the authors! eddyjoemd.com/foamed/

IVC & fluid responsiveness? 🖥️insp variation in spont breathing depends on effort 🖥️dilates if no effort 🖥️simple IVC measure may provide accurate info 🖥️congestion? NO fluids even if FR 🖇️bit.ly/3RxkYqv In reply to 🔓rdcu.be/dK4DR 🔓On rdcu.be/dH6nb

The ESICM guidelines: end of life & palliative care in #ICU 🖋️definitions 🗺️variability across countries ⚖️decision-making 🕯️palliative/EoL care 📱communication 🎯family-centered care 🤝interprofessional decision-making 🔥conflict management & burnout 🔓 bit.ly/3TUOAiW

Code ICH in intensive care 🖥️ rapid imaging to confirm diagnosis/assess hemorrhage 🩸smooth/sustained BP control vs hematoma expansion 🩸 anticoagulation reversal vs further bleeding 🚨 multidisciplinary team activation 🧠 continuous monitoring in #ICU 🔓 rdcu.be/dVYba

Moderate IV Fluid Resuscitation Is Associated With... : Critical Care Medicine journals.lww.com/ccmjournal/ful…

#echofirst views used to perform comprehensive evaluation of the right heart. Each view is accompanied by uses, advantages, and limitations. Courtesy: ………s-jbs-prod-cdn.jbs.elsevierhealth.com/cms/attachment……… #POCUS #FOAMed #Nephpearls

Guideline On Treatment Heart Failure 🫀