journal
https://read.qxmd.com/read/38457010/diaphragm-thickness-modifications-and-associated-factors-during-va-ecmo-for-a-cardiogenic-shock-a-cohort-study
#1
JOURNAL ARTICLE
Pierre-Henri Moury, Alexandre Béhouche, Sébastien Bailly, Zoé Durand, Géraldine Dessertaine, Angelina Pollet, Samir Jaber, Samuel Verges, Pierre Albaladejo
BACKGROUND: The incidence, causes and impact of diaphragm thickness evolution in veno-arterial extracorporeal membrane oxygenation (VA-ECMO) for cardiogenic shock are unknown. Our study investigates its evolution during the first week of VA-ECMO and its relationship with sweep gas flow settings. METHODS: We conducted a prospective monocentric observational study in a 12-bed ICU in France, enrolling patients on the day of the VA-ECMO implantation. The diaphragm thickness and the diaphragm thickening fraction (as index of contractile activity, dTF; dTF < 20% defined a low contractile activity) were daily measured for one week using ultrasound...
March 8, 2024: Annals of Intensive Care
https://read.qxmd.com/read/38448617/letter-on-bioimpedance-assessed-muscle-wasting-and-its-relation-to-nutritional-intake-during-the-first-week-of-icu-a-pre-planned-secondary-analysis-of-nutriti-study
#2
LETTER
Libing Jiang, Shanxiang Xu
No abstract text is available yet for this article.
March 7, 2024: Annals of Intensive Care
https://read.qxmd.com/read/38448761/impact-of-a-multidisciplinary-management-team-on-clinical-outcome-in-icu-patients-affected-by-gram-negative-bloodstream-infections-a-pre-post-quasi-experimental-study
#3
JOURNAL ARTICLE
Matteo Rinaldi, Milo Gatti, Tommaso Tonetti, Domenico Nocera, Simone Ambretti, Andrea Berlingeri, Giacomo Nigrisoli, Elisabetta Pierucci, Antonio Siniscalchi, Federico Pea, Pierluigi Viale, Maddalena Giannella
BACKGROUND: Bloodstream infections (BSIs) by Gram-negative pathogens play a major role in intensive care patients, both in terms of prevalence and severity, especially if multi-drug resistant pathogens are involved. Early appropriate antibiotic therapy is therefore a cornerstone in the management of these patients, and growing evidence shows that implementation of a multidisciplinary team may improve patients' outcomes. Our aim was to evaluate the clinical and microbiological impact of the application of a multidisciplinary team on critically ill patients...
March 6, 2024: Annals of Intensive Care
https://read.qxmd.com/read/38448746/association-between-pupillary-examinations-and-prognosis-in-patients-with-out-of-hospital-cardiac-arrest-who-underwent-extracorporeal-cardiopulmonary-resuscitation-a-retrospective-multicentre-cohort-study
#4
JOURNAL ARTICLE
Takuro Hamaguchi, Toru Takiguchi, Tomohisa Seki, Naoki Tominaga, Jun Nakata, Takeshi Yamamoto, Takashi Tagami, Akihiko Inoue, Toru Hifumi, Tetsuya Sakamoto, Yasuhiro Kuroda, Shoji Yokobori, The Save-J Ii Study Group
BACKGROUND: In some cases of patients with out-of-hospital cardiac arrest (OHCA) who underwent extracorporeal cardiopulmonary resuscitation (ECPR), negative pupillary light reflex (PLR) and mydriasis upon hospital arrival serve as common early indicator of poor prognosis. However, in certain patients with poor prognoses inferred by pupil findings upon hospital arrival, pupillary findings improve before and after the establishment of ECPR. The association between these changes in pupillary findings and prognosis remains unclear...
March 6, 2024: Annals of Intensive Care
https://read.qxmd.com/read/38429410/covid-19-associated-pulmonary-aspergillosis-in-mechanically-ventilated-patients
#5
LETTER
Guangting Zeng, Linlin Wang
No abstract text is available yet for this article.
March 1, 2024: Annals of Intensive Care
https://read.qxmd.com/read/38411756/immediate-vs-culture-initiated-antibiotic-therapy-in-suspected-non-severe-ventilator-associated-pneumonia-a-before-after-study-delavap
#6
JOURNAL ARTICLE
Maëlle Martin, Solène Forveille, Jean-Baptiste Lascarrou, Amélie Seguin, Emmanuel Canet, Jérémie Lemarié, Maïté Agbakou, Luc Desmedt, Gauthier Blonz, Olivier Zambon, Stéphane Corvec, Aurélie Le Thuaut, Jean Reignier
BACKGROUND: Ventilator-associated pneumonia (VAP) is the leading nosocomial infection in critical care and is associated with adverse outcomes. When VAP is suspected, starting antibiotic therapy (AT) immediately after pulmonary sampling may expose uninfected patients to unnecessary treatment, whereas waiting for bacteriological confirmation may delay AT in infected patients. As no robust data exist to choose between these strategies, the decision must balance the pre-test diagnostic probability, clinical severity, and risk of antimicrobial resistance...
February 27, 2024: Annals of Intensive Care
https://read.qxmd.com/read/38407643/automated-characterization-of-patient-ventilator-interaction-using-surface-electromyography
#7
JOURNAL ARTICLE
Julia Sauer, Jan Graßhoff, Niklas M Carbon, Willi M Koch, Steffen Weber-Carstens, Philipp Rostalski
BACKGROUND: Characterizing patient-ventilator interaction in critically ill patients is time-consuming and requires trained staff to evaluate the behavior of the ventilated patient. METHODS: In this study, we recorded surface electromyography ([Formula: see text]) signals from the diaphragm and intercostal muscles and esophageal pressure ([Formula: see text]) in mechanically ventilated patients with ARDS. The sEMG recordings were preprocessed, and two different algorithms (triangle algorithm and adaptive thresholding algorithm) were used to automatically detect inspiratory patient effort...
February 26, 2024: Annals of Intensive Care
https://read.qxmd.com/read/38401034/long-stay-icu-patients-with-frailty-mortality-and-recovery-outcomes-at-6%C3%A2-months
#8
JOURNAL ARTICLE
Hannah Wozniak, Tal Sarah Beckmann, Andre Dos Santos Rocha, Jérôme Pugin, Claudia-Paula Heidegger, Sara Cereghetti
BACKGROUND: Prolonged intensive care unit (ICU) stay is associated with physical, cognitive, and psychological disabilities. The impact of baseline frailty on long-stay ICU patients remains uncertain. This study aims to investigate how baseline frailty influences mortality and post-ICU disability 6 months after critical illness in long-stay ICU patients. METHODS: In this retrospective cohort study, we assessed patients hospitalized for ≥ 7 days in the ICU between May 2018 and May 2021, following them for up to 6 months or until death...
February 24, 2024: Annals of Intensive Care
https://read.qxmd.com/read/38368588/prolonged-versus-intermittent-%C3%AE-lactam-infusion-in-sepsis-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#9
REVIEW
Yang Zhao, Bin Zang, Qian Wang
BACKGROUND: The two latest studies on prolonged versus intermittent use of β-lactam antibiotics in patients with sepsis did not reach consistent conclusions, further contributing to the controversy surrounding the effectiveness of the prolonged β-lactam antibiotics infusion strategy. We conducted a systemic review and meta-analysis to evaluate the efficacy and safety of prolonged and intermittent β-lactam infusion in adult patients with sepsis. METHODS: We systematically searched PubMed, EMBASE, and Cochrane Library databases for original randomized controlled trials comparing prolonged and intermittent β-lactam infusion in sepsis patients...
February 18, 2024: Annals of Intensive Care
https://read.qxmd.com/read/38367198/bioimpedance-assessed-muscle-wasting-and-its-relation-to-nutritional-intake-during-the-first-week-of-icu-a-pre-planned-secondary-analysis-of-nutriti-study
#10
JOURNAL ARTICLE
Cristian Deana, Jan Gunst, Silvia De Rosa, Michele Umbrello, Matteo Danielis, Daniele Guerino Biasucci, Tommaso Piani, Antonella Cotoia, Alessio Molfino, Luigi Vetrugno
BACKGROUND: Muscle mass evaluation in ICU is crucial since its loss is related with long term complications, including physical impairment. However, quantifying muscle wasting with available bedside tools (ultrasound and bioimpedance analysis) must be more primarily understood. Bioimpedance analysis (BIA) provides estimates of muscle mass and phase angle (PA). The primary aim of this study was to evaluate muscle mass changes with bioimpedance analysis during the first 7 days after ICU admission...
February 17, 2024: Annals of Intensive Care
https://read.qxmd.com/read/38361004/prediction-of-esophagogastroduodenoscopy-therapeutic-usefulness-for-in-icu-suspected-upper-gastrointestinal-bleeding-the-sugibi-score-study
#11
JOURNAL ARTICLE
Victor Penaud, Thibault Vieille, Tomas Urbina, Vincent Bonny, Paul Gabarre, Louai Missri, Maxime Gasperment, Jean-Luc Baudel, Nicolas Carbonell, Alexandra Beurton, Sayma Chaibi, Aurélia Retbi, Muriel Fartoukh, Gaël Piton, Bertrand Guidet, Eric Maury, Hafid Ait-Oufella, Jérémie Joffre
BACKGROUND: Suspected upper gastrointestinal bleeding (SUGIB) is a common issue during ICU stay. In the absence of specific guidelines on the indication and timing of esophagogastroduodenoscopy (EGD), there is substantial variability in EGD indication depending on accessibility and clinical presentation. This study aimed to investigate factors associated with the need for per-EGD hemostatic therapy and to create a score predicting therapeutic benefit of emergency bedside EGD in ICU patients with SUGIB...
February 15, 2024: Annals of Intensive Care
https://read.qxmd.com/read/38353928/correction-clinical-spectrum-and-prognostic-impact-of-cancer-in-critically-ill-patients-with-hiv-a-multicentre-cohort-study
#12
Piotr Szychowiak, Thierry Boulain, Jean-François Timsit, Alexandre Elabbadi, Laurent Argaud, Stephan Ehrmann, Nahema Issa, Emmanuel Canet, Frédéric Martino, Fabrice Bruneel, Jean-Pierre Quenot, Florent Wallet, Élie Azoulay, François Barbier
No abstract text is available yet for this article.
February 14, 2024: Annals of Intensive Care
https://read.qxmd.com/read/38349530/impact-of-dexamethasone-in-severe-covid-19-induced-acute-kidney-injury-a-multicenter-cohort-study
#13
JOURNAL ARTICLE
Sébastien Rubin, Arthur Orieux, Mathilde Prezelin-Reydit, Antoine Garric, Yoann Picard, Nouchan Mellati, Lisa Le Gall, Antoine Dewitte, Renaud Prevel, Didier Gruson, Guillaume Louis, Alexandre Boyer
BACKGROUND: Acute kidney injury (AKI) in intensive care unit (ICU) patients with severe COVID-19 is common (> 50%). A specific inflammatory process has been suggested in the pathogenesis of AKI, which could be improved by dexamethasone (DXM). In a small monocenter study (n = 100 patients), we reported a potential protective effect of DXM on the risk of AKI. This study aimed to investigate the preventive impact of DXM on AKI in a multicenter study of patients with severe COVID-19...
February 13, 2024: Annals of Intensive Care
https://read.qxmd.com/read/38345712/comprehensive-temporal-analysis-of-right-ventricular-function-and-pulmonary-haemodynamics-in-mechanically-ventilated-covid-19-ards-patients
#14
JOURNAL ARTICLE
Vasiliki Tsolaki, George E Zakynthinos, Nikitas Karavidas, Vasileios Vazgiourakis, John Papanikolaou, Kyriaki Parisi, Paris Zygoulis, Demosthenes Makris, Epaminondas Zakynthinos
BACKGROUND: Cardiac injury is frequently reported in COVID-19 patients, the right ventricle (RV) is mostly affected. We systematically evaluated the cardiac function and longitudinal changes in severe COVID-19 acute respiratory distress syndrome (ARDS) admitted to the intensive care unit (ICU) and assessed the impact on survival. METHODS: We prospectively performed comprehensive echocardiographic analysis on mechanically ventilated COVID-19 ARDS patients, using 2D/3D echocardiography...
February 12, 2024: Annals of Intensive Care
https://read.qxmd.com/read/38342803/estimation-of-the-effect-of-vaccination-in-critically-ill-covid-19-patients-analysis-using-propensity-score-matching
#15
JOURNAL ARTICLE
Amarja Ashok Havaldar, Sumithra Selvam
BACKGROUND: Vaccination helped in reducing mortality and disease severity due to COVID-19. Some patients can develop breakthrough infections. The effect of vaccination in critically ill patients admitted with breakthrough infections is not well studied. We designed a study to estimate the effect of vaccination on ICU mortality in critically ill COVID-19 patients by using propensity score matching. METHODS: We included patients from 15th June 2020 to 31st December 2021...
February 12, 2024: Annals of Intensive Care
https://read.qxmd.com/read/38340203/potential-of-acetaminophen-on-the-sublingual-microcirculation-and-peripheral-tissue-perfusion-of-febrile-septic-patients-prospective-observational-study
#16
JOURNAL ARTICLE
R Domizi, E Damiani, A Carsetti, L Graciotti, A D Procopio, C Scorcella, E Casarotta, P Giaccaglia, A Donati, E Adrario
BACKGROUND: Acetaminophen (ACT) has been studied in septic patients with detectable plasmatic levels of cell-free hemoglobin (Hb), where it demonstrated to inhibit the hemoprotein-mediated lipid peroxidation and oxidative injury, with a potential of beneficial effect on the endothelium. On the basis of this background, the aim of this study was to evaluate the sublingual microcirculation and the peripheral tissue perfusion before-and-after administration of ACT on clinical judgment in a cohort of febrile septic and septic shock patients...
February 10, 2024: Annals of Intensive Care
https://read.qxmd.com/read/38308701/prevalence-and-prognosis-of-hyperdynamic-left-ventricular-systolic-function-in-septic-patients-a-systematic-review-and-meta-analysis
#17
JOURNAL ARTICLE
Ryota Sato, Filippo Sanfilippo, Daisuke Hasegawa, Narut Prasitlumkum, Abhijit Duggal, Siddharth Dugar
PURPOSE: The prevalence of hyperdynamic left ventricular (LV) systolic function in septic patients and its impact on mortality remain controversial. In this systematic review and meta-analysis, we investigated the prevalence and association of hyperdynamic LV systolic function with mortality in patients with sepsis. METHODS: We searched MEDLINE, Cochrane Central Register of Controlled Trials, and Embase. Primary outcomes were the prevalence of hyperdynamic LV systolic function in adult septic patients and the associated short-term mortality as compared to normal LV systolic function...
February 3, 2024: Annals of Intensive Care
https://read.qxmd.com/read/38305979/critically-ill-patients-with-infective-endocarditis-neurological-complications-and-indication-for-cardiac-surgery-a-multicenter-propensity-adjusted-study
#18
JOURNAL ARTICLE
Alexandre Gros, Benjamin Seguy, Guillaume Bonnet, Yves-Olivier Guettard, Xavier Pillois, Renaud Prevel, Arthur Orieux, Julien Ternacle, Sebastien Préau, Yoan Lavie-Badie, Elisabeth Coupez, Rémi Coudroy, Delphine Marest, Raphaël P Martins, Didier Gruson, Thomas Tourdias, Alexandre Boyer
BACKGROUND: The benefit-risk balance and optimal timing of surgery for severe infective endocarditis (IE) with ischemic or hemorrhagic strokes is unknown. The study aim was to compare the neurological outcome between patients receiving surgery or not. METHODS: In a prospective register-based multicenter ICU study, patients were included if they met the following criteria: (i) left-sided IE with an indication for heart surgery; (ii) with cerebral complications documented by cerebral imaging before cardiac surgery; (iii) with Sequential Organ Failure Assessment score ≥ 3...
February 2, 2024: Annals of Intensive Care
https://read.qxmd.com/read/38291184/features-and-outcomes-of-patients-admitted-to-the-icu-for-chimeric-antigen-receptor-t-cell-related-toxicity-a-french-multicentre-cohort
#19
JOURNAL ARTICLE
Corentin Le Cacheux, Audrey Couturier, Clara Sortais, Roch Houot, Morgane Péré, Thomas Gastinne, Amélie Seguin, Jean Reignier, Jean-Baptiste Lascarrou, Jean-Marc Tadié, Quentin Quelven, Emmanuel Canet
BACKGROUND: Chimeric antigen receptor T-cell (CAR-T) therapy is increasingly used in patients with refractory haematological malignancies but can induce severe adverse events. We aimed to describe the clinical features and outcomes of patients admitted to the intensive care unit (ICU) after CAR-T therapy. METHODS: This retrospective observational cohort study included consecutive adults admitted to either of two French ICUs in 2018-2022 within 3 months after CAR-T therapy...
January 31, 2024: Annals of Intensive Care
https://read.qxmd.com/read/38286885/clinical-and-molecular-epidemiological-features-of-critically-ill-patients-with-invasive-group-a-streptococcus-infections-a-belgian-multicenter-case-series
#20
JOURNAL ARTICLE
Marijke Peetermans, Veerle Matheeussen, Cedric Moerman, Fréderic De Rydt, Sabine Thieren, Emily Pollet, Michael Casaer, Benjamin De Backer, Rudi De Paep, Yves Debaveye, Lars Desmet, Stefanie Desmet, Els I M Duval, Vincent Fraipont, Dieter Geysels, Greet Hermans, Frederik Lahaye, Xavier Mathy, Philippe Meersseman, Cécile Meex, Jozef Van Herck, Stefanie van Kleef-van Koeveringe, Nathalie Layios, Joost Wauters, Philippe G Jorens
BACKGROUND: Recent alerts have highlighted an increase in group A streptococcal (GAS) infections since 2022 in Europe and the United States. Streptococcus pyogenes can cause limited skin or mucosal disease, but can also present as severe invasive disease necessitating critical care. We performed a multicenter retrospective study of patients with GAS infections recently admitted to Belgian intensive care units (ICUs) since January 2022. We describe patient characteristics and investigate the molecular epidemiology of the S...
January 29, 2024: Annals of Intensive Care
journal
journal
43632
1
2
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.