+ Direct Access

Are risk factors and impact of prevention strategies the same for early- and late-onset VAP?

Are risk factors and impact of prevention strategies the same for early- and late-onset VAP? EJRC Article Review   The risk factors and impact of prevention strategies for early-onset (EOP) versus late-onset (LOP) ventilator-associated pneumonia (VAP) are still under debate. Saied and colleagues conducted a retrospective analysis of data prospectively entered from 01/1997 to 03/2016 […]

Read More…

ICM ~ New ONLINE FIRST articles

ONLINE FIRST THIS WEEK (FREE ACCESS) ONLINE FIRST THIS WEEK   Conference Reports and Expert Panel ~ Jan J. De Waele et al. Antimicrobial resistance and antibiotic stewardship programmes in the ICU: insistence and persistence in the fight against resistance. A position statement from ESICM/ESCMID/WAAAR round table on multi-drug resistance. Letter ~ James Downar et al. […]

Read More…

Identifying community-acquired pneumonia (CAP)

Is the clinical significance of community-acquired pneumonia (CAP) visualised on CT scans only the same as of CAP visualised on chest x-rays? EJRC Article Review   The clinical significance of radiological signs of pneumonia visualised only on CT imaging is largely unknown, which creates uncertainty about the appropriate management: Should the management approach be according […]

Read More…

ICM ~ Ten Best Recent Articles

FREE ACCESS Yongfang Zhou et al. Early application of airway pressure release ventilation may reduce the duration of mechanical ventilation in acute respiratory distress syndrome. It was important to apply the physiology theoretical knowledge of APRV and the findings of recent experiment researches to standardise the APRV settings. The early use of the updated APRV methodology […]

Read More…

Fresh versus older: Has the red blood cell controversy finally been settled?

EJRC Article Review Effect of Red Cell Storage Duration on Mortality in Critically Ill Patients   The standard transfusion laboratory policy of issuing the oldest blood for transfusion first in order to protect available supplies has raised the question of whether this exposes sick patients to potential harm. Despite being stored refrigerated in preservative solutions […]

Read More…

Effect of perioperative patient-targeted BP control

EJRC Article Review Effect of Individualised vs. Standard Blood Pressure Management Strategies on Postoperative Organ Dysfunction Among High-Risk Patients Undergoing Major Surgery   Adequate perioperative blood pressure (BP) control is a cornerstone in preventing postoperative organ dysfunction. However, there are no evidence-based data on the effective BP target. The aim of the Intraoperative Norepinephrine to […]

Read More…

Extracorporeal life support: What do we need?

Meet the expert ~ Alain Combes In this brief icTV interview, Co-Principal Investigator of SUPERNOVA Alain Combes discusses the research agenda for extracorporeal life support and teases the topical paper published in Intensive Care Medicine, which details the data we currently have on ECMO and what researchers need to focus on in terms of future […]

Read More…

Focus on ventilation and airway management in the ICU

EJRC Article Review Focus on ventilation and airway management in the ICU In the Intensive Care Unit (ICU), despite technological advances, airway and ventilation management remains a challenge for the intensivist, often resulting in high morbidity and mortality. In recent years, there has been an increase in noninvasive support strategies to avoid intubation, in particular […]

Read More…