My ICU patient with acute hypoxaemic respiratory failure is immunocompromised

My ICU patient with acute hypoxaemic respiratory failure is immunocompromised: Results from the EFRAIM study EJRC Article Review   Over the past decades, the number of immunosuppressed patients admitted to ICUs has increased. This may be the consequence of increased use of chemotherapy, bone marrow and solid organ transplantation, as well as the increased life […]

Read More…

PCT-guided antibiotic therapy in ICU patients

Procalcitonin-guided antibiotic therapy in intensive care unit patients: a systematic review and meta-analysis EJRC Article Review   Procalcitonin (PCT) is an acute-phase protein that has been extensively studied as a specific marker of bacterial infection. Its main proposed value is reduced use of antibiotics. PCT measurement has been recommended in the most recent edition of […]

Read More…

ICM: ONLINE FIRST THIS WEEK

ONLINE FIRST THIS WEEK (FREE ACCESS) Conference Reports and Expert Panel  ~ Can Ince et al. Second consensus on the assessment of sublingual microcirculation in critically ill patients: results from a task force of the European Society of Intensive Care Medicine. Letter ~ Boun Kim Tan et al. A hospital-wide intervention replacing ceftriaxone with cefotaxime to reduce rate […]

Read More…

Reducing CRBSIs in ICUs: What’s the best strategy?

Reducing CRBSIs in ICUs: What’s the best strategy? EJRC Article Review   Background Healthcare-associated infections (HAIs) are associated with increased morbidity, mortality, and additional healthcare costs. Addressing modifiable factors including infection prevention and control (IPC) practices is a cost effective means of reducing the incidence of HAIs. The Prevention of Hospital Infections by Intervention and […]

Read More…

e-LIVES: February Highlights!

e-LIVES: February Highlights 3 Top Acute Respiratory Failure (ARF) sessions   This month we feature 3 top sessions from LIVES 2017 in Vienna selected by ARF Section Chair Giacomo Bellani. Breathing: Is spontaneous better? How do I manage the difficult to wean patient? Extracorporeal respiratory support This EXCLUSIVE CONTENT is available for all on our e-LIVES platform for […]

Read More…

ICM THIS WEEK ~ ONLINE FIRST articles

ONLINE FIRST (FREE ACCESS) Letter ~ Béatrice La Combe et al. Decreased susceptibility to chlorhexidine affects a quarter of Escherichia coli isolates responsible for pneumonia in ICU patients. Letter ~ Fabio Silvio Taccone et al.  Estimated cerebral perfusion pressure among post-cardiac arrest survivors. Letter ~ François Vincent et al. Palliative cares and the intensivist: not confined to the […]

Read More…

Improving antibiotic stewardship in pneumonia: Is more aggressive viral testing the key?

Improving antibiotic stewardship in pneumonia: Is more aggressive viral testing a key to success? EJRC Article Review   Pneumonia has a substantial impact in the ICU, as a leading reason of acute respiratory failure and for mechanical ventilation. Since appropriate antibiotic use is crucial to limiting morbidity and mortality in pneumonia, intensivists normally prescribe broad-spectrum […]

Read More…

Terminal weaning or immediate extubation: the ARREVE observational study

EJRC Article Review Terminal weaning or immediate extubation for withdrawing mechanical ventilation in critically ill patients (the ARREVE observational study) Worldwide, an increasing number of deaths occur in the intensive care unit (ICU) after a decision to withdraw life support [1, 2]. Relatives of patients who die in the ICU have been reported to experience […]

Read More…