Dr Fernando Zampieri MD PhD published a thought provoking article in ICU management and practice. This takes an example of use of CRP in diagnosing ventilator associated pneumonia and various clinician biases. In the end, there is an exhaustive list of things which we do today which are not proven to be beneficial.
Organization
Surviving Sepsis Guidelines 2026 : What’s New
Domain 2021 Guidelines 2026 Guidelines (Update) What This Means Clinically Overall approach Protocolized bundles (Hour-1 bundle emphasized) More individualized, patient-centered care; less rigid bundles Move away from “checklist medicine” → nuanced decisions Performance improvement Recommended but less emphasized Strong recommendation for sepsis performance/QI programs Hospitals expected to actively track & improve sepsis care Antibiotics timing … Read more
New SOFA-2 score released
Otavio T. Ranzani, Mervyn Singer et el released the new SOFA 2 score. It updated variables like spo2 instead of PaO2. Also added new variables like vasopressors to the cardiovascular score. Although proposed, the addition of gastrointestinal and immune domains was not included in the final version due to insufficient correlation with outcomes in internal validation. … Read more
Continuous infusion of beta-lactam antibiotics improves mortality in sepsis
Reference https://jamanetwork.com/journals/jama/fullarticle/2819971
Two dialysis catheters
Which one is the problematic ? What do you do next ?
Days out of Institution after tracheostomy and gastrostomy
Anica C Law , Jennifer P Stevens et el published a retrospective cohort study of Medicare beneficiaries who underwent tracheostomy and gastrostomy while critically ill in various intensive care units. Here is the summary
Efficacy of various masks as Personal Protective Equipment for the Public
Phillip W. Clapp, Emily E. Sickbert-Bennett et el published a study in JAMA regarding efficacy of various masks in COVID pandemic. INTRODUCTION Centers for Disease Control and Prevention (CDC) emphasizes the importance of wearing face masks that properly fit the face to slow the spread of SARS-CoV-2. Masks are a proven means to prevent … Read more
Update in cardiac resuscitation : New CPR Guidelines
Ashish Panchel, Jason Bartos, Jose Cabanas et el published uptdated guidelines for cardiac resuscitation in Circulation. Salient features are summarized in this picture. Now a days the guidelines are updated on a continuous basis but these are the salient changes summarized in a table form. Most updated treatment recommendations for cardiac arrest resuscitation FOR … Read more