Critical Care , Pulmonary , Airway , Deep Dive in CritCare

ARDS: Deep Dive into the Evidence

11/16/2020 Jonathan Pickos, DO , Brian Sumner, MD , Michael Franczak, MD , Melissa Villars, MD, MPH , Mina Ghobrial, MD , Sean M. Hickey, MD

Acute Respiratory Distress Syndrome (ARDS) is a life-threatening form of respiratory failure characterized by massive inflammation leading to pulmonary edema, decruitment of alveoli, and hypoxemia. De

Critical Care , Critical Care Alert , COVID-19

Critical Care Alert: Effect of Hydrocortisone on Mortality and Organ Support in Patients With Severe COVID-19. The REMAP-CAP COVID-19 Corticosteroid Domain Randomized Clinical Trial

9/21/2020 Brian Sumner, MD , Sean M. Hickey, MD

A complex trial meant to determine whether hydrocortisone can improve outcomes for patients with severe COVID-19 was stopped early - but still shows promise for the course.

Critical Care , Critical Care Alert , COVID-19

Critical Care Alert: Association Between Administration of Systemic Corticosteroids and Mortality Among Critically Ill Patients With COVID-19: A Meta-analysis

9/21/2020 Brian Sumner, MD , Sean M. Hickey, MD

With no clear consensus on the use of steroids in critically ill sepsis patients, a recent meta-analysis studies the 28-day mortality in critically ill COVID-19 patients when corticosteroids are admin

Critical Care , Critical Care Alert

Critical Care Alert: Effect of Ascorbic Acid, Corticosteroids, and Thiamine on Organ Injury in Septic Shock - The ACTS Randomized Clinical Trial

9/3/2020 Brian Sumner, MD , Sean M. Hickey, MD

This study sheds more light on how the administration of ascorbic acid, corticosteroids, and thiamine might affect the rates of organ injury in patients suffering septic shock. The takeaway? It's not

Critical Care , Critical Care Alert

Critical Care Alert: Etomidate Use Is Associated with Less Hypotension Than Ketamine for Emergency Department Sepsis Intubations: A NEAR Cohort Study

8/26/2020 Brian Sumner, MD , Sean M. Hickey, MD

Intubating the critically ill septic patient is a high-risk procedure. We examine an observational study that reported higher levels of procedural hypotension with the use of ketamine when compared to