Questions about Critical Illness
Do buffered solutions lower mortality better than regular saline in critical illness?
No, a large meta-analysis found buffered solutions do not lower mortality compared to 0.9% saline in critically ill patients.
Full answer →Can ultrasound muscle index predict how long a critically ill patient will live?
Yes, ultrasound muscle index, especially the tibialis anterior pennation angle (TA-PA), can help predict 60-day mortality in critically ill patients.
Full answer →Is melatonin a good sleep aid for ICU patients with critical illness?
Melatonin may modestly improve sleep in ICU patients, but evidence is limited and experts recommend trying non-drug measures first.
Full answer →Can continuous glucose monitoring lower mortality for patients in the ICU?
Continuous glucose monitoring may reduce mortality and hypoglycemia in ICU patients, but the evidence is very uncertain and more research is needed.
Full answer →Does using endoscopic guidance for tracheostomy reduce complications in critical illness?
A large randomized trial found no significant difference in perioperative complications between endoscopic-guided and nonendoscopic-guided percutaneous tracheostomy in critically ill patients.
Full answer →All Critical Illness Articles
- Depression screening predicts lower health-related quality of life in ICU survivors
- Meta-analysis finds no mortality benefit from high-protein supplementation in critical illness
- Endoscopic Guidance Does Not Reduce Complications in Tracheostomy
- Continuous glucose monitoring may reduce mortality and hypoglycemia in ICU patients compared to point of care testing
- Narrative review suggests melatonin for ICU sleep only after non-pharmacologic measures fail
- Systematic review and meta-analysis compares intermittent vs. continuous enteral nutrition in critical illness
- Ultrasound muscle index TA-PA predicts 60-day mortality in critically ill ICU patients
- Meta-analysis of 34 Studies Shows Buffered Solutions Do Not Lower Mortality Compared to 0.9% Saline
- Protein nutritional support in critically ill adults shows heterogeneous mortality benefits and potential harm from very high early doses
- In critically ill adults, greater quadriceps thickness and circumference independently predicted lower 28-day mortality risk
- Early supplemental parenteral nutrition may reduce ventilation time and ICU stay in older underfed ICU patients
- Normal saline preservation solution increases serum sodium and blood pressure versus half saline in critically ill pediatric patients
- Meta-analysis finds diaphragmatic atrophy and weakness in critically ill patients on ventilation or with sepsis
- Testosterone gel fails to normalize serum levels in critically ill ICU patients in pilot RCT
- Inspiratory muscle training shows no clear effect on physical function in critically ill adults on mechanical ventilation