Current practice and evolving concepts in septic shock resuscitation

J Bakker, E Kattan, D Annane, R Castro… - Intensive care …, 2022 - Springer
Clinical and pathophysiological understanding of septic shock has progressed exponentially
in the previous decades, translating into a steady decrease in septic shock-related morbidity …

Management of sepsis and septic shock in the emergency department

F Gavelli, LM Castello, GC Avanzi - Internal and emergency medicine, 2021 - Springer
Early management of sepsis and septic shock is crucial for patients' prognosis. As the
Emergency Department (ED) is the place where the first medical contact for septic patients is …

Effective hemodynamic monitoring

MR Pinsky, M Cecconi, MS Chew, D De Backer… - Critical care, 2022 - Springer
Hemodynamic monitoring is the centerpiece of patient monitoring in acute care settings. Its
effectiveness in terms of improved patient outcomes is difficult to quantify. This review …

The future of intensive care: the study of the microcirculation will help to guide our therapies

J Duranteau, D De Backer, K Donadello, NI Shapiro… - Critical Care, 2023 - Springer
The goal of hemodynamic resuscitation is to optimize the microcirculation of organs to meet
their oxygen and metabolic needs. Clinicians are currently blind to what is happening in the …

A plea for personalization of the hemodynamic management of septic shock

D De Backer, M Cecconi, MS Chew, L Hajjar, X Monnet… - Critical care, 2022 - Springer
Although guidelines provide excellent expert guidance for managing patients with septic
shock, they leave room for personalization according to patients' condition. Hemodynamic …

Using Bayesian methods to augment the interpretation of critical care trials. An overview of theory and example reanalysis of the alveolar recruitment for acute …

FG Zampieri, JD Casey, M Shankar-Hari… - American journal of …, 2021 - atsjournals.org
Most randomized trials are designed and analyzed using frequentist statistical approaches
such as null hypothesis testing and P values. Conceptually, P values are cumbersome to …

Randomised clinical trials in critical care: past, present and future

A Granholm, W Alhazzani, LPG Derde, DC Angus… - Intensive care …, 2022 - Springer
Randomised clinical trials (RCTs) are the gold standard for providing unbiased evidence of
intervention effects. Here, we provide an overview of the history of RCTs and discuss the …

Efficacy of awake prone positioning in patients with covid-19 related hypoxemic respiratory failure: systematic review and meta-analysis of randomized trials

J Weatherald, KKS Parhar, Z Al Duhailib, DK Chu… - bmj, 2022 - bmj.com
Objective To determine the efficacy and safety of awake prone positioning versus usual care
in non-intubated adults with hypoxemic respiratory failure due to covid-19. Design …

Fluid therapy for critically ill adults with sepsis: a review

FG Zampieri, SM Bagshaw, MW Semler - Jama, 2023 - jamanetwork.com
Importance Approximately 20% to 30% of patients admitted to an intensive care unit have
sepsis. While fluid therapy typically begins in the emergency department, intravenous fluids …

Clinical trials in critical care: can a Bayesian approach enhance clinical and scientific decision making?

CJ Yarnell, D Abrams, MR Baldwin… - The Lancet …, 2021 - thelancet.com
Recent Bayesian reanalyses of prominent trials in critical illness have generated controversy
by contradicting the initial conclusions based on conventional frequentist analyses. Many …