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https://staging-thebottomlineh.kinsta.cloud
A compendium of critical appraisals in Intensive Care Medicine research and related specialtiesFri, 17 Dec 2021 11:54:47 +0000en-GB
hourly
1 https://wordpress.org/?v=5.8.15https://staging-thebottomlineh.kinsta.cloud/wp-content/uploads/2016/05/cropped-tbl-favicon-2-32x32.pngFeatured – The Bottom Line
https://staging-thebottomlineh.kinsta.cloud
3232CONTROLING
https://staging-thebottomlineh.kinsta.cloud/summaries/icm/controling/?utm_source=rss&utm_medium=rss&utm_campaign=controling
https://staging-thebottomlineh.kinsta.cloud/summaries/icm/controling/#respondFri, 17 Dec 2021 11:54:47 +0000https://staging-thebottomlineh.kinsta.cloud/?p=10194Individualised versus conventional glucose control in critically-ill patients: the CONTROLING study—a randomized clinical trial Bohé. Intensive Care Medicine 2021. https://doi.org/10.1007/s00134-021-06526-8 Clinical Question In critically unwell adults does targeting individualised glycaemic control compared to glycaemia < 180 mg/dL improve 90 day mortality? Background Hyperglycaemia has been shown to result in worse outcomes in the critically ill, especially in non-diabetic patients In […]]]>https://staging-thebottomlineh.kinsta.cloud/summaries/icm/controling/feed/0COMBAT-COVID
https://staging-thebottomlineh.kinsta.cloud/summaries/combat-covid/?utm_source=rss&utm_medium=rss&utm_campaign=combat-covid
https://staging-thebottomlineh.kinsta.cloud/summaries/combat-covid/#respondFri, 10 Dec 2021 10:36:49 +0000https://staging-thebottomlineh.kinsta.cloud/?p=10166In mechanically ventilated patients with COVID-19 and severe endotheliopathy, does prostacylin compared with placebo, improve days alive without ventilation by day 28?]]>https://staging-thebottomlineh.kinsta.cloud/summaries/combat-covid/feed/0COCA
https://staging-thebottomlineh.kinsta.cloud/summaries/coca/?utm_source=rss&utm_medium=rss&utm_campaign=coca
https://staging-thebottomlineh.kinsta.cloud/summaries/coca/#respondFri, 03 Dec 2021 16:20:28 +0000https://staging-thebottomlineh.kinsta.cloud/?p=10160In patients with out-of-hospital cardiac arrest, does calcium compared with placebo, improve sustained return of spontaneous circulation?]]>https://staging-thebottomlineh.kinsta.cloud/summaries/coca/feed/0SILENCE
https://staging-thebottomlineh.kinsta.cloud/summaries/silence/?utm_source=rss&utm_medium=rss&utm_campaign=silence
https://staging-thebottomlineh.kinsta.cloud/summaries/silence/#respondWed, 17 Nov 2021 10:45:28 +0000https://staging-thebottomlineh.kinsta.cloud/?p=9874In patients near end of life, does subcutaneous scopolamine butylbromide compared with placebo, reduce the incidence of death rattle?]]>https://staging-thebottomlineh.kinsta.cloud/summaries/silence/feed/0SNOCAT
https://staging-thebottomlineh.kinsta.cloud/summaries/snocat/?utm_source=rss&utm_medium=rss&utm_campaign=snocat
https://staging-thebottomlineh.kinsta.cloud/summaries/snocat/#respondFri, 22 Oct 2021 13:31:38 +0000https://staging-thebottomlineh.kinsta.cloud/?p=9594Effect of Out-of-Hospital Sodium Nitrite on Survival to Hospital Admission After Cardiac Arrest: A Randomized Clinical Trial Kim @uwcardiology. JAMA. 2021 January 12;325(2):138-145. doi: 10.1001/jama.2020.24326. Clinical Question In patients with out-of-hospital cardiac arrest, does sodium nitrite, compared with placebo, improve survival to hospital admission? Background Out-of-hospital cardiac arrest continues to have a high risk of morbidity and mortality Nitrate therapy […]]]>https://staging-thebottomlineh.kinsta.cloud/summaries/snocat/feed/0VAM-IHCA
https://staging-thebottomlineh.kinsta.cloud/summaries/icm/vam-ihca/?utm_source=rss&utm_medium=rss&utm_campaign=vam-ihca
https://staging-thebottomlineh.kinsta.cloud/summaries/icm/vam-ihca/#commentsFri, 15 Oct 2021 18:19:29 +0000https://staging-thebottomlineh.kinsta.cloud/?p=10090Effect of Vasopressin and Methylprednisolone vs Placebo on Return of Spontaneous Circulation in Patients With In-Hospital Cardiac Arrest: A Randomized Clinical Trial Anderson et al. JAMA 2021. doi:10.1001/jama.2021.16628 Clinical Question In adult patients suffering an in-hospital cardiac arrest (IHCA) does the use of vasopressin and methylprednisolone compared to a placebo result in increased rates of return of spontaneous circulation (ROSC)? […]]]>https://staging-thebottomlineh.kinsta.cloud/summaries/icm/vam-ihca/feed/1COAST
https://staging-thebottomlineh.kinsta.cloud/summaries/coast/?utm_source=rss&utm_medium=rss&utm_campaign=coast
https://staging-thebottomlineh.kinsta.cloud/summaries/coast/#respondFri, 08 Oct 2021 15:16:10 +0000https://staging-thebottomlineh.kinsta.cloud/?p=9869In hypoxic African children (oxygen saturations of between 80 and 91%) with pneumonia, does oxygen therapy reduce mortality when compared with a permissive hypoxia (no oxygen) strategy?
In severely hypoxic children (oxygen saturations less than 80%), does high-flow nasal therapy reduce mortality when compared with low-flow oxygen therapy?]]>https://staging-thebottomlineh.kinsta.cloud/summaries/coast/feed/0COVERT MI
https://staging-thebottomlineh.kinsta.cloud/summaries/covert-mi/?utm_source=rss&utm_medium=rss&utm_campaign=covert-mi
https://staging-thebottomlineh.kinsta.cloud/summaries/covert-mi/#respondMon, 04 Oct 2021 19:56:41 +0000https://staging-thebottomlineh.kinsta.cloud/?p=9944In patients who present with an acute STEMI and are referred for percutaneous coronary intervention (PCI), does colchicine in comparsion with placebo reduce myocardial injury?]]>https://staging-thebottomlineh.kinsta.cloud/summaries/covert-mi/feed/0RECOVERY REGEN-COV
https://staging-thebottomlineh.kinsta.cloud/summaries/recovery-regen-cov/?utm_source=rss&utm_medium=rss&utm_campaign=recovery-regen-cov
https://staging-thebottomlineh.kinsta.cloud/summaries/recovery-regen-cov/#respondThu, 30 Sep 2021 21:29:01 +0000https://staging-thebottomlineh.kinsta.cloud/?p=9857Casirivimab and imdevimab in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial @PeterHorby. medRxiv pre-print 2021 doi: https://doi.org/10.1101/2021.06.15.21258542 Clinical Question In hospitalised patients with COVID-19, does the addition of monoclonal antibodies REGEN-COV (carsirivimab & imdevimab) to standard care, compared with standard care alone, improve 28 day mortality? Background Monoclonal antibodies have been shown to be […]]]>https://staging-thebottomlineh.kinsta.cloud/summaries/recovery-regen-cov/feed/0The REST Trial
https://staging-thebottomlineh.kinsta.cloud/summaries/icm/the-rest-trial/?utm_source=rss&utm_medium=rss&utm_campaign=the-rest-trial
https://staging-thebottomlineh.kinsta.cloud/summaries/icm/the-rest-trial/#commentsMon, 13 Sep 2021 07:08:00 +0000https://staging-thebottomlineh.kinsta.cloud/?p=9920In mechanically ventilated patients with acute hypoxaemic respiratory failure, does lowering tidal volume using extracorporeal carbon dioxide removal, compared with conventional low tidal volume ventilation, improve day 90 all-cause mortality?]]>https://staging-thebottomlineh.kinsta.cloud/summaries/icm/the-rest-trial/feed/1COVID STEROID 2
https://staging-thebottomlineh.kinsta.cloud/summaries/covid-steroid-2/?utm_source=rss&utm_medium=rss&utm_campaign=covid-steroid-2
https://staging-thebottomlineh.kinsta.cloud/summaries/covid-steroid-2/#respondThu, 09 Sep 2021 09:38:49 +0000https://staging-thebottomlineh.kinsta.cloud/?p=9836In patients with severe COVID, does 12mg dexamethasone vs 6mg dexamethasone increase the number of days alive without life support at 28 days?]]>https://staging-thebottomlineh.kinsta.cloud/summaries/covid-steroid-2/feed/0TOMAHAWK
https://staging-thebottomlineh.kinsta.cloud/summaries/icm/tomahawk/?utm_source=rss&utm_medium=rss&utm_campaign=tomahawk
https://staging-thebottomlineh.kinsta.cloud/summaries/icm/tomahawk/#respondSun, 05 Sep 2021 06:31:48 +0000https://staging-thebottomlineh.kinsta.cloud/?p=9882Angiography after Out-of-Hospital Cardiac Arrest without ST-Segment Elevation Desch S et al. NEJM 2021. DOI: 10.1056/NEJMoa2101909 Clinical Question In adults > 30 years old suffering out-of-hospital cardiac arrest (OOHCA) without ST elevation on their ECG does routine immediate coronary angiography compared to a delayed or selective approach to coronary angiography improve 30-day all-cause mortality? Background The DISCO pilot study showed […]]]>https://staging-thebottomlineh.kinsta.cloud/summaries/icm/tomahawk/feed/0RECOVERY-RS
https://staging-thebottomlineh.kinsta.cloud/summaries/icm/recovery-rs/?utm_source=rss&utm_medium=rss&utm_campaign=recovery-rs
https://staging-thebottomlineh.kinsta.cloud/summaries/icm/recovery-rs/#commentsSun, 22 Aug 2021 07:12:44 +0000https://staging-thebottomlineh.kinsta.cloud/?p=9771In hospitalised patients with COVID-19 requiring >40% FiO2 to achieve SaO2>94%, does the use of continuous positive airway pressure (CPAP) or high flow nasal oxygen (HFNO) compared with conventional O2 therapy (COT) reduce the incidence of tracheal intubation or death within 30 days?]]>https://staging-thebottomlineh.kinsta.cloud/summaries/icm/recovery-rs/feed/2McCardle
https://staging-thebottomlineh.kinsta.cloud/summaries/treatment-of-multisystem-inflammatory-syndrome-in-children/?utm_source=rss&utm_medium=rss&utm_campaign=treatment-of-multisystem-inflammatory-syndrome-in-children
https://staging-thebottomlineh.kinsta.cloud/summaries/treatment-of-multisystem-inflammatory-syndrome-in-children/#respondFri, 30 Jul 2021 12:24:43 +0000https://staging-thebottomlineh.kinsta.cloud/?p=9617Treatment of Multisystem Inflammatory Syndrome in Children McArdle. NEJM 2021; 385: 35-45.DOI: 10.1056/NEJMoa2102968 Clinical Question In children with multisystem inflammatory syndrome, what affect do different treatments have on the composite of inotropic support or mechanical ventilation by day 2 or death, and disease severity by day 2? Background Multisystem inflammatory syndrome in children (MIS-C) is a new, rare but serious […]]]>https://staging-thebottomlineh.kinsta.cloud/summaries/treatment-of-multisystem-inflammatory-syndrome-in-children/feed/0COBI
https://staging-thebottomlineh.kinsta.cloud/summaries/cobi/?utm_source=rss&utm_medium=rss&utm_campaign=cobi
https://staging-thebottomlineh.kinsta.cloud/summaries/cobi/#commentsThu, 15 Jul 2021 09:30:27 +0000https://staging-thebottomlineh.kinsta.cloud/?p=9659In adult patients with moderate to severe traumatic brain injury, does a continuous infusion of 20% saline, compared with standard care along, improve neurological outcomes at six months?]]>https://staging-thebottomlineh.kinsta.cloud/summaries/cobi/feed/1TTM2
https://staging-thebottomlineh.kinsta.cloud/summaries/icm/ttm2/?utm_source=rss&utm_medium=rss&utm_campaign=ttm2
https://staging-thebottomlineh.kinsta.cloud/summaries/icm/ttm2/#commentsThu, 17 Jun 2021 10:01:26 +0000https://staging-thebottomlineh.kinsta.cloud/?p=9620In patients who are unconscious following out-of-hospital cardiac arrest, does targeted hypothermia compared with targeted normothermia, impact all-cause mortality?]]>https://staging-thebottomlineh.kinsta.cloud/summaries/icm/ttm2/feed/2STYLETO
https://staging-thebottomlineh.kinsta.cloud/summaries/icm/styleto/?utm_source=rss&utm_medium=rss&utm_campaign=styleto
https://staging-thebottomlineh.kinsta.cloud/summaries/icm/styleto/#respondThu, 10 Jun 2021 08:59:57 +0000https://staging-thebottomlineh.kinsta.cloud/?p=9598In critically ill adults, does the use of an intubating stylet compared to tracheal tube alone, increase first-attempt successful intubation?]]>https://staging-thebottomlineh.kinsta.cloud/summaries/icm/styleto/feed/0TRAAP2
https://staging-thebottomlineh.kinsta.cloud/summaries/pom/traap2/?utm_source=rss&utm_medium=rss&utm_campaign=traap2
https://staging-thebottomlineh.kinsta.cloud/summaries/pom/traap2/#respondFri, 14 May 2021 22:55:04 +0000https://staging-thebottomlineh.kinsta.cloud/?p=9568In patients undergoing caesarean section (CS) does the administration of tranexamic acid (TXA) when compared to placebo result in a lower incidence of calculated estimated blood loss of red blood cell transfusion by day 2?]]>https://staging-thebottomlineh.kinsta.cloud/summaries/pom/traap2/feed/0MENDS2
https://staging-thebottomlineh.kinsta.cloud/summaries/mends2/?utm_source=rss&utm_medium=rss&utm_campaign=mends2
https://staging-thebottomlineh.kinsta.cloud/summaries/mends2/#respondFri, 07 May 2021 13:07:00 +0000https://staging-thebottomlineh.kinsta.cloud/?p=9495In mechanically ventilated adults with sepsis, does the use of dexmedetomidine, compared with propofol, for continuous sedation improve the number of days alive without delirium or coma?]]>https://staging-thebottomlineh.kinsta.cloud/summaries/mends2/feed/0Sjöblom
https://staging-thebottomlineh.kinsta.cloud/summaries/icm/sjoblom/?utm_source=rss&utm_medium=rss&utm_campaign=sjoblom
https://staging-thebottomlineh.kinsta.cloud/summaries/icm/sjoblom/#respondThu, 29 Apr 2021 15:50:31 +0000http://staging-thebottomlineh.kinsta.cloud/?p=9415In adult patients undergoing rapid sequence intubation for emergency surgery, does pre-oxygenation with high-flow nasal oxygen, compared with standard face-mask oxygen, reduce the incidence of oxygen desaturation?]]>https://staging-thebottomlineh.kinsta.cloud/summaries/icm/sjoblom/feed/0