Managing Organ Dysfunction in the ICU

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The Importance of Managing Fluid Overload in Acute Kidney Injury
Stuart L. Goldstein, MD, FAAP, FASN, FNKF
26 April 2018
Managing Fluid Overload in AKI: Best Practices and Preferred Approaches to RRT
John R. Prowle, MA, MB, BChir, MSc, MD, FFICM, FRCP
26 April 2018

Patient Case Studies

45-year-old multiparous woman who presented with acute abdominal pain and a tender palpable mass. A contrast-enhanced computed...

59-year-old woman. An underlying serogroup Y Neisseria meningitidis (NM) infection was diagnosed, with a rapid progression...

51-year-old man visited the emergency department with chest pain. The initial electrocardiography showed markedly elevated...

40-year-old male who presented to our hospital with a large tongue swelling after a fall. Bedside point-of-care ultrasound...

70-year-old diabetic woman who presented to the emergency department with multiple seizure episodes and coma, prompting the...

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In the News

AHA: Central Retinal Artery Occlusion Requires Immediate Treatment, Can Signal Future Vascular Events
A new scientific statement from the American Heart Association, published in the journal Stroke, states that central retinal artery occlusion (CRAO) is a medical emergency and systems of care should evolve to prioritise early recognition and triage of CRAO to emergency medical attention. The...
FDA Issues Emergency Use Authorisation for Third COVID-19 Vaccine
The US Food and Drug Administration (FDA) issued an emergency use authorisation (EUA) for the third vaccine for the prevention of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The EUA allows the Janssen COVID-19 vaccine to be...
New Tool Helps Clinicians Assess Persons Under Investigation for COVID-19 More Quickly
A new real-time tool is an efficient and effective clinical decision support system to guide frontline clinicians through the diagnostic evaluation of persons under investigation (PUI) for coronavirus disease 2019 (COVID-19), and when it’s safe to discontinue precautions. The COVID Risk Calculator...
Novel Computerised Screening Tool Reliably Predicts Youth Suicide Attempt Within 3 Months
The Computerized Adaptive Screen for Suicidal Youth (CASSY) tool, designed to be used in emergency rooms, can reliably predict a youth suicide attempt within 3 months, according to a study published in JAMA Psychiatry. In an independent validation cohort that included 2,754 adolescents, of which...
Pregnant Women With COVID-19 Have Higher Mortality Rates Than Similarly Aged Adults
Coronavirus disease 2019 (COVID-19) hospitalisation and case fatality rates in pregnant patients were significantly higher compared with similarly aged adults in Washington State with COVID-19, according to a study published in the American Journal of Obstetrics and Gynecology. Among 240 pregnant...
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Conference Reports

Rothman Index at Time of Admission Identifies Patients With COVID-19 Susceptible to Rapid Deterioration

By Eric Ramos

CHICAGO -- February 1, 2021 -- Using the Rothman Index (RI) acuity score at the time of admission can identify patients with coronavirus disease 2019 (COVID-19) who are susceptible to rapid deterioration, according to a study presented at the Virtual 50th Annual Meeting of...

Sickle Cell Disease Confers Higher COVID-19 Mortality, Hospitalisation Risk

By Walter Alexander

NEW YORK -- December 8, 2020 -- Compared with the general black population in California, black patients with sickle cell disease who became infected with coronavirus disease 2019 (COVID-19) have higher rates of COVID-19 death, according to a study presented at the...

D-Dimer Levels Alone Not Enough to Initiate Anticoagulation in Hospitalised Patients With COVID-19

By Eric Ramos

CHICAGO -- November 19, 2020 -- Deep venous thrombosis (DVT) was frequently diagnosed in patients hospitalised with coronavirus disease 2019 (COVID-19) who underwent imaging due to elevated D-Dimer levels; however, there was considerable overlap of peak D-Dimer values
...

Majority of Patients With Asthma Do Not Receive Guideline-Directed Therapy in the Emergency Department

By Ed Susman

WEST PALM BEACH, Fla -- November 19, 2020 -- When patients who are experiencing asthma exacerbation present at the emergency department, they frequently do not receive guideline-directed treatment, education, or medication, according to a study presented at the Virtual 2020...

Risk of COVID-19 Infection Not Higher in Patients With Cancer Receiving Immunotherapy

By Eric Ramos

CHICAGO -- November 10, 2020 -- Treatment with immune checkpoint inhibitors does not appear to be a risk factor for contracting coronavirus disease 2019 (COVID-19), according to a study presented at the Virtual 35th Annual Meeting of the Society of Immunotherapy of Cancer (...

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Recently Published

Abstracts in Multiple Sclerosis

BMC Gastroenterology
Vaping-associated esophagitis
Trisha Satya Pasricha, Bharati Kochar
American Surgeon
"Death Diamond"Tracing on Thromboelastography as a Marker of Poor Survival After Trauma
Michael S Farrell, Ernest E Moore, Anthony V Thomas, Julia R Coleman, Scott Thomas, Stefani Vande Lune, Thomas Marconi, Mitchell J Cohen, Michael P Chapman, Hunter B Moore, Mark M Walsh, Sherry Sixta
Journal of Echocardiography
Combination of echocardiography and emergency endomyocardial biopsy for suspected myocarditis in the cardiovascular emergency medical care
Hirohide Matsuura, Nozomi Watanabe, Yoshisato Shibata, Yujiro Asada
American Journal of Neuroradiology (AJNR)
Traumatic Cerebral Microbleeds in the Subacute Phase Are Practical and Early Predictors of Abnormality of the Normal-Appearing White Matter in the Chronic Phase
A W van der Eerden, T L van den Heuvel, V Perlbarg, P Vart, P E Vos, L Puybasset, D Galanaud, B Platel, R Manniesing, B M Goraj
Pediatric Neurology
Effectiveness of Standard Combination Therapy in Pediatric Migraine
Nirupama Kannikeswaran, Lavina Desai, Ahmad Farooqi, Lalitha Sivaswamy
See more >>

Full-Text Articles

Medicine (Baltimore)
Veno-arterial extracorporeal membrane oxygenation and targeted temperature management in tricyclic antidepressant-induced cardiac arrest: A case report and literature review
Kaoru Ikejiri, Yuichi Akama, Yohei Ieki, Eiji Kawamoto, Kei Suzuki, Kazuto Yokoyama, Ken Ishikura, Hiroshi Imai
Medicine (Baltimore)
Reversible leukoencephalopathy caused by 2 rodenticides bromadiolone and fluoroacetate: A case report and literature review
Aili Lu, Fang Yuan, Yufei Yao, Wanxin Wen, Hongji Lu, Shibiao Wu, Lixin Wang
Medicine (Baltimore)
Rectal chloral hydrate sedation for computed tomography in young children with head trauma
Quanmin Nie, Peiquan Hui, Haitao Ding, Zengwu Wang
Medicine (Baltimore)
Assessment of blood consumption score for pediatrics predicts transfusion requirements for children with trauma
Akira Komori, Hiroki Iriyama, Makoto Aoki, Gautam A Deshpande, Daizoh Saitoh, Toshio Naito, Toshikazu Abe
Clinical Radiology
Men and women affected by Sars-CoV-2 pneumonia: same CT features but different outcome
I Percivale, P S C Danna, Z Falaschi, S Berardo, S Gangi, S Tricca, L M Castello, M Barini, C Airoldi, A Carriero
See more >>

PeerVoice invites you to explore the education and resources on this site that provides a comprehensive approach to managing your patients.

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Resource Library

CRRT Online: Acute Therapy Resources

Cardiac and Vascular Surgery–Associated Acute Kidney Injury: The 20th International Consensus Conference of the ADQI (Acute Disease Quality Initiative) Group

Nadim MK et al. J Am Heart Assoc. 2018;7:e008834

KDIGO Clinical Practice Guideline for Acute Kidney Injury

Kidney Int Suppl. 2012;2:1-128

Fluid Management for the Prevention and Attenuation of Acute Kidney Injury

Prowle JR et al. Nat Rev Nephrol. 2014;10:37-47

Fluid Management in Acute Kidney Injury

Goldstein SL. J Intensive Care Med. 2014;29:183-189

Indications and Management of Mechanical Fluid Removal in Critical Illness

Rosner MH et al. Br J Anaesth. 2014;113:764-771

Recovery After Acute Kidney Injury

Kellum JA et al. Am J Respir Crit Care Med. 2017;195:784-791

Prevention of Cardiac Surgery–Associated AKI by Implementing the KDIGO Guidelines in High-Risk Patients Identified by Biomarkers: The PrevAKI Randomised Controlled Trial

Meersch M et al. Intensive Care Med. 2017;43:1551-1561

Effect of Remote Ischaemic Preconditioning on Kidney Injury Among High-Risk Patients Undergoing Cardiac Surgery: A Randomised Clinical Trial

Zarbock A et al. JAMA. 2015;313:2133-2141

Strategies for the Optimal Timing to Start Renal Replacement Therapy in Critically Ill Patients With Acute Kidney Injury

Bagshaw SM, Wald R. Kidney Int. 2017;91:1022-1032

Early vs Late Initiation of Renal Replacement Therapy Impacts Mortality in Patients With Acute Kidney Injury Post-Cardiac Surgery: A Meta-Analysis

Zou H et al. Crit Care. 2017;21:150