CHEST Physician
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Study shows earlier vasopressin initiation for sepsis reduced in-hospital mortality
Critical care expert Natalie Achamallah, MD, FCCP, said OVISS data support guidelines that recommend earlier vasopressin as well as lower norepinephrine doses.
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EHR data confirm effectiveness of RSV vaccine in adults aged 60 and older
Pauline Terebuh, MD, MPH, said the results aligned with previous trials; however, Shaun J. Grannis, MD, said more data are needed to determine the durability of the protection.
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Oral medications for sleep in nonintubated ICU patients and their impact on delirium
Clinicians rank pharmacologic sleep aids for ICU patients who are not intubated, beginning with those that have the strongest evidence for safety and efficacy.
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Medical preparedness and critical care for the 2026 FIFA World Cup
In 2026, the FIFA World Cup will land in North America, whose health care infrastructure must be equipped to handle infectious disease threats, health care surges, mass casualty events, routine injuries, and chronic conditions.
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Sex as a factor in endotracheal tube and tidal volume selection
Accounting for a patient’s sex and, by extension, height when considering invasive mechanical ventilation can inform personalized medicine in two key ways: endotracheal tube selection and tidal volume selection.
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Denied, delayed, distressed
Prior authorization was designed to control costs and ensure appropriate care—but for many patients and clinicians, it causes treatment delays, denials, and administrative burdens.
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UK trial finds propofol remains preferred ICU sedation agent
The recent A2B trial found that neither dexmedetomidine nor clonidine are superior to propofol and may increase risks of agitation and bradycardia.
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As-needed albuterol-budesonide found to benefit mild asthma
Study author Craig LaForce, MD, and pulmonologist Kevin Fussell, MD, discuss findings from the BATURA trial and their clinical implications.
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Probiotics shortened fever duration in children with upper respiratory tract infections
Investigator Carlo Agostoni, MD, said the data show probiotic use was associated with a median reduction of fever by two days compared with placebo.
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Ketamine vs etomidate for intubation in patients who are critically ill
Commonly used for sedation for endotracheal intubation, these drugs are often selected for their favorable hemodynamic profiles.
