Critical Care Network
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Navigating normotensive shock
Authors discuss the role normotensive shock plays in PE risk stratification according to new AHA guidelines on PE classification and management.
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When norepinephrine isn’t enough: Managing vasoplegic shock
Early recognition and structured escalation of therapy are essential in vasoplegic shock, as prompt restoration of vascular tone remains critical to reversing shock and improving patient outcomes.
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Beyond ‘doing everything’: Moral distress, burnout, and the emotional toll of ICU care
ICU burnout and morally distressing end-of-life care are intertwined, making improved end-of-life care both a patient imperative and a clinician necessity.
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Mechanical power as a target for lung protective ventilation
Mechanical power-based strategies aim to minimize unnecessary power delivery and reduce harm. Review how to measure and use this metric and what challenges it poses.
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Is there a ‘best’ vasopressor and inotrope combination for shock with RV failure?
Review unique pathophysiologic challenges of RV failure in shock and comparative data on vasopressors and inotropes.
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Post-intensive care syndrome: Beyond the ICU
As we shift from a survival-focused paradigm to one that embraces recovery and restoration, addressing PICS must become a routine component of ICU care.
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Considerations for single parents with terminal illness
Clinicians often focus more on what happens in the hospital than on issues beyond the hospital. This article covers the complex end-of-life issues that clinicians should consider for seriously ill patients with minor children.
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Airway pressure release ventilation: Should it be used in the early stages of ARDS?
APRV has traditionally been viewed as a salvage therapy for patients with ARDS, but recent literature suggests that it can provide better overall lung recruitment with less sedation and more ventilator-free days.
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Capillary refill time: Advancing perfusion-targeted resuscitation in septic shock
Capillary refill time is a quick, noninvasive tool to assess perfusion and microvascular health in shock. It offers faster feedback than lactate levels and may improve resuscitation outcomes.
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Viscoelastic testing in sepsis-induced coagulopathy
SIC is a common ICU complication that clinicians are starting to identify in patients earlier through point-of-care viscoelastic testing such as rotational thromboelastometry and thromboelastography.
