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Content Type: Articles

ICU Bed Utilization During the Coronavirus Disease 2019 Pandemic in a Multistate Analysis—March to June 2020

From Critical Care Explorations . The authors examined ICU census trends in relation to ICU bed capacity during the rapid increase in severe coronavirus disease 2019 cases early during the pandemic, and concluded they concluded tha ttheir findings demonstrate the short-term a...

   Estimated Time: 38:28 Coronavirus, COVID-19, Resource Allocation

Detection and Profiling of Human Coronavirus Immunoglobulins in Critically Ill Coronavirus Disease 2019 Patients

From Critical Care Explorations . The authors performed anticoronavirus immunoglobulin G profiling of critically ill coronavirus disease 2019 patients to better define their underlying humoral response.

   Estimated Time: 28:07 Coronavirus, COVID-19, Diagnosis and Testing

ABCDEF Bundle and Supportive ICU Practices for Patients With Coronavirus Disease 2019 Infection: An International Point Prevalence Study

From Critical Care Explorations . This point prevalence study showed low implementation of the ABCDEF bundle for patients with COVID-19.

   Estimated Time: 36:18 Coronavirus, COVID-19, Supportive Care

Physiologic Improvement in Respiratory Acidosis Using Extracorporeal Co2 Removal With Hemolung Respiratory Assist System in the Management of Severe Respiratory Failure From Coronavirus Disease 2019

From Critical Care Explorations . In this retrospective case series of 29 patients, the authors demonstrated efficacy of extracorporeal Co2 removal using the Hemolung Respiratory Assist System to improve respiratory acidosis in patients with severe hypercapnic respiratory fai...

   Estimated Time: 20:13 Coronavirus, COVID-19, Therapies

Collaboration Between Tele-ICU Programs Has the Potential to Rapidly Increase the Availability of Critical Care Physicians—Our Experience Was During Coronavirus Disease 2019 Nomenclature

From Critical Care Explorations.  The authors describe implementing a connected network between two tele-ICU programs to support staffing and rounding during the first wave of the coronavirus disease 2019 pandemic in the United States.

Standard Sedation and Sedation With Isoflurane in Mechanically Ventilated Patients With Coronavirus Disease 2019

From Critical Care Explorations . The authors describe sedative and analgesic drug utilization in a cohort of critically ill patients with coronavirus disease 2019 and compare standard sedation with an alternative approach using inhaled isoflurane.

   Estimated Time: 13:28 Coronavirus, COVID-19, Sedation, Ventilatory Support

Virtual Communication Embedded Bedside ICU Rounds: A Hybrid Rounds Practice Adapted to the Coronavirus Pandemic

From Pediatric Critical Care Medicine . In this article, the authors found that hybrid rounds employed during pandemic facilitated social distancing while retaining patient-centered multidisciplinary ICU rounds but compromised teaching during rounds.

Online Letter to the Editor: Early Percutaneous Tracheostomy in the Coronavirus Disease 2019 Era: Shining New Light on Old Questions

From Critical Care Medicine . In this Online Letter to the Editor, the authors comment on an article by Rosano et al. in which it was demonstrated that early tracheostomy can be performed with acceptable safety in the midst of a pandemic and note that the study raises importa...

   Estimated Time: 3:54 Coronavirus, COVID-19, Intubation

Live Tweeting the Discovery of a New Coronavirus Disease 2019–Related Syndrome in Children

From Pediatric Critical Care Medicine. The authors of this Editorial sought to assess the evolving discussion surrounding the naming of a novel pediatric hyperinflammatory syndrome – a condition that showed overlapping features of Kawasaki disease and toxic shock syndrome --...

   Estimated Time: 4:49 Communication, Coronavirus, COVID-19, pediatrics

First and Second Waves of Coronavirus Disease 2019 in Madrid, Spain: Clinical Characteristics and Hematological Risk Factors Associated With Critical/Fatal Illness

From Critical Care Explorations  In this study, the authors sought to determine similarities and differences in clinical characteristics between the patients from two waves of severe acute respiratory syndrome coronavirus-2 infection at the time of hospital admission, as well ...

   Estimated Time: 33:07 ARDS, Coronavirus, COVID-19, Diagnosis and Testing

Prone Positioning and Survival in Mechanically Ventilated Patients With Coronavirus Disease 2019–Related Respiratory Failure

From Critical Care Medicine In this study, the authors found that in-hospital mortality was lower in mechanically ventilated hypoxemic patients with coronavirus disease 2019 treated with early proning compared with patients whose treatment did not include early proning.

   Estimated Time: 27:49 Coronavirus, COVID-19, Proning, Ventilatory Support

Transmission of Severe Acute Respiratory Syndrome Coronavirus 1 and Severe Acute Respiratory Syndrome Coronavirus 2 During Aerosol-Generating Procedures in Critical Care: A Systematic Review and Meta-Analysis of Observational Studies

From Critical Care Medicine . In this study, the authors found that personal protective equipment reduce the odds of contracting severe acute respiratory syndrome coronavirus 1 and severe acute respiratory syndrome coronavirus 2.

   Estimated Time: 23:36 Coronavirus, COVID-19, Infection Control, PPE

Efficacy of Serum Angiotensin II Levels in Prognosis of Patients With Coronavirus Disease 2019

From Critical Care Medicine . In this study, the authors found that serum angiotensin II levels decrease significantly in patients with coronavirus disease 2019, and this decrease is correlated with lung damage.

   Estimated Time: 26:30 Coronavirus, COVID-19, Diagnosis and Testing

Cardiovascular Disease and Severe Hypoxemia Are Associated With Higher Rates of Noninvasive Respiratory Support Failure in Coronavirus Disease 2019 Pneumonia

From Critical Care Explorations . The authors describe outcomes with high-flow oxygen delivered through nasal cannula and noninvasive positive pressure ventilation in coronavirus disease 2019 acute hypoxemic respiratory failure and identify individual factors associated with ...

   Estimated Time: 26:43 Cardiovascular, Coronavirus, COVID-19, Ventilatory Support

Editorial: The Complex Issue of Race and Coronavirus Disease 2019 in the ICU

From Critical Care Medicine . In this editorial, the authors discuss the article Racial Differences in a Detroit, MI, ICU Population of Coronavirus Disease 2019 Patients by Lazar et al. about healthcare inequalities and  disparate outcomes.

   Estimated Time: 11:19 Coronavirus, COVID-19

The Lived Experience of ICU Clinicians During the Coronavirus Disease 2019 Outbreak: A Qualitative Study

From Critical Care Medicine . In this qualitative study, the authors found that, among ICU clinicians, there was a sense of total professional engagement during the surge. Caring for critically ill coronavirus disease 2019 patients was fraught with challenges, and that the ex...

   Estimated Time: 33:16 Coronavirus, COVID-19

D-dimer and Death in Critically Ill Patients With Coronavirus Disease 2019

From Critical Care Medicine .  In a large multicenter cohort study of critically ill patients with coronavirus disease 2019, the authors found higher D-dimer levels were independently associated with a greater risk of death.

von Willebrand Factor Multimer Formation Contributes to Immunothrombosis in Coronavirus Disease 2019

From Critical Care Medicine .  The authors believe that the findings of this study provide a rationale to consider plasma exchange as a therapeutic option in COVID-19 and to include von Willebrand factor and ADAMTS13 in the diagnostic workup.

   Estimated Time: Coronavirus, COVID-19, Therapies

Surviving Sepsis Campaign: Research Priorities for Coronavirus Disease 2019 in Critical Illness

From Critical Care Medicine .  In this article, the authors identify research priorities that represent a roadmap for investigation in COVID-19. 

   Estimated Time: 83:04 Coronavirus, COVID-19

A Case-Control Study of Prone Positioning in Awake and Nonintubated Hospitalized Coronavirus Disease 2019 Patients

From Critical Care Explorations. In this study, the authors found no significant association with reduced risk of invasive mechanical ventilation or inhospital mortality after adjusting for baseline severity of illness and oxygenation status.

   Estimated Time: 26:20 Coronavirus, COVID-19, Proning