Circulatory

Cardiovascular, Circulatory

Does targeted temperature management at 33 °C improve outcome after cardiac arrest?

Summary The article explores targeted temperature management (TTM) at 33°C as a treatment for patients following cardiac arrest, presenting arguments both in favor and against its use. TTM has been extensively debated due to conflicting clinical trial outcomes, variability in evidence from systematic reviews, and differences in interpretation of clinical utility. This review critically assesses […]

, ,

Does targeted temperature management at 33 °C improve outcome after cardiac arrest? Read Post »

Circulatory

Central venous pressure: current uses and prospects for an old parameter

Summary The article revisits the clinical relevance of central venous pressure (CVP), a traditional yet often underutilized hemodynamic parameter, given its historical inability to predict fluid responsiveness. It emphasizes that CVP still holds considerable diagnostic and management utility beyond fluid responsiveness, particularly as an indicator of venous return dynamics, organ perfusion, and right ventricular filling

Central venous pressure: current uses and prospects for an old parameter Read Post »

Circulatory, Miscellaneous

Measurement and interpretation of central venous pressure: a narrative review

Summary This narrative review explores the historical development, physiological underpinnings, measurement techniques, and clinical relevance of central venous pressure (CVP) in perioperative and critical care settings. Although traditionally used as a marker for fluid responsiveness and intravascular volume status, evidence now emphasizes that CVP alone is unreliable for guiding fluid therapy. Nonetheless, when used alongside

Measurement and interpretation of central venous pressure: a narrative review Read Post »

Circulatory, Respiratory

High-risk pulmonary embolism: the significance and perspectives of pulmonary reperfusion

Summary This editorial explores the current landscape of pulmonary reperfusion strategies in patients with high-risk pulmonary embolism (PE). It underscores the centrality of rapid hemodynamic stabilization and reperfusion in managing high-risk PE and analyzes recent data from a large target trial emulation by Stadlbauer et al. The authors conclude that while systemic thrombolysis (SYS) remains

,

High-risk pulmonary embolism: the significance and perspectives of pulmonary reperfusion Read Post »

Circulatory

Extracorporeal cardiopulmonary resuscitation for refractory cardiac arrest

Summary of “Extracorporeal cardiopulmonary resuscitation for refractory cardiac arrest” Abstract Summary: Extracorporeal cardiopulmonary resuscitation (ECPR), using venoarterial ECMO during refractory cardiac arrest, can restore circulation and improve outcomes compared with conventional CPR (CCPR) alone. While evidence suggests ECPR enhances survival with favorable neurological recovery, its complexity, resource demands, costs, and complication risks restrict widespread use.

Extracorporeal cardiopulmonary resuscitation for refractory cardiac arrest Read Post »

Circulatory

The predictive value of highly malignant EEG patterns after cardiac arrest: evaluation of the ERC-ESICM recommendations

Summary of The Predictive Value of Highly Malignant EEG Patterns After Cardiac Arrest: Evaluation of the ERC-ESICM Recommendations Abstract Highly malignant EEG patterns (HMEP), specifically suppression and burst-suppression, are recommended by the European Resuscitation Council (ERC) and the European Society of Intensive Care Medicine (ESICM) for predicting poor neurological outcomes after cardiac arrest. This study,

, , ,

The predictive value of highly malignant EEG patterns after cardiac arrest: evaluation of the ERC-ESICM recommendations Read Post »

Circulatory, Respiratory

Managing Refractory Hypoxemia in ARDS Obese Patients with Veno-Venous Extra-Corporeal Membrane Oxygenation: A Narrative Review

Abstract Veno-venous extracorporeal membrane oxygenation (vvECMO) is a life-saving intervention for severe respiratory failure unresponsive to conventional therapies. However, managing refractory hypoxemia in morbidly obese patients poses significant challenges due to the unique physiological characteristics of this population, including hyperdynamic circulation, elevated cardiac output, and increased oxygen consumption. These factors can limit the effectiveness of

, , , , ,

Managing Refractory Hypoxemia in ARDS Obese Patients with Veno-Venous Extra-Corporeal Membrane Oxygenation: A Narrative Review Read Post »

Circulatory

Recent Advances and Future Directions in Extracorporeal Carbon Dioxide Removal

Summary of “Recent Advances and Future Directions in Extracorporeal Carbon Dioxide Removal” Abstract Extracorporeal carbon dioxide removal (ECCO₂R) is an emerging technique designed to facilitate lung-protective ventilation and reduce the work of breathing by removing CO₂ from venous blood. Operating at lower blood flows than extracorporeal membrane oxygenation (ECMO), ECCO₂R reduces procedural invasiveness but remains

,

Recent Advances and Future Directions in Extracorporeal Carbon Dioxide Removal Read Post »

Circulatory

Immediate Clinical Complications Occurring During Membrane Change in Patients on Veno-Venous Extracorporeal Membrane Oxygenation

Abstract The clinical tolerance of extracorporeal membrane oxygenation (ECMO) membrane changes in acute respiratory distress syndrome (ARDS) patients under veno-venous ECMO (VV-ECMO) has not been reported. The aim of this study was to describe the tolerance of membrane change. Patients requiring VV-ECMO were retrospectively included between March 2020 and May 2022. In case of membrane

, , ,

Immediate Clinical Complications Occurring During Membrane Change in Patients on Veno-Venous Extracorporeal Membrane Oxygenation Read Post »

Circulatory

Evolution of Critical Care Cardiology: An Update on Structure, Care Delivery, Training, and Research Paradigms: A Scientific Statement From the American Heart Association

Abstract Critical care cardiology refers to the practice focus of and subspecialty training for the comprehensive management of life-threatening cardiovascular diseases and comorbid conditions that require advanced critical care in an intensive care unit. The development of coronary care units is often credited for a dramatic decline in mortality rates after acute myocardial infarction throughout

,

Evolution of Critical Care Cardiology: An Update on Structure, Care Delivery, Training, and Research Paradigms: A Scientific Statement From the American Heart Association Read Post »

Scroll to Top