CRITICAL CARE MEDICINE

Windows in the ICU and Postoperative Delirium: A Retrospective Cohort Study
Anderson DC, Warner PE, Smith MR, Albanese ML, Mueller AL, Messervy J, Renne BC and Smith SJ
The ICU built environment-including the presence of windows-has long been thought to play a role in delirium. This study investigated the association between the presence or absence of windows in patient rooms and ICU delirium.
The authors reply
Greenwood JC and Jang DH
Significant Disparities in Adolescents With Severe Traumatic Brain Injury Across Trauma Center Types: Wide Variation of Tracheostomy and Gastrostomy
Katsura M, Fukuma S, Miyata S, Ikenoue T, Daggupati S, Martin MJ, Inaba K and Matsushima K
To explore practice variations in the rate and timing of tracheostomy and gastrostomy for adolescent with severe traumatic brain injury (TBI) across trauma center types.
Bridging the Rural-Urban Healthcare Gap: A Multidisciplinary Approach Leveraging Artificial Intelligence and Sociological Analysis in Sepsis Survivorship
Fan Y, Zhao C and Fan S
Transfusion Practices in Traumatic Brain Injury: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Larcipretti ALL, Udoma-Udofa OC, Gomes FC, de Oliveira JS, Weba ETP, Cavalcante DVS, Dharaiya MK and Bannach MA
Balancing oxygen requirements, neurologic outcomes, and systemic complications from transfusions in traumatic brain injury (TBI) patients is challenging. This review compares liberal and restrictive transfusion strategies in TBI patients.
The authors reply
Okazaki T and Norisue Y
Optimizing Glycemic Management in ICU: Insights and Recommendations From Recent Findings on Relative Dysglycemia
Wang H and Huang Y
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Chu SE, Cheng CY, Chang CH, Ma MH, Chiang WC and Sun JT
Rethinking Cardiopulmonary Resuscitation: Bias, Compression Location, and Optimized Techniques
Zhang Z and Yao J
The authors reply
Shin KW and Oh H
Balancing Safety and Efficiency in Ultrasound-Guided Subclavian Catheterization
Huang S, Qiu D, Shan D and Wang R
The authors reply
Henríquez-Beltrán M, Benítez ID, Barbé F and Targa ADS
Critical Evaluation Regarding the Long-Term Sleep and Circadian Health Study of COVID-19 ICU Survivors
Zhao H, Shan D and Jiang N
A Promising New Intervention to Improve the Mental Health of Family Caregivers of Critically Ill Patients
Bienvenu OJ
Solving the Mystery of the Obesity Paradox: A Call for Better Data?
Siparsky N
Disorders of Lymphatic Architecture and Flow in Critical Illness
Itkin M, Horak J, Pascual JL, Chang CWJ, Lile D, Tomita B, Bass GA, Kovach SJ and Kaplan LJ
To provide a narrative review of disordered lymphatic dynamics and its impact on critical care relevant condition management.
Rocking Motion Therapy for Delirious Patients in the ICU: A Multicenter Randomized Clinical Trial
Collet MO, Nielsen GM, Thorn L, Laerkner E, Fischer S, Bang B, Langvad A, Granholm A and Egerod I
Rocking motion therapy has been shown to calm people with dementia but has never been investigated in delirious patients in the ICU. The aim of this clinical trial was to investigate the efficacy and safety of a rocking motion vs. nonrocking motion chair on the duration of delirium and intensity of agitation in ICU patients with delirium. We hypothesized that rocking motion therapy would increase the number of days alive without coma or delirium at 2 weeks of follow-up.
Validating the Fluctuating Mental Status Evaluation in Neurocritically Ill Patients With Acute Stroke
Reznik ME, Margolis SA, Andrews N, Basso C, Mintz N, Varga S, Snitz BE, Girard TD, Shutter LA, Ely EW and Jones RN
Neurocritically ill patients are at high risk for developing delirium, which can worsen the long-term outcomes of this vulnerable population. However, existing delirium assessment tools do not account for neurologic deficits that often interfere with conventional testing and are therefore unreliable in neurocritically ill patients. We aimed to determine the accuracy and predictive validity of the Fluctuating Mental Status Evaluation (FMSE), a novel delirium screening tool developed specifically for neurocritically ill patients.
Doctors as Device Manufacturers? Regulation of Clinician-Generated Innovation in the ICU
Simon DA and Young MJ
Critical care physicians are rich sources of innovation, developing new diagnostic, prognostic, and treatment tools they deploy in clinical practice, including novel software-based tools. Many of these tools are validated and promise to actively help patients, but physicians may be unlikely to distribute, implement, or share them with other centers noncommercially because of unsettled ethical, regulatory, or medicolegal concerns. This Viewpoint explores the potential barriers and risks critical care physicians face in disseminating device-related innovations for noncommercial purposes and proposes a framework for risk-based evaluation to foster clear pathways to safeguard equitable patient access and responsible implementation of clinician-generated technological innovations in critical care.
Do Danish ICU Survivors Remain Employed After ICU Discharge? A Register-Based Longitudinal Cohort Study
Hellmann SS, Estrup S, Poulsen LM, Gøgenur I, Mathiesen O and Thygesen LC
Admission to ICU is associated with long-term consequences for the survivors. The study explores whether Danish ICU survivors remain employed after ICU discharge.
Rocking Motion Therapy for Delirious Patients in the ICU: A Multicenter Randomized Clinical Trial
Collet MO, Nielsen GM, Thorn L, Laerkner E, Fischer S, Bang B, Langvad A, Granholm A and Egerod I
Rocking motion therapy has been shown to calm people with dementia but has never been investigated in delirious patients in the ICU. The aim of this clinical trial was to investigate the efficacy and safety of a rocking motion vs. nonrocking motion chair on the duration of delirium and intensity of agitation in ICU patients with delirium. We hypothesized that rocking motion therapy would increase the number of days alive without coma or delirium at 2 weeks of follow-up.