Alternative Cardiac Point-of-Care Ultrasound Views.

Point of care ultrasound (POCUS) and critical care echocardiography (CCE) is increasingly being used in intensive care units (ICUs). POCUS and CCE may be limited in some ICU patients because of inadequate information from standard echocardiographic windows. At the same time, data from POCUS and CCE in ICU may be critical to managing patients with cardiorespiratory failure.

Acute Right Ventricular Dysfunction in a Critically Ill Patient with COVID-19.

• Right ventricular dysfunction is common in critically ill patients with COVID-19. • Echocardiography is crucial for diagnosing hemodynamic complications of COVID-19. • Pulmonary embolism and acute cor pulmonale can complicate SARS-CoV-2 infection.

Cardiac Dysfunction in Adult Patients with Traumatic Brain Injury: A Prospective Cohort Study.

Background: There are limited data regarding the development of myocardial dysfunction after a traumatic brain injury (TBI). We investigated incidence, risk factors, and prognostic importance of cardiac dysfunction in adult patients admitted to the intensive care unit (ICU) after a moderate to severe TBI.

Methods: Prospective observational study of consecutive patients admitted to neuro-trauma ICU with moderate to severe TBI from August 2014 to June 2015.

Bedside Ultrasound in the Intensive Care Unit: Where Is the Evidence?

Interest in bedside ultrasound in the intensive care unit and emergency department has exploded in recent years. This interest is driven in part by the utility of ultrasound for procedural guidance. In most cases, enthusiasm outstrips current evidence.

Placement of intracranial pressure monitors by neurointensivists: case series and a systematic review.

Primary Objective: Placement of an intracranial pressure (ICP) monitor to guide the management of patients with severe traumatic brain injury (TBI) has been historically performed by neurosurgeons. It is hypothesized that ICP monitors can be placed by non-surgeon neurointensivists, with placement success and complication rates comparable to neurosurgeons.

Research Design: Retrospective review and systematic review of the literature.

Comparison of Cox and Gray's survival models in severe sepsis.

Background: Although survival is traditionally modeled using Cox proportional hazards modeling, this approach may be inappropriate in sepsis, in which the proportional hazards assumption does not hold. Newer, more flexible models, such as Gray's model, may be more appropriate.

Objectives: To construct and compare Gray's model and two different Cox models in a large sepsis cohort.

Pneumonia: still the old man's friend?

Background: Hospital mortality of patients admitted with community-acquired pneumonia (CAP) has been well described. However, the long-term survival of those discharged alive is less clear. We sought to determine long-term survival of patients hospitalized with CAP and compare the outcome with controls hospitalized for reasons other than CAP.