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Concise Critical Appraisal: Antipsychotic Medications for Delirium in the ICU

Girard et al (N Engl J Med. 2018;379:2506-2516) and Page et al (Lancet Respir Med. 2013;1:515-523) evaluated the treatment of acute delirium with antipsychotics.


OPENPediatrics Developer Honored for Supporting International Education

Read about the 2018 recipient of the Drs. Vidyasagar and Nagamani Dharmapuri Award for Excellence in Pediatric Critical Care Medicine.


Concise Critical Appraisal: Effect of a Resuscitation Strategy Targeting Peripheral Perfusion Status Versus Serum Lactate

Hernández et al (JAMA. 2019;321:654-664) set out to address that question with a multicenter randomized trial in which they compared two resuscitative targets: the normalization of blood lactate and the normalization of peripheral perfusion as quantified by capillary refill time.


Concise Critical Appraisal: Effect of Community-Acquired Pediatric Sepsis on Survivors

Killien et al (Pediatr Crit Care Med. 2019;Epub ahead of print) set out to evaluate the prevalence of health-related quality of life (HRQL) decline in pediatric survivors of community-acquired sepsis, severe sepsis, and septic shock and to determine which factors are associated with a failure to return to baseline HRQL.


Concise Critical Appraisal: Effect of Low Versus Intermediate Tidal Volume Strategy

Simonis et al (JAMA. 2018;320;1872-1880) set out to evaluate the effect of an LTVV strategy versus an intermediate tidal volume ventilation strategy in intensive care unit patients without ARDS.


Concise Critical Appraisal: Effect of Sodium Bicarbonate Infusion on Patient Outcomes

Jaber et al (Lancet. 2018;392:31-40) set out to evaluate the effect of sodium bicarbonate infusion on critically ill patient outcomes.


Concise Critical Appraisal: Epinephrine Versus Norepinephrine for Cardiogenic Shock

Levy et al (J Am Coll Cardiol. 2018;72:173-182) conducted a prospective, double-blind, multicenter RCT comparing epinephrine to norepinephrine in the setting of CS in patients who underwent AMI treated with percutaneous coronary intervention.


Concise Critical Appraisal: Impact of Mentoring in Academic Medicine

Efstathiou et al (PLoS One. 2018;13:e0207634) developed a standardized mentorship program and a series of surveys to evaluate the program’s impact, specifically measuring faculty satisfaction and productivity.


Concise Critical Appraisal: Mentorship in Academic Medicine

Disch (Crit Care Med. 2018;46:437-441) set out to highlight the benefits of mentorship and its lack in underrepresented groups. Although women and minorities make up an increasing percentage of physicians and medical school faculty, they are underrepresented at higher ranks. She cites a study surveying over 1,100 women faculty members that found that only 54% felt they had a mentor.