- Magnesium Sulfate to Prevent Perioperative Atrial Fibrillation in Cardiac Surgery: A Randomized Clinical Trial. [Journal Article]Crit Care Med. 2026 May 28. [Online ahead of print]CC
- CONCLUSIONS: In this randomized trial, perioperative magnesium infusion targeting serum concentrations of 1.5-2.0 mmol/L did not reduce POAF after cardiac surgery. These findings do not support routine prophylactic magnesium supplementation for prevention of POAF.
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- Interaction Between Admission Hemoglobin and Sex on ICU Mortality in Patients With Moderate-to-Severe Traumatic Brain Injury: A Retrospective Bicentric Cohort Study. [Journal Article]Crit Care Med. 2026 May 28. [Online ahead of print]CC
- CONCLUSIONS: No interaction between admission hemoglobin and sex was found regarding ICU mortality following TBI in this cohort. These results do not support the implementation of sex-differentiated hemoglobin transfusion thresholds based solely at admission hemoglobin levels in the initial management of TBI patients. Further prospective studies are needed to confirm these findings and to evaluate whether sex-related differences may emerge when considering longitudinal hemoglobin trajectories during the ICU stay and transfusion practices.
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- The Unknown Global Burden of Out-of-Hospital Cardiac Arrest in Children: A Call to Action. [Journal Article]Crit Care Med. 2026 May 28. [Online ahead of print]CC
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- Inhaled Heparin in Respiratory Failure: From Biological Plausibility to Survival Benefit. [Journal Article]Crit Care Med. 2026 May 28. [Online ahead of print]CC
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- Potentially Surgical Digestive Complications in Patients With Status Epilepticus: Insights From the ICTAL Registry. [Journal Article]Crit Care Med. 2026 May 28. [Online ahead of print]CC
- CONCLUSIONS: Potentially surgical digestive complications in SE were rare but strongly associated with RSE and its treatment. These complications independently predicted hospital mortality.
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- Cardiac Phenotypes in Sepsis: From Descriptive to Prescriptive. [Journal Article]Crit Care Med. 2026 May 28. [Online ahead of print]CC
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- Reducing Physical Restraint in the ICU: Multicenter Phase II Randomized Trial of a Novel Device Versus Traditional Wrist Restraints. [Journal Article]Crit Care Med. 2026 May 28. [Online ahead of print]CC
- CONCLUSIONS: No differences in upper extremity activity, delirium, sedation, or agitation were demonstrated between the novel device and traditional wrist restraints. The novel device had overall moderate patient/family and clinician satisfaction, and qualitative analyses provide important insights for advancing the development of novel restraint alternative devices.
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- Traumatic Inflammatory-Coagulation Coactivation Occurs Early After Injury and Impacts Mortality. [Journal Article]Crit Care Med. 2026 May 28. [Online ahead of print]CC
- CONCLUSIONS: These findings demonstrate that coagulation and inflammation are coactivated early after severe injury and are associated with poor outcomes. The activation of these pathways is both complex and integrated, involving inflammatory cytokines, chemokines, growth factors, coagulation factors, platelet activated integrins, vWF, and thrombin. This study uses the largest comprehensive array of coagulation and inflammatory biomarkers to date and identifies key biologic phenotypes linked to mortality after severe trauma.
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- Survey of Intensivist Coverage and Interprofessional Team Staffing in Canadian ICUs. [Journal Article]Crit Care Med. 2026 May 28. [Online ahead of print]CC
- CONCLUSIONS: Most Canadian adult ICUs were staffed by intensivists with less than 25% having onsite intensivist coverage 24 hr/d. Physicians-in-training were present in the majority of ICUs, whereas APPs were uncommon. Nurses most commonly provided care for one mechanically ventilated patient each shift. These data establish contemporary staffing benchmarks to inform assessment of baseline ICU workforce needs and guide surge planning at local, provincial, and national levels. They also enable international comparisons and provide essential context for interpreting Canadian critical care research.
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- Visual Right Ventricular Assessment in ICU: A Multicenter International Study. [Journal Article]Crit Care Med. 2026 May 22. [Online ahead of print]CC
- CONCLUSIONS: Visual assessment of RV function by experienced raters shows satisfactory concordance with guideline-based FAC, supporting its integration into a multiparametric evaluation and structured educational programs.
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- Red Cell Transfusion in Critically Ill and Noncritically Ill Patients With Acute Myocardial Infarction and Anemia-A Subanalysis of the Myocardial Ischemia and Transfusion (MINT) Trial. [Journal Article]Crit Care Med. 2026 May 25. [Online ahead of print]CC
- CONCLUSIONS: There is no evidence that the overall MINT trial results, which generally favor a liberal transfusion strategy in AMI patients, apply differently to noncritically ill and critically ill patients.
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- Prognostic Value of Lung Injury Biomarkers in Patients Hospitalized With COVID-19 Without Respiratory Failure at Admission. [Journal Article]Crit Care Med. 2026 May 25. [Online ahead of print]CC
- CONCLUSIONS: Baseline levels of plasma lung injury biomarkers are significantly associated with progression to respiratory failure or death among hospitalized COVID-19 patients without respiratory failure at admission. These findings support the potential utility of measuring lung injury biomarkers in patients hospitalized without respiratory failure and should be tested in more heterogeneous patient groups including non-COVID-19 cohorts.
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- Cardiovascular Subphenotypes in Sepsis. [Journal Article]Crit Care Med. 2026 May 25. [Online ahead of print]CC
- CONCLUSIONS: Clustering analysis identified four cardiovascular subphenotypes in sepsis that reflected distinct circulatory failure mechanisms, were identifiable using simple models, and were associated with differing mortality risks and response to hemodynamic therapies. These classes may represent treatable traits to personalize shock management in sepsis.
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- Pathways to Funding: Considerations for Pediatric Intensivists. [Journal Article]Crit Care Med. 2026 May 25. [Online ahead of print]CC
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- Prone Positioning Surge and Decline After COVID-19: Key Learnings. [Journal Article]Crit Care Med. 2026 May 25. [Online ahead of print]CC
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