Critical Care Evidence Updates – January 2026

Randomised Controlled Trials

Early Supplemental Parenteral Nutrition Shortens Ventilation and Intensive Care Unit Stay in ICU Patients Aged ≥60 Years Requiring Mechanical Ventilation: A Randomized Controlled Trial  Clinical Nutrition ESPEN

Efficacy and safety of remimazolam besylate in patients receiving mechanical ventilation: A randomized phase Ⅱa trial  Journal of Intensive Medicine

Efficacy of anakinra in reducing progression to organ dysfunction in patients with pneumonia (INSPIRE): a randomised, double-blind, placebo-controlled, phase IIa trial  The Lancet Europe

Efficacy of suspension-based lower-limb rehabilitation device in enhancing lower limb function among patients with ICU-acquired weakness: a self-controlled randomized clinical trial  Critical Care

Impact of renal vein doppler ultrasound-guided CVP titration in sepsis: a pilot randomized controlled trial  Critical Care

Remimazolam Besylate Versus Dexmedetomidine As a Sedative in ICU Patients Undergoing Mechanical Ventilation: A Multicenter, Single-blinded, Randomized, Noninferiority Trial  Critical Care Medicine

Ventilator settings for fiberoptic bronchoscopy during mechanical ventilation: a randomized adjudicator-blinded controlled trial VentSetFib  Critical Care

 

Other Guidance/Reports

2025 ELSO Consensus Statement for the Provision and Management of Nutrition Therapy in Critically Ill Adult Patients Requiring Extracorporeal Membrane Oxygenation  ASAIO Journal

A consensus of international experts on definition, sampling, treatment, and prevention of peripheral extracorporeal membrane oxygenation cannula-site infection obtained by the Delphi method: the SAVECMO study  Intensive Care Medicine

Consensus document on the diagnosis and treatment of acute kidney injury  Nefrologia (English edition)

Consensus Statement on Optimisation of Patient Care After Hospitalisation for Acute Heart Failure  Heart, Lung and Circulation

Dead space in critical care: a practical approach with clinical scenarios  Journal of Anesthesia, Analgesia and Critical Care

Guidelines for Neuroprognostication in Critically Ill Adults with Status Epilepticus  Neurocritical Care

JSA guideline for management of malignant hyperthermia in 2025  Journal of Anesthesia

Measurement and management of adult blood pressure in the peri-operative period: updated guidelines from the Association of Anaesthetists and the British and Irish Hypertension Society  Anaesthesia

Multidisciplinary guidelines on renal replacement therapy in intensive care medicine  Critical Care

Practice guideline on the prevention and treatment of central line-associated bloodstream infection: Part 1––Diagnosis and prevention  Journal of Intensive Medicine

Practice guideline on the prevention and treatment of central line-associated bloodstream infection: Part 2 – Treatment   Journal of Intensive Medicine

Standardization of Baseline and Provocative Invasive Hemodynamic Protocols for the Evaluation of Heart Failure and Pulmonary Hypertension: A Scientific Statement From the American Heart Association  Circulation: Heart Failure

 

Primary Research

A national benchmarking survey to explore the use of dose error reduction software in adult intensive care units (ICUs)  Journal of the Intensive Care Society

Acute kidney injury is a major mediator of intra-abdominal pressure-related mortality in critically ill patients: a longitudinal analysis  Journal of Anesthesia, Analgesia and Critical Care

An episode-based approach for assessing the impact of dyskalaemia on critical care outcomes – results from a territory-wide cohort study  Anaesthesia and Intensive Care

Bedside detection of end-tidal overdistention: an exploratory comparison of loading maneuvers  Intensive Care Medicine Experimental

Between a nightmare and a miracle: A qualitative study of patient experience during and after intensive care unit admission in pregnancy or postpartum  Journal of Critical Care

Can one use serum Lactate Concentration to Correct for the Anion gap?  Journal of Intensive Care Medicine

Clinicians’ Perspectives on Strengthening Interprofessional Teamwork to Support Surrogate Decision-Makers of Critically Ill Patients in ICUs  Critical Care Explorations

Comparison of prolonged exhalation end-tidal CO₂ and transcutaneous CO₂ monitoring in COPD patients  Critical Care

Development and external validation of a machine learning model for predicting the 28-day mortality risk in patients with sepsis complicated by acute respiratory failure in the ICU  Journal of Intensive Medicine

Dyspnea is related to clinical outcomes in patients weaning from invasive mechanical ventilation with tracheostomy: a multicenter prospective study  Critical Care

Effect of Neurologic Conditions on Delirium Duration and Time to ICU Discharge  Critical Care Explorations

Epidemiology and outcome of intra-abdominal infections in intensive care unit in Italy from the Italian Register of complicated Intra-abdominal InfectionS—the IRIS study: a prospective observational nationwide study  Journal of Anesthesia, Analgesia and Critical Care

Evaluation of Clonidine Utilization for Dexmedetomidine Discontinuation in the Intensive Care Unit  Journal of Intensive Care Medicine

Exploring the training, implementation and utilisation experiences of lung ultrasound accredited physiotherapists in the United Kingdom: A national survey  Journal of the Intensive Care Society

Family-administered delirium screening improves satisfaction among ICU caregivers: a prospective cohort study  Intensive Care Medicine

Fluid responsiveness and changes in venous congestion and lung water during volume expansion in critically ill patients: a multicentre observational study  Critical Care

Guideline-Concordant Sedative and Analgesia Use in Critically Ill Patients Receiving Sustained Neuromuscular Blockade  Critical Care Explorations

Hospital-adapted inhaled phage therapy for ventilator-associated pneumonia caused by multidrug-resistant Klebsiella pneumoniae: a comparative pilot study  Critical Care

Impaired systemic antibody response against gut microbiota pathobionts in critical illness and susceptibility to nosocomial infections  Intensive Care Medicine Experimental

Infection-related hospital readmissions after surviving sepsis: A retrospective population level study of adult sepsis survivors in Australia  Journal of Critical Care

Inhaled L-Epinephrine As a Rescue Therapy in Critical Bronchiolitis  Critical Care Explorations

MELD-Lactate and lactate clearance in critically ill cirrhosis patients with sepsis  The American Journal of Gastroenterology

Monitoring respiratory effort during invasive mechanical ventilation: a multinational survey of clinical practice  Intensive Care Medicine

Morphological subphenotypes of acute pancreatitis-related acute respiratory distress syndrome  Critical Care

Passive leg raising and microvascular skin blood flow to predict peripheral tissue perfusion fluid responsiveness  Critical Care

Patterns of opioid and sedative use in adult ICUs: Insights from the ALERT-ICU study on iatrogenic withdrawal syndrome  Journal of Critical Care

Real-time prediction of ventilator-associated pneumonia onset in ICU: development of a dynamic machine learning model  Journal of Anesthesia, Analgesia and Critical Care

Risk Factors Associated with the Onset of Atrial Fibrillation in Patients with Sepsis and Septic Shock in Intensive Care Units  Journal of Intensive Care Medicine

Self-Efficacy and Knowledge of Intensive Care Nurses in the Management of Pressure Injuries  The Journal of Continuing Education in Nursing

The effect of dexmedetomidine on rocuronium-induced neuromuscular blockade and its reversal by sugammadex  Intensive Care Medicine Experimental

The impact of early physical mobilisation for the management and prevention of intensive care unit delirium: A qualitative study exploring patients’ perspectives  Journal of the Intensive Care Society

The impact of ketamine on ICU mortality in patients with sepsis: A retrospective cohort study  Journal of Critical Care

The Relationship Between Lactate Levels and Acute Kidney Injury Risk in Patients with Hemorrhagic Shock and Septic Shock: An Analysis Based on the MIMIC-IV Database  Journal of Intensive Care Medicine

The SIS NET ICU study: characteristics of patients with severe community acquired pneumonia admitted to Italian ICUs—a multicenter prospective observational study  Journal of Anesthesia, Analgesia and Critical Care

The Superiority of AVAPS Mode of Non-invasive Ventilation in Combination with HFNC Over HFNC Alone in Patients with Chronic Obstructive Pulmonary Disease Complicated by Respiratory Failure  Journal of Intensive Care Medicine

The Use of Vasoactive Agents in Pulmonary Embolism Among the Critically Ill: A Multi-Centred, Retrospective Cohort Study in Queensland Intensive Care Units  Journal of Intensive Care Medicine

Thermal intervention improves pulse oximetry accuracy in critically ill patients with low perfusion: a quasi-experimental study  Journal of Intensive Care

Validation of SOFA-2 score in sepsis and exploration of its extension with additional immune markers  Journal of Intensive Medicine

Validity of ICU prognostic risk stratification tools in the oldest patients: a comparative analysis of clinical scores in a multicenter binational cohort  Journal of Anesthesia, Analgesia and Critical Care

 

Metadata

Summary author: Rebecca Howes @ClinicalLibsPHU
Summary date:
Picture by: Ehimetalor Akhere Unuabona on Unsplash

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