Critical Care Evidence Updates – May 2026

Randomised Controlled Trials

4% Tetrasodium EDTA to Prevent Central Venous Access Device–Associated Complications A Randomized Clinical Trial  JAMA

A Nurse-Led Approach to Preventing Delirium in the ICU: A Randomised Controlled Trial of NICE Guideline-Based Sensory Modulation  Nursing in Critical Care

A Prospective, Randomized, Multicenter Trial Comparing Lactated Ringer’s Alone or With 5% Albumin for Resuscitation of Large Burns The Acute Burn ResUscitation Multicenter Prospective Trial 2 (ABRUPT2)  Annals of Surgery

Early Enteral Levothyroxine as Rescue Therapy in Cardiac Surgery Patients with Delayed Neurological Recovery: A Randomized Trial  Journal of Cardiothoracic and Vascular Anesthesia

Effect of urinary catheter securement band on meatal pressure injury in male intensive care patients: A randomized controlled trial  Intensive and Critical Care Nursing

Effects of nurse-led intensive care unit diaries on emotional distress in patients undergoing liver transplantation: A randomized controlled trial  Intensive and Critical Care Nursing

Effects of out-of-bed armchair positioning on oxygenation in spontaneously breathing ICU patients receiving respiratory support: a randomized controlled trial  Intensive Care Medicine

Effects of the ABCDEF Bundle on Delirium, Function, and Quality of Life in Australian ICU Patients: A Pragmatic Randomized Controlled Trial  Critical Care Medicine

Evaluation of recombinant human prourokinase for acute pulmonary embolism: A phase 2, randomized clinical trial  Med

Impact of early nurse-led implementation of an intensive care unit diary following major trauma on quality of life: The QUALITRAU randomized controlled trial  Intensive and Critical Care Nursing

Impact of magnesium on the clearance of lactate in critically sick patients with sepsis: Randomized clinical trial  World Journal of Critical Care Medicine

Increasing protein dose does not further augment muscle protein synthesis in critical illness: a randomized, controlled clinical trial  AJRCCM

Intrapulmonary penetration of ceftolozane/tazobactam and ceftazidime/avibactam administered by continuous infusion in critically ill patients with nosocomial pneumonia: a randomized pharmacokinetic trial  Critical Care

Ivermectin for Critically and Noncritically Ill Hospitalized Patients With COVID-19: Randomized, Embedded, Multifactorial Adaptive Platform Trial for Community-Acquired Pneumonia (REMAP-CAP)  Critical Care Medicine

Oxygenation Targets and Long-Term Cognitive and Pulmonary Functions in Hypoxemic Respiratory Failure: A Clinical Trial   AJRCCM

Reducing Physical Restraint in the ICU: Multicenter Phase II Randomized Trial of a Novel Device Versus Traditional Wrist Restraints  Critical Care Medicine

Remote Multicomponent Rehabilitation in Intensive Care Unit Survivors A Randomized Clinical Trial  JAMA

The FICUS cluster randomized controlled trial of a family support intervention in adult intensive care units: mental health and family functioning outcomes  Intensive Care Medicine

Treatment with Allogeneic Mesenchymal Stromal Cells for Moderate to Severe Acute Respiratory Distress Syndrome: A Double-Blind, Placebo-controlled, Multicenter Phase 2b Clinical Trial (STAT)   AJRCCM

Ultrafiltration Rate in Prolonged Intermittent Kidney Replacement Therapy in Critically Ill Patients: A Randomized Controlled Trial  Hemodialysis International

 

Other Guidance/Reports

Disseminating Your Study Results to Maximise Implementation in Practice: A Practical Framework for Intensive Care Nursing  Nursing in Critical Care

Expert Consensus on Key Attributes of Nurses in Resuscitation Teams: Findings From a Delphi Study  Nursing in Critical Care

Extracorporeal membrane oxygenation, acute kidney injury, fluid balance, and continuous renal replacement therapy: Acute Disease Quality Initiative (ADQI) and Extracorporeal Life Support Organization (ELSO) joint consensus conference  Intensive Care Medicine

Organ donation after ECPR: ethical challenges and clinical implications  Critical Care

Pathophysiology, prevention, and management of coronary microvascular obstruction: A clinical consensus statement of the ESC Working Group on Coronary Pathophysiology & Microcirculation, the ESC Working Group on Thrombosis, and the European Association of Percutaneous Cardiovascular Interventions (EAPCI) of the ESC  European Heart Journal

Recommendations for implementing patient blood management—an updated modified Delphi consensus from a multidisciplinary expert panel in Hong Kong  Journal of Anesthesia, Analgesia and Critical Care

Telemedicine Policy and Practice: A Position Paper From the American College of Physicians  Annals of Internal Medicine

The Dutch Clinical Practice Guideline: Pain, analgesia/sedation, delirium, immobility and sleep disturbances; PADIS  Intensive and Critical Care Nursing

The IMPACT framework for evaluating generative AI in critical care: development and multinational consensus validation  Annals of Intensive Care

 

Cochrane

Thromboelastography (TEG) or thromboelastometry (ROTEM) to monitor haemostatic treatment versus usual care in adults or children with bleeding

 

Primary Research

“A little brainpower goes a long way”. Patient and family experience of early cognitive rehabilitation in critical illness: an interview study  Intensive and Critical Care Nursing

An Evidence-Based Quality Improvement Programme for Glycaemic Management in Critically Ill Patients Receiving Enteral Nutrition  Nursing in Critical Care

Association between abdominal muscle weakness and weaning failure in mechanically ventilated critically ill patients: an ultrasound assessment  Journal of Anesthesia, Analgesia and Critical Care

Association of fluid creep and maintenance fluids on major adverse kidney events in critically ill patients – An observational cohort study  Journal of Critical Care

Barriers and facilitators to patient- and family-centered care in the ICU: A qualitative study of multiple stakeholder perspectives  Intensive and Critical Care Nursing

Beyond binary AKI classification: development and external validation of a distributional model predicting serum creatinine and urine output trajectories in ICU patients  Critical Care

Beyond Pain: An Exploratory Secondary Analysis of Psychological and Physical Discomfort Domains in ICU Patients  Nursing in Critical Care

Beyond recovery: long-term cardiovascular risks after severe COVID-19 requiring intensive care  Critical Care

Biochemical verification of tobacco use in ICU patients using point-of-care urinary cotinine  Critical Care and Resuscitation

Central venous cannulation in critically ill patients: guidelines of the Polish Society of Anaesthesiology and Intensive Therapy  Anaesthesiology Intensive Therapy

Comparing cardiac index and left ventricular ejection fraction in ICU patients with sepsis  Journal of Critical Care

Comparison of Blood Culture Contamination Rates Between Initial Central Venous Puncture and Catheter Hub Sampling  Critical Care Medicine

Construct validity and inter- rater reliability of the Heckmatt scale for assessing muscle quality in critically ill patients  Journal of Critical Care

Critical care nurses’ grief, anxiety, and their preparedness to care for dying patients: a multisite, cross-sectional study in Ireland  Intensive and Critical Care Nursing

Delirium-care barriers among intensive care nurses based on the Capability, Opportunity, Motivation-Behaviour (COM-B) model: A cross-sectional study  Intensive and Critical Care Nursing

Development and psychometric validation of the Patient-Reported Intensive Care Experience Measure (PRICEM) to evaluate patient experience in the intensive care unit  Intensive and Critical Care Nursing

Early combination of terlipressin and norepinephrine in the treatment of patients with septic shock  Clinics

Effect of restrictive fluid balance in critically ill patients with acute kidney injury: a target trial emulation  Critical Care

Effects of Platelet Transfusion on Sepsis Associated Thrombocytopenia (SAT): A Multicenter Retrospective Chart Review  Journal of Intensive Care Medicine

Environmental Noise in Intensive Care Units: Occupational Exposure, Nurse Well-Being and Care Quality—A Mixed-Methods Study  Nursing in Critical Care

Evaluation of patients’ perception of pharmacist’s role within a post-ICU recovery clinic: the Critical Illness Recovery Center (E-PICS-Rx)  International Journal of Pharmacy Practice

Extracorporeal Membrane Oxygenation for Pneumocystis Pneumonia: Outcomes in Patients From the Extracorporeal Life Support Organization  Critical Care Explorations

Evaluation of the prognostic value and modifiability of low-frequency pressure reactivity index in patients with traumatic brain injury  Journal of Critical Care

High-flow nasal cannula versus noninvasive ventilation in stabilized hypercapnic exacerbation: a physiological crossover trial  Annals of Intensive Care

High vasopressor doses are associated with decreased tissue oxygenation in critically ill patients: a secondary analysis of a prospective cohort  Critical Care

How does the prioritisation of care affect ICU healthcare professionals?  Journal of Critical Care

“I hope the staff read my mother’s story and appreciate the life she lived” what families want ICU healthcare professionals to know about their loved one’s  Journal of Critical Care

ICU Delirium Patterns and 30-Day Mortality in Critically Ill Adults  Nursing in Critical Care

Impact of an interdisciplinary standard operating procedure on external ventricular drainage-associated ventriculitis and antibiotic use in intensive care unit patients: a retrospective pre–post study a retrospective pre-post study  Journal of Anesthesia, Analgesia and Critical Care

Impact of the updated SOFA-2 score on sepsis diagnosis and prognosis: a retrospective multicenter cohort study  Critical Care

Improving Family-Centred Care in Intensive Care Units: Participatory Action Research to Design and Implement Changes in Nursing Care  Nursing in Critical Care

Interaction Between Admission Hemoglobin and Sex on ICU Mortality in Patients With Moderate-to-Severe Traumatic Brain Injury: A Retrospective Bicentric Cohort Study  Critical Care Medicine

Mean airway pressure as an independent risk factor for developing acute kidney injury in mechanically ventilated critically ill patients: a multi-center retrospective analysis  Renal Failure

Mechanical Thrombectomy for Intermediate- and High-Risk Pulmonary Embolism: A Retrospective Observational Cohort Study  Journal of Intensive Care Medicine

Methylene blue for septic shock in oncologic patients: A propensity score-matched cohort  Journal of Critical Care

Modifiable Risk Factors of Prolonged Grief Disorder, Posttraumatic Stress Disorder, Depression, and Anxiety Symptom States After ICU Loss  Critical Care Medicine

More Than a Tool: How Context Shapes the Implementation of Digital Diaries in the Intensive Care Unit  Nursing in Critical Care

MOSHI 2: An exploration of key safety concerns, mitigations and adaptive capacity arising from the use of safety huddles in ICUs across the United Kingdom − A cross-sectional national e-survey  Intensive and Critical Care Nursing

Nurses’ subjective workload assessed with the NASA-TLX and its relationship with the nursing activities score (NAS) and nurses’ demographic factors: a prospective cross-sectional study  Intensive and Critical Care Nursing

Occurrence of hypoxic liver injury in patients with acute respiratory distress syndrome: A retrospective cohort study  Journal of Intensive Medicine

Performance of the Ventilatory Ratio to Predict Intubation in Patients With COVID-19 Acute Respiratory Distress Syndrome  Critical Care Explorations

Physical function at ICU discharge and long-term outcomes in mechanically ventilated patients: A retrospective cohort study  Intensive and Critical Care Nursing

Point-of-care presepsin and procalcitonin to rule out sepsis in patients with infectious symptoms  Journal of Critical Care

 Prognostic Value of Scoring Systems in Elderly Sepsis-Associated AKI Patients: A Multicenter Retrospective Cohort Study  Journal of Intensive Care Medicine

Prognostic Value of the Diuretic Response to Low-Dose Furosemide for Predicting Progression from Acute Kidney Injury Stage 1 in Critically Ill Patients: A Retrospective Cohort Study  Journal of Intensive Care Medicine

Radiologic drivers of dysphagia after intracerebral haemorrhage: a flexible endoscopic evaluation of swallowing-guided retrospective analysis on intensive care unit  Neurological Research and Practice

Real-Time Ultrasound-Guided Versus Ultrasound-Assisted (non–Real-Time) Pigtail Catheter Insertion for Pleural Effusion Drainage in the Intensive Care Unit: A Retrospective Cohort Study  Journal of Intensive Care Medicine

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  Critical Care Medicine

Relationship between negative-pressure ICU rooms and the risk of COVID-19-associated pulmonary aspergillosis: an ancillary analysis of the COVID-ICU cohort study  Critical Care

Revisiting the fluid challenge and stroke volume optimisation after induction of general anaesthesia  Annals of Intensive Care

Shaping intensive care follow-up clinics: A qualitative study of professionals’ experiences and digital integration  Intensive and Critical Care Nursing

Stakeholders’ views and recommendations on active participation of family members in direct ICU care: A qualitative study  Intensive and Critical Care Nursing

Temporal trends in time to asystole in patients considered for organ donation after circulatory death  Journal of the Intensive Care Society

The Effect of Readmission to the ICU on 60-Day Hospital Mortality in Patients With and Without Frailty: A Binational Registry-Based Study  Critical Care Medicine

The Ethical Tightrope of Physical and Environmental Restraint in ICU: A Balancing Act  Nursing in Critical Care

The new SOFA for sepsis identification and mortality prediction: a multicenter cohort study  Journal of Intensive Care

Well-being in intensive care: reflections from a multinational survey  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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