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Critical Care

Critical care specialists will find tools to help provide the highest quality care for their patients. Access original research from the journal CHEST®, educational materials, CHEST Physician® articles, CHEST SEEK Education, podcasts, and more.

CHEST Journal Highlights

The Coronavirus Disease 2019 Pandemic’s Effect on Critical Care Resources and Health-Care Providers: A Global Survey

By: Sarah Wahlster, MD; Monisha Sharma, PhD; Ariane K. Lewis, MD; et al
February 2021 Issue
This study examines how regional differences and perceived lack of ICU resources affected critical care resource use and clinician well‑being during the COVID-19 pandemic.
Read the related editorial: Looking to the Past, Learning From the Present, and Preparing for the Future: Toward Understanding Critical Care Strain During a Global Pandemic »


Impact of Corticosteroids in Coronavirus Disease 2019 Outcomes: Systematic Review and Meta-analysis

By: Edison J. Cano, MD; Xavier Fonseca Fuentes, MD; Cristina Corsini Campioli, MD; et al
March 2021 Issue
Preliminary results of corticosteroids in COVID-19 are encouraging; however, the role of corticosteroids remains controversial. What is the impact of corticosteroids in mortality, ICU admission, mechanical ventilation, and viral shedding in patients with COVID-19?


Coronavirus Disease 2019 Acute Myocarditis and Multisystem Inflammatory Syndrome in Adult Intensive and Cardiac Care Units

By: Guillaume Hékimian, MD; Mathieu Kerneis, MD; Michel Zeitouni, MD; et al
February 2021 Issue
This case series describes the clinical presentation, characteristics, and management of the patients over 16 years old with COVID-19 who were admitted for suspected acute or fulminant myocarditis and included multisystem inflammatory syndrome in a tertiary French center.
Read the related editorial: Multisystem Inflammatory Syndrome in Adults—Coming Into Focus »


VISUAL ABSTRACT

Impact of a Lung-Protective Ventilation Strategy

Does a lung-protective ventilation strategy in the emergency department (ED) improve outcomes and cost of care?

STUDY DESIGN

Ventilation icon
  • Retrospective study from Jan 2011 to June 2017 in 8 EDs
  • Included consecutive adult patients who received mechanical ventilation in the ED
  • Lung-protective ventilation defined as use of tidal volumes ≤8 mL/kg predicted body weight

RESULTS

In the LPV group, adjusted odds ratio of hospital mortality was 0.91 (CI 0.84-0.96) and adjusted odds ratio of development of ARDS was 0.87 (CI 0.81-0.92).

  LPV (n=2,437) Non-LPV (n=1,737) P
Duration of mechanical ventilation (days; median (IQR)) 4 (1-8) 5 (1-9) < .01
Hospital LOS (days; median (IQR)) 11 (4-29) 14 (5-32) < .001
Mean total hospital costs (Canadian $) $44,348 $52,484 .03

The use of lung-protective ventilation in the ED was associated with lower hospital mortality, decreased incidence of ARDS, lower hospital length of stay, and decreased total costs.

DOWNLOAD THE VISUAL ABSTRACT

Read the related article: Lung-Protective Ventilation and Associated Outcomes and Costs Among Patients Receiving Invasive Mechanical Ventilation in the ED »

CHEST Journal | Access the journal CHEST's full collection of critical care research.  Read the journal »

CHEST Pulse Podcast

Hindsight Is 20/20 – What We've Learned About COVID-19 (Part II: Bedside Care)

In this series on what the medical community has learned about COVID-19 during 2020, hear about the evolution of critical care management, respiratory support strategies, COVID-19-targeted therapies, and treatment of venous thromboembolism.

Moderator: Kevin K. Chung, MD
Panelists: Richard A. Oeckler, MD, PhD, FCCP; Nida Qadir, MD; Tamas Szakmany, MD, PhD; and Victor Test, MD, FCCP


Also available:

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Patient Information

Navigating an intensive care unit (ICU) experience can be challenging for families. Share the CHEST Foundation’s ICU Guide with your patients and their families.
Access the ICU Guide »

Intensive Care Unit Guide on laptop


CHEST Player Hub

Critical Care Trivia for Respiratory Therapists

It’s a race against the clock for respiratory therapists, fellows and residents! Jump into a high-speed game of trivia to test your knowledge around the facts and knowledge of critical care medicine.

Start playing now »

CHEST Player Hub 

CHEST SEEK™ Education

Written and peer reviewed by renowned experts in the critical care, pulmonary, and sleep medicine fields, the online CHEST SEEK Library and print publications include case-based questions and detailed rationales to stimulate and challenge your clinical thought processes; help you prepare for certification or recertification exams; and allow you to obtain CME credit, MOC points, and CE hours.

Take the CHEST SEEK Challenge and answer a sample question.

A 19-year-old man with no past medical history is brought to the ICU after a motor vehicle collision. He is unresponsive on admission. His admission Glasgow Coma Scale score is 3 (1 point for eye opening, 1 point for motor, and 1 point for verbal). He has an external ventricular monitor placed to measure intracranial pressure (ICP), which reads >20 mm Hg for the first 3 h. Which intervention has the best evidence for improving outcome?

A. Systemic corticosteroids
B. Early bifrontal decompressive craniectomy
C. Prophylactic therapeutic hypothermia
D. Prevention of hemodynamic instability causing hypotension

Submit your email address for the correct answer

CHEST SEEK LIBRARY | Access hundreds of critical care, pulmonary, and sleep medicine questions.  Purchase now »

e-Learning Courses

Gain access to critical care e-learning materials and earn CME through CHEST’s e-Learning Library.

ACCREDITED CONTENT

Thoracic Ultrasonography: Pleura

This interactive course covers how to identify and characterize pleural effusion; locate the site, angle, and depth for safe needle insertion to access the pleural effusion; and use thoracic ultrasonography to evaluate respiratory failure.
CME Available: 1.0 AMA PRA Category 1 Credit

ACCREDITED CONTENT

Thoracic Ultrasonography: Lung

Learn how to identify lung sliding, lung pulse, A lines, B lines, and consolidation, and get an overview of the transducer manipulation required to obtain high-quality, standard image planes.
CME Available: 1.0 AMA PRA Category 1 Credit

ACCREDITED CONTENT

Integrating NPs & PAs Into Your ICU: Part 1 - Getting Started

Find tips for recruiting and hiring the right candidates, onboarding, and creating effective staffing models to successfully integrate advanced practice providers into your ICU.
CME Available: 1.0 AMA PRA Category 1 Credit

CHEST E-LEARNING LIBRARY | Customize a learning plan specific to your needs. Subscribe today »

News From CHEST Physician

Kathryn Pendleton, MD 
Viren Kaul, MD 

Awake proning in COVID-19

By: Kathryn Pendleton, MD, and Viren Kaul, MD
Critical Care NetWork
Drs. Pendleton and Kaul discuss the evidence for whether awake proning of nonintubated patients with severe hypoxia improves oxygenation and decreases the need for intubation.

Apply for a Research Grant


The CHEST Foundation is now accepting applications for its 2021 grants cycle, which includes two grants specific to critical care medicine. Make sure to apply by March 31, 2021.

Eli Lilly and Company Distinguished Scholar in Critical Care Medicine
Grant amount: $150,000

CHEST Foundation Research Grant in Critical Care
Grant amount: $25,000

VIEW ALL GRANTS


Key Opinion Leader Interview

VTE During the COVID-19 Pandemic

In this video from CHEST’s Critical Care NetWork, join June Chae, MD, and Lisa Moores, MD, FCCP, for a discussion on the management of venous thromboembolism in patients with COVID-19.


"When you look at the pathophysiology of COVID, it really begins to make sense as to why this is such a significant problem."
—Lisa Moores, MD, FCCP

CHEST Annual Meeting - COPD

CHEST 2020 Recorded Sessions

ACCREDITED CONTENT

Critical Care Education On Demand

Couldn't attend CHEST Annual Meeting 2020? Gain access to all of the recorded sessions from the meeting with this unique collection that includes the latest presentations from top clinicians and researchers in chest medicine, including talks on mechanical ventilation, sepsis, management of COVID-19, acute respiratory distress syndrome, and more.

Purchase access now »

Join the Community

If you’re not already a CHEST member, become one today for access to additional resources, discounts on educational activities, and networking opportunities. Join now »