CHESTGuidelines & Topic CollectionsCritical Care

Critical Care

Must-reads and more in CHEST^® journal portfolio

JOURNAL CHEST^®

Prolonged Mechanical Ventilation in Critically Ill Patients: Six-Month Mortality, Care Pathways, and Quality of Life

Ventilator-Associated Pneumonia in Low- and Middle-Income vs High-Income Countries

High Normocapnia and Better Functional Outcome in Patients Undergoing Venoarterial Extracorporeal Membrane Oxygenation After Out-of-Hospital Cardiac Arrest

CHEST^® CRITICAL CARE

Read the June 2025 issue

EARN CME CREDIT

Red Blood Cell Transfusion in Critically Ill Adults

Application of Machine Learning Models to Biomedical and Information System Signals From Critically Ill Adults

Physiologic Effects of Reconnection to the Ventilator for 1 Hour Following a Successful Spontaneous Breathing Trial

Video vs Direct Laryngoscopy for Tracheal Intubation After Cardiac Arrest

CHEST JOURNAL PODCAST

Comparative Effectiveness of Albumin vs No Albumin on Renal Replacement Therapy and Mortality in Patients With Septic Shock and Renal Impairment
Asad E. Patanwala, PharmD, MPH; Brian L. Erstad, PharmD; and Alice Gallo De Moraes, MD, FCCP (moderator)

GRAPHICAL ABSTRACT

Could A Modified Cuff Leak Test Approach Be Superior in Predicting Reintubation Compared With the Traditional Method?

VIEW THE DOWNLOADABLE PDF

READ THE RELATED ARTICLE »

CHEST JOURNAL PORTFOLIO | Access even more critical care research. READ THE JOURNALS »

GUIDELINES BY TOPIC | Review practice-changing recommendations for critical care.
ACCESS CRITICAL CARE GUIDELINES »

Critical care resources to enhance patient care

Clinician education and in-person training

INFOGRAPHIC

Hemoglobin Thresholds for Hemodynamically Stable Patients in the ICU

Review these targets for patients based on the CHEST guideline for red blood cell transfusion in critically ill adults.

GUIDELINE

Transfusion of Fresh Frozen Plasma and Platelets in Critically Ill Adults

Explore recommendations for the transfusion of FFP or platelets in critically ill patients with thrombocytopenia who are undergoing invasive procedures.

INFOGRAPHIC

Early Cycle Dyssynchrony

Learn about the conditions for patient-ventilator synchrony, what happens in early cycle dyssynchrony, and causes of early cycle dyssynchrony.

ON DEMAND

Critical Care Board Review On Demand

Prepare for your critical care medicine board exam with recorded sessions from the 2024 CHEST Critical Care Medicine Board Review course.

VIDEO LIBRARY

CHEST MedCast

With more than 400 videos and podcasts covering key clinical aspects of chest medicine, you'll be able to stream all the top-tier education you want—anywhere, anytime.

SEEK for APPs modules shown on a laptop and mobile phone

STUDY RESOURCE

CHEST SEEK^® Critical Care Medicine for APPs

Nurse practitioners and physician assistants can test their diagnosis and treatment knowledge with this curated collection.

A woman smiles with the APP Certification Exam displayed on a computer

CHEST Critical Care APP Certification Exam

As an advanced practice provider (APP), you are a vital part of the critical care team. The new CHEST Critical Care APP (CCAPP) Certification Exam is a comprehensive assessment of your clinical critical care knowledge and competence. Successfully earning the CCAPP credential can offer enhanced credibility and recognition, increased personal fulfillment and professional growth, and more.

LEARN MORE ABOUT THE EXAM »

Explore an on-demand lecture series shaped directly by the domains on the CHEST CCAPP Certification Exam. Topics include respiratory failure, cardiovascular critical care, and more.

ACCESS NOW »

Join the Critical Care Network

CHEST Networks are specialty-focused communities that provide forums for leadership, education, and advocacy. The Critical Care Network enhances the scientific knowledge, evidence-based medicine, and clinical practices that further our understanding of the mechanism and management of acute and life-threatening critical illness, nonrespiratory critical care, palliative and end-of-life care, and sepsis/shock.

LEARN MORE »

Critical care news and notes

Follow the latest critical care news

CRITICAL CARE COMMENTARY

Ketamine vs Etomidate for Intubation in Patients Who Are Critically Ill
Commonly used for sedation for endotracheal intubation, ketamine and etomidate are often selected for their favorable hemodynamic profiles.

PALLIATIVE AND END-OF-LIFE CARE SECTION

Making Space for Palliative Care in Lung Transplant Programs
Transplant centers should consider additional research into palliative care integration to benefit the growing population of lung transplant recipients.

MECHANICAL VENTILATION AND AIRWAYS MANAGEMENT SECTION

Airway Pressure Release Ventilation: Should It Be Used in the Early Stages of ARDS?
APRV has traditionally been viewed as a salvage therapy for patients with ARDS, but recent literature suggests that it can provide better overall lung recruitment with less sedation and more ventilator-free days.

NONRESPIRATORY CRITICAL CARE SECTION

Viscoelastic Testing in Sepsis-Induced Coagulopathy
SIC is a common ICU complication that clinicians are starting to identify earlier through point-of-care viscoelastic testing.

SEPSIS/SHOCK SECTION

Capillary Refill Time: Advancing Perfusion-Targeted Resuscitation in Septic Shock
Capillary refill time, a quick, noninvasive tool to assess perfusion and microvascular health, offers faster feedback than lactate levels and may improve resuscitation outcomes.

CHEST PHYSICIAN^®

Procalcitonin Levels May Guide Antibiotic Duration in Patients With Suspected Sepsis
A 10% reduction in duration of antibiotic use shown in a recent study may seem small, but in the context of antibiotic stewardship, it's significant.

Build your critical care expertise

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 process; help you prepare for certification or recertification exams; and allow you to obtain CME credit, MOC points, and CE hours.

CHEST SEEK LIBRARY

NEW | Test your knowledge with 150 newly added critical care questions, including multiple case-based questions on acid-base disorders, cerebrovascular disease, and mechanical ventilation.

PURCHASE 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 »