Speaker: Aarti Sarwal, MD, FAAN, FNCS, FCCM
Aarti Sarwal, MD, FAAN, FNCS, FCCM: Hello, I'm the Social Media Editor of Critical Care Medicine. Here are my top reads from the September issue. This issue is rich in articles covering clinical investigations, reviews, thoughtful editorials and some pro and con debates on very hot topics. For now, I picked these few. The first article that caught my attention focuses on glucose management in the ICU. You thought figuring out the most optimal glucose management strategy was a dead story? Hold your thoughts. Okazaki and the group screened over 6,000 adult ICU patients in a tertiary hospital in Japan over six years to find 1,700 eligible patients. They gathered data on glycemic ratios including first 24 hours of glucose values and preadmission HgA1c to assess association of relative dysglycemia with outcomes. An editorial by James Krinsley reviews the historical evolution of glucose management trials from RCTs focusing on a single blood glucose target to recent efforts at individualizing glucose targets. Despite the retrospective nature, this study provides key insights into research gaps in this field. The second article focuses on research evaluating interventions that enable communication in patients with an artificial airway. Freeman-Sanderson and the group gathered three stakeholder groups - patients and their family, clinicians and researchers and evaluated several outcomes through a Delphi consensus methodology. The end result is the first core outcome set for research on communication interventions for critically ill adults. Check these out. For more articles, please check us out on Facebook and X. Happy Reading.
