Speaker: Aarti Sarwal, MD, FAAN, FNCS, FCCM
Aarti Sarwal, MD, FAAN, FNCS, FCCM: Hello, I'm Aarti Sarwal, the Social Media Editor of Critical Care Medicine. Here are my top reads from the July issue of CCM. In the first article that caught my eye, Gondhalekar and the team asked the difficult question that plagued us during the pandemic. Should transport ventilators be used in times of crisis? They study a two month sample of COVID-19 ARDS patients in a New York healthcare system and report on the experience and the outcomes. In the second article, Sugimoto and the group look at the added value of serial lactate measurements for predicting outcomes in adult patients cannulated for eCPR after out of hospital cardiac arrest. This group focused on time adjusted lactate clearance using the SAVE-Japan study dataset. The study suggests a neurological survival advantage for patients with adequate ECMO flow and goes on to provide a potential value of serial lactate in guiding post resuscitation care. In an editorial to this article, Lauren Levy and Joseph Tonna highlight the pearls and pitfalls of using such observational data for research. Check it out. Lastly, this issue brings forth the first of a series of focused reviews describing the road to precision medicine in critical care. Birkelo and the group review the available literature to provide a roadmap for precision guided care and acute kidney injury. Introducing the series is a reflective foreword by Lyons, Meyer and Maslove that you must read. The author highlights the paradigm shift in medicine brought forth by cancer genomics and reflect on its translation in critical care. A shift from a syndrome based approach to a patient centered phenotype focused approach. We learned several lessons from COVID ARDS trials in advising phenotype specific therapy. The authors now call for finding ways to translate precision ideas into precision care and better outcomes. Keenly looking forward to reading this series. For more articles, please follow us on X and Facebook. Have a great day.
