Tag: critically ill

VIOLET Trial: High-Dose Vitamin D3 for Critically Ill

VIOLET Trial Summary The VIOLET trial was a phase 3, randomized, double-blind, placebo-controlled study designed to evaluate the effects of early vitamin D3 supplementation in critically ill patients with vitamin D deficiency who were at high risk for death. Vitamin D deficiency is a common and potentially reversible factor contributing to morbidity and mortality in […]

DEVICE Trial: Video versus Direct Laryngoscopy for Tracheal Intubation

DEVICE Trial Summary The article discusses the findings of the DEVICE trial, which aimed to determine whether video laryngoscopy increased the likelihood of successful tracheal intubation on the first attempt compared to direct laryngoscopy in critically ill adults. The trial was conducted at 17 emergency departments and intensive care units (ICUs), involving a multicenter, randomized […]

65 Trial Summary: Vasopressors in Older Critically Ill Patients

2020 65 TRIAL Effect of Reduced Exposure to Vasopressors on 90-Day Mortality in Critically III patients Multicenter, pragmatic, randomized clinical trial Objective: To evaluate the effect on mortality at 90 days of reducing the exposure to vasopressors through permissive hypotension (mean arterial pressure target of 60-65 mm Hg) in intensive care unit (ICU) patients. 2,600 […]

3SITES Trial Summary: Central Venous Catheterization Insertion Site

2015 3SITES TRIAL Intravascular complications of central venous catheterization by insertion site Multicenter, randomized controlled trial Objective: To evaluate the risk of catheter related bloodstream infection or symptomatic catheter related deep-vein thrombosis in an adult patient who had been admitted to an ICU. 3027 Inclusion criteria: Age > 18 years, ICU admitted requiring central venous […]

BOX Trial Summary: Oxygen Targets in Comatose Survivors of Cardiac Arrest

2022 BOX TRIAL: OXYGEN TARGETS IN OHCA Oxygen targets in comatose survivors of cardiac arrest Investigator-initiated, open-label, superiority,2×2 factorial design, randomized clinical trial Objective: To evaluate the appropriate oxygen target for mechanical ventilation in comatose survivors of out-of-hospital cardiac arrest 789 Inclusion criteria: Adults >18 years admitted to the hospital after resuscitated cardiac arrest (of […]

BOX Trial Summary: BP Target in OHCA

2022 BOX TRIAL: BP TARGETS IN OHCA Blood-pressure targets in comatose survivors of cardiac arrest Investigator-initiated, double-blind, superiority, 2×2 factorial design, randomized clinical trial Objective: To evaluate the appropriate blood pressure target in comatose survivors of out-of-hospital cardiac arrest 789 Adults 18 years admitted to the hospital after resuscitated cardiac arrest (of presumed cardiac cause); […]

SMART-MED Trial Summary: Balanced Crystalloids versus Saline in Critically Ill

2018 SMART-MED & SMART-SURG TRIAL Balanced crystalloids versus saline in critically ill adults Pragmatic, unblinded, cluster-randomized, multiple-crossover trial Objective: To determine whether administration of balanced crystalloids reduce a 30 day composite outcome of death, new renal replacement therapy or persistent renal dysfunction as compared with saline in critically ill patients 15802 patients Inclusion criteria: Adult […]

PARTNER Trial Summary: Family-Support Intervention in ICU

2018 PARTNER TRIAL A Randomized trial of a Family-support intervention in intensive care units Multicenter, stepped-wedge, cluster-randomized trial Objective: To compare a multicomponent family-support intervention delivered by the interprofessional ICU team with usual care 1420 Inclusion criteria: Patients >18 years without decision-making capacity, with at least 1 of; Ventilated for > 4 days; an estimated […]

REVIVE Trial Summary: Exercise Program in Critically Ill after Discharge

2017 REVIVE TRIAL Effectiveness of an exercise programme on physical function in patients discharged from hospital following critical illness. | Multicentre, prospective phase II, randomised controlled trial Objective: To investigate the effectiveness of a 6 week exercise programme in patients discharged home following critical illness compared with standard care 60 patients Inclusion criteria: Critically ill […]

REDUCE DELIRIUM Trial Summary: Haloperidol in Critically Ill at High Risk of Delirium

2017 2017 REDUCE-DELIRIUM TRIAL M Effect of haloperidol on survival among critically ill adults with a high risk of delirium | Randomized, double-blind, placebo-controlled trial Objective: To determine survival with prophylactic use of haloperidol among critically ill adults at high risk of delirium 1443 patients Inclusion criteria: Patients aged > 18 years without delirium and […]