September 2026
- DIVI argues Germany should permit donation after circulatory death — the day after DCD hearts showed equivalent five-year survival Controlled Donation after Circulatory determination of Death (cDCD): A position paper by the DCD working group of the German Interdisciplinary Association for Intensive Care and Emergency Medicine (DIVI) · DIVI — Deutsche Interdisziplinäre Vereinigung für Intensiv- und Notfallmedizin Guidelines watch
- No survivors over 65 after choking arrest — and the LMA fails in it; plus DCD hearts at five years, a heart transplant volume threshold of 31, and donor lungs that recover Out-of-Hospital Cardiac Arrest from Foreign Body Airway Obstruction: A Population-Based Study in Victoria, Australia · ResuscitationNational 6-Year Experience of Transplantation using Donor Hearts after Circulatory Death · The Annals of Thoracic SurgeryReappraisal of the Impact of Institutional Volume on Outcomes After Heart Transplantation · The Annals of Thoracic SurgeryEffect of donor oxygenation trajectory on lung procurement for transplantation · The Annals of Thoracic Surgery Literature brief
- Nothing new today — closing the ISHLT gap with the three-part perioperative ECLS consensus, plus ERC 2025 on special circumstances and ethics ISHLT Consensus Statement on the Perioperative use of ECLS in Lung Transplantation: Part I: Preoperative Considerations · International Society for Heart and Lung TransplantationISHLT Consensus Statement on the Perioperative use of ECLS in Lung Transplantation: Part II: Intraoperative Considerations · International Society for Heart and Lung TransplantationISHLT Consensus Statement on the Perioperative use of ECLS in Lung Transplantation: Part III: Postoperative Considerations · International Society for Heart and Lung TransplantationEuropean Resuscitation Council Guidelines 2025 Special Circumstances in Resuscitation · European Resuscitation Council +1 more Guidelines watch
- CRRT on ECMO answers the question ADQI asked three days ago, a ventilator benchmark that flags the wrong hospitals, a decade of sepsis bundle delivery, and a preprint on sedation for LAA occlusion Epidemiology of continuous renal replacement therapy in critically ill adults on ECMO: A multicenter cohort study · Journal of Critical CareBetween-hospital variation in liberation from invasive mechanical ventilation: Consequences of ignoring death as a competing risk · Journal of Critical CareSepsis identification and bundle delivery in US emergency departments, 2012-2022: A nationally representative analysis · Journal of Critical CareAnesthetic Approaches for Left Atrial Appendage Occlusion: Comparing Conscious Sedation and General Anesthesia — A Meta-Analysis (PREPRINT, not peer reviewed) · F1000Research preprint Literature brief
- Prehospital blood for children by Delphi consensus, and a biennial appraisal finding prehospital guidelines are getting better — with resuscitation compilations leading Consensus Guidelines for Prehospital Transfusion in Children: A Modified Delphi Study · Pediatric Prehospital Blood Transfusion Collaborative2026 Systematic Review of Evidence-Based Guidelines for Prehospital Care · Prehospital Guidelines Consortium Guidelines watch
- The IV-versus-IO question answered as a null in 7,561 patients, peripheral perfusion-guided resuscitation at 97.2% Bayesian probability, barriers to dispatcher CPR, and minimally invasive surgery for mitral endocarditis Intravenous or Intraosseous Vascular Access in Cardiac Arrest: An Individual Participant Data Meta-Analysis · ResuscitationMortality Effect of Peripheral Perfusion-Guided Resuscitation in Vasodilatory Shock: A Systematic Review and Dual Frequentist-Bayesian Meta-Analysis of Randomized Trials · Critical Care MedicineBarriers to dispatcher-assisted CPR are associated with delayed bystander CPR and worse outcomes in out-of-hospital cardiac arrest: A retrospective cohort study · ResuscitationMinimally invasive approach versus median sternotomy in patients undergoing surgery for mitral valve infective endocarditis, a meta-analysis · Perfusion Literature brief
- Nothing new today — and the biggest gap in this archive closed: the ERC 2025 resuscitation guidelines European Resuscitation Council Guidelines 2025 Executive Summary · European Resuscitation CouncilEuropean Resuscitation Council Guidelines 2025 Adult Advanced Life Support · European Resuscitation CouncilEuropean Resuscitation Council and European Society of Intensive Care Medicine Guidelines 2025 Post-Resuscitation Care · ERC / ESICM Guidelines watch
- A quiet Saturday worked from the backlog: minimally invasive extracorporeal circulation in 41 trials, DNR status and withheld rib fracture blocks, and a dexmedetomidine preprint Minimally invasive versus conventional extracorporeal circulation in cardiac surgery: A meta-analysis of 41 randomized controlled trials · PerfusionDo-not-resuscitate status and regional analgesia utilization for fracture pain: a comfort paradox? · Regional Anesthesia and Pain MedicineDexmedetomidine vs. propofol sedation in the prevention of postoperative delirium in cardiac surgery — a randomized controlled trial (PREPRINT, not peer reviewed) · Research Square preprint Literature brief
- ADQI XXXVI and ELSO on acute kidney injury and CRRT during ECMO — the first of the series Epidemiology, Risk Factors and Outcomes of AKI and CRRT in Patients on ECMO: Workgroup Statements from the Joint Acute Disease Quality Initiative (ADQI) and Extracorporeal Life Support Organization (ELSO) Consensus Conference on ECMO, AKI, fluid management and CRRT · ADQI XXXVI / ELSO Guidelines watch
- Drug allergy labels and worse surgical outcomes in 13,646 patients, low ETCO₂ as an independent mortality marker, code-status limitations and early death, and an STS risk model that failed its own validation Drug allergy labels and complications after surgery: a prospective multicentre cohort study (SAPPHIRE) · British Journal of AnaesthesiaAssociation of Intraoperative End-Tidal CO₂, Ventilation, and Hypotension With Postoperative Mortality in Noncardiac Surgery: A Retrospective Cohort Study · AnesthesiologyPerioperative Continuation of Code-status Limitations and Early Postoperative Mortality: A Retrospective Cohort Study · Annals of SurgeryRisk Model for Adult Congenital Cardiac Reoperations: Analysis of the Society of Thoracic Surgeons Adult Cardiac Surgery Database (STS-ACSD) · The Annals of Thoracic Surgery Literature brief
- DESTINE 2.0 on LVAD driveline infections, and an ESC consensus on lipid-lowering therapy in venous thromboembolism Prevention and Management of Driveline Infections in Ventricular Assist Device Patients: The DESTINE 2.0 Staging Proposal and Expert Recommendations · DESTINE (Driveline Expert STagINg and carE) study groupLipid lowering therapy in venous thromboembolism: A Clinical Consensus Statement of the ESC Working Groups on Aorta and Peripheral Vascular Diseases, Cardiovascular Pharmacotherapy, and Pulmonary Circulation & Right Ventricular Function, and the European Society of Vascular Medicine · European Society of Cardiology (three Working Groups) / ESVM Guidelines watch
- 78% mortality in failed weaning, the Hypotension Prediction Index explained away, the surgical establishment on TAVI durability, and bigger annuloplasty rings failing later Distinct weaning phenotypes in patients unsuccessful in weaning from invasive mechanical ventilation: a secondary analysis of the WEAN SAFE cohort · Intensive Care MedicineAssociations between reduction of hypotension and treatment intensity in hypotension prediction index studies · AnesthesiologyEmerging Longer-Term Evidence on Transcatheter Aortic Valve Implantation for Severe Aortic Stenosis in Low-Risk Patients: A Call for Caution · The Annals of Thoracic SurgeryAnnuloplasty Ring Size and Long-term Durability after Degenerative Mitral Valve Repair · The Annals of Thoracic Surgery Literature brief
- The AHA rewrites its endocarditis statement after eleven years, a Brazilian ICU rehabilitation guideline that contradicts three null trials, and an appraisal finding every hospital sepsis guideline low quality Infective Endocarditis: Diagnosis, Antibiotic Therapy, and Management: A Scientific Statement From the American Heart Association · American Heart AssociationASSOBRAFIR clinical practice guidelines in intensive care physical therapy: Rehabilitation strategies in critically ill adults · ASSOBRAFIR (Brazilian Association of Cardiorespiratory Physiotherapy and Intensive Care Physiotherapy)Quality and concordance of international paediatric sepsis guidelines: a cross-sectional appraisal from the SENTINEL International study · SENTINEL International study group (appraisal of hospital guidelines against Surviving Sepsis Campaign 2020) Guidelines watch
- GLP-1 agonists and the adolescent stomach, COX-2 inhibitors measured properly, cryoanalgesia levelled with epidural, and root preservation in type A dissection Delayed gastric emptying in adolescent patients on GLP-1 receptor agonists with standard preoperative fasting guidelines: a prospective cohort study · British Journal of AnaesthesiaEffectiveness of Selective Cyclooxygenase-2 Inhibitors for Postoperative Pain Management Using Multidimensional Pain Assessment: A Systematic Review and Meta-analysis of Randomized Controlled Trials · AnesthesiologyComparison between cryoanalgesia, epidural anaesthesia and erector spinae plane block for postoperative analgesia after minimally-invasive anatomic lung resection: a randomized controlled trial · Updates in SurgeryFive-year durability of aortic root preservation in type A aortic dissection: A single centre experience in 1,333 patients · Interdisciplinary CardioVascular and Thoracic Surgery Literature brief
- Prolonged-infusion β-lactams upgraded to moderate certainty, an AHA statement on residual lesions after paediatric cardiac surgery, and a European consensus on imaging for LAA closure Focused Update to International Consensus Recommendations for the Use of Prolonged-Infusion Beta-Lactam Antibiotics Among Severely Ill Adult Patients · ACCP / BSAC / CFF / ESCMID / IDSA / SCCM / SIDPImportant Residual Lesions and Early Unplanned Reinterventions After Pediatric Cardiac Surgery: A Scientific Statement From the American Heart Association · American Heart AssociationMultimodality imaging for pre-, intra-, and postprocedural guidance of left atrial appendage closure: a European Left Atrial Appendage Closure Club (ELAACC) expert consensus statement · European Left Atrial Appendage Closure Club (EuroPCR / ESC Working Group on Interventional Cardiology) Guidelines watch
- Ketamine for analgosedation, parenteral nutrition's old trade-off, and renal perfusion phenotypes Ketamine for Analgosedation in Mechanically Ventilated Adults: A Double-Blind Randomized Trial · Critical Care MedicineEffect of early parenteral nutrition versus enteral nutrition alone on all-cause mortality in critically ill adults: A systematic review and meta-analysis · JPENEarly renal perfusion phenotypes and renal recovery in critically ill patients with or at risk for acute kidney injury: a prospective multicenter cohort study · Shock Literature brief
- Nothing new today — the ASA older adults advisory, IACTS on the CABG downgrade, and ESPEN's ICU guideline 2025 ASA Practice Advisory for Perioperative Care of Older Adults Scheduled for Inpatient Surgery · American Society of AnesthesiologistsIACTS position statement on the 2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization, section 7.1 · IACTSESPEN practical and partially revised guideline: Clinical nutrition in the intensive care unit · ESPEN Guidelines watch
- A randomised trial where the higher blood pressure target did worse Blood Pressure Targets During General Anaesthesia in High-Risk Patients — A Randomised Clinical Feasibility Trial · Acta Anaesthesiologica ScandinavicaAssociation between rewarming rate during cardiopulmonary bypass and postoperative delirium in patients receiving olanzapine after cardiac surgery · Perfusion Literature brief
- Nothing new today — the ESAIC/ESRA antithrombotic guideline and STS on oligometastatic lung cancer Regional anaesthesia in patients on antithrombotic drugs: Joint ESAIC/ESRA guidelines · ESAIC / ESRASTS Clinical Practice Guideline on Surgical Management of Oligometastatic Non-small Cell Lung Cancer · Society of Thoracic Surgeons Guidelines watch
- Days alive and out of hospital after lung transplant, and burnout figures that depend on where you draw the line Days Alive and Out of Hospital Around Lung Transplantation: Predictors and Clinical Implications · ChestPrevalence of burnout among practising anaesthesia providers: a systematic review · AnaesthesiaTARGET-CTCA — Targeted Use of Computed Tomographic Coronary Angiography in Acute Chest Pain · NEJM Literature brief
- Nothing new today — ESPEN surgical nutrition and the ESAIC cardiac biomarker guideline ESPEN guideline on clinical nutrition in surgery — Update 2025 · ESPENESAIC focused guideline for the use of cardiac biomarkers in perioperative risk evaluation · ESAIC Guidelines watch
- Stopping SGLT2 inhibitors before surgery may be the harm, not the safeguard Perioperative discontinuation of SGLT2-inhibitors and cardiac complications after noncardiac surgery: secondary analysis of two prospective observational cohort studies · British Journal of AnaesthesiaEarly Results and Technique of Single-Port (SP) Robotic Thoracic Surgery for Pulmonary Resection and Thymectomy · Annals of Thoracic SurgeryPerioperative peripheral nerve blocks for elective below-knee amputations and phantom limb syndrome: an exploratory multicenter retrospective cohort study · Regional Anesthesia & Pain Medicine Literature brief
- The EACTS/STS aortic organ guidelines, and one ACC/AHA statement on tactical athletes EACTS/STS Guidelines for diagnosing and treating acute and chronic syndromes of the aortic organ · EACTS / STSClinical Considerations for the Care of the Tactical Athlete With Cardiovascular Abnormalities: A Scientific Statement · ACC / AHA Guidelines watch
- Thirty years of the Ross procedure, and two meta-analyses that undercut their own subgroups Late results of the Ross Procedure · Annals of Thoracic SurgeryRemote Ischemic Preconditioning and Survival in Noncardiac Surgery: An Updated Meta-analysis of Randomized Trials · Anesthesia & AnalgesiaProcedure-specific effects of intravenous lidocaine in adult spine surgery: a systematic review and meta-analysis of randomized controlled trials · Regional Anesthesia & Pain Medicine Literature brief
- Nothing new today — a first look at the surgical implications of the 2025 ESC/EACTS valve guidelines Surgical Implications of the 2025 ESC/EACTS Guidelines for the Management of Valvular Heart Disease: Key Recommendations Bridging Guidelines and Clinical Practice · EACTS commentary on ESC/EACTS guidelines Guidelines watch
- Narrow pulse pressure predicts AKI even when the MAP looks fine Association of Intraoperative Narrow Pulse Pressure during Normotension with Postoperative Acute Kidney Injury: A Retrospective Cohort Analysis · AnesthesiologyThe role of hemoadsorption in septic shock: toward a personalized approach · Critical CareVentilator weaning and extubation in acute brain injury: challenges and evidence-based approaches · Anaesthesia Critical Care & Pain Medicine Literature brief
- Nothing new today — filling in the ESICM fluid therapy guideline, all three parts ESICM Clinical Practice Guideline on fluid therapy in adult critically ill patients. Part 1: the choice of resuscitation fluids · ESICMESICM 2025 clinical practice guideline on fluid therapy in adult critically ill patients. Part 2: the volume of resuscitation fluids · ESICMESICM Clinical Practice Guideline on fluid therapy in adult critically ill patients. Part 3: fluid removal at de-escalation phase · ESICM Guidelines watch
- A second look at declined donor lungs, and two ESC readouts land in NEJM The Effect Of A Two-Surgeon Review System On Donor Offers In Lung Transplantation At A High-Volume Center · JTCVSSWITCH-SWEDEHEART — Prasugrel versus Ticagrelor in Acute Coronary Syndromes · NEJMTRIC-I-HF — Tricuspid-Valve Intervention in Heart Failure · NEJM Literature brief
- Nothing new today — and a gap filled: the 2026 Surviving Sepsis Campaign guidelines Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2026 · SCCM / ESICMSurviving Sepsis Campaign International Guidelines for the Management of Sepsis and Septic Shock in Children 2026 · SCCM / ESICM Guidelines watch
- PRAGUE-26 makes catheter thrombolysis look decisive, and ECMO's long-term reckoning PRAGUE-26 — Catheter-Directed Thrombolysis in Intermediate-High-Risk Pulmonary Embolism · NEJMLong-Term Mortality and Functional Outcomes After Extracorporeal Membrane Oxygenation in Critically Ill Adults: A Systematic Review and Meta-Analysis · Critical Care MedicineTiming of PCI in Patients Undergoing Transcatheter Aortic-Valve Implantation · NEJM Literature brief
August 2026
- No new guidelines from tracked societies today A confirmed quiet day. ESC Congress closes; the week's guideline output is already in the archive. Guidelines watch
- Surgeon volume beats centre volume in mitral repair, and two more from JTCVS Surgeon Versus Center Mitral Repair Volume and Repair Utilization in Primary Mitral Regurgitation: A Statewide Quality Collaborative Analysis · JTCVSThe Impact of Prior Cardiac Surgery on Outcomes Following Acute Type A Aortic Dissection Repair · JTCVSReal-Time Dynamic Prediction of Mortality and Renal Replacement Therapy After Cardiac Surgery Using a Time-Series Deep Learning Model · JTCVSDecoding candidemia in critically ill patients: unsupervised clustering identifies three unique phenotypes · Critical Care Literature brief
- European criteria for diagnosing cardiogenic shock Criteria for the diagnosis of cardiogenic shock — European perspective · ACVC / HFA / EAPCI / ESC Guidelines watch
- CABG beats PCI in Medicare data, aficamten works in non-obstructive HCM, and pressure versus flow off-pump Coronary Artery Bypass Grafting vs Percutaneous Coronary Intervention for Stable Multivessel Coronary Disease in the Current Era · Annals of Thoracic SurgeryACACIA-HCM — Aficamten in symptomatic non-obstructive hypertrophic cardiomyopathy · NEJM / ESC Congress 2026 Hot LineAdjusted Relationships between Mean Arterial Pressure, Cardiac Index, and Tissue Oxygenation during Off-pump Coronary Bypass · Anesthesiology Literature brief
- Multisociety sepsis position paper, trauma nutrition protocol, and two definitions of heart failure that disagree IDSA/ACEP/ASM/PIDS/SCCM/SHEA/SHM/SIDP Multisociety Position Paper: Hospital Strategies to Improve Sepsis Outcomes · IDSA and seven co-signing societiesAAST/ACS Committee on Trauma clinical protocol for nutrition support in adult trauma · AAST / ACS COTEvidence-based, cost-effective management of empyema and chylothorax · JTACS Emergency General Surgery Algorithms work groupAHA/ACC/ESC/WHF Expert Consensus Document: Second Universal Definition of Heart Failure (2026) · AHA / ACC / ESC / WHF +1 more Guidelines watch
- POET-II shortens endocarditis therapy; eplontersen misses in ATTR-CM POET-II — Response-tailored antibiotic duration in left-sided infective endocarditis · NEJMCARDIO-TTRansform — Eplontersen in transthyretin amyloid cardiomyopathy · ESC Congress 2026 Hot LineInduction Agents for Tracheal Intubation of Critically Ill Patients: A Systematic Review and Network Meta-Analysis · ChestMortality and adverse events of extracorporeal haemoadsorption therapy in cardiac surgery: a systematic review and meta-analysis of RCTs · British Journal of Anaesthesia Literature brief
- ESC Congress opens: new heart failure guidelines and a rewritten definition of myocardial infarction 2026 ESC Guidelines for the management of heart failure · ESCFifth Universal Definition of Myocardial Infarction (2026) · ESC / ACC / AHA / WHFProject for Universal Management of Airways: guidelines for tracheal extubation · PUMANoninvasive Respiratory Support for Adult Patients with Acute Respiratory Failure — An Official ATS Clinical Practice Guideline · American Thoracic Society Guidelines watch
- Vasoactives in cardiogenic shock, videolaryngoscopy grading, and a negative ICU-VR trial Vasoactive Agent Selection Strategies in the Management of Cardiogenic Shock · CirculationClassification of videolaryngoscopy: a systematic review · AnaesthesiaICU-specific virtual reality for mental health after critical illness: an international three-arm randomized clinical trial · Critical Care Literature brief
- Two paywalls cracked: OFACAR and ESPB versus paravertebral block OFACAR — Opioid-free Anesthesia in Cardiac Surgery: The OFACAR Randomized Clinical Trial · AnesthesiologyUltrasound-guided thoracic paravertebral block versus erector spinae plane block analgesia for cardiac surgery with median sternotomy: a noninferiority randomised controlled trial · British Journal of Anaesthesia Literature brief
- Early mobilization's third null, plus β-blockade in critical illness EVER trial — Early mobilization for mechanical ventilation in sepsis/acute respiratory failure · Intensive Care MedicineState-of-the-art review: β-blockade in critical illness · Intensive Care MedicineMARCH trial — Carbocisteine or Hypertonic Saline for Acute Respiratory Failure · NEJMFifth Consensus Guidelines for PONV Management: Executive Summary · Anesthesia & Analgesia Literature brief
- Blood conservation in cardiac surgery: ITACS and ANH ITACS — Intravenous iron to treat anaemia before cardiac surgery · The BMJShould the esophageal balloon catheter be deployed to personalize ventilation of ARDS? · Intensive Care MedicineA Randomized Trial of Acute Normovolemic Hemodilution in Cardiac Surgery · NEJM Literature brief
- Multiplex PCR in VAP, and dapagliflozin for post-cardiac-surgery AKI Impact of a strategy using multiplex PCR on targeted antibiotic therapy for suspected VAP or HAP · Intensive Care MedicineMERCURI-2 — Dapagliflozin and Acute Kidney Injury Following Cardiac Surgery · JAMAEVERDAC — Deferring Arterial Catheterization in Critically Ill Patients with Shock · NEJM Literature brief
- Adrenoceptor physiology in shock, and the negative NEXIS trial Cardiovascular adrenoceptors physiology in patients with shock · Intensive Care MedicineNEXIS — Nutrition and Exercise in Critical Illness · AJRCCM Literature brief
- STS POAF guideline, ASA regional analgesia guideline, and RSI ketamine vs etomidate STS 2026 Clinical Practice Guidelines for Prevention and Treatment of New-Onset Postoperative Atrial Fibrillation After Cardiac Surgery · Annals of Thoracic SurgeryRSI trial — Ketamine or Etomidate for Tracheal Intubation of Critically Ill Adults · NEJM2026 ASA Practice Guideline on Perioperative Pain Management Using Local and Regional Analgesia for Cardiothoracic Surgeries, Mastectomy, and Abdominal Surgeries · Anesthesiology Literature brief
- Ventilation in acute brain injury, iNPWT for surgical site infection, FINE-HEART Respiratory mechanics modifies the impact of ventilator settings on clinical outcome in patients with acute brain injury · Intensive Care MedicineIncisional Negative Pressure Wound Therapy for Prevention of Surgical Site Infection: A Systematic Review and Meta-Analysis · JAMA SurgeryFINE-HEART pooled analysis — Finerenone benefits in cardio-kidney-metabolic syndrome with or without cancer history · European Heart Journal Literature brief
- TRANSPORT, WEANILEVO, CLEANSE — and the intraoperative hypotension meta-analysis TRANSPORT — Early liberal vs restrictive red-cell transfusion in cancer patients with septic shock · Intensive Care MedicineWEANILEVO — Levosimendan vs placebo for VA-ECMO weaning · AnesthesiologyCLEANSE — HA-330 hemoadsorption in high-catecholamine septic shock · Critical CareIntraoperative hypotension and adverse postoperative outcomes: a systematic review and meta-analysis of RCTs · British Journal of Anaesthesia Literature brief
- CHIPS cold-stored platelets, heatstroke temperature management, parasternal blocks CHIPS trial — Cold-Stored vs Room-Temperature Platelets in Cardiac Surgery · JAMATargeted Temperature Management at 35°C vs 37°C for Heatstroke · Critical Care MedicineThe Effect of Repeated Bilateral Deep Parasternal Intercostal Plane Catheter Boluses on Analgesia After Cardiac Surgery · Anesthesia & Analgesia Literature brief
- VITAL TIVA vs volatile, prehospital sepsis bundle, paediatric cardiogenic shock VITAL trial — Total Intravenous vs Volatile Inhalational Anesthesia for Major Noncardiac Surgery · JAMAA 1-Hour Resuscitation Bundle for Prehospital Management of Septic Shock · Critical Care MedicineSurviving Pediatric Cardiogenic Shock: AHA Scientific Statement · CirculationPediCAP trial — Oral step-down antibiotics in African children with severe pneumonia · The Lancet Literature brief
Nothing matches that filter.