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  1. Traumatic brain injury (TBI) is a life-threatening critical neurological injury resulting in widespread metabolic dysfunction in need of novel metabolic therapy. Exogenous lactate appears to improve brain meta...

    Authors: Paul Vespa, Stephanie Wolahan, Manuel Buitrago-Blanco, Courtney Real, Jesus Ruiz-Tejeda, David L. McArthur, Jeffrey N. Chiang, Denes Agoston and Thomas C. Glenn
    Citation: Critical Care 2025 29:153
  2. Although shock following cardiac arrest is common and contributes significantly to mortality, the influence of the modalities used to manage the hemodynamic situation, particularly with regard to fluid balance...

    Authors: Marie Renaudier, Jean-Baptiste Lascarrou, Jonathan Chelly, Olivier Lesieur, Jérémy Bourenne, Paul Jaubert, Marine Paul, Grégoire Muller, Pierre Leprovost, Thomas Klein, Mélany Yansli, Cédric Daubin, Matthieu Petit, Nicolas Pichon, Martin Cour, Ghada Sboui…
    Citation: Critical Care 2025 29:152
  3. Prognostic markers of good neurological outcome after cardiac arrest (CA) remain limited. We aimed to evaluate the prognostic value of neuron-specific enolase (NSE), electroencephalogram (EEG) and somatosensor...

    Authors: Aurélie Besnard, Juliette Pelle, Estelle Pruvost-Robieux, Antonin Ginguay, Clara Vigneron, Frédéric Pène, Jean-Paul Mira, Alain Cariou and Sarah Benghanem
    Citation: Critical Care 2025 29:149
  4. The tip design and length of catheter impact catheter function. Two types of catheters with different tips, side-hole catheters and step-tip catheters, are commonly used during continuous renal replacement the...

    Authors: Zhifeng Zhou, Chen Liu, Peiyun Li, Yingying Yang, Fang Wang, Qing Xu, Lu Jin, Ling Zhang and Ping Fu
    Citation: Critical Care 2025 29:148
  5. Non-invasive respiratory support (NRS), including high flow nasal oxygen therapy, continuous positive airway pressure and non-invasive ventilation, is a cornerstone in the management of critically ill patients...

    Authors: Joaquín Perez, Luciano Brandan and Irene Telias
    Citation: Critical Care 2025 29:147
  6. Liver abscess (LA) is a rare but potentially serious condition with a high mortality rate. Current epidemiological data of LA patients requiring intensive care unit (ICU) admission are limited.

    Authors: Marie Le Goff, Frédéric Martino, Geoffrey Rossi, Aurélia Toussaint, Elsa Moncomble, Danielle Reuter, Charlotte Garret, Maxence Decavèle, Megan Fraissé, Antoine Herault, Laurent Argaud, Pierre Garçon, Clément Saccheri, Juliette Meunier, Guillaume Voriot, Cyril Cadoz…
    Citation: Critical Care 2025 29:146
  7. 16S rRNA sequencing has revealed structural alterations in the gut microbiomes of medical workers, particularly those working in intensive care unit (ICU). This study aims to further compare the taxonomic and ...

    Authors: Bing Xie, Chenyang Dong, Xin Zhao, Lianlian Qu, Yongling Lv, Hong Liu, Jiaxin Xu, Zhizhong Yu, Hexiao Shen, You Shang, Xing Zhao and Jiancheng Zhang
    Citation: Critical Care 2025 29:141

    The Matters Arising to this article has been published in Critical Care 2025 29:161

  8. During the weaning process, the transition from positive to negative pressure ventilation may induce cardiac dysfunction, which may lead to pulmonary oedema. The incidence of weaning-induced pulmonary oedema (...

    Authors: Rui Shi, Soufia Ayed, Marion Beuzelin, Romain Persichini, Marie Legouge, Nello D. E. Vita, Bruno Levy, Alexandra Beurton, Kishore Mangal, Thomas Hullin, Vincent Labbe, Max Guillot, Anatole Harrois, Maurizio Cecconi, Nadia Anguel, David Osman…
    Citation: Critical Care 2025 29:140
  9. Multimodality neuromonitoring represents a crucial cornerstone for patient management after acute brain injury. Despite the potential of multimodality neuromonitoring (particularly high-resolution neuromonitor...

    Authors: Stefan Yu Bögli, Erta Beqiri, Ihsane Olakorede, Marina Sandra Cherchi, Claudia Ann Smith, Xuhang Chen, Guido Di Tommaso, Tommaso Rochat, Masumi Tanaka Gutiez, Giada Cucciolini, Virginia Motroni, Adel Helmy, Peter Hutchinson, Andrea Lavinio, Virginia F. J. Newcombe and Peter Smielewski
    Citation: Critical Care 2025 29:139
  10. Severe bleeding remains a leading cause of death in patients with major trauma, despite improvements in care during the acute phase, especially the application of damage control concepts. Death from hemorrhage...

    Authors: Yann Daniel, Frédérique Dufour-Gaume, Amandine Vergnaud, Manon Denis, Louise Giaume, Bertrand Rozec, Nicolas Prat and Benjamin Lauzier
    Citation: Critical Care 2025 29:138
  11. Cardiogenic shock (CS) remains a critical condition with high mortality rates despite advances in treatment. This study aims to comprehensively evaluate both macrocirculatory and tissue perfusion variables ove...

    Authors: Bruno Levy, Anais Curtiaud, Kevin Duarte, Clément Delmas, Julien Demiselle, Nicolas Girerd, Caroline Eva Gebhard, Julie Helms, Ferhat Meziani, Antoine Kimmoun and Hamid Merdji
    Citation: Critical Care 2025 29:137
  12. Sepsis-associated acute kidney injury (SA-AKI) is a prevalent and severe complication in critically ill patients. However, diagnostic and therapeutic advancements have been hindered by the biological heterogen...

    Authors: Bengi S. Tavris, Christian Morath, Christoph Rupp, Roman Szudarek, Florian Uhle, Timothy E. Sweeney, Oliver Liesenfeld, Mascha O. Fiedler-Kalenka, Simon Dubler, Martin Zeier, Felix C. F. Schmitt, Markus A. Weigand, Thorsten Brenner and Christian Nusshag
    Citation: Critical Care 2025 29:136
  13. The impact of alcohol on the prognosis of patients with traumatic brain injury (TBI) remains unclear. While some reports suggest that alcohol may exert neuroprotective effects, others indicate that it can wors...

    Authors: Kazuma Sasaki, Takashi Tagami, Hirofumi Obinata, Chie Tanaka, Kosuke Otake, Yudai Yoshino, Akihiro Watanabe, Ami Shibata, Kentaro Kuwamoto, Junichi Inoue and Shoji Yokobori
    Citation: Critical Care 2025 29:133
  14. Fluid loading with crystalloids is the conventional treatment of major hemorrhage but might tend to create fluid overload. We studied hemodynamic profiles of fluid replacement therapies during major surgical h...

    Authors: François Jardot, Robert G. Hahn, Markus Huber and Patrick Y. Wuethrich
    Citation: Critical Care 2025 29:132
  15. Acute Respiratory Distress Syndrome (ARDS) is a leading cause of morbidity and mortality among critically ill patients, and mechanical ventilation (MV) plays a critical role in its management. One of the key p...

    Authors: Martín H. Benites, Fernando Suarez-Sipmann, Eduardo Kattan, Pablo Cruces and Jaime Retamal
    Citation: Critical Care 2025 29:130
  16. The definition of sepsis-associated acute kidney injury (SA-AKI) was updated in 2023. This study aims to describe the epidemiology of SA-AKI using updated consensus definition and to evaluate clinical outcomes.

    Authors: Tomonori Takeuchi, Alexander H. Flannery, Lucas J. Liu, Lama Ghazi, Augusto Cama-Olivares, Kiyohide Fushimi, Jin Chen, Sarah C. Huen, Ashita J. Tolwani and Javier A. Neyra
    Citation: Critical Care 2025 29:128
  17. Although haloperidol is commonly used to treat or prevent delirium in intensive care unit (ICU) patients, the evidence remains inconclusive. This study aimed to comprehensively evaluate the efficacy and safety...

    Authors: Shu-Li Cheng, Tien-Wei Hsu, Yu-Chen Kao, Chia-Ling Yu, Trevor Thompson, Andre F. Carvalho, Brendon Stubbs, Ping-Tao Tseng, Chih-Wei Hsu, Fu-Chi Yang, Yu-Kang Tu and Chih-Sung Liang
    Citation: Critical Care 2025 29:126

    The Matters Arising to this article has been published in Critical Care 2025 29:163

  18. In circulatory shock, tissue hypoperfusion leads to adverse outcomes. We hypothesized that peripheral tissue oxygen saturation (StO2), measured with near-infrared spectroscopy (NIRS), could provide a non-invasive...

    Authors: Elina Varis, Maria Heliste, Johanna Hästbacka, Suvi T. Vaara, Markus B. Skrifvars, Ville Pettilä, Mitja Lääperi, Anne Kuitunen, Annukka Vahtera and Erika Wilkman
    Citation: Critical Care 2025 29:125
  19. Rapid and reliable vascular access is crucial during cardiopulmonary resuscitation for out-of-hospital cardiac arrest (OHCA). While intraosseous (IO) and intravenous (IV) access are used, their comparative eff...

    Authors: Sanam Alilou, Ari Moskowitz and Sina Rashedi
    Citation: Critical Care 2025 29:124
  20. Post myocardial infarction ventricular septal defect (PMI-VSD) complicated by refractory cardiogenic shock is associated with an extremely high mortality rate. We sought to evaluate the factors associated with...

    Authors: Levi-Dan Azoulay, François Bagate, Clément Delmas, Sylvie Paulus, Nicolas Mongardon, Osama Abou-Arab, Pierre Squara, Michel Habis, Hélène Nougue, Tristan Morichau-Beauchant, Antoine Kimmoun, Aurélien Seemann, Costin Radu, Quentin de Roux, Henri Treille de Grandsaigne, Jean-Luc Fellahi…
    Citation: Critical Care 2025 29:119
  21. The manual entry of data into large patient databases requires significant resources and time. It is possible that a system that is enhanced with the technology of optical character recognition (OCR) can facil...

    Authors: Prompak Nitayavardhana, Keibun Liu, Kiyomitsu Fukaguchi, Mineto Fujisawa, Itaru Koike, Aina Tominaga, Yuta Iwamoto, Tadahiro Goto, Jacky Y. Suen, John F. Fraser and Pauline Yeung Ng
    Citation: Critical Care 2025 29:117
  22. Acute respiratory distress syndrome (ARDS) is a heterogeneous condition with varying response to prone positioning. We aimed to identify subphenotypes of ARDS patients undergoing prone positioning using machin...

    Authors: Maxime Fosset, Dario von Wedel, Simone Redaelli, Daniel Talmor, Nicolas Molinari, Julie Josse, Elias N. Baedorf-Kassis, Maximilian S. Schaefer and Boris Jung
    Citation: Critical Care 2025 29:116
  23. Cardiogenic shock (CS) is associated with high mortality and medical therapies have failed to improve survival. Treatment with lactate is associated with improved cardiac function which may benefit this condit...

    Authors: Oskar Kjærgaard Hørsdal, Mark Stoltenberg Ellegaard, Alexander Møller Larsen, Halvor Guldbrandsen, Niels Moeslund, Jacob Eifer Møller, Ole Kristian Lerche Helgestad, Hanne Berg Ravn, Henrik Wiggers, Roni Nielsen, Nigopan Gopalasingam and Kristoffer Berg-Hansen
    Citation: Critical Care 2025 29:113
  24. The impact of comorbidities on patients weaning from invasive ventilation is incompletely understood. We wished to understand the impact of the number and type of comorbidities on patients’ weaning from invasi...

    Authors: Omid Khazaei, Caoimhe M. Laffey, Rionach Sheerin, Bairbre A. McNicholas, Tài Pham, Leo Heunks, Giacomo Bellani, Laurent Brochard, Andrew J. Simpkin and John G. Laffey
    Citation: Critical Care 2025 29:114
  25. Nonagenarians and centenarians are a growing and vulnerable groups of patients admitted to ICU. There is limited information on their characteristics, outcomes, and complications.

    Authors: Je Min Suh, Nattaya Raykageeraroj, Boris Waldman, Nuanprae Kitisin, Cilla Haywood, Rinaldo Bellomo, Anoop N. Koshy, David Pilcher, Dong-Kyu Lee and Laurence Weinberg
    Citation: Critical Care 2025 29:112
  26. Delirium and postoperative cognitive dysfunction (POCD) are common complications post-cardiac surgery, yet no specific medical intervention is currently recommended for prevention. This study aimed to evaluate...

    Authors: Yun-Xiao Bai, Hui-Liang Wu, Wan-Li Xie, Xia Li, Jing-Jing Han, Jie Liu, Shi-Qiang Chen, Ping Yin, Nian-Guo Dong and Qing-Ping Wu
    Citation: Critical Care 2025 29:108
  27. There are several approaches to select the optimal positive end-expiratory pressure (PEEP), resulting in different PEEP levels. The impact of different PEEP settings may extend beyond respiratory mechanics, af...

    Authors: Mayson L. A. Sousa, Luca S. Menga, Annia Schreiber, Mattia Docci, Fernando Vieira, Bhushan H. Katira, Mariangela Pellegrini, Sebastian Dubo, Ghislaine Douflé, Eduardo L. V. Costa, Martin Post, Marcelo B. P. Amato and Laurent Brochard
    Citation: Critical Care 2025 29:107
  28. Albumin kinetics in septic shock have been extensively studied, but clinical recommendations remain weak. An increased transcapillary escape rate (TER) of albumin has been demonstrated, though TER does not acc...

    Authors: Dag Seldén, Nicolas Tardif, Jan Wernerman, Olav Rooyackers and Åke Norberg
    Citation: Critical Care 2025 29:106
  29. The experience of patients under mechanical ventilation in the intensive care unit is described as complex and multifaceted, but an overarching and in-depth understanding of the experience is still missing.

    Authors: Fritz Sterr, Mareike Hechinger, Lydia Bauernfeind, Christian Rester, Rebecca Palm and Sabine Metzing
    Citation: Critical Care 2025 29:105