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Intensive Care Medicine

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France
Paris
Intensive Care Medicine

The official page for ICM, Intensive Care Medicine.

ICM is an international peer-reviewed medical journal intended for all those who are involved in intensive care medicine. ''Intensive Care Medicine'' is the publication platform for the communication and exchange of current work and ideas in intensive care medicine. The journal publishes original research papers, reviews, as well as discussions on technology, methods, new apparatus and modificatio

ns of standard techniques and correspondence concerning matters of topical interest or relating to published material. Official journal of The European Society of Intensive Care Medicine and The European Society of Paediatric and Neonatal Intensive Care.
12 issues per year.

17/08/2026

https://zurl.co/zqvRr Physical ICU design can affect patients, families and healthcare professionals, and redesign may support family presence and natural daylight. Architectural solutions should be assessed for patient-centred outcomes, family experience, staff wellbeing, workflow efficiency, infection prevention, sustainability and cost-effectiveness. Intensive care innovation can combine organisational, educational, technological and environmental approaches.

16/08/2026

https://zurl.co/y87bD Tracheal intubation remains the definitive airway strategy when performed for appropriate indications by adequately trained providers. Preoxygenation, hemodynamic stabilization and patient positioning are central to preventing peri-intubation complications. CPAP and BiPAP have established roles in acute cardiogenic pulmonary edema and COPD exacerbations, while high-flow nasal oxygen remains limited by scarce prehospital evidence and logistical constraints.

15/08/2026

https://zurl.co/h5cQZ Observational studies suggest that 40–80% of patients at the end of life receive antibiotics, often without microbiological confirmation. In ICU care, fever, leucocytosis and inflammatory biomarkers may reflect advanced disease rather than infection. Antibiotic decisions can be linked to prognosis, goals of care and predefined reassessment.

14/08/2026

https://zurl.co/eNeKL Positive end-expiratory pressure can recruit collapsed alveoli and improve oxygenation, but it can also overdistend the lungs, raise pulmonary vascular resistance and impair right ventricular ejection. Changes in compliance, dead space and cardiac output can help distinguish recruitment from harmful overdistension. Gas exchange should therefore be interpreted alongside markers of perfusion and oxygen transport when ventilator settings are adjusted.

13/08/2026

https://zurl.co/ekgqC A bag-valve mask with a positive end-expiratory pressure valve is a reasonable alternative to a non-rebreather mask when noninvasive ventilation is unavailable. Its pressure effect is unreliable in real prehospital conditions and requires a leak-free seal, sufficient gas flow and often a second operator. Noninvasive ventilation remains the best-supported preoxygenation strategy for reducing peri-intubation hypoxemia when feasible and tolerated.

12/08/2026

https://zurl.co/J5JwG -Quizz A 59-year-old woman with complete atrioventricular block and a leadless single-chamber ventricular pacemaker developed relative hypotension after anaesthesia induction. Pulse pressure variation reached 30–45% or could not be calculated despite no respiratory problems and a tidal volume of 8 ml/kg. Uncoordinated atrial and ventricular contractions caused continuous stroke volume changes according to the PR interval during ventilation.

11/08/2026

-Quizz A 59-year-old woman undergoing urgent haematoma evacuation after kidney transplantation had complete atrioventricular block treated with a leadless ventricular pacemaker. After anaesthesia induction, systolic pressure fell and the arterial waveform fluctuated markedly. Pulse pressure variation reached 30–45% despite adequate ventilation, no respiratory problem and a central venous pressure of 20 mmHg. What explains these haemodynamic findings?

10/08/2026

https://zurl.co/cBuyG Digital twins matched to 98 patients with acute respiratory distress syndrome tested a transition from pressure control ventilation to airway pressure release ventilation. The protocol reduced tidal de-recruitment and carbon dioxide levels compared with baseline pressure control ventilation, but increased driving pressure, mechanical power and dynamic strain. Further optimisation is needed to limit overdistension and hemodynamic compromise.

09/08/2026

https://zurl.co/UtUxz Delirium, stroke, seizures and neuromuscular disorders are frequent manifestations of multi-organ dysfunction. Brain stress can involve hypoxemia, hemodynamic instability, inflammation and metabolic derangements. Standardized delirium screening, judicious sedative use and mitigation of immobility, sleep disruption and sensory impairment are targeted strategies, but variable definitions, surveillance practices and outcome measures limit precise estimates.

08/08/2026

https://zurl.co/jD383 A higher intraoperative mean arterial pressure target reduced a composite of death or major postoperative complications in high-risk hypertensive patients undergoing major abdominal surgery. The apparent benefit was linked mainly to fewer mild-to-moderate postoperative acute kidney injuries, while other components did not significantly differ. Reporting serum creatinine and urine output separately, with cumulative hypotension exposure, could clarify the findings.

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https://www.esicm.org/journals/icm-journal

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