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New Critical Care research.

The strongest recent Critical Care papers on PubMed, ranked by study design, topic and journal, with the same summaries subscribers get.

  1. randomized trial, 66 patients

    PlasmaLyte, Lactated Ringer's, or Normal Saline resuscitation in acute pancreatitis: a single-center, pragmatic, cluster-randomized trial

    Sin SH, Kim HK, Choi HH, et al. BMC Gastroenterol. Jul 2026.

    Findings
    Among 66 acute pancreatitis patients, SIRS prevalence fell to 4.8% with PlasmaLyte (80% reduction), 12.5% with Lactated Ringer’s (57.1% reduction) and 9.5% with Normal Saline (50% reduction).
    Bottom line
    Balanced crystalloids lowered SIRS more than saline, though differences were not statistically significant.
  2. randomized trial, 54 patients

    Spherical Video-Based Virtual Reality Training for Nurses' Delirium Care Competence: A Randomized Controlled Trial With Qualitative Evaluation

    Hung YL, Zhou YC, Feng HP, et al. J Nurs Manag. Jan 2026.

    Findings
    In 54 patients, rESULTS: Both groups improved in delirium knowledge; however, the SVVR group demonstrated greater gains at T1 (p = 0.001) and T2 (p = 0.022).
    Bottom line
    Spherical video-based virtual reality training enhances nurses' delirium care knowledge and confidence more than standard video, supporting its use in education.
  3. randomized trial, 88 patients

    Sequential patient-spouse dyadic psychological intervention for perioperative emotional distress and dyadic coping in patients with spinal metastases

    Xie L, Wang Y, Wang Z, et al. Front Public Health. Jan 2026.

    Findings
    In 88 patients, for the primary outcome, patient DT scores were lower in the intervention group across the postoperative assessment period (adjusted average difference, -0.46; 95% CI, -0.79 to -0.12; Wald χ2 = 7.05; p = 0.008), although the patient-specific group-by-time interaction was not significant (p = 0.125).
    Bottom line
    A sequential patient-spouse dyadic psychological intervention modestly reduced perioperative distress and improved dyadic coping, supporting its further evaluation.
  4. randomized trial, 48 patients

    The effect of two perioperative dexamethasone regimens on duration of analgesia after upper limb surgery under supraclavicular brachial plexus block: A randomized-controlled study

    Sharma A, Vimalnathan V, Dhiman S, et al. Agri. Oct 2026.

    Findings
    In a randomized controlled trial of 48 patients, the mean analgesia duration was 10.50 ± 3.30 h for the OD group and 14.92 ± 3.40 h for the ID group (p < 0.001). The mean motor block duration was 9.33 ± 3.12 h for OD and 12.75 ± 3.40 h for ID (p = 0.001).
    Bottom line
    Adding dexamethasone to the block increased analgesia from 10.50 h to 14.92 h and motor block from 9.33 h to 12.75 h, both with statistically significant differences.

Summaries are written by AI from PubMed abstracts, for keeping up with the literature. Check the source before it changes care. Editorial policy · Medical disclaimer

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