Specialties / Critical Care
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.
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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.
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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.
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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.
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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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