Critical Care

  • A historical irony—quantitative measurement in critically ill patients is not a panacea

    Brian F. Mandell, MD, PhD
    • Cleveland Clinic Journal of Medicine October 2026, 93 (10) 575-576;
    • DOI: https://doi.org/10.3949/ccjm.93b.10026

    • Some diagnostic tools that were supposed to render the bedside examination less relevant have themselves failed the test of necessity; meanwhile, the bedside skills they supposedly would displace have also atrophied.

  • Interpreting EVERDAC: Deferring arterial cannulation in critically ill patients with shock

    Adrienne K. Ho, MBBS, MSc
    • Cleveland Clinic Journal of Medicine October 2026, 93 (10) 597-602;
    • DOI: https://doi.org/10.3949/ccjm.93a.25108

    • Results of the EVERDAC trial challenge the strategy of reflexively placing an arterial line when a patient is admitted to the intensive care unit.

  • Fighting ageism: Preserving patient agency in critical care

    Astefanos Al-Dalakta, MD, Ruth Diana Lee, MD, Chadi Tabaja, MD, Issam Motairek, MD and Eduardo Mireles-Cabodevila, MD
    • Cleveland Clinic Journal of Medicine May 2026, 93 (5) 263-265;
    • DOI: https://doi.org/10.3949/ccjm.93a.25105

    • To avoid falling into ageism bias, we must maintain a framework grounded in respect for the patient, one that deliberately centers on the patient’s voice.

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    Acute respiratory distress syndrome: Why a definition matters

    Christine Girard, MD, Divyajot Sadana, MD, Shewit Giovanni, MD, MS, Heather Torbic, PharmD, BCPS, BCCCP and Abhijit Duggal, MD, MPH, MSc
    • Cleveland Clinic Journal of Medicine September 2025, 92 (9) 565-571;
    • DOI: https://doi.org/10.3949/ccjm.92a.24115

    • The new definition brings acute respiratory distress syndrome into the realm of physicians working on hospital general medicine wards.

  • Managing right ventricular failure in the setting of pulmonary embolism

    Anup Katyal, MD and Ashwani Joshi, MD
    • Cleveland Clinic Journal of Medicine July 2025, 92 (7) 396;
    • DOI: https://doi.org/10.3949/ccjm.92c.07003

  • In Reply: Managing right ventricular failure in the setting of pulmonary embolism

    Sharmeen Sorathia, MD, Anibelky Almanzar, MD, Abhishek Bhandiwad, MD and Phoo Pwint Nandar, MD
    • Cleveland Clinic Journal of Medicine July 2025, 92 (7) 396-397;
    • DOI: https://doi.org/10.3949/ccjm.92c.07004

  • High-output heart failure from arteriovenous dialysis access: A structured approach to diagnosis and management

    Maximilian C. Volk, DO, Bianca Honnekeri, MD, Joanna Ghobrial, MD, Mazen Hanna, MD, Sanjeeb Bhattacharya, MD, Lee Kirksey, MD, J. Emanuel Finet, MD and Heba Wassif, MD, MPH
    • Cleveland Clinic Journal of Medicine June 2025, 92 (6) 362-371;
    • DOI: https://doi.org/10.3949/ccjm.92a.24114

    • Arteriovenous high-output heart failure is likely underdiagnosed because many clinicians are uncertain about when and how to evaluate for it.

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    Managing right ventricular failure in the setting of pulmonary embolism

    Sharmeen Sorathia, MD, Anibelky Almanzar, MD, Abhishek Bhandiwad, MD and Phoo Pwint Nandar, MD
    • Cleveland Clinic Journal of Medicine May 2025, 92 (5) 301-309;
    • DOI: https://doi.org/10.3949/ccjm.92a.24069

    • The authors review current management strategies, including medical, percutaneous interventional, and surgical options, and discuss recent advances in the field.

  • How can I better recognize and manage delirium in my hospitalized patients?

    Amanda Pomerantz, DO, Anna P. Shapiro-Krew, MD and Andrew Coulter, MD, MA
    • Cleveland Clinic Journal of Medicine January 2025, 92 (1) 17-20;
    • DOI: https://doi.org/10.3949/ccjm.92a.24048

    • By knowing common precipitants and mimickers of delirium and considerations for workup, clinicians can implement nonpharmacologic preventive strategies, better identify patients experiencing delirium, and optimize symptom management.

  • Shortness of breath in a 52-year-old man with HIV and severe mitral regurgitation

    Felix Wangmang, MD, PharmD, Achilles Aiken, MD and Kuang-Yuh Chyu, MD, PhD
    • Cleveland Clinic Journal of Medicine January 2025, 92 (1) 23-30;
    • DOI: https://doi.org/10.3949/ccjm.92a.24060

    • The patient presented with 3 weeks of acute on chronic dyspnea on exertion with progression to dyspnea at rest and associated orthopnea.

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