Anesthesia and ICU updates

The PROSPECT guidelines for total hip arthroplasty https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10.1111/anae.70299?campaign=wolearlyview

https://link.springer.com/article/10.1186/s13054-026-06206-3?utm_source=bmc_etoc&utm_medium=email&utm_campaign=CONR_13054_AWA1_GL_DTEC_054CI_TOC-260720

This is an important updated review article about nutrition in critically ill adults. It was published last week in NEJM

Guidelines for the use of non invasive respiratory support in critically ill patients https://academic.oup.com/ajrccm/advance-article/doi/10.1093/ajrccm/aamag302/8721554

https://www.nejm.org/doi/full/10.1056/NEJMoa2516087?emp=marcom

https://www.nejm.org/doi/full/10.1056/NEJMoa2515820?query=TOC&logout=true This is a very large RCT which was published in the NEJM about the value of routine use of tranexamic acid (Kapron) in patients undergoing non cardiac surgery. The routine use of the drug resulted in a lower incidence of red-cell transfusion and did not increase the risk of VTE. The study was conducted on about 8600 patients. The results of this study support the routine use of 1 gm kapron in any major surgery before skin incision

https://journals.sagepub.com/doi/epub/10.1177/17511437251321338?fbclid=IwRlRTSASjPi1leHRuA2FlbQIxMQBzcnRjBmFwcF9pZAo2NjI4NTY4Mzc5AAEek7afHL5n7z4Vww7ENNdLkh71eRgaTLoTDL7iQTjpZx9i2rC9chGgRsbGMcg_aem_DpZtlpq4wpw5lWRJ4NLUZg

https://link.springer.com/content/pdf/10.1007/s12028-026-02522-2 Guidelines for seizure prophylaxis in patients undergoing supratentorial neurosurgery

https://www.nejm.org/doi/full/10.1056/NEJMoa2600526?query=RP

https://www.nejm.org/doi/full/10.1056/NEJMoa2600526?query=RP

This poster summarizes a very common scenario in ICUs which is receiving a patient with respiratory failure due to fluid overload. Very common situation when you receive a patient who received several liters in the ward and a highly positive balance and the referring physician believes that the problem is pulmonary embolism

A concise review summarizing the uses of sodium bicarbonate in different clinical situations

https://www.bjanaesthesia.org/article/S0007-0912(26)00207-2/abstract?dgcid=raven_jbs_aip_email

First Aid in critical care medicine. A simplified summarized book is now available in the book stores

The latest guidelines for assessment of respiratory diseases in the ER

The new guidelines for post cesarean delivery analgesia 2026

The new guidelines for perioperative fasting 2026

The new guidelines (2026) of evaluation and management of pulmonary embolism