Critical Care

  • Cytokine storm and the prospects for immunotherapy with COVID-19
    Leonard H. Calabrese, DO
    Cleveland Clinic Journal of Medicine July 2020, 87 (7) 389-393; DOI: https://doi.org/10.3949/ccjm.87a.ccc008

    Despite gaping holes in our knowledge, treatment is evolving.

  • COVID-19 Curbside Consults at www.CCJM.org
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine May 2020, 87 (5) 255-256; DOI: https://doi.org/10.3949/ccjm.87b.05020

    These are tough times. This is a wicked disease. But healthcare providers are stepping up.

  • Infective endocarditis: Don’t forget the ICE
    Faris G. Araj, MD and Michael Luna, MD
    Cleveland Clinic Journal of Medicine April 2020, 87 (4) 191; DOI: https://doi.org/10.3949/ccjm.87c.04001

    A recent article did not mention intracardiac echocardiography.

  • In reply: Infective endocarditis: Don’t forget the ICE
    Nkemdilim Mgbojikwe, MD, Steven R. Jones, MD, Thorsten M. Leucker, MD, PhD and Daniel J. Brotman, MD
    Cleveland Clinic Journal of Medicine April 2020, 87 (4) 192; DOI: https://doi.org/10.3949/ccjm.87c.04002

    Echocardiography relies on finding an anatomic abnormality, whereas 18FDG-PET is a functional examination.

  • An unending ode to pneumonia
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine March 2020, 87 (3) 127-128; DOI: https://doi.org/10.3949/ccjm.87b.03020

    The examination, history, and sometimes, sputum Gram stain and culture results still inform our clinical judgment.

  • Gastroenteritis gone rogue
    Jason Russ, MD and Areeba Kara, MD, MS, FACP, SFHM
    Cleveland Clinic Journal of Medicine March 2020, 87 (3) 139-144; DOI: https://doi.org/10.3949/ccjm.87a.19007

    A 56-year-old woman presented with 2 weeks of vomiting and diarrhea. Her troubles were just beginning.

  • Are we all clear? Unintended shocks to caregivers during cardiopulmonary resuscitation
    David R. Lowery, MD, FASA, Maj, MC, USA, Daniel Cantillon, MD, FACC, FHRS and Donn Marciniak, MD
    Cleveland Clinic Journal of Medicine January 2020, 87 (1) 16-18; DOI: https://doi.org/10.3949/ccjm.87a.19022

    Defibrillators are designed to affect electrical activity in the patient’s heart. Caregivers, be careful!

  • Are daily chest radiographs and arterial blood gas tests required in ICU patients on mechanical ventilation?
    Shyam Ganti, MD, Ravinder D. Bhanot, MD, Jasleen Kaur, MD, Cassondra Cramer-Bour, MD and Ayman O. Soubani, MD
    Cleveland Clinic Journal of Medicine September 2019, 86 (9) 582-585; DOI: https://doi.org/10.3949/ccjm.86a.18141

    Although routine testing is common, it has low diagnostic yield and is unlikely to alter patient management.

  • Disseminated invasive aspergillosis in an immunocompetent patient
    Jessica McLaughlin, DO, Eric Libre, MD, FCCP, Amanda Morgan, MD and Svetolik Djurkovic, MD, FCCP
    Cleveland Clinic Journal of Medicine June 2019, 86 (6) 369-370; DOI: https://doi.org/10.3949/ccjm.86a.18093

    The patient, who has COPD, will require lifelong antifungal treatment.

  • Is chest radiography routinely needed after thoracentesis?
    Aibek E. Mirrakhimov, MD, Aram Barbaryan, MD, Taha Ayach, MD, Fabrizio Canepa Escaro, MD, Goutham Talari, MD and Adam Gray, MD
    Cleveland Clinic Journal of Medicine June 2019, 86 (6) 371-373; DOI: https://doi.org/10.3949/ccjm.86a.17058

    No, it should be done only in certain situations, for example, if pneumothorax is suspected.

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