{"title":"A study of Professor Bellomo's contribution to cardiac arrest research","authors":"Glenn M. Eastwood BN BN(Hons) GDipNurs CritCare, PhD, Niklas Nielsen MD, PhD","doi":"10.1016/j.ccrj.2025.100120","DOIUrl":"10.1016/j.ccrj.2025.100120","url":null,"abstract":"","PeriodicalId":49215,"journal":{"name":"Critical Care and Resuscitation","volume":"27 3","pages":"Article 100120"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145278131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tomoko Fujii MD, PhD , Clive N. May PhD , Yugeesh R. Lankadeva PhD
{"title":"Unravelling the paradox of vitamin C research in sepsis","authors":"Tomoko Fujii MD, PhD , Clive N. May PhD , Yugeesh R. Lankadeva PhD","doi":"10.1016/j.ccrj.2025.100134","DOIUrl":"10.1016/j.ccrj.2025.100134","url":null,"abstract":"<div><div>Professor Rinaldo Bellomo’s lasting impact on critical care research stems from his commitment to structured, biologically grounded research programs over isolated studies. His work on vitamin C in sepsis exemplifies this approach. While early enthusiasm grew around combination therapies involving vitamin C, Rinaldo championed a cautious, rigorous, and methodical investigation. He worked closely with collaborators to address key methodological issues, including dosing, stability, and the design of appropriate control groups, which ultimately led to the international VITAMINS trial. This landmark study compared vitamin C, hydrocortisone, and thiamine to hydrocortisone alone in septic shock and found no clinical benefit. Rinaldo embedded a pharmacokinetic substudy to confirm supraphysiological serum vitamin C levels, ensuring biological plausibility of the trial design. Beyond clinical research, he fostered translational research with the Florey Institute using a preclinical sheep model of sepsis. This collaboration uncovered critical mechanisms of septic acute kidney injury and led to the development of mega-dose sodium ascorbate therapy. The program progressed from proof-of-concept to a double-blind pilot randomised trial in septic shock and now underpins a national multicentre phase Ib and II clinical trials. Rinaldo’s legacy is defined by scientific rigour, mentorship, and humility. His visionary, disciplined approach remains a model for impactful research and continues to guide ongoing efforts to advance care for critically ill patients.</div></div>","PeriodicalId":49215,"journal":{"name":"Critical Care and Resuscitation","volume":"27 3","pages":"Article 100134"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145278194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Peake MD, PhD , A. Delaney MD, PhD , B. Venkatesh MD, PhD
{"title":"Honouring Rinaldo Bellomo’s tour de force in sepsis research","authors":"S. Peake MD, PhD , A. Delaney MD, PhD , B. Venkatesh MD, PhD","doi":"10.1016/j.ccrj.2025.100139","DOIUrl":"10.1016/j.ccrj.2025.100139","url":null,"abstract":"<div><div>This paper pays tribute to Rinaldo Bellomo’s unparallelled global legacy in sepsis research. As a clinician-scientist, Rinaldo’s unending quest was to improve the lives of our patients with sepsis and septic shock. The breadth of his work encompassed all facets of research methodology from basic science through to large-scale multicentre randomised trials. Seminal papers like the early goal-directed therapy and steroids in septic shock trials have been instrumental in informing international evidence-based sepsis guidelines and changing clinical practice. Above all, he was a pioneering, yet self-effacing, leader. He brought everyone who worked with him along on his journey. His infectious enthusiasm for the next new idea never failed to inspire our community, ensuring that his legacy in sepsis research will continue for many years to come.</div></div>","PeriodicalId":49215,"journal":{"name":"Critical Care and Resuscitation","volume":"27 3","pages":"Article 100139"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145278411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neil R. Orford MBBS, FCICM, FANZCA, PGDipEcho, PhD
{"title":"A gardener lost in spring","authors":"Neil R. Orford MBBS, FCICM, FANZCA, PGDipEcho, PhD","doi":"10.1016/j.ccrj.2025.100125","DOIUrl":"10.1016/j.ccrj.2025.100125","url":null,"abstract":"","PeriodicalId":49215,"journal":{"name":"Critical Care and Resuscitation","volume":"27 3","pages":"Article 100125"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145278074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adam M. Deane MBBS, PhD , Sandra L. Peake BMBS, PhD , Andrew R. Davies MBBS , Yasmine Ali Abdelhamid MBBS, PhD , Moritoki Egi MD, PhD , Marianne J. Chapman BMBS, PhD , Emma J. Ridley APD, PhD
{"title":"Critical care nutrition and the legacy of Rinaldo Bellomo","authors":"Adam M. Deane MBBS, PhD , Sandra L. Peake BMBS, PhD , Andrew R. Davies MBBS , Yasmine Ali Abdelhamid MBBS, PhD , Moritoki Egi MD, PhD , Marianne J. Chapman BMBS, PhD , Emma J. Ridley APD, PhD","doi":"10.1016/j.ccrj.2025.100147","DOIUrl":"10.1016/j.ccrj.2025.100147","url":null,"abstract":"<div><div>We provide an overview of the monumental impact that Professor Rinaldo Bellomo made in the field of critical illness nutrition and metabolism. We reflect on research he conducted into energy delivery, refeeding hypophosphataemia, carbohydrate metabolism and glycaemia, protein delivery and impact of renal perfusion and nitrogen metabolism, and bowel management during nutritional therapy.</div></div>","PeriodicalId":49215,"journal":{"name":"Critical Care and Resuscitation","volume":"27 3","pages":"Article 100147"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145278412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Australian and New Zealand Intensive Care Research Centre and Rinaldo Bellomo","authors":"D. Jamie Cooper AO, MD","doi":"10.1016/j.ccrj.2025.100129","DOIUrl":"10.1016/j.ccrj.2025.100129","url":null,"abstract":"","PeriodicalId":49215,"journal":{"name":"Critical Care and Resuscitation","volume":"27 3","pages":"Article 100129"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145278001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
John A. Myburgh MBBCh PhD DSc, FCICM, Balasubramanian Venkatesh MD, FCICM
{"title":"A tribute to Rinaldo Bellomo: Why randomised behaviour is better than random behaviour","authors":"John A. Myburgh MBBCh PhD DSc, FCICM, Balasubramanian Venkatesh MD, FCICM","doi":"10.1016/j.ccrj.2025.100123","DOIUrl":"10.1016/j.ccrj.2025.100123","url":null,"abstract":"","PeriodicalId":49215,"journal":{"name":"Critical Care and Resuscitation","volume":"27 3","pages":"Article 100123"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145278188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yahya Shehabi MBBS, PhD, EMBA, FCICM, FANZCA, Michael C. Reade MBBS, MPH, DPhil, DMedSc, GAICD, AFRACMA, FHEA, FCCM, FANZCA, FCICM
{"title":"Sedation Practice in Intensive Care Evaluation, SPICE and beyond, Rinaldo’s legacy in sedation and delirium research","authors":"Yahya Shehabi MBBS, PhD, EMBA, FCICM, FANZCA, Michael C. Reade MBBS, MPH, DPhil, DMedSc, GAICD, AFRACMA, FHEA, FCCM, FANZCA, FCICM","doi":"10.1016/j.ccrj.2025.100142","DOIUrl":"10.1016/j.ccrj.2025.100142","url":null,"abstract":"","PeriodicalId":49215,"journal":{"name":"Critical Care and Resuscitation","volume":"27 3","pages":"Article 100142"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145278189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Steve A. Webb MBBS, PhD, Alisa M. Higgins BPhysio(Hons), PhD
{"title":"Rinaldo Bellomo and the ‘Dark Arts’ of clinical trials","authors":"Steve A. Webb MBBS, PhD, Alisa M. Higgins BPhysio(Hons), PhD","doi":"10.1016/j.ccrj.2025.100146","DOIUrl":"10.1016/j.ccrj.2025.100146","url":null,"abstract":"","PeriodicalId":49215,"journal":{"name":"Critical Care and Resuscitation","volume":"27 3","pages":"Article 100146"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145278192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clive N. May PhD , Yugeesh R. Lankadeva PhD , Shailesh Bihari PhD
{"title":"Rinaldo Bellomo: A clinician with a passion for preclinical research","authors":"Clive N. May PhD , Yugeesh R. Lankadeva PhD , Shailesh Bihari PhD","doi":"10.1016/j.ccrj.2025.100128","DOIUrl":"10.1016/j.ccrj.2025.100128","url":null,"abstract":"<div><div>Professor Rinaldo Bellomo was a pioneer in intensive care medicine whose influence extended beyond clinical trials to preclinical and translational research. His long-standing collaboration with the Florey Institute established ovine sepsis models that overturned dogma, demonstrating that septic acute kidney injury can occur despite increased renal blood flow, and clarifying the effects of fluids, noradrenaline, vasopressin, and angiotensin II. These studies advanced understanding of renal medullary hypoperfusion and hypoxia, guided antioxidant strategies, and inspired clinical investigation of megadose sodium ascorbate. Rinaldo also championed integration of preclinical science into the ANZICS Clinical Trials Group, legitimising dedicated sessions, fostering collaboration, and ensuring basic discoveries informed hypothesis-driven clinical trials. A gifted mentor and communicator, he inspired generations of researchers with his curiosity, humility, and passion for physiology. His legacy as both clinician and scientist underscores the enduring value of discovery research in advancing critical care.</div></div>","PeriodicalId":49215,"journal":{"name":"Critical Care and Resuscitation","volume":"27 3","pages":"Article 100128"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145278193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}