Critical Care Science
@critcarescience.bsky.social
Official account of the Critical Care Science Journal Affiliated with 🇧🇷 AMIB and 🇵🇹 SPCI Editor-in-chief: Jorge Salluh MD, PhD A full open-access Journal https://criticalcarescience.org
📣 Call for Papers – Systematic Reviews & Meta-Analysis Critical Care Science welcomes submissions of Systematic Reviews & Meta-Analyses addressing key topics in #ICU #PedsICU 💎 Open Access:free to read, share & publish! No APCs.No submission fees. 👉 Submit your manuscript criticalcarescience.org
🧠 Is it time for SOFA 2.0 in #ICU ? ➡️ #SOFA score brought standardization to organ dysfunction assessment; ➡️ Advances in tech, sedation,new therapies demand an update; ➡️ SOFA 2.0 brings global input, data-driven validation, methodological rigor. criticalcarescience.org/article/the-...
Do we underestimate right ventricle & venous system in #ICU? ➡️ RV function & VR: essential for🫀output & tissue perfusion ➡️ Guyton’s model & concept of mean systemic filling Press : insights into fluid & vasopressor management 🎯 Great narrative #Review criticalcarescience.org/wp-content/u...
👶🏼 How can we identify #palliativecare needs in newborns admitted to #NICU? 🇧🇷 study w/188 neonates in a ⬆️risk Brazilian maternity ➡️ Palineo Score developed using 7 clinical domains ➡️ Exceptional accuracy to guide early & appropriate #palliativecare criticalcarescience.org/article-keyw...
👨👩👧👦 Can liberalized family presence in the ICU improve care & how do we make it work? ➡️ Structured implementation involves planning, staff training, & family education. 🎯 Evidence shows benefits for patients, families, & care quality. criticalcarescience.org/wp-content/u... #ICU #PedsICU
🤖 How can AI improve #ICU & what are the risks? ➡️ AI tools support diagnosis, prediction & resource allocation ➡️ concerns remain:bias, transparency, inequity & environmental impact 🎯 Mitigating bias is 🗝️to equitable implementation in ICUs. criticalcarescience.org/wp-content/u...
🌏 Can Brazil and ANZ build a new model of global collaboration in ICU ? ➡️ cross-continental alliances are no longer optional — they're essential ➡️ Brazil & ANZ bring complementary strengths: large populations, diverse ICU case-mix, & aligned values www.sciencedirect.com/science/arti...
🧠 organ dysfunction has been incorporated into the core definition of pediatric #sepsis ❗️Pediatric delirium (PD) is a clear manifestation of CNS dysfunction, but PSS focuses only on GCS/pupils & omits delirium Viewpoint 📝: criticalcarescience.org/wp-content/u... #PedsICU #pediatricDelirium #CCS
🧒🏼 How is ped #palliative extubation in 🇧🇷 #PedsICU ? ➡️ Case series w/ 27 children (5 d–10 y) in a tertiary PICU ➡️ Main indications: neurological impairment & IMV weaning failure ➡️ Family presence & shared decision-making were part of most cases criticalcarescience.org/article/prac...
Important work from distinguished brazilian intensivists Daniela Souza, José Colleti e Andrea Ventura
Critical Care Science@critcarescience.bsky.social · last yr.🦠 Do 🇧🇷pediatricians recognize #sepsis & septic shock accurately? 🇧🇷 355 physicians 🔹 Most participants relied on SIRS-based criteria, intuition & clinical signs for diagnosis 🔹 Only 31.3% & 30% correctly identified sepsis & severe sepsis #PedsICU #FoaMcc criticalcarescience.org/article/unco...
🦠 Do 🇧🇷pediatricians recognize #sepsis & septic shock accurately? 🇧🇷 355 physicians 🔹 Most participants relied on SIRS-based criteria, intuition & clinical signs for diagnosis 🔹 Only 31.3% & 30% correctly identified sepsis & severe sepsis #PedsICU #FoaMcc criticalcarescience.org/article/unco...
🔎 Have we truly advanced in #GenderEquity in critical care medicine? ➡️ Women remain underrepresented in leadership, authorship,grant awards ➡️ Initiatives exist,but structural barriers & workplace culture continue to limit progress criticalcarescience.org/article/gend... #ICU #PedsICU #WomenInICU
🫁 Can 1 hour of positive pressure ventilation post SBT reduce extubation failure? 🔹Multicenter feasibility #RCT in 🇧🇷 w/65 #ICU pts 🔹 Pts ventilated >72h were randomized after successful SBT; 🔹 Extub failure in 7 d: 28.1% (intervention) vs. 42.4% (control) criticalcarescience.org/wp-content/u...
💧 Should fluid therapy in #ICU pts be shorter & more strategic? 🔹 Excessive fluid resuscitation=worse outcomes; 🔹#ROSE model & deresuscitation strategies aim to balance perfusion+ 💧 overload; 🔹Tools like US & bioimpedance can guide safe fluid removal criticalcarescience.org/article/flui...
🤖 Can artificial intelligence improve prediction of postoperative complications #ICU patients? 🔹 #AI models integrate perioperative data to identify at-risk patients 🔹 Applications include AKI, sepsis, mortality, ICU admission &more. criticalcarescience.org/article/arti... #ICU #PedsICU
🏥 Can general intermediate care units (IMCUs) improve #ICU efficiency & patient safety? 🔹 IMCUs fill the gap between wards & ICUs 🔹 Reduce readmissions & optimize patient allocation 🔹 Improve comfort, allow family presence & enhance monitoring. criticalcarescience.org/article/gene... #CCS
🧠 Bayesian analysis in #clinicaltrials: how does it differ from the traditional approach? ❗️Bayesian analysis is being used w/ increasing frequency in #ICU research & brings advantages/disadvantages compared to traditional Frequentist techniques #Review criticalcarescience.org/article/unde...
🕯️ The legacy of Prof. Rinaldo Bellomo for critical care & scientific publishing ➡️Special Editorial ➡️ A pioneer, mentor, & visionary in #ICU medicine ➡️ His legacy continues to inspire a more inclusive, ambitious &collaborative ICU community criticalcarescience.org/wp-content/u...
#BRICnet: shaping the landscape of #ICU research in 🇧🇷 & beyond. 🔹Founded in 2007, has become a leading clinical research network in ICU; ➡️ 71 publications ➡️ 15 RCTs & 14 obs.studies ➡️ Strategic partnerships w/ international networks like ANZICS, CCCTG, ESICM criticalcarescience.org/article/braz...
🦠 Improving sepsis outcomes in 🇧🇷 Strategies & initiatives ➡️ @ILASepse has led initiatives focused on awareness, education & quality of care ✅ In this viewpoint, authors discuss recent strategies & initiatives aimed at ⬇️ burden of #sepsis criticalcarescience.org/article/impr... #ICU #PedsiCU
📺 CPR in 🇧🇷 medical television shows: a descriptive &quality assessment study ➡️Analysis of 59 CPR scenes from 3 🇧🇷 medical TV shows ➡️ Major deviations from ACLS guidelines were common: delayed CPR, incorrect defibrillation, poor airway management. #ICU #PedsICU criticalcarescience.org/article/card...
🏠 Home care after #ICU discharge:a global perspective on challenges & opportunities ⬆️readmission rates & long-term disabilities after ICU discharge; 🔹Home visits & follow-up calls ⬇️ readmissions & improve outcomes #FoaMed #FoaMcc #PedsICU #CriticalCareScience criticalcarescience.org/article/home...
Im proud & honored to be part of editorial board of @critcarescience.bsky.social, full open access journal -no fee for authors & readers. As science should be! CCS is the official journal of associação de medicina intensiva brasileira & Sociedade Portuguesa de cuidados intensivos. #ICU #PedsICU
Critical Care Science@critcarescience.bsky.social · last yr.🔵Message from our Editor-in-chief 🔹Advancing for Growth, Quality, & Global Visibility in 2025 We are proud to announce key updates that mark a new phase for CCS: ➡️ New visual identity ➡️ Expanded Editorial Board: more diverse,international experts ➡️ Updated Author Guidelines criticalcarescience.org
🔵Message from our Editor-in-chief 🔹Advancing for Growth, Quality, & Global Visibility in 2025 We are proud to announce key updates that mark a new phase for CCS: ➡️ New visual identity ➡️ Expanded Editorial Board: more diverse,international experts ➡️ Updated Author Guidelines criticalcarescience.org
📚 Translation, cross-cultural adaptation & clinimetric evaluation of the Chelsea Critical Care Physical Assessment (CPAx) for Brazilian Portuguese: 🔹 ⬆️content validity index (CVI 0.91); 🔹 Excellent interrater reliability (ICC 0.997) #FoaMed #ICU #FoaMcc criticalcarescience.org/article/braz...
💉 Are sedation practices different for patients intubated in the #ED compared to the #ICU? ➡️ Retrospective cohort study comparing sedation practices between ED & ICU pts 🔹 264 pts included (95 ED vs. 169 ICU); See the results at: criticalcarescience.org/article/seda... #ICU #PedsICU #FoaMed #FoaMCc
🫁🫀 Pulmonary artery pressure assessed by catheterization & its concordance/transthoracic echocardiographic estimates: 🇨🇴 Data from multicenter cohort of patients with pulmonary hypertension in Colombia; ➡️ Retrospective study ➡️ 633 pts #ICU #FoaMed #FoaCCM criticalcarescience.org/article/pulm...
🫁 Can early weaning from invasive mechanical ventilation using high-flow nasal oxygen (#HFNO) improve outcomes in patients w/acute hypoxemic resp failure? 🇮🇳 Indian #RCT, 80 patients ➡️ Extubation to HFNO vs. Extubation to Venturi Mask criticalcarescience.org/article/earl... #ICU #PedsICU #Some4MV
Publication from our editor-in-chief, Dr. Jorge Salluh, on the neighboring network #Linkedin, explaining why publish in #CriticalCareScience! #ICU #PedsICU #MedEd #FOAMed #NoFeeForPublication
