Sabrina
@hbgmd.bsky.social
half the story is here. the other half 👇 spicy.me/anna
🧸 ICU clinicians surely love their toys… …but monitoring vital signs from an under-mattress sensor once patients leave the ICU?!?! 🛌 Trieu & colleagues explore the feasibility of this new tool ⚒️, just out in #journal_CHESTCritCare: www.chestcc.org/article/S294... @accpchest.bsky.social
🤔 Thinking about starting a post-ICU clinic or peer support group? 👯 ✔️ out Bakhru et al’s new survey study in #journal_CHESTCritCare describing what others are doing in this space: www.chestcc.org/article/S294... #OpenAccess @accpchest.bsky.social
To better understand ARDS, we’re developing many tools ⚒️; but how might they work together? JCG Aldama & colleagues consider how 1️⃣ RV-PA uncoupling ⛓️💥 & 2️⃣ subphenotypes 🔴🟢🔵 interact: www.chestcc.org/article/S294... #journal_CHESTCritCare @accpchest.bsky.social
👀 Read this new editorial by Agard & Hraiech who make the case that Fromage et al’s work is valuable beyond its use in VAP prediction: Ed: www.chestcc.org/article/S294... Art: www.chestcc.org/article/S294... #journal_CHESTCritCare
Beyond Prediction: From VAP Risk Scores to Patient Trajectory Modeling
chestcc.org
Sabrina@hbgmd.bsky.social · 5mo ago🔮 Want to predict #VAP? Y Fromage & colleagues create a tool 🛠️ that might help: www.chestcc.org/article/S294... #journal_CHEST_CritCare is all #OpenAccess, all the time 🕰️ #ICU #mechanicalventilation @accpchest.bsky.social
💉 Ever struggle w how to manage sedation & analgesia in #ICU patients receiving continuous paralytics? 😫 ✔️ out a new HIDI in #journal_CHESTCritCare by a quartet of amazing #ICU clinical pharmacists led by Mojdeh Heavner: www.chestcc.org/article/S294... #OpenAccess @accpchest.bsky.social
😖 #ICU care is complex & protocols can improve care (MV weaning, sedation management, etc.)… but are protocols ever bad? 👎 Bodley et al investigate this ❓ in the context of an existing electrolyte replacement protocol: www.chestcc.org/article/S294... #journal_CHESTCritCare @accpchest.bsky.social
📋 We know protocolized MV liberation evals improve vent liberation… but what about for VV-ECMO? 🫁🫀 ✔️ out the trial protocol for the RCT to inform this ?, just out in #journal_CHESTCritCare by Gannon et al: www.chestcc.org/article/S294... @accpchest.bsky.social
#ICU subphenotypes 🔴🟢🔵 abound… but how do we make sense of the different ways to stratify patients? Pensier & Schaefer explore this ❓ in their #journal_CHESTCritCare editorial: Ed: www.chestcc.org/article/S294... Art: www.chestcc.org/article/S294...
When Biology Meets Clinical Context: Integrating Clinical Subtypes and Systemic Inflammatory Phenotypes in Acute Respiratory Failure
chestcc.org
Sabrina@hbgmd.bsky.social · 5mo ago😫 ARDS heterogeneity makes prognostication tough… Just out in #journal_CHESTCritCare, G Kitsios et al show us how clinical subtyping can help! 😊 www.chestcc.org/article/S294... (…they also look at in-ICU differences…) @accpchest.bsky.social
😟 Care transitions are hard & #sepsis survivors have high post-dc morbidity & mortality… …but might certain peri-dc processes/practices help❓ Hauschildt et al query staff 🩺 & pts/families 🧑🧑🧒🧒 to investigate: www.chestcc.org/article/S294... #journal_CHESTCritCare @accpchest.bsky.social
😐 I often struggle to understand the purpose of published trial protocols… do you? E Munroe, B Patel, & I Peltan provide an amazing #journal_CHESTCritCare HIDI walking thru how & why these exist for: ✍️ authors ✔️ reviewers 🤓 readers www.chestcc.org/article/S294... @accpchest.bsky.social
How I Do It: Writing, Reviewing, and Reading Standard and Pragmatic Clinical Trial Protocol Papers
Randomized controlled trials provide foundational evidence in clinical medicine. However, the quality of evidence generated by clinical trials depends on the quality of their design, conduct, and anal...
chestcc.org
🧑🔬 Involving kids 👦 & families 🧑🧑🧒 in Peds #ICU research is important… how does financial compensation help? 💰 Pandher & colleagues survey PICU patients’ caregivers to find out: www.chestcc.org/article/S294... #OpenAccess in #journal_CHESTCritCare. @accpchest.bsky.social
⚙️ As an #ICU clinician, I use HMEs all the time… but I don’t know much about them… do you? In a ⭐️Special Feature⭐️ just out in #journal_CHESTCritCare, Lellouche et al 1️⃣ teach us how HMEs are evaluated ⚖️ & 2️⃣ propose changes to HME testing 👍/👎: www.chestcc.org/article/S294... @accpchest.bsky.social
🤔 When can we think of kids in the #ICU as little adults? Ito et al query whether end expiratory transpulm P near zero associates w outcomes in 👦👧 as it does in 👩🧓: www.chestcc.org/article/S294... ✳️ Spoiler alert: people change #journal_CHESTCritCare #OpenAccess @accpchest.bsky.social
👩⚕️👨⚕️#ICU clinicians use lots of data 📈… …what if it’s not trustworthy? 🤔 Just out in #journal_CHESTCritCare, Hendrickson et al 👀 at pulse oximetry & find - SpO2 may not be reliable ⚖️, & importantly, - its bias may not always be as we expect 🔴🔵 www.chestcc.org/article/S294... @accpchest.bsky.social
😣 Doing QI in the # ICU is hard… Just out in #journal_CHESTCritCare, Letourneau & colleagues outline how to use the DMAIC framework to address complex problems, like timely antibiotics 💉 in septic shock 🦠: www.chestcc.org/article/S294... #OpenAccess
🫀🫁 The volume-outcome relationship in #ECMO is clear… or is it? Green & colleagues consider a new metric for ECMO volume 📊, just out in #journal_CHESTCritCare: www.chestcc.org/article/S294... Counting may be more complicated than it seems… 1️⃣2️⃣3️⃣… @accpchest.bsky.social
B Hirsch & E Viglianti discuss the challenges of addressing GOC during chronic critical illness in their thoughtful #journal_CHESTCritCare editorial: Ed: www.chestcc.org/article/S294... Art: www.chestcc.org/article/S294... It’s #OpenAccess, so why not ✔️ it out? @accpchest.bsky.social
Sabrina@hbgmd.bsky.social · 4mo ago#ICU care is interprofessional 👩⚕️👨⚕️… but how do we each engage with patients’ goals of care? Walker & colleagues explore our differing perspectives ⬇️⬆️, just out in #journal_CHESTCritCare: www.chestcc.org/article/S294... #OpenAccess as always! @accpchest.bsky.social
🧠 Neuroprognostication after cardiac arrest is nuanced… Town & colleagues share their expertise on how to build a robust program to ensure consistent ✅✅✅, high-quality ⭐️⭐️⭐️, multimodal 🩻🩸 prognostication: www.chestcc.org/article/S294... #journal_CHESTCritCare #OpenAccess @accpchest.bsky.social
❓ Do you use steroids in septic shock? When? What drug(s)? 💉🦠 J Ho et al query what our #ICU community does in their international 🌎🌍🌏 survey, just out in #journal_CHESTCritCare: www.chestcc.org/article/S294... 👀 if you practice like your colleagues! @accpchest.bsky.social
Body habitus affects long-term heart 🫀health, but what about post-MI outcomes? Malhotra & colleagues ❓ whether the “obesity paradox” holds in AMI, out today in #journal_CHESTCritCare: www.chestcc.org/article/S294... 🧐 what do you think? @accpchest.bsky.social
The Impact of Elevated Body Mass Index on Outcomes of Acute Myocardial Infarction: Exploring the Obesity Paradox
Elevated BMI was associated with lower inpatient mortality and higher routine discharge, although these associations varied across obesity severity. The association with reduced inpatient mortality wa...
chestcc.org
⛓️💥 We know protocolized SBTs lead to earlier liberation from #MV… But do we do them when we should & do delays harm patients? ⏰ Just out in #journal_CHESTCritCare, Sonti et al 👀 these ❓s: www.chestcc.org/article/S294... 🫣 sneak peak: we aren’t great & patients suffer @accpchest.bsky.social
🧐 Ever wonder what the lungs of patients without pulmonary pathology receiving #MV look like? 🫁 Mousa et al use #POCUS to show us… www.chestcc.org/article/S294... 🚨 SPOILER ALERT: they’re often not normal! @accpchest.bsky.social
#ICU care is interprofessional 👩⚕️👨⚕️… but how do we each engage with patients’ goals of care? Walker & colleagues explore our differing perspectives ⬇️⬆️, just out in #journal_CHESTCritCare: www.chestcc.org/article/S294... #OpenAccess as always! @accpchest.bsky.social
☹️ We know disparities exist in #ICU medicine, but do they exist in who gets an SAT? 😴 Just out in #journal_CHESTCritCare, Gondhalekar & colleagues ❓ if language or race matter for SATs… www.chestcc.org/article/S294... ✅ it out, all #OpenAccess! No disparities here! @accpchest.bsky.social
The Association between Language and Race and the Conduct of Spontaneous Awakening Trials among Mechanically Ventilated Patients
SAT adherence was similar among patients who preferred non-English language and English. SAT adherence was observed to be lower among Black patients compared to White patients, but not when Black pati...
chestcc.org
👈 Do you refer to yourself in your clinical #ICU notes? 📝 Vossler & colleagues investigate factors associated with personal pronoun use in their study out in #journal_CHESTCritCare: www.chestcc.org/article/S294... …does using “I” or “we” ➡️ agency or alliance w patients? @accpchest.bsky.social
Clinician self-referentiality: factors associated with author pronoun use in critically ill patient notes
Personal pronoun use in ICU notes is primarily associated with author characteristics. Future studies should explore author intent and reader interpretation.
chestcc.org
Curious how to best teach lung US? 👨🏫 Just out in #journal_CHESTCritCare, Rajamani & colleagues 1️⃣ outline development of the LUCC-Lung 🫁 protocol & 2️⃣ compare it to the BLUE 🔵 protocol for novice USers: www.chestcc.org/article/S294... #POCUS #ICU @accpchest.bsky.social
🎉 It's here! #journal_CHESTCritCare has its 1st 🌟IMPACT FACTOR🌟 What do you think it is? (Look-up 👀 the answer at chestcc.org where you'll also find all our content, all #OpenAccess‼️)
Home Page: CHEST Critical Care
chestcc.org
Got a restful weekend planned? 😴 If so… 👂 To an amazing new ⭐️podcast⭐️ w #journal_CHESTCritCare Co-Host G Sacha interviewing Mangaoang & Lee, authors of 2️⃣ linked studies on a scary #ICU topic — being undersedated while paralyzed 😳 Podcast: www.chestnet.org/guidelines-a... @accpchest.bsky.social
😫 Designing #ICU trials is hard… …but details matter… Dionne & colleagues 👀 at the impact of central vs site adjudication of a 🔑 outcome: www.chestcc.org/article/S294... ❓ wanna know if it matters? Read about it #OpenAccess in #journal_CHESTCritCare! @accpchest.bsky.social
Implications of central adjudication for the primary outcome in an international randomized trial
Central adjudication of the trial outcome of clinically important upper gastrointestinal bleeding may generate more credible outcome ascertainment, but reduced the overall event rate by 40%. If site-s...
chestcc.org
📦 It’s here: #journal_CHESTCritCare’s June 2026 issue! (Vol 4, Iss 2) Jam packed with: ✔️ 13 original res papers ✔️ 2 res letters ✔️ 3 editorials ✔️ 4 HIDIs ✔️ 1 special feature ✔️ 2 CIPCs ✔️ 5 correspondences www.chestcc.org/current #OpenAccess w something for everyone! 🎉 @accpchest.bsky.social
