🧑🔬 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
Hayley Gershengorn
@hbgmd.bsky.social
ICU doctor & health services researcher living in Miami, FL. Inaugural Editor-in-Chief of CHEST Critical Care. All views my own.
⚙️ 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
#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
I ❤️ when researchers use shortages to learn things, don’t you? 🫗 Kawada, Takahashi, & Fujii use a fentanyl shortage to understand the potential value of remifentanil in the #ICU: www.chestcc.org/article/S294... #OpenAccess in #journal_CHESTCritCare! @accpchest.bsky.social
Association of Remifentanil and Fentanyl Use with Clinical Outcomes in Critically Ill Patients: An Observational Study
chestcc.org
❓ Ever heard of the 💫Integrated Stress Response💫 ❓ (…it pertains to how cells respond to stress…) Just out in #journal_CHESTCritCare, Nair et al review what we know of it in #ICU: www.chestcc.org/article/S294... 🔑 take-aways: 1. It’s activated 2. Unclear assoc w outcomes @accpchest.bsky.social
🤔 Wondering why you don’t get Bayesian stats? ✔️ out Greendyk, Plens, & Goligher’s ⭐️editorial⭐️ in #journal_CHESTCritcare calling for better education 📣: Ed: www.chestcc.org/article/S294... Art: www.chestcc.org/article/S294... @accpchest.bsky.social
Beyond the Bayesian-Frequentist Divide in Clinical Trial Design: A Call for Better Statistical Education
chestcc.org
😵💫 Are you confused by Bayesian methods? Do you worry you’re alone? 🫢 Just in #journal_CHESTCritCare, B Malley et al eval how intensivists differently interpret results from Bayesian and frequentist trials… www.chestcc.org/article/S294... …I’m a bit unsettled 😉 @accpchest.bsky.social
🦠 Tired of MDRO infections & looking for better ways to prevent in-ICU spread? L Huerta & colleagues look at feasibility of targeted MRSA/VRE contact precautions 🎯: www.chestcc.org/article/S294... ❓ Can we ⬇️ contact days without ⬆️ infection? #journal_CHESTCritCare @accpchest.bsky.social
Targeted vs Standard Contact Precautions and Transmission of MRSA and VRE in Critically Ill Adults: A Pilot Clinical Trial
Despite a slight reduction in patient-days spent in contact precautions during the targeted contact precautions periods, no statistically significant difference was found in hospital-acquired MRSA and...
chestcc.org
⚖️ As #ICU clinicians, we need to balance patient care & our safety… B van Leer et al look into radiation ☢️ exposure from PET/CT for nurses & doctors 👨⚕️👩⚕️: www.chestcc.org/article/S294... #OpenAcces in #journal_CHESTCritCare @accpchest.bsky.social
🔮 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
I ♥️ a good editorial, don’t you? M Tanios’s helps our #journal_CHESTCritCare readers interpret signal 🚦 vs selection 👉: Ed: www.chestcc.org/article/S294... Art: www.chestcc.org/article/S294... All #OpenAccess, so why not 👀? @accpchest.bsky.social
🩻 Does an ARDS dx impact 3y COVID outcomes? Z Kahn & colleagues assess long term inflammation 🔥, endothelial dysfunc 🧫, & frailty 💪 in ARDS vs pna pts: www.chestcc.org/article/S294... #openaccess in #journal_CHESTCritCare @accpchest.bsky.social
👏 So proud of Cat Chen & Deep Ashana for brilliantly presenting our study of critical illness (CI) in 🤰 post-SB8 in TX: academic.oup.com/ajrccm/advan... 🔑 results—rates of 1. Infection (not CI) ↗️ for all 2. Higher-risk 🤰 ↗️ 3. CI, sepsis, infn ↗️ for higher-risk @atsblueeditor.bsky.social
Critical Illness Outcomes of Hospitalized Pregnant Women Following a Texas Abortion Ban
AbstractImportance. In September 2021, Texas Senate Bill 8 (SB8) banned abortion after embryonic cardiac activity.Objective. To estimate the association of
academic.oup.com
💡 Looking for a bright new idea for how to ⬇️ pain w endotracheal intubation? So are K Shimoyama & colleagues! Just out in #journal_CHESTCritCare, ✔️out their protocol for a trial of subglottic lidocaine 💉… www.chestcc.org/article/S294... 👍👎 Wanna guess the outcome? @accpchest.bsky.social
😮 Wouldn’t it be great if you could predict who will get depression post-ICU? Just out in #journal_CHESTCritCare, Schubert & colleagues assess the value of in-hospital 🏥 PHQ-2 screening for post-dc 🏡 depression sx: www.chestcc.org/article/S294... 📖 Read it en route to #ATS2026!
Predictive utility of in-hospital screening for post-discharge depression symptoms among survivors of critical illness
The in-hospital PHQ-2 demonstrated moderate predictive performance as a screening tool for post-discharge depression symptoms among critical illness survivors. The addition of sociodemographic and cli...
chestcc.org