Professor Jan Bakker presented the interesting relationship between CVP and prediction of respiratory weaning failure 💦An early increase in CVP >= 5mmHg is highly predicative of weaning failure #ISICEM25
Romain Barthélémy
@rombarthelemy.bsky.social
ICU physician, Hôpital Lariboisière, Paris, France #Hemodynamics #Monitoring #Echo #AcuteBrainInjury #CriticalCare #NeuroCriticalCare #Physiology #Rstats
2nd day starts with a great session on subphenotying at #ISICEM25 Why do we bother about subphenotypes? First talk by @seymoc.bsky.social @ISICEM.bsky.social
Jan BAKKER at #ISICEM25 Congestion coexisting w/ fluid responsiveness With some @argaiz.bsky.social inside
#ISICEM25 | Endotypes & Mortality – A key framework for personalizing sepsis management. Understanding distinct biological profiles could shape targeted therapies and improve outcomes with Prof Evangelos Giamarellos–Bourboulis
#ISICEM25 | Over 300 posters showcased in 4 days, highlighting the latest breakthroughs in intensive care and emergency medicine. A deep dive into innovation, research, and future clinical practice! Don’t miss it!
Prof Xavier Monnet addresses the HD effects of prone positioning. Great take homes about the risk of the waterfall effect and the use of Trendelenburg position in the prone patient to predict fluid responsiveness. Linked paper below #ISICEM25 #EMIMCC ccforum.biomedcentral.com/articles/10....
The initiation of vasopressin following recommendations by a reinforcement learning model was associated with decreased mortality in patients with septic shock already receiving norepinephrine. https://ja.ma/3FOK2WU #ISICEM25
Among patients with moderate to severe ARDS, inhaled sedation with sevoflurane resulted in fewer ventilator-free days at day 28 and lower 90-day survival than sedation with propofol. https://ja.ma/4kxDZGm #ISICEM25
At #ISICEM Fodder for the evening run is gathering. Not least the OVISS study looking at a reinforcement learning tool for the optimal timing of vasopressin introduction. jamanetwork.com/journals/jam...
Optimal Vasopressin Initiation in Septic Shock
This multicenter study uses reinforcement learning to examine the treatment implications of a vasopressin initiation rule developed to improve short-term and hospital outcomes in critically ill adults...
jamanetwork.com
A good start to the year with the publication of this work in #JCBFM pmc.ncbi.nlm.nih.gov/articles/PMC... #neurocrit
Association between cerebral oxygenation and usual parameters of cerebral perfusion in critically ill patients with acute brain injury
In patients with acute brain injury (ABI), optimizing cerebral perfusion parameters relies on multimodal monitoring. This include data from systemic monitoring–mean arterial pressure (MAP), arterial c...
pmc.ncbi.nlm.nih.gov
I think it’s underappreciated how often aspiration is the symptom of worsening systemic illness rather then the cause
New #neurocriticalcare guidelines from NCS 💡 Guidelines for Seizure Prophylaxis in Patients Hospitalized With Nontraumatics ICH: ow.ly/o7wi50UFCps
I am SO thrilled to share this paper, which has truly been a labour of love on a topic I care about deeply. "Demystifying Volume Status: An Ultrasound-Guided Physiologic Framework," now published online in @accpchest Let us know what you think! #emimcc journal.chestnet.org/article/S001...
Demystifying Volume Status: An Ultrasound-Guided Physiologic Framework
Accurate assessment of a patient’s volume status is crucial in many conditions, informing decisions on fluid prescribing, vasoactive agents, and decongestive therapies. Determining a patient’s volume ...
journal.chestnet.org
read both links plz . 'Electrical impedance tomography (EIT) is an emerging technology for the non-invasive monitoring of regional distribution of ventilation and perfusion' #p-sili #vili #pulmsky #critcaresky #emimcc #peep #ventilator ccforum.biomedcentral.com/articles/10....
Electrical impedance tomography monitoring in adult ICU patients: state-of-the-art, recommendations for standardized acquisition, processing, and clinical use, and future directions - Critical Care
Electrical impedance tomography (EIT) is an emerging technology for the non-invasive monitoring of regional distribution of ventilation and perfusion, offering real-time and continuous data that can g...
ccforum.biomedcentral.com
Results of the #SAHARAtrial released after #CCRdownunder. A lot to discuss… www.nejm.org/doi/full/10.... #neurocriticalcare
Liberal or Restrictive Transfusion Strategy in Aneurysmal Subarachnoid Hemorrhage | NEJM
The effect of a liberal red-cell transfusion strategy as compared with a restrictive strategy in patients during the critical care period after an aneurysmal subarachnoid hemorrhage is unclear. We ...
nejm.org
Nice work from colleagues, confirming risks factors of ventriculatis in our cohort of #NeuroCriticalCare patients and proposing the VERI-score for risk stratification journals.lww.com/neurosurgery...
The VEntriculostomy-Related Infection Score: An Antibiotic... : Neurosurgery
antibiotic therapy initiation when VRI is suspected. METHODS: This retrospective, single-center cohort study included patients admitted to the intensive care unit after EVD placement who were suspe...
journals.lww.com
Reposting this brilliant must read paper, highlightkng some common misunderstandings regarding EF. A supranormal EF is not a sign of hypovolemia! #echosky #pocus #emimcc
Lars Mølgaard Saxhaug@load-dependent.eurosky.social · 7y agoEjection Fraction Revisited: this is THE paper to read on EF, it’s relation to contractility and load, as well as the concepts of ventricular and arterial elastance. Teaser: EF is to a varying degree preload dependent. #FOAMcc #CardioEd #echofirst...
➡️ 8 major critical care trial results live from Melbourne ➡️ Full free livestream ➡️ Tuesday & Wednesday, December 10th & 11th ➡️ Times are UTC +11 ➡️https://criticalcarereviews.com
Scientists, academics, researchers: We’re excited to share that @altmetric.com is now tracking mentions of your research on Bluesky! 🧪
Altmetric@altmetric.com · 2y agoThere are already many articles for which there is more attention on Bluesky than on other comparable micro-blogging sites, meaning the academic community and the general public have clearly adopted Bluesky as one of its core places to disseminate and discuss new research. A Place of Joy.
A sad day for critical care - and what a phenomenal legacy he has left us. RIP Prof Gattinoni, a Giant ⚕️📟 www.esicm.org/obituary-luc...
Obituary: Luciano Gattinoni - ESICM
In Memory of Professor Luciano Gattinoni
esicm.org
The first author I also emailed send it to me in less than 4 hours For the moment, Bluesky is less effective than a good old e-mail
Romain Barthélémy@rombarthelemy.bsky.social · 2y agoDear #NeuroCriticalCare folks, does anyone have the fulltext of this paper? Thx journals.lww.com/neurosurgery...
Dear #NeuroCriticalCare folks, does anyone have the fulltext of this paper? Thx journals.lww.com/neurosurgery...
External Validation of the HATCH (Hemorrhage, Age,... : Neurosurgery
e collected data on 761 patients with aSAH from 4 different hospitals. The HATCH score for prediction of functional outcome was validated using calibration and discrimination analysis (area under the ...
journals.lww.com
I once made a #shiny leaf plot app, demonstrating the relationship between prevalence/pre-test probability, sensitivity, specificity and post-test probabilities has moved! I’ve been very happy to hear some actually use it in #meded! lmsaxhaug.shinyapps.io/Leaf_App/ #rstats #imemcc #cardiosky #foamed
I use US more and more for ICU a-lines - for radials it helps site them more proximallly so they are less ‘positional’ and in femoral esp in those with high BMI it helps position more distally and therefore have a less steep angle of insertion Who else uses US regularly for arterial cannulation?
Critical Care Reviews@criticalcarereviews.com · 2y agoToday's Paper of the Day is ultrasound-guided arterial catheterization criticalcarereviews.com/latest-evide... Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2024
