Therapeutic novelties in acute heart failure and practical perspectives CCR Journal Watch - tracking the critical care literature daily https://criticalcarereviews.com/latest-evidence/journal-watch

Four-factor prothrombin complex concentrate proved superior in both hemostatic response & safety to frozen plasma for coagulation factor replacement for bleeding during cardiac surgery, according to FARES-II trial presented at #ACC25. Read more: bit.ly/4iFMGNo #CardioSky #MedSky

#APICAT trial at #ACC25 #LBCT #cardioonc 🩸apixaban low 2.5 mg vs full dose 5mg in patients with cancer+VTE: primary endpoint recurrent VTE 🩸more than half female! 👏🏽👏🏽 🩸the low dose was significant for noninferiority for efficacy & ⤵️ bleed 🩸no increase in deaths

Diuresis and fluid status comes up on almost every single ICU patient (especially in a cardiac ICU🫀) It’s very important to understand how each diuretic works, how they can be combined to augment urine output & their limitations Check out my starter guide for diuresis in the ICU #MedSky #Nephsky

Read our review on mixed shock published today in @jaccjournals.bsky.social Advances - www.sciencedirect.com/science/arti.... Congratulations to all collaborators within @accintouch.bsky.social Interventional and Critical Care Cardiology Councils. @brownmedicine.bsky.social

I remember as an intern getting calls in the night to give unfamiliar patients intravenous hydralazine for their asymptomatic elevated blood pressure. Decades later, I'd have thought we know this is harmful and nonsensical, but apparently not entirely. #medsky jamanetwork.com/journals/jam...

One-Time and As-Needed Blood Pressure Medication and Adverse Outcomes in VA Hospitals

This cohort study evaluates the risk for acute kidney injury and other adverse effects from as-needed and 1-time blood pressure medications in hospitalized veterans.

jamanetwork.com

Thanks for following! Kudos to the researchers and the studies' godparents! References: www.nejm.org/doi/full/10.... journals.lww.com/shockjournal... www.anzctr.org.au/Trial/Regist... bmjopen.bmj.com/content/13/1...

Angiotensin II for the Treatment of Vasodilatory Shock | NEJM

Vasodilatory shock that does not respond to high-dose vasopressors is associated with high mortality. We investigated the effectiveness of angiotensin II for the treatment of patients with this con...

nejm.org

Great summary on post op Atrial Fibrillation Other pearls: 🔺A fib is the most common arrhythmia post CV surgery, with peak incidence post-op days 2 & 3 🔺Associated with increased risk of CVA ❓Should you start anticoagulation for new onset A Fib post cardiac surgery? It depends ➡️ next post

Critical Care Reviews@criticalcarereviews.com · 2y ago

Today's Paper of the Day is postoperative atrial fibrillation: from mechanisms to treatment 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

Intubating patients with elevated ICP can be very tricky. Your goal: protect cerebral perfusion & avoid big swings in blood pressure Check out my infographic summarizing some pearls to performing a “neuro protective” intubation🧠 🔗 www.emdocs.net/visual-wedne...

Today's Paper of the Day is on oliguria during renal replacement therapy 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

Viscoelastic haemostatic assay-guided therapy was associated with: ⬇️ RBC, platelet & FFP transfusion ⬇️ operating theatre & ICU duration of stay NO difference in: • rates of surgical reintervention • total duration of stay • mortality #AnSky #HemeSky #MedSky 🧪 https://buff.ly/3AOYR9U

One of my favorite reviews to share with learners Cardiogenic shock can be difficult to diagnose, specially if patient has normal-ish vitals 🫀Know the stages cardiogenic shock with the corresponding physical exam and lab findings 🔗 www.jacc.org/doi/10.1016/...

One of my favorite review articles on management of cardiogenic shock published in JACC in 2020. They go over diagnosis, early management and advanced hemodynamic monitoring. I especially like the table summarizing different MCS options. 🔗 www.jacc.org/doi/abs/10.1...

As doctors we know that RFKJr's misinformation poses great danger to public health. We need to tell our Senators to protect and defend our patients' access to quality health care -Reject his appointment! #MedSky Please sign if a Dr, and everyone please share. committeetoprotect.org/stop-rfk-jr/

My first post will be to repost this tip by @mkittlesonmd.bsky.social Finding myself frequently on both sides in the ED & ICU, it’s infinitely better for everyone involved to be pleasant and helpful during a consult. If someone is calling for help, don’t be unpleasant, angry or condescending.

Michelle Kittleson@mkittlesonmd.bsky.social · 2y ago

#TipsForNewDocs On night call, I used to answer: “What's the emergency?" Then, I needed on-call peds for my kid- his first words: “How can I help?" That’s how I respond now. Not being nice won't limit calls, it just makes them unpleasant for all involved. #kittlesonrules