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🚨Low Versus High Blood Pressure Targets in Critically Ill and Surgical Patients

📊Our meta-analysis will redefine how blood pressure is considered in anesthesia and critical care.

This study marks a 'before' and 'after' in our understanding of BP.

Key findings follow

Interesting paper about peripheral vs central vasopressors in real world sepsis treatment (I LOVE a Sankey diagram):
- wide variation by hospital
- equivalent outcomes
- most received PIV pressors at 6 hrs
- most who still required pressors at day 4 had a CVC (3% still used PIV?)

Prone positioning?? Used since 70s to improve oxygenation in patients with #ARDS . Here concise overview
🫁main pathophysiological findings
🫁supporting evidence & practical considerations for use
🫁awake proning in non-intubated pts
#FOAMcc on Intensive Care Medicine
🔓rdcu.be/dFIdO

Today's Paper of the Day is on bleeding and thrombotic complications in patients with cirrhosis
criticalcarereviews.com/latest-evidenc…

Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2024

Hemorrhagic strokes are costly & deadly.

Entire results of the #ENRICHtrial show improved safety, functional, and economic outcomes in intracerebral hemorrhage for appropriate patients.

Read the entire results of the ENRICH trial, available now in NEJM: bit.ly/3vDMJ9r

2nd ERAS Japan Conference in Kobe University Hospital, featuring our very own Marianna Sioson. Congratulations all! #ERAS

Prone ventilation.
#FOAMcc #MedEd #FOAMed
🔗 link.springer.com/chapter/10.100…

Arterial oxygen in critically ill patients with hematologic malignancies
🔍>11K pts on respiratory support NIV, HFNC, IMV
🔍day 1 normoxemia 51%, hypo 13%, hyper 36%
🔍excess O2 20%
🫁exposure to hyperoxemia/excess O2 associated with increased mortality
🔓 rdcu.be/dEDcC

These images perhaps illustrates that in #NAP7 anaesthesia or surgery being a key cause of cardiac arrest does not indicate poor care

Obstetric Anaesthesia had the highest rate of anaesthesia being a key cause of perioperative cardiac arrest but
- had a low rate of poor care
-…

🔓'Compared with NAP4, rates of tracheal tube use were higher in NAP7 and SAD use lower. This may in part be explained by an increase in patients with a higher BMI.'

Royal College of Anaesthetists Tim Cook Dr Fi Oglesby Andrew Kane Richard Armstrong Emira Kuršumović @jas_soar368
🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an…

Can any of the nutritionists out there explain to me why we don't use ☕️ as a therapeutic?

It has good nutritional value, is easy to administer, and is cheap. It promotes GI motility, helps constipation, promotes physical activity, and increases alertness and focus, all with…

Survival and safety after neoadjuvant chemotherapy or upfront surgery for locally advanced colon cancer: meta-analysis
➡️ doi.org/10.1093/bjs/zn…

This systematic review and meta-analysis of seven studies involving 2120 patients with locally advanced colon cancer found that…

Percision medicine is the trend every where not only in cancer , hematology , cardiovascular but also in ARDs . Thanks Dr.Danny SCCM SCCM_CPP Judith Jacobi Ashish K. Khanna, MD,MS,FCCP,FCCM,FASA

A pleasure and a privilege to be writing again with my mentor Prof. Simon Allison. The significance and treatment of hypoalbuminaemia. authors.elsevier.com/sd/article/S02…

Age & outcomes in adults with acute respiratory failure in VV #ECMO , analysis of ELSO registry (2017-2022)
🗃️ >27K pts/144 centres
🪦 41.5% in-hospital mortality
Increasing age strongly associated with poorer outcomes; risk emerges as early as 30 y
🔓 rdcu.be/dzcdZ

Via The Daily Pennsylvanian thedp.com/article/2024/0…

Fabulous work from Sweden on Ex Lap

This is so sad - why are the National Bodies so against making the changes necessary to retain these Doctors.
All that training gone to waste - and creating a generation gap in delivery of healthcare - unrecoverable!

There are a huge number of lessons to learn from NAP7 Perioperative Cardiac Arrest in the UK

Is this the most important message from NAP7?

IT’S THE PATIENT WHO TAKES THE RISK

Read it here
rcoa.ac.uk/research/resea…

Read the 𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 papers here
rcoa.ac.uk/research/resea……

Mortality in COVID-19 ARDS patients was driven by illness severity, the choice of sedation had minimal impact when other factors are controlled. Abhijit Duggal, GretchenSacha CCF Pulmonary and Critical Care Fellows Cleveland Clinic IM pubmed.ncbi.nlm.nih.gov/38193291/