Twitter Beğeni Hilesi

🩸 Platelet transfusions multifaceted, and should be driven by personalised strategy, not only based on count, but also on underlying condition, PLT function and associated risks of bleeding/thrombosis. See 🧵 & read #FOAMcc on Intensive Care Medicine 🔓 rdcu.be/dRLE2

Comparative analysis of polymethylpentene #ECMO membrane lungs, pilot study aimed. Ascertain the variable characteristics of available PMP MLs can support the definition of varying metrics to understand their failure/dysfunction. 🖇️ bit.ly/3ACEgp3

Transesophageal #echocardiography in cardiac arrest, from ED to #ICU: 🫀why using #POCUS in CA & why TEE better vs TTE? close anatomical proximity = superior image quality, ability to view wider range of structures staying away from chest + continuous imaging 🩺TEE diagnostic

Chimeric antigen receptor T cell therapy, review summarizing CAR-T cell-associated complications & providing recommendations for their diagnosis, management, treatment: #FOAMcc on Intensive Care Medicine 🖇️ rdcu.be/dRRzt

Pulse pressure & acute brain injury in VA #ECMO, ELSO Registry analysis 🧠 early (at 24h of #ECLS) PP ≤10 mm Hg associated with ⬆️ CNS ischemia & BD (but not ICH), even in non #ECPR pts alone Low PP may serve as marker for ABI in this high-risk population. Optimizing EBF,

Optimizing DCD: state of the art 🎨, closing session of ESOTtransplant International #DCDCongress 𝗔 ⚖️ advocacy - D Thomson 𝗘 🎓education & ⚖️ethics A Sandiumenge 𝗜 🔎identification Helen Opdam + 📃 inclusion & information Karen Rockell 𝗢 🫀🫁🫘optimising organ care

🫀#ECPR after in-hospital cardiac arrest in children with cardiac disease: #ECMO has become crucial #resuscitation strategy in this high-risk population: the increasing use may partially explain the increased trends in survival among these patients. #PedsICU Pediatric Critical Care Medicine 🖇️

Nurse facilitator 🇫🇷 RCT 🔍 interviews with #ICU clinicians & facilitators; 3 themes emerged: ⚖️ improved communication & care for families/team, but with some risks ⚖️ active listening & support for but with certain limits 🚧 barriers to implementation 🔓 rdcu.be/dRZep

Interesting study. Explains some of our findings from the ELSO registry!! Kiran Shekar Graeme MacLaren M Velia Antonini Ryan Ruiyang Ling Ryan Barbaro

MDR Gram - bacteria on VV #ECMO, RANGER STUDY 🧫 overall isolation 50%: 21% detected pre, 29% post initiation 🪦17 mortality 42%, higher if isolation before ECMO 🏥 larger annual hospital volume? lower probability of acquiring on ECMO #FOAMcc Critical Care 🔓rdcu.be/dScaF

Analysis of Sensopnea 2 🇫🇷 study including MV pts (tracheostomized, intubated, under NIV). Sensory interventions targeting brain as 💨 air flow to face 🎶 relaxing music relieve dyspnea & can modulate processing of thirst & dry mouth signals. #FOAMcc 🔓 rdcu.be/dSceM

PEEP in severe #ARDS 🫁 moderate level provides lung protection while minimizing hemodynamic compromise. Individualized assessment & careful titration crucial 🛏️ proning to homogenize ventilation distribution (reevaluate PEEP settings!!) 🩸veno-venous ECMO to facilitate gas

🎯 Optimal PaO2 in critically ill: are we looking toward right target? 🔓 rdcu.be/dSzX5 Reply to 🔓 rdcu.be/dSzYb Refer to individual patient data meta-analysis on PaO2 8 vs 12 kPa in adults with acute hypoxemic respiratory failure 🔓 rdcu.be/dNydc

Acute hypoxemic respiratory failure in #ICU in 🇦🇺🇳🇿: disease burden may be higher than expected! 🪦mortality ⬆️ with ⬇️ P/F, particularly <200: need to reconsider how we stratify AHRF severity? 🪦mortality ⬇️ over time: improvements in critical care? 🔓 bit.ly/3Xrdh8E

Join discussion on hot topics in #ECMO from perfusionists' point of view at #ELSO2024! 🔥 perfusionist or ECMO Specialist? 🔥 preassembling & prepriming circuits: pro/con and how long is too long? 🔥 circuit access vs patient access 🔥 prebuf peds circuit? washed blood what is

🧫 (Intricate) interplay between immune cells, endothelium, hemostasis, critical in regulating host response to infection. Dysregulation may result in endothelial dysfunction + coagulopathy, which could explain why localised source of infection can lead to complications as #ARDS,

Fludrocortisone in septic shock 💉IV hydrocortisone alone or + 💊50, 100 or 200µg enteral fludrocortisone 🩸detectable fludrocortisone plasma concentrations in most but widely variable: different absorption & bioavailability? ⏱️no faster shock resolution 🔓bit.ly/3ZfaSQ0

Let's celebrate in Ann Arbor! Rackham Auditorium Oct 2 #ELSO2024 🌅 #ECMO early days 🌅 early days at Michigan 🗺️ ECMO around world/trials 📷 photo op on Rackham stairs 🎤 patient stories ⚙️ industry, technology, innovation 🔮 ELSO past, present, future 📎 bit.ly/ELSO2024