Romain Barthélémy · @rombarthelemy
182 followers · 760 posts · Server critcare.social
“Use of #dexmedetomidine in critical-ill patients: is it time to look to the actual #evidence?”
https://ccforum.biomedcentral.com/articles/10.1186/s13054-023-04618-z
#dex #icu #dexmedetomidine #evidence #CriticalCare #critcare #foamcc #sedation #pharmacology
Lars Mølgaard Saxhaug · @load_dependent
636 followers · 2077 posts · Server critcare.socialThis was a good review of the state of the litterature and guidance on radial artery catheter insertion in #criticalcare and #emergencymedicine How does it compare to you and your insitution’s practice? Answer the polls and boost for reach! https://www.sciencedirect.com/science/article/pii/S2352556822000777
#critcare #procedures #medicine
#CriticalCare #emergencymedicine #critcare #procedures #medicine
Gabriele Pollara · @gpollara
884 followers · 2700 posts · Server med-mastodon.com@BakkeHK
Agree, though I'm not Critical Care doc, I hope for similar bounce in wider #MedMastodon community and my own smaller #IDMastodon and #immunology niches!
Has the potential to be nice community here but just needs more people to come... And to stay & interact!
#critcare #ICU #FOAMed #FOAMEDcc #medicine #research #intensivecare #intensivist
#MedMastodon #IDMastodon #immunology #critcare #ICU #FOAMed #FOAMEDcc #medicine #research #intensivecare #intensivist
Håkon Bakke · @BakkeHK
56 followers · 17 posts · Server critcare.socialI have hopes for #critcare and #icu Mastodon
I hope people will share and discuss experiences and thoughts from critical care, and interesting bits of research (their own and others)
I am hoping for more journals and critcare science outlets to join and share
I think it can be great with a collective effort, and in contrast to other outlets be less suceptible to the whims of billionairs
#foamed #FOAMEDcc #icu #medicine #research #intensivecare #intensivist
#critcare #icu #foamed #FOAMEDcc #medicine #research #intensivecare #intensivist
Romain Barthélémy · @rombarthelemy
149 followers · 580 posts · Server critcare.social“We of course concur that mortality, duration of ventilation, and LOS are important outcomes when determining timing of tracheostomy. Respectfully, we feel that perhaps the patient’s perspectives have been lost in this growing mountain of early versus late tracheostomy studies.”
https://ccforum.biomedcentral.com/articles/10.1186/s13054-023-04443-4
#CriticalCare #critcare #foamcc #tracheostomy
Romain Barthélémy · @rombarthelemy
149 followers · 579 posts · Server critcare.socialFluid removal tolerance during the de-escalation phase: is preload unresponsiveness the best guiding candidate?
https://ccforum.biomedcentral.com/articles/10.1186/s13054-023-04444-3
#critcare #foamcc #physiology #Fluid #CriticalCare
Joanna Poole · @jopo_dr
743 followers · 161 posts · Server critcare.social
ooo mendelian analysis suggests IL6 blockade may be worth exploring in sepsis - was only discussing this the other day! #icm #critcare #sepsis #icu #intensivecare #criticalcare https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1004174
#icm #critcare #Sepsis #icu #intensivecare #CriticalCare
Joanna Poole · @jopo_dr
742 followers · 158 posts · Server critcare.social
Gabriele Pollara · @gpollara
699 followers · 1513 posts · Server med-mastodon.com
@jopo_dr tocilizumab? https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1004174
Joanna Poole · @jopo_dr
739 followers · 150 posts · Server critcare.socialWhat therapies would you trial in severe sepsis (adaptive, multi arm, imaginary unlimited funding) and how would you stratify? #critcare -#icm #intensivecare A#sepsis
Joanna Poole · @jopo_dr
736 followers · 144 posts · Server critcare.socialWhat do people think of this clinical cohort study on pulsed methylpred improving survival in vented but not non-fated covid-19? https://ccforum.biomedcentral.com/articles/10.1186/s13054-023-04337-5 #critcare #icu #covid #icm #pulmmed https://ccforum.biomedcentral.com/articles/10.1186/s13054-023-04337-5
#critcare #icu #COVID #icm #pulmmed
Joanna Poole · @jopo_dr
722 followers · 141 posts · Server critcare.social
Mouse, PharmD · @pharmouscist
48 followers · 83 posts · Server med-mastodon.com
Mathieu Desgroseilliers · @matdesgro
128 followers · 805 posts · Server critcare.socialVery interesting article on medication extravasation, not that common but better be prepared !
#TooteRx #critcare #icu #foamed
Romain Barthélémy · @rombarthelemy
108 followers · 165 posts · Server critcare.socialHeat-stroke induced liver injury, an interesting review in #CriticalCare
#CriticalCare #HeatStroke #critcare #ALF #foamcc #intensivecare
Mouse, PharmD · @pharmouscist
42 followers · 63 posts · Server med-mastodon.com
Romain Barthélémy · @rombarthelemy
76 followers · 94 posts · Server critcare.socialThe most frequent “interventions” that were judged appropriate were:
1/ Doing nothing: #Zentensivism is not #WhatAboutism, it needs documentation and #Monitoring to ensure we have enough argument that it is the right thing to do
2/ Improving #brain #perfusion in situation at risk of #ischemia based on #TranscranialDoppler by either #osmotherapy and/or #norepinephrine
#Zentensivism #whataboutism #Monitoring #brain #perfusion #ischemia #TranscranialDoppler #osmotherapy #norepinephrine #POCUS #echofirst #TCD #trauma #critcare #NeuroCritCare
Romain Barthélémy · @rombarthelemy
76 followers · 94 posts · Server critcare.socialThe most frequent “interventions” that were judged appropriate were:
1/ Doing nothing: #Zentensivism is not #WhatAboutism, it needs documentation and #Monitoring to ensure we have enough argument that it is the right thing to do
2/ Improve #brain #perfusion in situation at risk of #ischemia based on #TranscranialDoppler by either #osmotherapy and/or #norepinephrine
#Zentensivism #whataboutism #Monitoring #brain #perfusion #ischemia #TranscranialDoppler #osmotherapy #norepinephrine #POCUS #echofirst #TCD #trauma #critcare #NeuroCritCare
Romain Barthélémy · @rombarthelemy
77 followers · 76 posts · Server critcare.socialFor those who have access to this correspondence from Ari Ercole: a very nice reminder of the limits and expected pitfalls of brain tissus oxygenation (PbtO2)
#NeuroCritCare #CritCare #ICM #Physiology #MedMastodon
https://link.springer.com/article/10.1007/s00134-022-06938-0
#NeuroCritCare #critcare #icm #physiology #MedMastodon
Ryan Maves, MD · @RyanMavesMD
190 followers · 21 posts · Server med-mastodon.comAs RSV and influenza cases among kids are surging, PICUs are facing a crisis similar to adult ICUs during COVID surges. For reference, there are about 80,000 adult ICU beds in the US and only about 5,000 PICU beds.
Here’s a webinar we did with CHEST on strategies for health systems to consider: