Romain Barthélémy · @rombarthelemy
189 followers · 807 posts · Server critcare.social

Should Be Remembered When Patients With Are Resuscitated
“Although no significant difference in 28-day mortality rate or 90-day mortality rate was observed between the use of albumin and , appeared to be more effective than crystalloids in stabilizing hemodynamic end points.”
I couldn't agree more. Sometimes you have to find what to do at the moment. It is safe and may help.

journal.chestnet.org/article/S

#albumin #septicshock #crystalloids #colloids #foamcc #chest #CriticalCare #Sepsis #Hemodynamics

Last updated 1 year ago

Romain Barthélémy · @rombarthelemy
182 followers · 760 posts · Server critcare.social
Romain Barthélémy · @rombarthelemy
182 followers · 760 posts · Server critcare.social

But what strikes me most is that it is becoming more and more easy to track flow changes in patient.

In their work, they present a little wearable Doppler ultrasound.

There is now no reason to justify that every mL of fluid given to improve the patient hemodynamics’ isn’t monitored accurately and that clinicians still rely on poor or inappropriate surrogates (including HR, MAP, PP, PPV, urine output, etc.)

#jintensivecare #physiology #Hemodynamics #foamcc #Monitoring #CriticalCare

Last updated 1 year ago

Romain Barthélémy · @rombarthelemy
182 followers · 755 posts · Server critcare.social

Nice work by Jon-Emile Kenny et. al emphasizing that a significant amount of fluid challenge in ED are ineffective to improve flow, therefore can’t have any positive effect at all.

jintensivecare.biomedcentral.c

#jintensivecare #foamcc #CriticalCare #physiology #Hemodynamics

Last updated 1 year ago

Lars Mølgaard Saxhaug · @load_dependent
639 followers · 2296 posts · Server critcare.social

A patient with stable coronary artery disease and type 2 diabetes describes their threshold for angina being closely correlated with their blood glucose levels. What likely explains this phenomenon?

#physiology #cardiology #CardioEd #foamcc #foamed

Last updated 1 year ago

Mathieu Desgroseilliers · @matdesgro
195 followers · 3381 posts · Server critcare.social

In the unlikely event of managing in , this excellent article could be handy !
pubmed.ncbi.nlm.nih.gov/350579

Baseline,
-Beta blockers are 1st line (favor labetalol/metoprolol)
-Na channel blockers to be considered (favor lidocaine/flecainide)
-avoid amiodarone, can be considered in life threatening arrhythmia
-electrical cardioversion is safe

#arrhythmia #pregnancy #CriticalCare #foamcc #MedMastodon #mastorx

Last updated 1 year ago

Segun Olusanya · @Iceman_ex
494 followers · 112 posts · Server critcare.social

is on today

And it’s being live streamed for FREE. Excellent

criticalcarereviews.com/

Who’s watching? @kennethbaillie

#CCR23 #foamed #foamcc

Last updated 1 year ago

Mathieu Desgroseilliers · @matdesgro
182 followers · 2992 posts · Server critcare.social

Very interesting that “Critical Care and Resuscitation” is now an journal!

sciencedirect.com/journal/crit

#openaccess #MedMastodon #foamcc #foamed

Last updated 1 year ago

Mathieu Desgroseilliers · @matdesgro
178 followers · 2916 posts · Server critcare.social

I’m not really on self promotion but I’m really proud to be part of the amazing team !!

To deep & beyond !

globalnews.ca/video/9713944/ca

#ezresus #Space #foamcc #foamed

Last updated 1 year ago

Mathieu Desgroseilliers · @matdesgro
170 followers · 2654 posts · Server critcare.social

is the real stethoscope !

What is used since Laënnec should be named “stethophone” instead of “stethoscope”

Wonderful insight from an 1913 article👇
jamanetwork.com/journals/jama/

#POCUS #foamcc #foamed

Last updated 1 year ago

Mathieu Desgroseilliers · @matdesgro
167 followers · 2588 posts · Server critcare.social

Very interesting case report of pulse methylprednisolone in treatment of steroid-refractory

We also treated a patient with a grade IV pneumonitis with high dose steroid. My observation is a very rapid improvement, within 48h.

Further research is needed but it could be promising for life-threatening immune checkpoint inhibitor reaction

pubmed.ncbi.nlm.nih.gov/361190

#immune #CheckpointInhibitor #pneumonitis #MedMastodon #foamcc #foamed

Last updated 1 year ago

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.”

ccforum.biomedcentral.com/arti

#CriticalCare #critcare #foamcc #tracheostomy

Last updated 2 years ago

Romain Barthélémy · @rombarthelemy
149 followers · 579 posts · Server critcare.social

Fluid removal tolerance during the de-escalation phase: is preload unresponsiveness the best guiding candidate?

ccforum.biomedcentral.com/arti

#critcare #foamcc #physiology #Fluid #CriticalCare

Last updated 2 years ago

Mathieu Desgroseilliers · @matdesgro
157 followers · 2382 posts · Server critcare.social

All the high tech are worthless if you haven’t the skilled staff

“ICU’s most powerful tool will always be skilled staff”
bmj.com/content/381/bmj.p804

#foamcc #foamed #icu #MedMastodon

Last updated 2 years ago

Mathieu Desgroseilliers · @matdesgro
155 followers · 2351 posts · Server critcare.social

Great discussions of Andrew Davies with Chris Nickson on this episode of podcast !

Talking education, personal well-being, psychological safety & more

Definitely worth listening!

litfl.com/mastering-intensive-

#masteringintensivecare #MedMastodon #foamcc #foamed

Last updated 2 years ago

Romain Barthélémy · @rombarthelemy
144 followers · 524 posts · Server critcare.social

High-dose prophylactic is (was?) affective to reduce the occurence of without impacting outcomes in hypoxemic failure

jamanetwork.com/journals/jamai

#anticoagulation #thrombosis #COVID #jamainternalmedicine #foamcc #CriticalCare

Last updated 2 years ago

Romain Barthélémy · @rombarthelemy
143 followers · 504 posts · Server critcare.social

No hashtag to follow…

#isicem #CriticalCare #foamcc

Last updated 2 years ago

Romain Barthélémy · @rombarthelemy
143 followers · 503 posts · Server critcare.social

@load_dependent very nice illustration of the powerful synergy of life-support AND monitoring

none of them alone can improve patients

#CriticalCare #Hemodynamics #physiology #foamcc

Last updated 2 years ago

Mathieu Desgroseilliers · @matdesgro
149 followers · 2083 posts · Server critcare.social

The littles things come a long way in

If we reach for a silver bullet treatment of delirium, non pharmacological approach should be the way & on top of it, maybe some pharmacotherapy 🤔

“Less pharmacotherapy is more in delirium”
link.springer.com/content/pdf/

#icu #delirium #wdad2023 #foamcc

Last updated 2 years ago

Mathieu Desgroseilliers · @matdesgro
148 followers · 1978 posts · Server critcare.social

Interesting study by colleges of on room temperature stability of neuromuscular blockers

- Rocuronium 👉 18 months
- Succinylcholine 👉 6 months

Can be helpful for crash cart planning

In French
pharmactuel.com/index.php/phar

#chustejustine #foamed #foamcc #TooteRx #MastodonRx

Last updated 2 years ago