🫁🫀Tailoring MV according to cardio-respiratory physiology in VA #ECMO to optimize hemodynamics & outcomes?? Invasive MV settings can improve RV performance optimizing lung recruitment + minimizing alveolar overdistension. Here PEEP titration base on RV pressure-volume loops

Setting ventilator in acute brain injury
💨 ventilatory settings
🧠 oxygen & carbon dioxide targets
🫁 management of concurrent acute BI & #ARDS
Free to read #FOAMcc on Intensive Care Medicine
🔓rdcu.be/dILp2

I always love these challenging discussions

eCPR inclusion/exclusion at the scene explained by Dinis

Lots of debate in the room

EMTACCS #SPEAR

Chris Bishop Demetris Yannopoulos Lamhaut Hutin Alice ED ECMO Project M Velia Antonini

🍽️ Medical nutrition in #ICU ? In acute phase of critical illness, high doses of macronutrients to be avoided because of anabolic resistance & potential harm through suppression of cellular repair pathways, increased hyperglycemia/insulin need. Time point when anabolic resistance

Communication at the end-of-life in #ICU (& its pitfalls)
1️⃣NEVER discuss OD before EoL decision-making in CDCD or before death communication in DNDD
2️⃣OD is primarily an act in the interest of donor/family
3️⃣communication = essential part of clinical practice: is time for care!

#ICU is an appropriate setting for end-of-life care, and organ donation must be routine component of EoL in any circumstance. A good death? Dying with dignity: respect the person dignifying their death. Decision-making at EoL should be based not only on clinical criteria, but

🫀🫁 Central venopulmonary #ECMO :
➡️central PA access for #ECLS
➡️standardized nomenclature & abbreviations for central PA access
➡️combined central/peripheral configurations
➡️combination with independent devices
#FOAMcc #FOAMecmo on asaiojournal
🔓 bit.ly/4bpjlTH

💦 Resuscitation Fluids ESICM clinical practice guideline presenting 11 evidence-based conditional recommendations regarding fluid therapy in adults in #ICU , on Intensive Care Medicine
🔓 bit.ly/3wLJTj4

📢 Registration for #ELSO2024 OPEN!
🗓️preconference Sep 28
🗓️conference Sep 29-Oct 1
🗺️Detroit
🗓️ELSO Celebration Oct 2
🗺️Ann Arbor
📎bit.ly/ELSO2024
🖌Send abstracts: if accepted will be presented live + published in asaiojournal + congress app
📎bit.ly/ELSO2024abstra…

Improving critical care in LMICs, SR
🌏 most effective QI interventions multifaceted & combine education + audit/feedback + one of protocol/guideline/bundle or checklist
🌎 engaging stakeholders, adapting to local contexts, addressing barriers pivotal
🔓 rdcu.be/dItty

Impact of sex on outcome of postcardiotomy #ECLS
🔍 ♀ ♂ requiring PC #ECMO are 2 populations, marked by different preop characteristics, surgical indications & ECLS features/complications. Anyway, no statistical difference in survival: sex should not be considered as exclusion

🩸Indications for emergency chemotherapy in hematological pts relatively rare: early recognition pivotal due to potentially rapid/lethal nature. Rapid onset of antineoplastic therapy may lead to complete recovery, justifying #ICU admission/full-code management, especially if

Volatile sedation in #ECMO patients. Multicenter study brilliantly coordinated by S. Alcántara at #ICU HUPH Salud Madrid and Vall d'Hebron by Sofia Contreras. Thanks Intensive Care Medicine & M Velia Antonini for sharing.

🎥 Recording of #EuroELSO2024 Opening Ceremony is available!
🎙️welcome notes: K. Szułdrzyński, N Barrett, Graeme MacLaren
📚 #ECMO year in review: pediatric - LM Broman, adults Justyna Swol MD • ECMOdaily, nursing & AHP - S Wulczynska, innovation & tech - J Arens
#FOAMcc
🔓 youtube.com/watch?v=Yami0R…

💨Volatile sedation in patients with severe #ARDS in VV #ECMO ?? Feasible/safe! Introduction of VS can help decrease use of continuous NMBAs & might lead to better oxygenation
Free to read #FOAMcc #FOAMecmo on Intensive Care Medicine
🔓 rdcu.be/dIiDm

💧☔️ 💦 #POCUS to predict fluid-responsiveness & manage need for fluids in #ICU , bedside experience + literature based approach
#FOAMcc #FOAMus #echofirst
🔓 rdcu.be/dH6nb

🚑 🚁 Prehospital based #ECPR reduce barriers to #ECLS , potentially improving #OHCA survival! GIS model demonstrating 2-fold ⬆️ in #ECMO eligibility for field-deployable ground-based system & 4-fold ⬆️ for HEMS-based system vs 🇺🇸 hospital-based system
🖇️ bit.ly/4bEE0TK

10 tips on #sepsis induced thrombocytopenia
#FOAMcc in Intensive Care Medicine
🔓 rdcu.be/dHZul

🫁 Tidal volume in #ARDS ?? We should continue using protective MV but, vs using fixed cut-of (6 ml/kg PBW), maybe better individualize VT considering multifactorial contribution of ∆P, CRS, ECW, PEEP + regional lung mechanics.
#FOAMcc Intensive Care Medicine
🔓rdcu.be/dHUzd

💉Empirical antimicrobials in #ICU ? Timely & appropriate ABT therapy paramount in critically ill patients presenting with suspected infection, potentially leading to #sepsis or septic shock. On Intensive Care Medicine a #FOAMcc step-by-step approach for prescription
🔓 bit.ly/4ai3zss