Jobbing intensivist | thoracic anaesthesia | Mama x 4 | Grace recipient | Trying to #lfe | โ€˜All the treatsโ€™ | Norn Iron ๐ŸŒฆ๐ŸŒง๐ŸŒจ๐ŸŒช

Joined October 2012
645 Photos and videos
Central line simulation trainers - recommendations please!
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Could hear a ๐Ÿ“Œ drop during the Johns Hinds lecture by John Myburgh celebrating humanity, integrity and excellence. Fantastic! @CritCareReviews #CCR25 @DocJohnsMum
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#CCR25 #PRINCEtrial Is it possible that any potential benefit of RIPC was offset by a longer duration of general anaesthesia ?
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๐Ÿ”Ž The #PRINCEtrial: ๐Ÿ‘ฅ 1,100 pts undergoing non-cardiac surgery ๐Ÿ’กRemote Ischemic Preconditioning (3x5 min cuff inflation/deflation) ๐Ÿ’‰ Comparison: Sham RIPC (cuff placed, not inflated) ๐ŸŽฏ Outcome: Postop cardiac troponin release #CCR25 @CritCareReviews
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Did high flow nasal oxygen therapy after cardiac surgery improve outcomes? NOTACS trial #FOAMed #POCUS #FOAMcc #Medx #CCR25 @smythm86 @HawkmoonHEMS @DogICUma
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Another super cluster crossover trial at #CCR25 - the FLUID trial (looking at Ringers lactate vs normal saline - at the system level). 1/3 See paper here โ€ฆ nejm.org/doi/full/10.1056/NEโ€ฆ
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๐ŸฉธAmong adults undergoing cardiac surgery, ANH did not reduce the number of patients receiving allogeneic red-cell transfusion. These are the findings of the #ANHtrial, our latest multicenter RCT, just presented at #CCR25 and published in @NEJM. ๐Ÿ“Ž nejm.org/doi/full/10.1056/NEโ€ฆ
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ICU-acquired weakness and cardiogenic shock in patients requiring mechanical support, highlighting biomarkers and outcomes. @CritCareReviews #FOAMed #POCUS #FOAMcc #CCR25 #Medx criticalcarenorthampton.com/โ€ฆ
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Comparison of lactated Ringerโ€™s solution and normal saline for IV therapy on ICU. #FOAMed #POCUS #FOAMcc #CCR25 #MedX criticalcarenorthampton.com/โ€ฆ @CritCareReviews @IM_Crit_
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Did acute normovolaemic haemodilution prior to cardiac surgery improve morbidity? #CCR25 @CritCareReviews #FOAMed #POCUS #FOAMcc #Medx criticalcarenorthampton.com/โ€ฆ @IM_Crit_
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Presented at #CCR25: In a cluster-randomized, crossover trial, hospital-wide use of lactated Ringerโ€™s solution as compared with normal saline did not alter the incidence of death or hospital readmission within 90 days. Full trial results: nej.md/45SaEBs @CritCareReviews
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#CCR25 #NOTAC Niall Ferguson There is a Venn diagram of โœ…patient important outcomes โœ…clinically important outcomes and โœ…outcomes that are responsive to the therapy in question. #CCR25 We need to find the sweet spot in critical care trials.
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@nialldferguson thanks for these insights. A really great editorial. Pragmatic and entertaining #CCR25
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#CCR25 #NOTACs In general, have we over-adopted HFNO in critical care, leaning heavily on its physiological benefits?
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Is Days alive AND at home AND without support too complex a primary outcome (and despite being highly relevant to patients) would it be responsive to the intervention at question ? #CCR25 #NOTACS
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Our thought and analysis in the work of the UK-ROX team๐Ÿ‘ @UKRoxTrial @CritCareReviews #FOAMed #POCUS #FOAMcc #Meded #MedX Presented at the tremendous #CCR25 meeting
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Never fails to impress every yearโ€ฆ the venue and the conference! ๐Ÿ˜„๐Ÿ‘@CritCareReviews #CCR25
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Slightly late, and to be updated with the results of today's TTM2 biomarker results, today's Paper of the Day is: Biomarkers for neuroprognostication after out-of-hospital cardiac arrest criticalcarereviews.com/lateโ€ฆ
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