aguea asia
Phil Duggleby
@PDuggleby
Anaesthetic/ICM. Northern exile living in Oxford.
Joined May 2012
Tweets
75
Following
186
Followers
80
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17
4 Photos and videos
4 Photos and videos
Tweets
Phil Duggleby retweeted
Adrian Wong
@avkwong
6 Dec 2016
4 C bombs
#burnout
#ICSSOA2016
Cut corners Cynicism Callousness Contempt
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Phil Duggleby
@PDuggleby
6 Dec 2016
The most important thing when transitioning to adult care is to have a portable medical record. Why can't we do this yet?!
#icssoa2016
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Phil Duggleby
@PDuggleby
6 Dec 2016
Looks like transition of care to adulthood isn't just a problem in the UK. Does anybody get it right?
#icssoa2016
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Phil Duggleby
@PDuggleby
6 Dec 2016
Next up, Louise Rose talking about transition to adulthood
#icssoa2016
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Phil Duggleby
@PDuggleby
6 Dec 2016
How to make decisions: Appreciate that consensus is hard, recognise all outcomes, focus on communication and building trust
#ICSSOA2016
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Phil Duggleby
@PDuggleby
6 Dec 2016
Families fear the cliff edge of transition from paediatric to adult ICU - do we have the resources to honestly reassure them?
#icssoa2016
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Phil Duggleby
@PDuggleby
6 Dec 2016
Is there a need to "show our working" to patients and family when making difficult ethical decisions?
#icssoa2016
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Phil Duggleby
@PDuggleby
6 Dec 2016
Too much educational focus on basic science and not enough on ethics and decision making
#icssoa2016
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Phil Duggleby
@PDuggleby
6 Dec 2016
Dan Harvey
@criticalinsight
next up, talking about the ethics of making better decisions
#icssoa2016
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Phil Duggleby
@PDuggleby
6 Dec 2016
Complex patients on PICU will get better if given enough time. Don't pretend they're too sick when you're short of resources
#icssoa2016
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Phil Duggleby
@PDuggleby
6 Dec 2016
Clinician viewpoint the least important in PICU decision making hierarchy
#ICSSOA2016
Phil Duggleby
@PDuggleby
6 Dec 2016
First mention of difference in admission thresholds between PICU and AICU - are adult intensivists too harsh or paeds too soft?
#icssoa2016
Phil Duggleby
@PDuggleby
6 Dec 2016
Patrick Davies first up - the challenges of the 16th birthday in PICU...
#icssoa2016
Phil Duggleby
@PDuggleby
6 Dec 2016
Paediatrics and the transition to adulthood starting in Room England. Tweet any questions for the experts
#icssoa2016
Phil Duggleby
@PDuggleby
6 Dec 2016
Is the cost of clinical trials making researchers compromise on trial design? Should we be less critical and more pragmatic?
#icssoa2016
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Phil Duggleby
@PDuggleby
6 Dec 2016
Impaired neutrophil function a major problem in ICU...time for GM-CSF?
#icssoa2016
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Phil Duggleby
@PDuggleby
6 Dec 2016
Half of your ICU patients on a given day will have an infection and 70% will be on antibiotics (Vincent et al JAMA 2009)
#ICSSOA2016
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Phil Duggleby
@PDuggleby
6 Dec 2016
Dose response study of IFN beta limited by proinflammatory response at point of marginal gains. Rigoring to self extubation!
#ICSSOA2016
Phil Duggleby retweeted
Steve Gill π πΊπ¦
@ICMdoc
6 Dec 2016
IFN-beta reduces loss of CD73 & prevents lung leak in ARDS model hence clinical trials of IFN-beta in ARDS - interesting stuff!
#ICSSOA2016
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Phil Duggleby retweeted
Steve Gill π πΊπ¦
@ICMdoc
6 Dec 2016
ARDS outcomes influenced by primary insult, age, inflammatory market expression & our ventilatory interventions
#ICSSOA2016
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