@PICUvent profile picture
Gokhan Ceylan @PICUvent

AAAL, pediatric intensivist, positive thinker ;)

Joined January 2011
  • Tweets 2,857
  • Following 3,351
  • Followers 2,031
70 Photos and videos
Among children treated for septic shock, no significant difference was seen in the incidence of death, new RRT, or persistent kidney dysfunction when fluid resuscitation was administered with balanced fluid as compared with 0.9% saline. nejm.org/doi/full/10.1056/NE… #pedsICU #FOAMED

Balanced Fluid or 0.9% Saline in Children Treated for Septic Shock | NEJM

Whether treatment with balanced crystalloid fluid leads to better outcomes than 0.9% saline in children treated for septic shock is debated. In this pragmatic clinical trial conducted at 47 emergen...

nejm.org
4
124
Gokhan Ceylan retweeted
Gülșah@hellenicae
Feb 27
#SunExpress , 9 saat süren Frankfurt-Izmir ucusunda havasızlıktan bayilan hastaya doktor olarak müdahale ederken kirlan gözlügümü ödemeyi reddetti. Üstelik uçuş sırasında 2 hastaya müdahale ettim, üstelik kendim hasta olduğum halde. @SunExpress @ttborgtr
42
104
424
30,520
Do you remember when you joined X? I do! #MyXAnniversary
1
146
jamanetwork.com/journals/jam… When interpreting the results, it’s important to note that despite a target SpO₂ of 88–92% in the conservative arm, many patients received supplemental oxygen above target. Mean achieved SpO₂ was 93.3% vs. 95.1% (convs lib)#ROXUK #oxygen #FOAMed #FOAMcc

Conservative Oxygen Therapy With Mechanical Ventilation

This randomized clinical trial assesses whether reducing supplemental oxygen to a peripheral oxygen saturation target of 90% would reduce mortality among critically ill adults receiving mechanical...

jamanetwork.com
186
Although failed extubation was associated with prolonged ventilation duration at the individual patient level, centers with higher failed extubation rates demonstrated a lower median duration of mechanical ventilation across their populations. #pedsICU journals.lww.com/pccmjournal…

Sedation and Ventilator Weaning Bundle and Time to... : Pediatric Critical Care Medicine

DESIGN: Post hoc subgroup analysis of a cluster-randomized trial, 2018 to 2019 (ISRCTN16998143). PATIENTS: Surviving patients with bronchiolitis under 1 year of age in the SANDWICH trial (n = 784)....

journals.lww.com
176
Gokhan Ceylan retweeted
British Journal of Anaesthesia@BJAJournals
16 Mar 2025
Does mechanical ventilation always improve gas exchange? 🔹 PEEP improves lung recruitment 🔹 Overdistension increases dead space 🔹 Low cardiac output worsens shunt Managing the delicate balance of ventilation in ICU is an art & a science! 🫁 📖 Read: bjaed.org/article/S2058-5349…
3
115
282
16,666
Gokhan Ceylan retweeted
British Journal of Anaesthesia@BJAJournals
31 Jan 2025
Do you use ketamine as part of your routine clinical practice? Richards et al review the diverse effects of ketamine and its benefits in clinical practice. #ketamine #anaesthesia #perioperative #analgesia #surgery bjanaesthesia.org/article/S0…
6
118
332
84,336
Gokhan Ceylan retweeted
Journal of Clinical Monitoring and Computing@JcmcSoMe
20 Jan 2025
🛎️The definitive narrative review on assessing fluid responsiveness by using functional hemodynamic tests in critically ill patients is out !💧 link.springer.com/article/10… by @mess81rc , @DrMCecconi @esicmmassimo et al. from @HumanitasMilano 🇮🇹 Follow us on X/LinkedIn!
13
39
6,212
Gokhan Ceylan retweeted
Critical Care Reviews@CritCareReviews
4 Jan 2025
Sepsis-induced cardiogenic shock: controversies and evidence gaps in diagnosis and management CCR Journal Watch criticalcarereviews.com/late… CCR Newsletter - subscribe at criticalcarereviews.com/news…
50
152
8,918
Detection of Iron deficiency and follow-up after PICU stay remain inadequate. Congrats @yoncabulutmd #PedsICU #FOAMed journals.lww.com/pccmjournal…

1
1
141
Gokhan Ceylan retweeted
GASTRIC-PICU Study@GASTRIC_PICU
6 Nov 2024
We’re recruiting well now 2550 patients recruited Amazing effort from all out sites!!! 👏👏@ICNARC @NIHRresearch @edgehill_HRI @lyvonnetume @pus27 @jmenzies1
3
5
403
There is a strong association between early peak fluid overload and increased mortality, with a weaker link to morbidity in critically ill children. Early initiation of RRT alongside diuretics may positively impact mortality in AKI cases. #PedsICU sciencedirect.com/science/ar…
1
130
In children with PARDS, P0.1 may often underestimate high respiratory effort. Clinicians should be cautious with low P0.1 readings, especially in cases of airway obstruction, high tidal volumes, or high opioid doses. #pedsICU #FOAMed pubmed.ncbi.nlm.nih.gov/3936…

Phenotypes based on respiratory drive and effort to identify the risk factors when P0.1 fails to...

NCT03266016; August 23, 2017.

pubmed.ncbi.nlm.nih.gov
2
5
197
Gokhan Ceylan retweeted
IMCrit
@IM_Crit_
12 Oct 2024
ICU (Central Venous/Arterial) Line Secrets - Part 1: An ICU where the patients have no central lines & are not connected to ventilators is not a real ICU. This may be a controversial statement but in my humble opinion not far from truth
31
227
1,282
441,449
Gokhan Ceylan retweeted
JAMA
@JAMA_current
9 Oct 2024
Among critically ill adults who received invasive mechanical ventilation for more than 24 hrs, screening frequency and SBT technique did not change the time to successful extubation. ja.ma/4gVdngG #LIVES2024
53
117
22,426
RT @Martin_Kneyber: What every paediatrician needs to know about mechanical ventilation. Happy to share our latest review in @EurJPediatric…
21
RT @Martin_Kneyber: October 23 will be a very important day as my PhD student, colleague and friend @BlokpoelRobert is going to defend his…
2
Gokhan Ceylan retweeted
Melikşah Keskin@meliksah225
18 Sep 2024
Cilt altına implante edilerek kullanılan sürekli glukoz ölçüm sisteminin bir yıllık kullanımı FDA onayı aldı ( 18 yaş üstü için ) Çocukluk dönemi için onayı olmasa da önemli bir gelişme olduğunu düşündüğüm için paylaşmak istedim
1
12
39
2,297
Gokhan Ceylan retweeted
Yonca Bulut M.D.
@yoncabulutmd
8 Aug 2024
Patients with #MISC develop a characteristic immune response to the #Covid19 nucleocapsid protein that is associated with cross-reactivity to the self-protein #SNX8 #autoimmunity #PedsICU @UCSFMedicine @NatureMedicine rdcu.be/dQpnB
4
14
1,522
Gokhan Ceylan retweeted
Ben Fabry@ATC_Ventilator
5 Aug 2024
For a given alveolar minute ventilation, which combination of frequency and volume minimizes mechanical power according to the @Gattinon equation? This depends on lung parameters but may result in dangerously high tidal volumes. DO NOT try to minimize the mechanical power.
2
10
43
5,461
Load more