@yourICM profile picture
Intensive Care Medicine @yourICM
Joined December 2012
  • Tweets 5,996
  • Following 144
  • Followers 75,661
3,358 Photos and videos
Septic cardiomyopathy involves dynamic systolic and diastolic abnormalities, making isolated assessment of LVDD insufficient for interpreting short-term mortality risk. zurl.co/FMcTy
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The 2026 Surviving Sepsis Campaign Guidelines have just been released. Sharpen you clinical decision-making and improve outcomes – read the guidelines for free: Adult: zurl.co/KRq9C Children: zurl.co/G6gMs
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JUST RELEASED! The 2026 Update of the Surviving #Sepsis Campaign Guidlines is now online! Permanent Free Access Adult: zurl.co/iplJP Children: zurl.co/tcKUM
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JUST RELEASED! The 2026 Update of the Surviving #Sepsis Campaign Guidlines is now online! Permanent Free Access Adult: zurl.co/I7hBu Children: zurl.co/JKedS
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Sepsis subtypes & response to IV vitamin C 🧫3 sepsis subtypes based on inflammatory response profile among critically ill adults 🍋NO subtype benefitted from vit C; heterogeneity of effect in magnitude of harm 🍊similar cytokine network in all subtypes 🔓 rdcu.be/d6dHt
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LV diastolic dysfunction in septic shock 🖥️ LVDD highly prevalent 🪦 not associated with mortality or 💦 initial fluid balance but with 🫁 significantly lower P/F ratio 🫀LVDD improved in survivors, suggesting #sepsis induced impairment of LV relaxation 🔓 rdcu.be/d5YBg
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CMV in #ICU: be aware! 🩺 pathophysiology 🧫 infection & disease definitions 🔥 reactivation in non-immunocompromised pts 🕯️ CMV in immunocompromised critically ill ⚠️ incidence & risk factors 🔬 presentations & diagnosis 🩺 treatment & prevention 🔓 rdcu.be/d5Sqt
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Life-supporting interventions in older ICU patients 🔎 > 230K pts in 🇯🇵 🛟 many life-supporting interventions, ⬇️ with age 🏥 ½ of pts in 80s & 60% >90y did not return home 🔓rdcu.be/d5Mf7 With editorial: how to provide better-tailored care? 🔓rdcu.be/d5Mft
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GCS: evolution & future celebrating 🎂 50 anniversary 🗺️ since introduction, GCS has been rapidly adopted into clinical practice due to its simplicity 🧠 bedrock of assessment of acute #TBI, its use expanded to any pts at risk of impaired consciousness 🔓rdcu.be/d5CEL
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Intensive Care Medicine retweeted
M Velia Antonini
@FOAMecmo
7 Jan 2025
🖥️ Difficult weaning can result from several causes, including impaired function of lung, heart, respiratory pump. #POCUS valuable tool across all stages of mechanical ventilation, including weaning, if properly trained staff. #echofirst #FOAMus 🔗 bit.ly/4j8aL08

How we use ultrasound in the management of weaning from mechanical ventilation

Intensive Care Medicine -

link.springer.com
Intensive Care Medicine@yourICM
7 Jan 2025
#POCUS to facilitate weaning from MV 🖥️ ABCDE to assess readiness for weaning & diagnose/monitor failure 🖥️ aeration score/pleural effusion 🖥️ below diaphragm 🖥️ cardiac function 🖥️ diaphragm 🖥️ extra‑diaphragmatic muscles 🖥️ future #echofirst #FOAMus 🔗 bit.ly/4j8aL08
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#POCUS to facilitate weaning from MV 🖥️ ABCDE to assess readiness for weaning & diagnose/monitor failure 🖥️ aeration score/pleural effusion 🖥️ below diaphragm 🖥️ cardiac function 🖥️ diaphragm 🖥️ extra‑diaphragmatic muscles 🖥️ future #echofirst #FOAMus 🔗 bit.ly/4j8aL08
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Enhancing procedural competency through #simulation 🔎50 #ICU interns/residents, no prior experience 🎓training on essential procedures gamified skill-specific competency labels to create motivating environment ⬆️ competency/efficiency & ⬇️ errors 🔗 bit.ly/3BW6ZpF
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Using routinely collected #ICU data? #AI models may assist in diagnosis, treatment & complex care, but before using for #datascience several challenges: quality, lacking long term outcomes, inherent bias, need for temporal updates, should be considered. 🔗 bit.ly/4fC71ks
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Intensive Care Medicine retweeted
Yohei Masuda@YoheiM_MD
29 Dec 2024
UKにおけるICU心エコー実施体制の調査 96%のICUに心エコー認定医はいるが，1日通して1時間以内に緊急心エコー実施可能な体制が整っている施設はわずか15% 本邦でもNPやレジデントのFOCUSスキル獲得はICU内外での心エコーへのアクセスに大いに貢献してくれるように思います。
Intensive Care Medicine@yourICM
29 Dec 2024
Echocardiography in ICU 🔍survey by @TRICNetwork @ICS_updates @FICMNews & @BSEcho, 178 🇬🇧 critical care units 🖥️significant heterogeneity in provision 🖥️96% had accredited clinician 🖥️16% of medical staff accredited in FOCUS & 4% in advanced #echo 🔓rdcu.be/d47LM 🧵1/2
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🎉 Best wishes for a happy (& full of published papers) 2025 to the Intensive Care Medicine #ICM community! 📫 Do not forget to submit manuscripts at bit.ly/SubmitToICM 🖋️ Instructions for authors/Submission guidelines bit.ly/ICMguidelines
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Can we use #AI to better treat acute kidney injury? 🤖 role of #ArtificialIntelligence 🔮 prediction & prevention of #AKI 🔍 AKI sub-phenotyping 🩺 (cross-specialty) AKI management 🚧 limitations 🔍 future research #FOAMcc on @icmjournal.bsky.social 🔓 rdcu.be/d5fMv
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Intensive Care Medicine retweeted
Luke Flower@LukeFlower1
29 Dec 2024
📣 Thank you @yourICM for sharing our findings with the ICM community. 🫀NEAT-ECHO demonstrated a need to improve UK echo provision & shock care, alongside the potential impact of trainee-led research. @TRICNetwork 📝 1: bit.ly/3AvjE1O 📝 2: rdcu.be/d47LM

The use of echocardiography in the management of shock in critical care: a prospective, multi-cen...

Intensive Care Medicine - Echocardiography is recommended as a first-line tool in the assessment of patients with shock. The current provision of echocardiography in critical care is poorly...

link.springer.com
Intensive Care Medicine@yourICM
29 Dec 2024
Echocardiography in ICU 🔍survey by @TRICNetwork @ICS_updates @FICMNews & @BSEcho, 178 🇬🇧 critical care units 🖥️significant heterogeneity in provision 🖥️96% had accredited clinician 🖥️16% of medical staff accredited in FOCUS & 4% in advanced #echo 🔓rdcu.be/d47LM 🧵1/2
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Echocardiography in ICU 🔍survey by @TRICNetwork @ICS_updates @FICMNews & @BSEcho, 178 🇬🇧 critical care units 🖥️significant heterogeneity in provision 🖥️96% had accredited clinician 🖥️16% of medical staff accredited in FOCUS & 4% in advanced #echo 🔓rdcu.be/d47LM 🧵1/2
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🧵2/2 🖥️ 89% had approved trainer, teaching provided in 55% 🖥️ 62% had an echo lead, only 44% of them had dedicated time for role 🖥️ only 15% units reported all-hours access to emergency #echo, 42% unreliable/no access 🖥️ regional echocardiographer-to-bed ratio: 0.48 to 0.14
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Managing adults with #sepsis in resource-limited settings 🔍 international Delphi consensus 🩺 statements complement existing guidelines where evidence is lacking add relevant aspects of management of critically ill, providing additional guidance 🔓 rdcu.be/d4XWB
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@AsianSepsis @TripathySwagata @sebastianttl @ganbold12 @mlevymd @PRICE_critcare @NaomiHammond @azevedo_lcp @esicmmassimo @LingLing7 @arthurkwizera @CLThwaites
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