José Luis (@CheluccJl) header
José Luis (@CheluccJl) profile picture

👨‍⚕️🫀😴, #echofirst, #TEE, #CPB, #ECMO, #perfusion,💯#PatientSafety #teamwork. Passionné pour la physiopathologie ❤️‍🩹; muy #orgullosodeseranestesista

Paris, France
Joined November 2017
Photo by José Luis (@CheluccJl)Photo by José Luis (@CheluccJl)Photo by José Luis (@CheluccJl)Photo by José Luis (@CheluccJl)Photo by José Luis (@CheluccJl)Photo by José Luis (@CheluccJl)Photo by José Luis (@CheluccJl)Photo by José Luis (@CheluccJl)Photo by José Luis (@CheluccJl)Photo by José Luis (@CheluccJl)
STABLE ISCHEMIC HEART DISEASE: From Diagnosis to Revascularization When should we choose optimal medical therapy, PCI, or CABG? The answer depends on more than coronary stenosis alone. This 8-part visual masterclass explores the evidence behind diagnosing and managing chronic coronary disease. What you'll learn: 1️⃣Clinical assessment and noninvasive testing 2️⃣ Optimal medical therapy and cardiovascular risk reduction 3️⃣ Antianginal drugs and symptom control 4️⃣ PCI vs. CABG: indications, benefits, and limitations 5️⃣ Landmark trials: COURAGE, ISCHEMIA, FAME 2, FREEDOM, SYNTAX and STICHES 6️⃣ Practical algorithms for revascularization decisions Watch the full video, save it for revision, and share it with your colleagues. #Cardiology #MedTwitter
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SEPSIS 2026: Consenso internacional multidisciplinario, con 164 expertos de 22 países, establece 40 recomendaciones en siete áreas fundamentales del manejo de la sepsis. 🩺 pubmed.ncbi.nlm.nih.gov/4259… @ClinicaNavarra
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Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2026 CCR Journal Watch criticalcarereviews.com/late…
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In patients with suspected sepsis, procalcitonin adds little diagnostic value and is unlikely to change management. Full context and comment from Deputy Editor Aaron J. Calderon: https://nej.md/4cNtEVe #MedTwitter
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José Luis retweeted
#VíaAéreaSEDAR 🔥🫁 Ventilación con mascarilla: ¿relajar o no relajar? 💡 ¿Y si retrasar el relajante empeora la ventilación en algunos pacientes? 🤔 ¿Confirmáis siempre ventilación antes del BNM o individualizáis según escenario? 🔗 sciencedirect.com/science/ar…
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New study: Intraoperative RBC transfusions may raise postop delirium risk—esp. when Hb >7.3 g/dL. Findings highlight need for judicious transfusion practices. 🩸🧠 anesthesiologynews.com/a/8DY… #Anesthesia #PatientSafety #Delirium #MedTwitter
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Vasodilators for Pharmacologic Afterload Reduction in On-pump Cardiac Surgery Clevidipine reduced SBP excursion time outside goal range vs nitroglycerin/nitroprusside. 🫀⏱️ Takeaway: excursions and variability link to outcomes jcvaonline.com/article/S1053…
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Etomidate has long been favored for rapid sequence intubation, but concerns about adrenal suppression, especially in sepsis, have led many clinicians to choose ketamine instead. A new trial compares the two. Read the Key Results: jwat.ch/4theZHA
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Impact of Intraoperative Hyperoxia Versus Normoxia on Mortality and Organ Injury in Cardiac Surgery: A Systematic Review and Meta-analysis of Randomized Clinical Trials Takeaway: oxygen excess may carry biochemical cost—read more in JCVA. jcvaonline.com/article/S1053…
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A new pathophysiologic review of cardiac tamponade helps anesthesia providers understand the application of clinical management modalities such as fluids, vasopressors, anesthesia, and positive-pressure ventilation and manage potential complications: journals.lww.com/anesthesiol…
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Neuromuscular blockers improve surgical conditions—but may increase inflammation, delirium risk, and pulmonary complications if not properly reversed. anesthesiologynews.com/a/9jY… #anesthesia
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Our January 2026 @CASEfromASE is online! bit.ly/3Yls18R This issue focuses on: 🔷 Annular Tear following Percutaneous Mitral Commissurotomy 🔷 LV Diastolic Collapse in a Multiloculated Malignant Pericardial Effusion 🔷 Symptomatic Giant Pericardial Cyst 🔷 And more!
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José Luis retweeted
#VíaAéreaSEDAR 🔥🫁 La @dasairway ha publicado sus Guías y tenemos algunos cambios interesantes 💡🤔 😎 Os dejamos esta infografía resumen 📖 Guía completa DAS 2025 🔗 das.uk.com/guidelines 👉 ¿Qué cambio os parece más relevante en vuestra práctica diaria?
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José Luis retweeted
🎄✨ Desde la SEDAR queremos desearos unas Felices Fiestas, llenas de paz, salud y momentos compartidos. Que el 2026 llegue con nuevas oportunidades, prosperidad y un futuro lleno de esperanza para tod@s. ¡Gracias por seguir caminando a nuestro lado! 🌟🥂 Feliz y próspero 2026.
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New in #EJPC: Lower consumption of sugar-sweetened beverages or artificially sweetened beverages may reduce the risk of degenerative valvular heart disease (VHD) and VHD-related events. 📕 ow.ly/1MiF50XK9s8 @EJPCEiC @AboyansV @SilCastelletti @PTBuketAkinci @PeroneFrancesco @justvick
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#TAVI is often performed under local anaesthetic with conscious sedation #LA-CS. Data from #SOLVE-TAVI suggest LA-CS patients reach #BIS depths typical of general anaesthesia – raising questions about over-sedation bjaopen.org/article/S2772-60…
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José Luis retweeted
In 473 high-risk patients, starting a continuous norepinephrine infusion at induction - instead of ephedrine boluses - was associated with: - Much less hypotension: 15% vs. 74% - Lower 30-day complications: 44% vs. 58% - Fewer pulmonary complications community.nysora.com/nysora-…
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🏥 Read a summary of "Preoxygenation strategies for intubation of patients who are critically ill: a systematic review and network meta-analysis of randomised trials," in the December 2025 Science, Medicine, and the Anesthesiologist: ow.ly/Slco50XBrM6
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