Physician Intensivist (adult and paediatric). Ultrasound evangelist. Pragmatist. Director of Paediatric ICU @RCHMelbourne. Views are my own.
Australia
Joined June 2011
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Tom Rozen retweeted
Adding nitric oxide to membrane lung (through the swwp gas flow) in children on #ECMO, before-after study including 🔍 393 #ECLS runs: 49% received NO
Just out on @asaiojournal
#PedsICU
🖇️ bit.ly/3SWECfE
Adding NO to the SGF to ML in children on #ECMO??
🖇️ bit.ly/3SWECfE
📦 use of NO associated with 37% ⬇️ in circuit change
🧠 link between NO & lower risk of neurologic injury in children who underwent cardiac surgery observed
⚖️ no difference in survival between study groups
Given theoretical benefits associated with NO (such as preventing PLT adhesion to surfaces, mitigating inflammatory response, protection against I/R injury) & observed benefits in this study, NO therapy warrants on ECMO warrants prospective evaluation in #PedsICU. @asaiojournal
Tom Rozen retweeted
Adding NO to the SGF to ML in children on #ECMO??
🖇️ bit.ly/3SWECfE
📦 use of NO associated with 37% ⬇️ in circuit change
🧠 link between NO & lower risk of neurologic injury in children who underwent cardiac surgery observed
⚖️ no difference in survival between study groups
Given theoretical benefits associated with NO (such as preventing PLT adhesion to surfaces, mitigating inflammatory response, protection against I/R injury) & observed benefits in this study, NO therapy warrants on ECMO warrants prospective evaluation in #PedsICU. @asaiojournal
Tom Rozen retweeted
Amy’s story about water safety is one that every parent needs to hear.
Stay safe around water this summer and learn the facts at rchpoll.org.au
📽️ youtu.be/2QikwaYf8e8
Tom Rozen retweeted
💉 Vancomycin + pip–tazo associated with ⬆️risk of creatinine-defined #AKI in critically ill: pseudotoxicity?? No changes in alternative kidney function biomarkers, nor downstream clinical outcomes associated with true AKI (dialysis/mortality).
#FOAMcc
📎 rdcu.be/cRLAi
Tom Rozen retweeted
Considering both these treatments are non standard for Bronch in AU this raises many Qs. Esp if just those on high flow benefit.
So should all infants who need high flow have this Rx?
Tom Rozen retweeted
Very sad to announcing the passing of A/Prof Andrew Hilton. A loving & caring husband & father. An irreplaceable, compassionate and brilliant clinician. A tireless voluntary worker for CICM.
Tom Rozen retweeted
Flexible nasoendoscopy to examine the nasal septum, turbinates, nasopharynx, soft palate, base of tongue and larynx. It’s a simple, well tolerated procedure that would give a lot of useful information.
Tom Rozen retweeted
In today's #SMACC2019 we hear from @ExpensiveScare on clinician performed #ultrasound in paediatrics: bit.ly/3clXejX #CodaPodcast 💥
Tom Rozen retweeted
“Intensive care isn’t designed for massive peaks like that.”
Intensive care doctor Stephen Warrilow explains why #Covid19 treatments are so challenging for hospitals. More @business : trib.al/ILl86Wc
Tom Rozen retweeted
Data concerning the early Australian ICU experience of COVID 19. @AidanBurrell @anzicrc @intensiveblog @anzicsctg @Monash_SPHPM
Outcomes of COVID-19 patients admitted to Australian intensive care units during the early phase of the pandemic in @theMJA mja.com.au/journal/2020/outc…
Tom Rozen retweeted
A flexible nasoendoscopy is a routine procedure I perform on many patients daily as part of a complete ENT examination. If you’re interested in seeing my nasal turbinates, nasopharynx and larynx, catch this 2 minute video of me doing it to myself.
Tom Rozen retweeted
ICU will save your life. The people will save ICU #SocialDistance #FlattenTheCurve @anzics @SaferCareVic We have to change how we live for now. #covid19australia – at Melbourne, Victoria
Just been for some groceries in Sandringham, Vic. Street cafes packed with peeps having breakfast and (close quarter) chats. Lovely still morning for it. For transmitting covid.
I don’t think we are getting it. #SocialDistance This is important everyone. This will save lives.
Tom Rozen retweeted
COVID-19 Guidelines from ANZICS just released mcusercontent.com/03cbd5b8a6… #covid19 #foamed #foamcc
Tom Rozen retweeted
Brooks et al : Australian ICU trainees demonstrate excellent agreement with experts on LV function and other echo measures!
Link:ow.ly/7qjE50xA40v
@sccm #CritCareMed @SaratogaDreamTm @li_h_tan @ExpensiveScare
Fig : Heatmap for agreement of LV function.
Tom Rozen retweeted
No compression is necessary to prove that this is thrombus
Courtesy Norma Byttow #POCUS