DRatano retweeted
Beyond borders! International fellowships serve as catalysts for development
🌱 professional
🌱 personal
🌱 career
🌱 institutional
shaping fellows’ identity & producing a more well-rounded, empathetic, effective physician.
#FOAMcc on @yourICM
🔓 rdcu.be/dX0jo
DRatano retweeted
How to Set #mechanicalventilation during #ecmo ?
Ask @efan75 and @Luigi_ICM
Once a patient is placed on ECMO mechanical ventilation should not aim to maximise gas exchange but to optimise lung protection. Careful selection of DP Vt and PEEP!
link.springer.com/chapter/10…
DRatano retweeted
VV #ECMO associated with considerable number of complications: adequate understanding of implications of run initiation/management decisions & complications across pts, families, teams crucial to both minimize/address harm. Narrative review @CritCareMed
🖇️ bit.ly/3S1L17E
Complications on VV #ECMO... What can go wrong?? Lot of things... be aware of
➡️ patient selection
➡️ timing of ECMO or transfer to ECMO center
➡️ configuration
➡️ MV
➡️ weaning/decannulation
➡️ short term problems
➡️ long term sequelae
@CritCareMed
🖇️ bit.ly/3S1L17E
DRatano retweeted
Bedside TEE guided VV #ECMO cannulation in severe #COVID19 respiratory failure? Safe & effective! No tamponade/hemothorax/intraabdominal bleeding or TEE-related complications reported in this study nor healthcare provider #SARSCoV2 infection
@JCVAonline
🖇️ bit.ly/3AXFDMG
DRatano retweeted
Our physiological trial of an integrated ventilation and sedation strategy for lung and diaphragm protection in patients with AHRF came out today @Crit_Care.
These are, IMO, the main findings of the study:
1/8
ccforum.biomedcentral.com/ar…
DRatano retweeted
Decline in Ventilatory Ratio as a Predictor of Mortality in Adults With ARDS Receiving Prone Positioning rc.rcjournal.com/content/67/… …Great work @manutismi @BrunoFerreyro @efan75 @ICUFellowTo
DRatano retweeted
Family/caregivers at #ICU bedside? Essential to pt's care... not merely “visitors”
⬇️ anxiety/#delirium + ⬆️ pts well-being
⬆️ communication & enhanced relationships with team
⬇️ anxiety/depression in family/caregivers
⬆️ psycho-health of HCWs
#FOAMcc
🖇️ rdcu.be/cTW4Z
DRatano retweeted
ccrg.org.au/news/bmj-paper-m…
@UQMedicine
@MetroNorthHHS
@CCRG_Research
@TheCommonGoodAU
@tpchlibrary
@UHN
@efan75
@martin_urner
DRatano retweeted
"Probably the most important study in our field." - @IntlECMONet
bmj.com/content/377/bmj-2021…
Congrats @efan75 @martin_urner @aidybarnett on the latest paper by @COVIDcritical. Presented as special session @EuroELSO
@bmj_latest
@UQMedicine
@MetroNorthHHS
@tpchlibrary
DRatano retweeted
#CritCare #OpenAccess
Clinical #sepsis-survivors heterogeneity vs distinct #biological_profiles at ICU discharge & late #adverse_events bit.ly/3v6gZqa
@jlvincen @ISICEM #FOAMed #FOAMcc #BMC #ICU #Biomarkers #Personalized_medicine #PICS
DRatano retweeted
Nice example of emulated target trial. #causalinference Also nice example of robust response to reviews and additional analyses by @martin_urner and @efan75 which one can see on the @bmj_latest website. Congrats!🍾
A @COVIDcritical study reveals that for a subset of patients, use of #ECMO to treat #COVID-related respiratory failure is linked with a 7.1% reduction in death vs. mechanical ventilation alone. Congrats Drs. @efan75 @martin_urner and JF Fraser > bmj.com/content/377/bmj-2021… @UHN
DRatano retweeted
The updated @ELSOOrg adult & pediatric anticoagulation guidelines just out, open access, on @asaiojournal
🩸anticoagulants
🩸therapeutic monitoring of anticoagulants
🩸management of bleeding & thrombotic complications
#FOAMcc #FOAMecmo #PedsICU
🖇 bit.ly/3fR5NoN
DRatano retweeted
Bubble study to rule out PFO??
➡️#ARDS pt, severely hypoxemic despite MV + prone
positioning
➡️#TEE bubble study through upper-limb access
➡️large Eustachian valve prevented bubbles from reaching IAS
#POCUS #FOAMus rdcu.be/ctI0Y
PS consider femoral venous injection...
DRatano retweeted
📢An important lesson here for early-career #Medtwitter
@Nature
"often involving junior researchers who have given their all in collaborations only to then feel unfairly relegated down the author or collaborator's lists"
Read this:
nature.com/articles/d41586-0…
DRatano retweeted
NEW—Guidance on antimicrobial use should form part of #COVID19 patient care, as UK data confirm bacterial co-infections are rare but antimicrobial use is high.
Read the study from @clarkdrussell, @c_j_fairfield et al. in @LancetMicrobe: hubs.li/H0PtxFn0.
DRatano retweeted
TEG in children on #ECLS: study including 40 pts with congenital heart disease requiring #ECMO. TEG-derived variables + plasma fibrinogen, can jointly predict bleeding risk in this group.
bit.ly/3c6FU2k
With open access accompanying editorial. bit.ly/3kVdCvn
