GiorgiaGuazzarotti

Interventional radiologist at San Raffaele hospital in Milan

[Giovanni Landoni, MD @giovannilandoni]

this video is a must for everyone interested in teaching, understanding or learning about #lungs #barotrauma #pneumothorax

video is by @mangelini_med medical student @MyUniSR

ideation by @DiegoPalumbo89 @alebelletti1 @SRAnesthesiaICU @SanRaffaeleMI

[Matteo Angelini @mangelini_med]

In this video-article we showed:
- how #Macklin effect works
- its current role as predictor of barotrauma in #COVID19
- some possible applications for future research

It has been fun and challenging at the same time!🩻🎞️

Thanks to @giovannilandoni @alebelletti1 @DiegoPalumbo89

[Journal of Cardiothoracic and Vascular Anesthesia @JCVAonline]

#Macklin effect (or pulmonary interstitial emphysema) is the air dissection of the lung bronchovascular tree from peripheral to central airways following injury to distal alveoli. #lung
📷https://t.co/TcCfG1kOdK

[Philippe Rola @ThinkingCC]

@mangelini_med @SRAnesthesiaICU @giovannilandoni @alebelletti1 @DiegoPalumbo89 @FDeCobelli @azangrillo @tscquizzato @JCVAonline @CritCareMed @fabiodoc64 Quite interesting and certainly a marker of severity. Issue is there is no clear protective management strategy (yet). But certainly if in non intubated pt, raises issue of p-sili.

[Matteo Angelini @mangelini_med]

The identification of an early marker of severe disease in #COVID19 would benefit many high-risk patients in this (and other?) setting 🩻

What better way to convey its relevance than a video-article? Maybe only this video-thread! 1/10🧵

🔗https://t.co/nP3APeV309

#MacklinSign

[CVIR Journal @CVIR_Journal]

Check out this #LettertotheEditor ✍️
A Call for Standardization in #InterventionalRadiology Practice: How to Deal with Spontaneous Retroperitoneal #Haemorrhage?
https://t.co/5juZwppqlt
@DiegoPalumbo89

[San Raffaele Anesthesia and Intensive Care @SRAnesthesiaICU]

1/3 Ours @alebelletti1 @MABonizzoni @giovannilandoni @azangrillo helped @DiegoPalumbo89 @FDeCobelli in this systematic review: #Macklin sign is frequently detected on chest CT scan in patients with barotrauma, either traumatic or non-traumatic

🔗 https://t.co/w8XG43BSCp
#FOAMcc

[San Raffaele Anesthesia and Intensive Care @SRAnesthesiaICU]

First confirmation from the US that #Macklin sign at CT scan is a predictor of #barotrauma #pneumomediastinum 👇👇👇

#FOAMcc

[San Raffaele Anesthesia and Intensive Care @SRAnesthesiaICU]

Ours @alebelletti1 @DiegoPalumbo89 @giovannilandoni helped Columbia University Irving Medical Center, New York to confirm that 9 out of 10 #ARDS patients with #Macklin later developed (omolateral) #barotrauma.

🔗 https://t.co/bmmZBZK2PD #FOAMcc

[Diego Palumbo @DiegoPalumbo89]

Yesterday I successfully defended my PhD thesis on #PancreaticCancer #EsophagealCancer #Radiomics #AI. Thanks everyone who supported me these three years. Another chapter is about to begin!

[Giovanni Landoni, MD @giovannilandoni]

Hey #ICU #Criticalcare #Anesthesia Journals and editors

We have a nice editorial on #Macklin effect in #ARDS ready for submission with visual abstract and images

If you are interested please DM!

This "Macklin sign" on CT scan is going to change the management of ARDS patients

[ECIO @ECIOcongress]

Submit a case report for #ECIO2023! Share a particularly challenging intervention with the IO community via electronic poster at the congress, highlighting the course of treatment and takeaways from the case. ➡️​https://t.co/wxYUejOccq
@GGua89 (1/3)

[Intensive Care Medicine @yourICM]

#COVID19 ARDS? Do not miss Macklin effect or "interstitial emphysema" visible on CT as linear collection of air double-profiling bronchovascular bundles, visceral pleura &/or interlobular septa: it could be accurate/early barotrauma predictor.
🖇️https://t.co/JKHnPb4IXn

See ⬇️ 🧵

[Diego Palumbo @DiegoPalumbo89]

@SRAnesthesiaICU @sofia_rosaria @Mattias06323247 @giovannilandoni @azangrillo @lorenzodagna well done @sofia_rosaria! never understimate the risk of bleeding (major spontaneous hemorrhage) in #COVID19 patients: the other side of #microCLOTS. here is the interventional radiologist point of view:

https://t.co/ZGx6NYVC1A @FDeCobelli @GGua89

[Nicolò Pecorelli @nicpecorelli]

Great job @DiegoPalumbo89 and Gio Guarneri!

This is our latest paper focusing on the impact of CT assessed liver steatosis on complications after Whipple. Just published on @AnnSurgOncol.
https://t.co/WnK9faVWlU

@StefanoCrippa6 @spartelli @FDeCobelli @IHPBA @MyUniSR

[Stefano Partelli @spartelli]

Great presentation at #ESA22 🇪🇺from ⁦@nicpecorelli⁩ on a novel radiological ☢️ model for predicting pancreatic fistula after distal pancreatectomy

[Nicolò Pecorelli @nicpecorelli]

@AISP_Pancreas CT scan bible 📖to assess response to NACT for PDAC. Great presentation by @DiegoPalumbo89

[Roberto Cannella @cannella_rob]

Diego Palumbo @DiegoPalumbo89 ci parla di risposta alla terapia dell'adenocarcinoma del pancreas @AISP_Pancreas

@PBoraschi @Blondie_GZ

[Diego Palumbo @DiegoPalumbo89]

#macklineffect confirmed to be (in a cohort of almost 700 patients!) a reliable marker of lung frailty.

@alebelletti1 @pietro_bertini @giovannilandoni

[Diego Palumbo @DiegoPalumbo89]

Almost two years later. Definitely one of the best (and earliest) contributions of @MyUniSR @SanRaffaeleMI in the battleground of COVID-19 pandemic. With now hundreds of papers supporting it.