K. Szułdrzyński

intensivist, respirologist and ECMOholic, founder of @KrakowSpring,
National Institute of Medicine, Warsaw

[K. Szułdrzyński @KSzuldrzynski]

@marcogiani @FOAMecmo @ELSOeducation @ELSOOrg @EuroELSO @ERezoagli @AnnalsofC That's exactly how we do it. Glad to know that wiser minds support it too!

[Marco Giani @marcogiani]

Adding regional citrate anticoagulation (RCA) to heparin for CRRT in VV-ECMO?

🩸 0% vs 18% circuit clotting
📈 Better platelet trends
⏱️ Longer circuit lifespan
⚖️ No relevant metabolic complications

Read our randomized crossover study 👇
https://t.co/2Tdq6SponN

[Karolina Gałecka @K_Galecka]

🏥 Nowoczesny oddział intensywnej terapii w Szpitalu MSWiA – pierwszy w Polsce oparty na idei „healing environment”! 🌿

W warszawskim szpitalu PIM MSWiA otwarto oddział, który łączy najnowocześniejszą technologię z troską o komfort psychiczny pacjentów w stanie krytycznym.

✨ Czym się wyróżnia?

▫️ nowoczesną aparaturą medyczną
▫️ architekturą ograniczającą stres i wspierającą proces zdrowienia
▫️ systemem kontrolowanego podciśnienia zwiększającym bezpieczeństwo epidemiologiczne
▫️ pionierską koncepcją „cichego OIT”, ograniczającą hałas urządzeń
▫️ możliwością obecności bliskich – indywidualne sale z przeszklonymi ścianami i strefą noclegową dla rodziny

To nowy standard opieki, który wspiera nie tylko ciało, ale i psychikę pacjenta. Modernizacja kosztowała kilkanaście milionów złotych i wprowadza polską medycynę na poziom rozwiązań stosowanych w najlepszych szpitalach świata.

[M Velia Antonini @FOAMecmo]

Thrombocytopenia in VV #ECMO? Highly prevalent in VV ECMO, and strongly associated with bleeding risk and reduced survival. Platelet transfusions do not appear to significantly reduce bleeding risk: targeted prevention strategies needed! #FOAMcc @Crit_Care
🔓 https://t.co/8MC5W9n00M
🔎 adults w resp failure; baseline thrombocytopenia 27.9%, mild 14.7%, moderate 8.7%, severe 4.4%
⚖️ thrombocytopenia in #ECLS occurred at least once in 80.2%; mild 21.3%, moderate 32.2%, severe 26.7%
🩸mild thrombocytopenia increased risk of bleedings by 61%; moderate & severe by 90%
🚧 risk for thrombocytopenia  increased with ICU days prior to ECMO, postop admission, immunocompromised state, RRT, septic shock, low hemoglobin, circuit replacement.

[Jordi Riera @jrdelbrio]

Great days in beautiful Warsaw 🇵🇱
Honored to co-direct the #ECLS workshop with Nick Barrett and speak on V-V #ECMO management and the ECMO–#ECPR–donation connection.
Thanks @KSzuldrzynski for the kind invitation!

[Fluid Academy @Fluid_Academy]

A heartfelt thank you to everyone who joined our hands-on workshops at Intensive Spring 2025! 🙌

🔬 Hemodynamic Simulation Workshop
Led by Dr. @Manu_Malbrain and Dr. Xavier Monnet (@Prof_XMonnet), this session provided deep insights into clinical decision-making using real-life scenarios and cutting-edge monitoring.

🫀 CACU Workshop – Critical & Acute Care Ultrasound
Expertly delivered by Dr. Adrian Wong (@avkwong), this course took participants on a full-day deep dive into bedside ultrasound for hemodynamic and fluid assessment.

We are especially grateful to:

✨ Dr. Konstanty Szuldrzynski (@KSzuldrzynski), President of Intensive Spring, for his leadership and hospitality.

@MindrayGlobal and @GetingeGlobal – for generously providing the simulation and ultrasound equipment that made these workshops possible.

Want to access more exclusive content, expert-led courses, and upcoming events?
👉 Join us on the Fluid Academy!
🔗https://t.co/obPADScgPH

#IntensiveSpring2025 #FluidAcademy #FluidStewardship #Ultrasound #Hemodynamics #CriticalCare #MedicalEducation #CACU #Mindray #Getinge #FOAMed

[K. Szułdrzyński @KSzuldrzynski]

https://t.co/KwTOAVuJfk

[K. Szułdrzyński @KSzuldrzynski]

Beautiful Cabo Verde

[NewsMED @NewsMED_pl]

💗W Polsce mamy bardzo dobry sprzęt, lekarze mają umiejętności. Ale system finansowania, zastosowanie limitów powodują, że nie możemy leczyć tak, jak możliwe – mówi dr @KSzuldrzynski z @pim_mswia

@MZ_GOV_PL @IntensywnaPL

#anestezjologia
https://t.co/xuTeWyRBRk

[Ramanathan KR @KrKrramanathan]

ELSO Position Statement on blood transfusion.
Common transfusion triggers may not apply to all ECMO patients. @GraemeMacLaren @DrGilesPeek @eugenefanbw @caraagerstrand @EuroELSO @APELSOorg @swaac_elso @ElsoLatam

[Jordi Riera @jrdelbrio]

Our course, #ECMOBARNA2024 @vallhebron @VHIR_, is fully aligned with @ELSOOrg in the objective of delivering high-quality training in #ECLS. This modular course includes ELSO Foundations+expert tutorials and high-fidelity #Simulation.

[Fluid Academy @Fluid_Academy]

➡️REGISTER FOR THE VIDEO REPOSITORY

Did you miss the 13th IFAD? No problem – we have you covered! Access all the plenary presentations from this year’s IFAD meeting on our online platform. Discover the latest research, clinical guidelines, and innovative practice tips to enhance your knowledge and skills. Plus, participate in online quizzes to boost your expertise in fluid and sepsis stewardship, as well as hemodynamic and organ function monitoring. Don’t miss out on this chance to stay updated and advance your professional career. Register now to enjoy access until June 2025 for just EUR 49!

SIGN-UP here: https://t.co/rpHvoYPgBD

A shortlist of Speakers at the 13th International Fluid Academy Days
•Adrian Wong @avkwong
•Bianca Morosanu @BiancaMorosanu2
•Segun Olusanya @iceman_ex
•Laura Galarza @LauretaPereta
•Konstanty Szuldrzynski @KSzuldrzynski
•Manu Malbrain @Manu_Malbrain
•Prashant Nasa @Drnasap
•Christian Scheer @SepsisSurvey
•Rob Wise @robwiseICU
•Francesco Zadek @FraZadek
•Thomas Langer @Thom_Langer
•Pietro Caironi @CaironiPietro
•Frantisek Duska @FrantaDuska
•#Michelle_Chew
•Xavier Monnet @PrXaMonnet
•Marcia McDougall @MarciaMcDougall
•Alan Timmins @timmins_alan
•Emily Ridley @EmilyRidley6
•Augusto Perez-Calatayud @buddhafactor
•#David_Astapenko
•Neha S. Dangayach @drdangayach
•#Robert_Hahn
•#Carmen_Pfortmueller
•Tim Balthazar @TimBalthazar
•Paul Elbers @drPaulElbers
•#Can_Ince
•#Christian_Wiedermann
•Frederik Verbrugge @FH_Verbrugge
•Niels Van Regenmortel @icu_nivare
•Javier Ripolles melchor @germ_red
•Hatem Soliman Aboumarie @EchoSoliman

A selection of the topics:
1. Sepsis Stewardship
2. Fluid Stewardship
3. Fluid Guidelines and the NICE Concept
4. Nursing Objectives in Fluid Management
5. Fluid Stewardship Feedback from Various Countries
6. Mythbusting Fluid Management Concepts:
i. Myth 1: CVP is useless
ii. Myth 2: Hyperlactatemia needs a fluid bolus
iii. Myth 3: Hypotonic fluids are dangerous
iv. Myth 4: Albumin is a waste of money
v. Myth 5: Septic patients need their 30 mls/kg
vi. Myth 6: Fluid balance needs to be zero asap
vii. Myth 7: A bag is a bag
viii. Myth 8: Avoid fluids in cardiac and renal patients
ix. Myth 9: We’re lost without CCO monitoring
x. Myth 10: Edema needs diuretics
7. Fluid Balance and Acute Kidney Injury in Sepsis
8. Clinical Nutrition Optimization in ICU
9. Fluid Types and Composition
10. Acid-Base Management
11. Hemodynamic Monitoring Tools and Management
12. Physiology of Shock
13. Fluid Responsiveness
14. Ventilation and Fluid Responsiveness
15. Interactive Clinical Cases Discussions
16. Daily Management Insights in Intensive Care Medicine, ARDS, and Emergency Medicine
17. Pre-hospital Bleeding Management

SIGN-UP here: https://t.co/rpHvoYPgBD

IFAD2023 major partners: @baxter_intl @CSLBehring @MindrayGlobal @OctapharmaGroup @CytoSorbents @SentinelMedT @Medaman_AtoQ @Abiomed @GetingeGlobal @quality4health @WSACS

[Fluid Academy @Fluid_Academy]

Are you looking to enhance your clinical skills and improve patient outcomes in critical care? Consider our Hemodynamic Simulation Course, designed to help you master complex hemodynamic principles, refine decision-making abilities, and build clinical confidence.

SIGN UP here: https://t.co/MPoWBYeOFU
#CriticalCare #HealthcareTraining #Hemodynamics

Speakers: @PrXaMonnet #michellechew @KSzuldrzynski

[EuroELSO @EuroELSO]

🎥 Recording of #EuroELSO2024 Opening Ceremony is available!
🎙️welcome notes: @KSzuldrzynski, N Barrett, @GraemeMacLaren
📚 #ECMO year in review: pediatric - LM Broman, adults @ECMOdaily, nursing & AHP - S Wulczynska, innovation & tech - J Arens
#FOAMcc
🔓 https://t.co/OGK9RZ7QbI

[EuroELSO @EuroELSO]

Mechanical ventilation during #ECMO support
🫁 evolving concepts of lung protective ventilation & #extracorporeal gas exchange
current practice
MV in EOLIA
recommended MV settings
proning
NMBAs
🫁🫀MV in #ECLS for cardiac support
#FOAMcc
🔓 https://t.co/QE21yJ3KTh

[EuroELSO @EuroELSO]

The physiology of VA #ECMO, comprehensive clinical perspective:
🩸basic hemodynamic alterations explained
🫀cardiac function & loading
Open access #FOAMcc #FOAMecmo
🔓 https://t.co/OLH2GVKfqd

#ELSO2024 Perfusion special issue
🔓 https://t.co/rSU98bFxot

[Matteo Di Nardo @Mat_DiNardo]

Kracow 25 aprile 2024. Santuario di Giovanni Paolo II. Firmato da @CCRG_Research e @BambinoCairo un documento scientifico per lo sviluppo di un ospedale materno-infantile in Egitto. Tante gocce fanno il mare @AbunaYoannis @DrSalmanA

[Arun Ghose @drsmileyarun.bsky.social @drsmileyarun]

Genuinely humbling lecture. Stepan Maruniak explaining how his team are managing to deliver ECLS in a conflict. So many things we take for granted are not available in their work place.
@EuroELSO #PedsICU #EuroELSO2024

[Jordi Riera @jrdelbrio]

Los mejores!

[ECSiTeD @ECSiTeD1]

#SWAAC ELSO team enjoying together the #EuroELSO2024