Among children treated for septic shock, no significant difference was seen in the incidence of death, new RRT, or persistent kidney dysfunction when fluid resuscitation was administered with balanced fluid as compared with 0.9% saline.
https://t.co/1KOtt9DcMt
#pedsICU#FOAMED
#SunExpress , 9 saat süren Frankfurt-Izmir ucusunda havasızlıktan bayilan hastaya doktor olarak müdahale ederken kirlan gözlügümü ödemeyi reddetti. Üstelik uçuş sırasında 2 hastaya müdahale ettim, üstelik kendim hasta olduğum halde. @SunExpress@ttborgtr
https://t.co/dmzrsaW0Hu
When interpreting the results, it’s important to note that despite a target SpO₂ of 88–92% in the conservative arm, many patients received supplemental oxygen above target. Mean achieved SpO₂ was 93.3% vs. 95.1% (convs lib)#ROXUK#oxygen#FOAMed#FOAMcc
Although failed extubation was associated with prolonged ventilation duration at the individual patient level, centers with higher failed extubation rates demonstrated a lower median duration of mechanical ventilation across their populations.
#pedsICU https://t.co/Z9qJ4XUBqr
Does mechanical ventilation always improve gas exchange?
🔹 PEEP improves lung recruitment
🔹 Overdistension increases dead space
🔹 Low cardiac output worsens shunt
Managing the delicate balance of ventilation in ICU is an art & a science! 🫁
📖 Read: https://t.co/UUkwjEisM8
Do you use ketamine as part of your routine clinical practice? Richards et al review the diverse effects of ketamine and its benefits in clinical practice. #ketamine#anaesthesia#perioperative#analgesia#surgery
https://t.co/chVbGOh9us
🛎️The definitive narrative review on assessing fluid responsiveness by using functional hemodynamic tests in critically ill patients is out !💧
https://t.co/lG8fIoqzMq
by @mess81rc , @DrMCecconi@esicmmassimo et al. from @HumanitasMilano 🇮🇹
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There is a strong association between early peak fluid overload and increased mortality, with a weaker link to morbidity in critically ill children. Early initiation of RRT alongside diuretics may positively impact mortality in AKI cases. #PedsICU
https://t.co/y76LLjpbh0
In children with PARDS, P0.1 may often underestimate high respiratory effort. Clinicians should be cautious with low P0.1 readings, especially in cases of airway obstruction, high tidal volumes, or high opioid doses.
#pedsICU#FOAMed
https://t.co/Z3WQiwPW38
ICU (Central Venous/Arterial) Line Secrets - Part 1:
An ICU where the patients have no central lines & are not connected to ventilators is not a real ICU. This may be a controversial statement but in my humble opinion not far from truth
Among critically ill adults who received invasive mechanical ventilation for more than 24 hrs, screening frequency and SBT technique did not change the time to successful extubation.
https://t.co/nGlSYmkEua #LIVES2024
What every paediatrician needs to know about mechanical ventilation. Happy to share our latest review in @EurJPediatrics. #PedsICU
https://t.co/jsJd41woMn