VTA Symposium

Ventilation Through the Ages Symposium - a biennial critical care symposium delivered by the Chris Hani Baragwanath Academic Hospital Critical Care team! #VTA23

[Katie Wiskar @katiewiskar]

Confession: I LOVE hyponatremia 🤓

(I know, I know. What can I say, I'm a true internist!)

HypoNa is often feared, maligned, and misunderstood - but I promise it doesn't have to be scary!

Here are my top 10 hyponatremia tips and tricks - a 🧵

[Nick Mark MD @nickmmark]

You've probably heard "don't give lactated ringers because it raises lactate"

This statement is ~98% false, but there's one crucial practice-changing fact that you need to know.

A 🧵 all about lactic acid and lactated ringers!
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[Saikat Mitra @saikatmitra05]

#POCUS #MedTwitter

❇️ Assessing LV preload at the bedside:

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2️⃣ parameters:-

✅ LVIDD
- Left Ventricle Internal Diameter at
end-Diastole
- Normal value: 3.5 - 5.6 cm

✅ LVIDS
- Left Ventricle Internal Diameter at
end-Systole
- Normal value: 2.0 - 4.0 cm

[Tony Breu @tony_breu]

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Why is too much oxygen (hyperoxia) harmful?

Given how necessary O₂ is for human life, I'd long assumed it served only to help, not harm. But, in my career, there has been a growing realization that supplemental O₂ isn't benign.

So, how might O₂ lead to harm?

[IMCrit @IM_Crit_]

Anaphylaxis is not a commonly encountered diagnosis in the ICU. These pts may eventually end up in the ICU after EMS/ED/Anesthesia have dealt w the "storm". This 👇 practice parameter is not a comprehensive review of anaphylaxis but focuses on areas in which new evidence emerged:

[Giovanni Landoni, MD @giovannilandoni]

Are you looking for interesting manuscripts for your Journal Clubs in critically ill patients?

Here are 14 ideas:
➡️All RCTs
➡️All published in 2023,
➡️all @NEJM

Half of them with stat significant differences in primary endpoint (or mortality)

In order of importance

1/15

[Khaled M. Abdullah, MD @Khalemedic]

An end-of-year #Tweetorial for #MedTwitter about 𝗰𝗼𝗻𝘁𝗿𝗮𝗰𝘁𝗶𝗼𝗻 𝗮𝗹𝗸𝗮𝗹𝗼𝘀𝗶𝘀.

You are managing a CHF exacerbation patient and on rounds, you hear that “serum bicarbonate is rising, should we decrease diuresis?”

𝗤: 𝗪𝗵𝗮𝘁 𝗱𝗼 𝘆𝗼𝘂 𝘀𝗮𝘆?
A: “It’s…”

🧵1/x

[小谷祐樹 Yuki Kotani｜集中治療医 @YukiKotani5]

✅Summary of Important RCTs in ICU for the First Half of 2023!

Quickly summarize the intensive care RCTs published from January to June this year!

Specifically, 13 trials in NEJM, JAMA, and Lancet!

I hope this 🧵 is a useful review of important literature👇👇
#FOAMcc

[Lukasz Zydzik @lukasz_zydzik]

‚Eyes see only what the mind knows’
29 yo asymptomatic 🙎‍♂️
#CardioTwitter #echofirst

[Cliff Reid @cliffreid]

For all you intubators out there, I'm going to describe two useful bougie microskills

1/9

[Bojan Korda @GasBugZa]

Breaking out of my mold at the ESICM LIVES 2023
Last day!
#ESICM2023 #WeAreICU #TogetherICU #critcare

Hopefully see you all in Barcelona next year!

[The Plug Working Group @ThePlugWG]

@MariangelaPell

[Bojan Korda @GasBugZa]

Next up is Dr Maggiore who will be speaking about the use of oesophageal pressure measurement in setting PEEP.
#LIVES2023 #FOAMcc #critcare

[Bojan Korda @GasBugZa]

Next up is Laurent Brochard on Assessment of Lung Recruitability at the Bedside.
#FOAMcc #critcare #FOAMcc

[Bojan Korda @GasBugZa]

Starting at the ESICM LIVES2023 #LIVES2023 today! Very excited to be attending this international congress with masters in the field! #FOAMcc #critcare

[Bojan Korda @GasBugZa]

Next is Dr Marcelo Amato from Brazil speaking about Electrical Impedance Tomography - how does it help reach my goals?
#FOAMcc #critcare #LIVES2023

[Bojan Korda @GasBugZa]

First up is @DrLeoHeunks who will be speaking on the current state of the evidence regarding setting PEEP?
#critcare #LIVES2023 #FOAMcc

[Bojan Korda @GasBugZa]

Starting with a pre-congress workshop on Acute Respiratory Failure and Mechanical Ventilation - this years themes are 'Individual Setting PEEP' and 'Transitioning from Controlled and Assisted Ventilation' #LIVES2023 #FOAMcc #critcare

[M Velia Antonini @FOAMecmo]

Diaphragm main respiratory muscle: dysfunction frequent/impactful in critically ills
How to assess? diaphragm #ultrasound
1 diaphragm excursion
2 diaphragmatic thickening/thickening fraction
#DUS in #COVID19? non critical/critical pts NIV/IMV Boero E #COVID19POCUS #POCUS #FOAMus

[Bojan Korda @GasBugZa]

From Sweden, Dr Pellegrini speaking next on how Lung Imaging can help individualise PEEP?
#critcare #LIVES2023 #FOAMcc