Vincenzo Alberto

Pulmonologist Resident @HUNIMED - @Humanitasmilano

[Eddy J. Gutierrez, MD @eddyjoemd]

Sepsis shreds platelet counts. But why? And what can we do about it? This paper tackles how we should approach septic patients with thrombocytopenia. 🎩 tip to the authors.

https://t.co/4Ise540F2X

[Jasmine Sethi @JasmineNephro]

👍✅Approach and management of Hypocalcemia

Source GrepMed

[Global Initiative for Asthma (GINA) @ginasthma]

GINA 2024 provides recommendations about cough variant asthma which may be difficult to distinguish from other causes of chronic cough, since spirometry may be normal - treatment is the same as for asthma in general, with ICS-containing treatment. See https://t.co/Cm9ADXlUYD

[Kamran Ahmad, MD @drkamikhan123]

How to approach Anemia
#Anemia Algorithm.
#Hematology

[Intensive Care Medicine @yourICM]

Empirical antimicrobials in #ICU? Review aimed to provide a step-by-step approach for prescription:
⏱️ assessing need & urgency
🧫 pathogen profiling
⚖️ selecting the right arsenal
🔮 future perspectives
Free to read #FOAMcc on @yourICM
🔓 https://t.co/IcUDyNZgFA

[Intensive Care Medicine @yourICM]

🧠🫁Mitigating/managing cerebral complications of #ARDS?? Decision making must integrate neuromonitoring-guided evaluation + selection of lung protective strategies considering individual cerebral physiology, to prevent additional brain injury. #FOAMcc
🔓https://t.co/nbbgkZ94aJ

[Nick Mark MD @nickmmark]

Blood gas syringe. What’s the diagnosis?

[Historic Vids @historyinmemes]

No needle vaccines, 1967

[Stefano Aliberti @AlibertiStefano]

#Sputum color is a simple but essential marker for #disease #activity in #bronchiectasis. Data from the @EMBARCnetwork show its ability to predict exacerbations and other clinically relevant outcomes @ProfJDChalmers @ERSpublications https://t.co/7ucKkkQ2A1…

[ESICM @ESICM]

1/ @yourICM's topical collection "ICU Toolbox":

🔹Positive end-expiratory pressure optimization in ARDS: physiological evidence & clinical applications 👉 https://t.co/1rUdXgtu4e
🔹High-flow nasal cannula: evolving practices & physiological insights👉 https://t.co/IG8jGPpRWm

[Intensive Care Medicine @yourICM]

Monitoring esophageal pressure may help
🫁 setting PEEP & monitoring for occult excessive lung stress, (safely) exceeding conventional limits on PEEP/plateau pressure in selected patients
🫁 assessing pt-ventilator synchrony + respiratory effort
#FOAMcc
🔓 https://t.co/1SC9UGNABo

[Intensive Care Medicine @yourICM]

Optimizing PEEP in #ARDS, physiological evidence, bedside strategies & clinical applications
❓why do we apply PEEP?
🫁 definition of lung recruitability
🔍 what does evidence say about PEEP setting?
🫁 practical & pragmatic approach
⚙️ advanced methods
🔓 https://t.co/gGAXh1L6yP

[Intensive Care Medicine @yourICM]

Severe CAP guidelines: any challenge??
🔬molecular diagnosis
🫁NIV & HFNC
💉macrolides
💉corticosteroids
🧪PCT to guide ABTs
🦠antivirals (infuenza & beyond)
🧫MDR?
🫁aspiration pneumonia?
🛑international implementation: barriers & solutions
🔍research
🔓 https://t.co/2bfKyTrsug

[Stefano Aliberti @AlibertiStefano]

Very proud of @HUNIMED first respiratory fellows ever. #SSM #MED10 Thank you all for what you do every day for our patients. And thank you to all my precious colleagues @HumanitasMilano @_massimilianor @Valbert099 @anna_stainer @FrancescoAmati6 @edo_simonetta @GiuliaSuigo