Research group at Charité Hospital and Technical University Berlin. We develop solutions to prevent ICU delirium & PICS. Tweets by Prof. Dr. Alawi Luetz, MD.
Modifications in #ICU room design may reduce #delirium, where dedicated light therapy potentially contributed to differences in outcome. We are thrilled to share that the first research paper with data from the VITALITY study has been published in @CritCareMed. We made the paper #OpenAccess which can be downloaded here https://t.co/8i8gt2CyTj or by visiting the journals website https://t.co/PlKOK3JjdV #architecturaldesign #Melatonin #icudelirium #circadiandoctor #circadianmedicine @ChariteBerlin@artcom@graftlab
Circadian medicine in #ICU? The circadian nature of physiology has enormous untapped potential for research across intensive care medicine!
☀️ circadian disruption in critical patients
🌘 opportunities for circadian interventions
#FOAMcc on @yourICM
🔓 https://t.co/9WAShAIrVv
A profound message for all #ICU clinicians, #MedTwitter@SCCM families of #criticalcare patients, and all who doubt a patient can be awake & prefer it on a ventilator:
It's about time: #circadian medicine in the #ICU. Our short review published @yourICM discusses recent studies and opportunities for circadian #CriticalCare: https://t.co/Yuclt2d9hr https://t.co/iO9aJC4QwP. The circadian nature of physiology has enormous untapped potential for research across all facets of intensive care medicine, but clinical evidence is limited. Let us work on this! @LauraKervezee
Critical illness is a transformative and often traumatic event for the entire family. The authors summarize data on the outcomes and highlight the need to frame ICU care as part of a continuum of care for critically ill patients. https://t.co/auEmQCuqfE
#CriticalCare
Announcing the publication of ENLIGHT, the first consensus guidelines for reporting light-based interventions in @eBioMedicine, with @LauraKervezee, @LokRenske, @elisemcglashan, @Ray_Najjar and the ENLIGHT Consortium.
🔗 https://t.co/ePt9JE7nGP
🌐 https://t.co/QsuAUd0zax
🧵 1/6
What if it’s YOU on a ventilator⁉️
📌Attitudes on sedation preferences in this figure reflect lots of misunderstandings…
📌 These survey data are especially sad given they show medical professionals are unaware
📌 We have excellent data arguing against these misconceptions
Nurses are, by nature, problem solvers. When we block their innovative ideas of how to humanize care, it breaks their spirit. The job is hard enough. Allow #nurses to make pts wishes come true w music, ice cream, beer, & dogs! Otherwise we will lose our healers. ❤️🩹
#NurseTwitter
Balcony of Hope? To be included in #ICU design! Outdoor spaces where spend time with family feeling sunlight/breeze are valuable therapeutic backing: well-being of critically ill can positively influence recovery & impact on outcome.
🖋️#ICMfromtheInside
🪟 https://t.co/tjcuJxwqWa
Thankful to be part of such a great congress with so many high skilled speakers and researchers. Received so many inputs … also in F2F discussions. Thank you @EDA_delirium@robertaevcastro
#Delirium monitoring in neurocritical care revealed good diagnostic performance. But be aware that even moderate sedation levels significantly impair score validity. Avoid sedation when possible! https://t.co/lgtFMXMI8x
Luetz et al: Influence of Patient-Specific Covariates on Test Validity of Two Delirium Screening Instruments in Neurocritical Care Patients (DEMON-ICU)
Link: https://t.co/Owy0jlb7xt
@aluetz@neurocritical#neurocritcare
What are the benefits of being awake & alert in the ICU? @DrDaleNeedham shares incredible research at @icurehab and the benefits of keeping patients awake, even if they have a breathing tube, and how it decreases delirium & recovery time. Listen now: https://t.co/sdSZHXYH8O
Main early papers on #COVID19 & their findings, an overview:
➡️ manifestations of severe disease
➡️ pharmacological therapy
➡️ ventilatory support in pts with #SARSCoV2 related #ARDS
➡️ healthcare organization & healthcare worker stress
#FOAMcc#COVIDFOAM https://t.co/PvwsKhHn9v
Experience from NOLA: Evidence-based protocols associated with ↑ time alive and free of MV in patients critically ill with #COVID19: https://t.co/zG0AZyevzI
#journalCHEST