Thank you Anoop, PREVENT, and
@PALISInet
for the opportunity to share the work and exciting future opportunities in patient ventilator asynchrony research! #palisi23#PedsICU
NEW #visualabstract by me for @PedCritCareMed:
Dhillon et al --> n= 4,556 children w/ heart disease
Ca2+ during CPR = ⬇️ survival, ⬇️ favorable neurologic outcomes, ⬆️ length of CPR, and more ECMO initiation
read it here --> https://t.co/HRTgGE8QGS
#resus#pedsICU
My usual approach to RT. This is how an entrainment from hell looks like. Neurosurgical pt whose sedation was withheld 12 hours earlier. Notice how the work shifting increases as minute ventilation ⬇️ @ArielG_RRT,@curso_vm,@RyanHughes_RRT,@emireles_c,@Vent_Busters,@smittay07
@ChrisCarrollMD You guys are too kind. Only possible with @RobyKhemaniMD, Kit Newth, and the many respiratory therapists at the bedside showing me the ropes.
Really honored to join @msiuba@emireles_c @progdoctalk to talk about the core physiology behind ventilator management, and I am blown away by how many people were excited to be a part of it! #CHEST2022
@msiuba @cafecitodoc @emireles_c @progdoctalk The full panel! Thanks! An honor to share the stage with these experts and to see how many people are excited to think about the physiology
The latest #iCriticalCare podcast discusses best practices in nutrition therapy in critically ill children. Check it out: https://t.co/Bp2DF243mk #PedsICU
Key points on analgesia/sedation during #ECMO:
1) Not great: 50-90% of fentanyl, midazolam, precedex, propofol all lost in circuit.
2) Better: Morphine 100% recovery. Hydromorphone good option. Consider low-dose ketamine.
3) Stay tuned: ASAP ECMO trial!
https://t.co/CGsML28cyX
Current Issue: The Association Between Ventilator Dyssynchrony, Delivered Tidal Volume, and Sedation Using a Novel Automated Ventilator Dyssynchrony Detection Algorithm* https://t.co/oMLA5gtJgf
Gylcemic control, cooling, dopa, CPAP PS, protein C, early CVVH, pRBCs, albumin, sedation protocols, early ECMO.... add NS resusc to the list of therapies that are more complicated than they seem? A convincing ped study, data on adult side too: https://t.co/WaKaIjtRIm
An increase in serum chloride level in the first day of admission is common and an independent risk factor for mortality in critically ill children. More from Dr. Matthew Barhight and colleagues in @yourICM here --> https://t.co/lSI4hfyQIk #pedsICU
Subclinical acute kidney injury, defined as urinary cystatin C without KDIGO criteria for AKI, is associated with adverse outcomes in critically ill neonates and children. #PedsICU#NeoEBM https://t.co/6IO66KVGQH