Christian Stoppe

Würzburg + Berlin University & CERU. Passionate about Critical Care Medicine, Cardiac Surgery, Nutrition and perioperative Care - Time to Improve!

[Christian Stoppe @CStoppe]

🕒 48h is the sweet spot.
…- More isn't better!
👉🏽 another reminder in critical care: knowing when to stop is as important as knowing when to start!
#AKi #health #protein

[Critical Care Nutrition @CriticalCareNu1]

Timing matters. 🕒

IV amino acids for kidney protection in cardiac surgery:
✅ ≤48h → benefit
⚠️ >48h → possible harm (↑urea, ↑ICU mortality?)
���️ A 48h window may be the sweet spot

#AKI #CardiacSurgery #TimingMatters ping @giovannilandoni @CStoppe https://t.co/XxyAsUArco

[Christian Stoppe @CStoppe]

👉 Nutrition in the ICU is not a checkbox — it is a dynamic, physiology-driven intervent. that requires contin. reassessment. Further key messages @ISICEM :
🔹 Micronutrients: more ≠ better
🔹 Protein: we underdeliver, but pls. stay <1.3g!
🔹 Timing matters
🔹 Calories = a drug

[Christian Stoppe @CStoppe]

Day -1 of #ISICEM2026 is off to a great start with the pre-courses! Deep dives into measuring metabolic tolerance & GI function to better guide enteral & parenteral feeding. Great discussions on optimizing icu nutrition 🏥💉📊 #ICU #CriticalCare #Nutrition

[Christian Stoppe @CStoppe]

How should we really feed the injured brain? ⚡️🧠
💡Key takeaway: Start low, go slow. Early low-dose enteral nutrition is preferred—early full feeding may cause harm.
#NeuroCriticalCare #ICU #Nutrition #BrainInjury #health
👉🏽 https://t.co/EfpDisnO16

[Critical Care Nutrition @CriticalCareNu1]

Is nutrition just "supportive care" for the injured brain? 🧠 We argue it's a modifiable therapy that can influence recovery.
🥄 Why early low-dose EN is preferred
⚡ The role of ketogenic diets & lactate
📊 Urgent need for trials https://t.co/w2KQKlWi0Q
#NeuroICU #MedTwitter

[Christian Stoppe @CStoppe]

@LifeWithoutDiet While reflecting on what’s all is important for a “perfect” & personalized feeding strategy I realized (again) the key role of dedicated people/dietians …& doubt that AI can take it over soon 🫶🏽

[Christian Stoppe @CStoppe]

@LifeWithoutDiet ‼️..Checking 1/day seems neither enough nor appropriate. AI might be a good strategy, which however needs to be trained by experts/dieticians….💪🏽..

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

Peri-operative fasting in adults: an international, multidisciplinary consensus statement

#anaesthesia #MedTwitter

https://t.co/DllGUbkUDm

[Christian Stoppe @CStoppe]

👉How do you feed ECMO patients? New 2025 ELSO consensus statement fills a major guideline gap with 16 practical recommendations for nutrition therapy in adult ECMO patients.
#ECMO #ICU #CriticalCare #MedTwitter2025 https://t.co/c8RZrdrC2W

[Eras_cardiac @eras_cardiac]

As 2025 comes to a close, the ERAS Cardiac Society thanks the global community advancing enhanced recovery after cardiac surgery.

Grounded in evidence and collaboration, we remain focused on improving patient recovery and expanding education and implementation in 2026.

[Critical Care Reviews @CritCareReviews]

@CStoppe @CriticalCareNu1 @LamontagneFran5 @dfmcauley @nuttchristopher @khome @Bram_Rochwerg @CCCTG_ @bronwenconnolly @jon_silversides @Pete_McGuigan @QUBelfast On the 8th day of Christmas, my true love gave to me…

🎄 8 ventilators humming
🎅 7 nurses charting
🫁 6 lungs oxygenating
💉 5 infusions avoided
📊 4 outcomes hierarchised
📞 3-month follow-up
🌬️ 2 sedation strategies
🐦 And a partridge asleep in a pear tree

#CCR26

[Christian Stoppe @CStoppe]

Looking ahead to what promises to be an excellent and unique meeting in June 2026 in Belfast !#ClinicalTrials #FutureResearch #icu #trials

[Critical Care Reviews @CritCareReviews]

🎄 On the sixth day of Christmas my true love gave to me

🍊 five juicy oranges
🍏 four green apples
🐦 three burnt partridges
🏆 And finally a vitamin C trial ending in VICTORY....

#CCR26
https://t.co/Q0oGoBJj3W

[JAMA @JAMA_current]

For critically ill patients who had both severe metabolic acidemia and moderate to severe acute kidney injury, sodium bicarbonate therapy did not significantly decrease day 90 all-cause mortality.

https://t.co/1tvwon3Ixh

[NEJM @NEJM]

Original Article: A Pragmatic Trial of Glucocorticoids for Community-Acquired Pneumonia (SONIA trial) https://t.co/WEQvqhbqKY

Editorial: Glucocorticoids for Pneumonia in Africa — Old Therapy, New Context https://t.co/6HbKy8HGeF

#Pulmonology #CriticalCare

[Christian Stoppe @CStoppe]

@giovannilandoni @CritCareReviews @JAMA_current Great & important study!

👉🏽…Timing, dose & duration are a complex challenges, which we are facing on our field.

There is no doubt that vitamin c is important - the question is “when” and “how” ….

[NEJM @NEJM]

Presented at CCR Down Under 2025:

In a randomized trial involving critically ill patients undergoing intubation in EDs or ICUs, the use of ketamine for the induction of anesthesia did not lead to significantly lower in-hospital mortality than etomidate. Full trial results: https://t.co/ovSy71Gi1j

@CritCareReviews

[Critical Care Reviews @CritCareReviews]

Co-Chief Investigators Jonathan Casey and Matthew Semler share their insights from the #RSI trial after presenting at #CCRdownunder 

Livestream -> https://t.co/yuW9S7tuif 

@jama_current

[Christian Stoppe @CStoppe]

A stepwise, phase-adapted strategy for #ICU nutrition seems the 💡.
1. Acute catabolic → Start low
2. Stabilization → Advance cautiously
3. Recovery → Increase for rehab
🔑 Start low, advance judiciously, individualize 🙋🏼‍♂️
https://t.co/G5SvUSEXTF

[Critical Care Reviews @CritCareReviews]

Today's Paper of the Day is:

Pulmonary artery catheterisation

https://t.co/JKgcYjlUQ5

Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025

[NATA - PBM, Thrombosis and Haemostasis @NATAforum]

NATA26 I 29 Apr-02 May I Bilbao🇪🇸

Abstract submission for #NATA26 is open — and Bilbao is calling.
Whether you’re advancing PBM, redefining haemostasis & thrombosis practice, or improving transfusion safety, we want to hear from you.

Submit here 👉 https://t.co/hGQeXfAXo2

[Christian Stoppe @CStoppe]

🚨Does parenteral Omega-3 fatty acid administration increase the risk of... https://t.co/qageBKLWck While the risk is established for long-term oral use, short-term admin of intravenous fish oil lipid emulsions (FO-ILEs) is unlikely to induce AF. A must read 👇 #ICU #Fishoil