Christian Ricetti

Medico Chirurgo, Specialista in Anestesia e Rianimazione…e tifoso biancoazzurro

[Anesthesiology Journals @_Anesthesiology]

Visual Abstract in #Anesthesiology - Effect of Intraoperative Midazolam on Postoperative Delirium in Older Surgical Patients 🖌️ https://t.co/TbgyUnjGSZ

[ESICM @ESICM]

2/ 🔹 Out-of-hospital #CardiacArrest 👉 https://t.co/zgiuLB1OFx
🔹 Using #ultrasound in #ICU 👉 https://t.co/YBnnFlzsAi
🔹 Trials on oxygen targets in critically ill patients: do they change our knowledge and practice? 👉 https://t.co/qAMixXeTbX

[Intensive Care Medicine @yourICM]

O2/MAP after CA? NO clear benefit from deviating from
🩸MAP >65-70 mmHg, if impaired 🧠autoregulation as high as 85-90
💨 PaO2 75-97 mmHg; more liberal O2 may be best if reliable monitoring difficult (ie transport or in ED)
More evidence needed (coming)
🖇️ https://t.co/ujsz09tDSJ

[Intensive Care Medicine @yourICM]

🫀Refractory Vfib
⚡️ vector change defibrillation
⚡️ double sequential external defibrillation
exciting & innovative strategies that can improve survival for patients presenting with refractory VF: time will tell if will be broadly implemented/embraced
🖇️ https://t.co/uUktOHdGEl

[Intensive Care Medicine @yourICM]

Extracorporeal carbon dioxide removal #ECCO2r: to date indications & risk-to-beneft ratio of this technique should now be carefully evaluated using structured national or international registries and large randomized trials. Here #FOAMcc narrative review
🖇️https://t.co/CN8OSha8uY

[Christian Ricetti @doctorkri]

@MariaCr80437383 @OfficialSSLazio #sempre

[Christian Ricetti @doctorkri]

@mariamuser Happy birthday’s

[Intensive Care Medicine @yourICM]

Current practices in PaCO2 management in severe TBI
➡️variable! often below suggested levels
➡️ICP monitoring? ⬇️ PaCO2, notably if ⬆️ ICP = HyperVentilation still used to manage ICP
➡️profound HV not rare but NOT affecting outcome
Check visual abstract! 🔗https://t.co/m2sEDqARlu

[Intensive Care Medicine @yourICM]

Hemodynamic instability related to #RRT:
➡️mechanism(s): excessive UF? key but may not be predominant: multiple, independent/overlapping others can lead to ⬇️CO &/or ⬇️SVR
➡️potential interventions & (paucity of) evidence for use
➡️multimodal prevention
https://t.co/UhHY5YTL4g

[James DuCanto, M.D. @jducanto]

Suction assisted iGel insertion @AirwayMxAcademy @airwayGladiator @airwaycam @JohnCSakles @tbouthillet @TBayEDguy @ketaminh @gueromedico @EM_RESUS @DrJeffJarvis @EBMgoneWILD @EMSwami @emcrit @jameshorowitzmd @jstgeorgemd

[Intensive Care Medicine @yourICM]

Lung recruitment maneuver in #ARDS, SR/MA:
💨14 RCTs/3185 pts
💨 no significant improvement in 28-day mortality (systematic use)
💨 positive effects: ⬆️ oxygenation, ⬇️ dP, ⬇️ rescue therapy use
💨adverse events: barotrauma, hemodynamic compromise
#FOAMcc https://t.co/Fc9k8QUv32

[M Velia Antonini @FOAMecmo]

Non-invasive vent support as first-line in AHRF & #ARDS
🔸safe/effective (mild-to-moderate) hypoxemia
🔸may delay intubation (moderate-to-severe)
🔸HFNO/helmet high-PEEP NIV most promising tools
🔸beware PSILI
Personalize treatment, optimize interface, carefully monitor @yourICM

[British Journal of Anaesthesia @BJAJournals]

Susceptible mother and father but no confirmed diagnosis of MH; How to proceed?

@BillersJ @ukmhr @EMHG_EMHG @profhop

#BJAEducation #anaesthesia #malignanthyperthermia

https://t.co/uj8qoEjohY

[Giuseppe Citerio @Dr_Cit]

Intracranial pressure monitoring in patients with acute brain injury in the intensive care unit. results published on @TheLancetNeuro today. @ESICM @unimib

[Intensive Care Medicine @yourICM]

NeuroCOVID potential mechanism(s)?
🧠 #COVID19 neuro-complications
🧠 direct neuroinvasion
🧠 inflammatory/autoimmune
🧠 vascular
+
🧠 #ICU complications
🧠 drugs toxicity/side effects
🧠 PICS/PACS & PTSD
Challenging to identify/diagnose: strictly monitor! https://t.co/0YlAoanUFo

[RECAT👩🏽‍⚕️🏥👨🏽‍⚕️🇲🇽🫀 @LeslieMegom]

🩹💉🩺Analgesia and sedation in patients with ARDS.
👇👇👇👇👇👇👇
https://t.co/St3cJSvjXN
👇👇👇👇
https://t.co/3A5cpxnKMq

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

🔐PROSPECT guideline for total hip arthroplasty: a systematic review and procedure-specific postoperative pain management recommendations.

This new paper from @MarcVandeVelde6 is now #FreeForAWeek!

🔗https://t.co/nsYKJrFuaM

[RECAT👩🏽‍⚕️🏥👨🏽‍⚕️🇲🇽🫀 @LeslieMegom]

Transfusión liberal :
🩸 Lesión pulmonar aguda relacionada con la transfusión TRALI
🩸Sobrecarga circulatoria asociada a la transfusión TACO imitando
🩸Prevención de lesiones: factores relacionados con el pt y los hemoderivados
👇👇👇👇
https://t.co/a0zBr127fz

[Christian Ricetti @doctorkri]

@MariaCr80437383 ...scontato

[Intensive Care Medicine @yourICM]

Thoracic (lung & pleural) #POCUS in critical care:
➡️technique
Evaluating & managing
➡️pneumothorax
➡️pleural effusion
➡️acute dyspnea
➡️pulmonary edema vs #ARDS
➡️pulmonary embolism
➡️interstitial processes
➡️MV support
Narrative review #FOAMus #echofirst https://t.co/t3lRr5twDi