Unimib Anesthesia, Critical Care and Pain Medicine

Account ufficiale della Scuola di Specializzazione in Anestesia, Rianimazione e Terapia Intensiva dell’Università degli Studi di Milano-Bicocca (@unimib)

[Giuseppe Citerio @Dr_Cit]

World Coma Day from IRCCS San Gerardo Monza @neurocritical @etherBicocca @unimib https://t.co/n2e5rlhKwg

[M Velia Antonini @FOAMecmo]

Weaning from VV #ECMO: results of @ESICM endorsed WEAN-ECMO survey, aimed to better understanding of this complex intervention, are out ‼️
🔍 303 responses from 187 centers, 🗺️ 46 countries
🚧 marked variability in current practices exists, mirroring #ECLS candidate selection & management
🫁 clinicians mostly rely on gas exchange; objective measures of lung mechanics considered relevant but less influential, Pes monitoring still uncommon
🫁 protocolized sweep gas-off trials implemented in most centres, but duration/evaluation criteria vary widely + ventilatory management heterogeneous
⛔️ perceived weaning failure mostly reflects persistent gas-exchange impairment, respiratory distress, or clinical instability
Standardization of weaning criteria/protocols, including monitoring + SGOT duration, may improve comparability across centers and support future consensus recommendations.
Open access #FOAMcc #FOAMecmo on @yourICM
🔓 https://t.co/u9NRtOZlBt

[Unimib Anesthesia, Critical Care and Pain Medicine @etherBicocca]

Anesthesia & Intensive Care – First-Year Crash Course
Great energy from our Residents and Faculty!
@ERezoagli @Dr_Cit @marcogiani

[Giuseppe Citerio @Dr_Cit]

Inspiring energy from @unimib at @ESICM #LIVES2025 in Munich! Residents and faculty actively contributing to research, education, and the future of intensive care. 🔬💡

[M Velia Antonini @FOAMecmo]

Thrombocytopenia in VV #ECMO? Highly prevalent in VV ECMO, and strongly associated with bleeding risk and reduced survival. Platelet transfusions do not appear to significantly reduce bleeding risk: targeted prevention strategies needed! #FOAMcc @Crit_Care
🔓 https://t.co/8MC5W9n00M
🔎 adults w resp failure; baseline thrombocytopenia 27.9%, mild 14.7%, moderate 8.7%, severe 4.4%
⚖️ thrombocytopenia in #ECLS occurred at least once in 80.2%; mild 21.3%, moderate 32.2%, severe 26.7%
🩸mild thrombocytopenia increased risk of bleedings by 61%; moderate & severe by 90%
🚧 risk for thrombocytopenia  increased with ICU days prior to ECMO, postop admission, immunocompromised state, RRT, septic shock, low hemoglobin, circuit replacement.

[M Velia Antonini @FOAMecmo]

We need you to understand how to wean patients from Veno-Venous #ECMO... Participate in WeanECMO, an international, multicenter, cross-sectional survey, investigating current practices for weaning patients from VV #ECLS. The survey is endorsed by @ESICM
🔗 https://t.co/6h4ILKWT2o
@marcogiani @jrdelbrio @ERezoagli

[M Velia Antonini @FOAMecmo]

🩸🔗 🫁 How do you wean patients from Veno-Venous #ECMO? What's the optimal strategy?? You still have time to give your contribution, participating in WeanECMO, an international, multicenter, cross-sectional survey, investigating current practices for weaning patients from VV #ECLS! The survey aims to explore the criteria used to assess patient eligibility for weaning trials and the methods employed across different ECMO centers.
This short (10') & anonymous survey consists of 4️⃣ domains:
1️⃣ General information
2️⃣ Criteria for weaning from veno-venous ECMO
3️⃣ Sweep gas-off trial
4️⃣ Ventilation modality during weaning phase
The survey is endorsed by @ESICM
🔗 https://t.co/6h4ILKXqRW

[Vincenzo Russotto @RussottoVin]

We’ll start 2025 🍾 with an amazing new meeting by @anestesiaUnito @SRAnesthesiaICU and @etherBicocca

Do not miss prof Ronco next 9 Jan! 🗓️

👇free link to join below!

@CaironiPietro @giovannilandoni @Thom_Langer

#icu #crrt #anestesia

[Francesco Zadek @FraZadek]

Residents of Milano Bicocca at ALS competition at IRC congress. @ircouncil @etherBicocca @Thom_Langer

[Intensive Care Medicine @yourICM]

🖌️Advancements in critical care over past 2 decades have been revolutionary: it was a challenge/privilege to ensure that ICM helped shape these developments. I am immensely proud of achieved milestones, as dramatic rise in IF & ability to adapt/innovate.
🔓https://t.co/3yjvL6xbmA

[Unimib Anesthesia, Critical Care and Pain Medicine @etherBicocca]

Very important topic, don't miss the webinar!

[Vincenzo Russotto @RussottoVin]

Do not miss the next joined lecture @unito @unimib @SRAnesthesiaICU

Honored to have with us prof Alessia Pedoto!

👇free link to join below!

@CaironiPietro @giovannilandoni @Thom_Langer

[Intensive Care Medicine @yourICM]

◾️In memory of Prof L Gattinoni, towering figure in ICM, profoundly shaping understanding of #ARDS & #ECMO. The “father" of prone position revolutionized MV with a pioneering "baby lung” concept. His legacy will guide/inspire for generations to come.
🔗https://t.co/kjuqkQoPoc

[Unimib Anesthesia, Critical Care and Pain Medicine @etherBicocca]

ICU crash course: 🙏🏻to @ERezoagli and @GicoBellani for their talks on measuring respiratory mechanics during controlled and assisted mechanical ventilation 🫁
Here’s a sketch of the “ICEBERG” of the PMI concept.
Useful 🖇️: https://t.co/82ZrkTQKAi
https://t.co/LDiNNStJb1

[Unimib Anesthesia, Critical Care and Pain Medicine @etherBicocca]

ICU Crash Course: @FraZadek illustrating how to approach an ABG.
✅Standard Base Excess as a pCO2-independent marker only for acute respiratory disorders.
✅Persistent hypercapnia increases SBE due to chloride variations.
To know more: https://t.co/pAs9A3E3Ih

[Unimib Anesthesia, Critical Care and Pain Medicine @etherBicocca]

Great talk from dr. Laratta about antibiotic stewardship in ICU. We learnt
1️⃣ how to recognise the right moment to ask for microbial cultures
2️⃣ the benefits of the new rapid molecular diagnostic tools
3️⃣ how to choose the right antibiotic therapy

[Unimib Anesthesia, Critical Care and Pain Medicine @etherBicocca]

Last day of our ICU Crash Course! Now on @Dr_Cit on 🧠 pathophysiology and monitoring!
Why have patients with GCS 3 better outcomes than GCS 4? 🕵‍♂️
@Thom_Langer @ERezoagli @FraZadek @unimib @TorranoVito

[Francesco Zadek @FraZadek]

4th Night! ⁦@etherBicocca⁩ CPR contest from ⁦@bormio⁩. Let’s beat the faculty! ⁦@docsanga⁩ ⁦@Thom_Langer⁩ ⁦@ERezoagli⁩ ⁦@Dr_Cit⁩ ⁦@marcogiani⁩

[Fabio Sangalli @docsanga]

CHAMPIONS!!! 🏆 @Roberto39823404 @Dr_Cit @Thom_Langer @FraZadek @matteop97554843 @TorranoVito @etherBicocca

[Vito Torrano @TorranoVito]

Honored to be part of the intensive care crash course! Glad to see the role of locoregional anesthesia in critical care being highlighted!
The correct answer? 😀
@etherBicocca @Roberto39823404 @Thom_Langer @Dr_Cit @ERezoagli @FraZadek @docsanga

[Unimib Anesthesia, Critical Care and Pain Medicine @etherBicocca]

To our prof @Roberto39823404
1. Natural and cultural guide ⛰️
2. Professional guide 🚑
3. Moral and spiritual guide 🔥

#4moreyears
@Thom_Langer @ERezoagli @TorranoVito @docsanga @FraZadek