Saint-Clair Bernardes

Physical Therapy Professor and Research - UFRN & ReTI | Podcast Host | Focus on ICU rehabilitation & critical care

[Saint-Clair Bernardes @fisiosaintclair]

The PaO₂/FiO₂ ratio is one of the most widely used metrics in the ICU. But can it really predict mortality?
We discuss a large study and an editorial that challenge common assumptions. The P/F ratio is valuable at the bedside, but its prognostic power may be limited.
Available!

[Saint-Clair Bernardes @fisiosaintclair]

How do you choose the right intervention in the ICU?
In this episode, we discuss simple questions that improve clinical decision-making:
Why do it?
Is it worth it?
Is this the right time?
Clinical reasoning matters as much as the intervention itself.
#utiemformaeacao #ICURehab

[Saint-Clair Bernardes @fisiosaintclair]

@fordsmith Excellent observation. I think that was the main point of the conference. AI can help us and provide precision, but the human eye/touch is what refines the care.

[Saint-Clair Bernardes @fisiosaintclair]

Highlights from ATS International Conference 2026.
In this episode, we discuss AI in healthcare, mechanical ventilation, pulmonary & ICU rehabilitation, medical education, and the Brazilian presence at one of the world’s biggest respiratory and critical care conferences.

[Peter Nydahl @NydahlPeter]

Who Knows the Patient Best? An Epistemological Approach to Family-Centered Care for Unconscious Patients in the Adult Intensive Care Unit

Food for thought
https://t.co/z2LttLJsg9

[Saint-Clair Bernardes @fisiosaintclair]

What a week at #ATS2026! Representing @ASSOBRAFIR, presenting our work, meeting incredible people, and creating new memories alongside my wife.

[Saint-Clair Bernardes @fisiosaintclair]

New podcast episode.
Can we predict ICU-acquired weakness before patients wake up?
We discussed a new Critical Care Medicine study exploring NMES, ultrasound, and muscle elastography as early predictors of ICU-AW in mechanically ventilated patients.
#ReabICU #utiemformaeacao

[Saint-Clair Bernardes @fisiosaintclair]

New ep.🎙️
We discussed the Bed Bridge Test with two of the developers: Carla Malaguti & Larissa Paiva: from the idea behind the test to clinical application and future studies.
A great discussion on functionality, rehab., and evidence-based practice in hospitalized patients.

[Saint-Clair Bernardes @fisiosaintclair]

Protocols organize care. So why are they often not followed in the ICU?
In this episode, we break down the real reasons for non-adherence and how to fix it in practice.
Protocol adherence and individualized care are not opposites. They’re complementary.

#utiemformaeacao

[Saint-Clair Bernardes @fisiosaintclair]

Management, weaning from mechanical ventilation, and decannulation based on the latest evidence.
Neither a rigid protocol nor random decisions. Where is the balance?
Watch and rethink your practice in episode 179: updates on tracheostomy.

[Saint-Clair Bernardes @fisiosaintclair]

New Episode!
We’re diving into the new Brazilian Law on Patient Rights and its direct impact on ICU Physiotherapy.
How does this legal framework reshape patient-centered care in critical settings?
Listen now on YouTube & Spotify!

[Saint-Clair Bernardes @fisiosaintclair]

Not all ICU numbers mean the same.
Predicted ≠ Predictive ≠ Cut-off ≠ Prognosis
• Predicted = loss
• Predictive = capacity
• Cut-off = decision
• Prognosis = future
Confusing them leads to wrong decisions.

New episode out now.

#utiemformaeacao

[Saint-Clair Bernardes @fisiosaintclair]

ICU is not just about skills. It’s about how you think.
If you accept the first explanation, you’re probably wrong.
In our latest episode, we discuss 10 traits that separate average clinicians from those who truly impact outcomes in the ICU.

🎧 Out now

[Saint-Clair Bernardes @fisiosaintclair]

HFNC didn’t reduce mortality in the SOHO trial. But it reduced intubation and improved comfort.
Maybe the question is not “does it save lives?” … but “does it improve the patient journey?”
#utiemformaeacao

[Saint-Clair Bernardes @fisiosaintclair]

ICU Rehab is no longer one-size-fits-all.
In our latest episode, we discuss why critical care rehab must be personalized and precision-based, guided by physiology, patient profile, and the best available evidence.
The future of ICU rehab is individualized.
#utiemformaeacao

[Peter Nydahl @NydahlPeter]

Virtual reality in ICU delirium care: From promise to practice

Editorial about VR in delirium prevention by Liang https://t.co/FipEbZVFz7

We go one step beyond & combine personal preferences with AI to generate individualised patient-centred prevention
https://t.co/rnjBCJXGy8

[Saint-Clair Bernardes @fisiosaintclair]

Does appointment duration really matter in hospital physical therapy?
A large study found that more PT minutes per day were linked to better functional improvement and higher odds of discharge home.
But is “more time = better care”?
We break it down in the new podcast episode.

[Saint-Clair Bernardes @fisiosaintclair]

In the ICU, technical skills aren’t enough — communication is a clinical tool.
New podcast episode on closed-loop communication, team alignment, and why how we speak can impact patient safety.
🎧 Listen now.
#utiemformaeacao

[Saint-Clair Bernardes @fisiosaintclair]

Resistance exercise in the ICU: best practice or clinical dogma?
Not always. Not never.
The key is who, when, and at what physiological cost.
🎧 New podcast episode out.
#utiemformaeacao

[Hopkins ICU Rehab @icurehab]

The Potential of Music as a Nonpharmacologic Intervention for the ICU—Sound Medicine https://t.co/yfY2AAEyZf #icurehab #A2Fbundle