Majuran

Will run for t-shirts. Likes machines that go bing. Views my own, RTs not endorsements. #RSMCritCare

[Critical Care Reviews @CritCareReviews]

Central Venous Pressure Revisited: Physiology, Pitfalls, Misconceptions, and Modern Clinical Interpretation in Critical Care 

CCR Journal Watch
https://t.co/Sp06oA6IDG

[Critical Care Reviews @CritCareReviews]

Troubleshooting Ionized Hypocalcemia in Patients on Continuous KRT with Regional Citrate Anticoagulation

CCR Journal Watch
https://t.co/Sp06oA6IDG

[Alasdair MacLullich @A_MacLullich]

Myth: Sedatives (like benzos) are mostly helpful in calming delirium.

Fact: Sedatives often worsen delirium. Non-drug approaches (reorientation, hydration, mobility) are first-line treatments.

[NEJM @NEJM]

Deepak Srivastava, MD, describes the scientific foundations of a phase 1–2 study of stem-cell–derived ventricular assist tissue transplanted onto the epicardial surface of failing human hearts.

Learn more about the science behind the study in the editorial “Remuscularizing the Failing Human Heart,” from @GladstoneInst and @ucsf: https://t.co/MxkB8fdQNd

[Ashley Miller @icmteaching]

A lot of haemodynamic confusion comes from one basic error: treating descriptions of the system as if they were causes.

Pressure gradients, preload, RAP, afterload, Starling... all are useful, but often misread.

This review tries to put them back together into a coherent framework.

https://t.co/L19bsDCzr6

[M Velia Antonini @FOAMecmo]

🫁 Awake #ECMO cannulation, with sedation and a natural airway, before intubation in children, to provide hemodynamic stability + gas exchange to mitigate the risk of cardiopulmonary arrest during induction of anesthesia and intubation? Feasible in in high risk pediatric patients with varied physiology and rationale for #ECLS before (or in lieu of) intubation, with appropriate preparation and expertise.
@asaiojournal
🖇️ https://t.co/ohd8T680qM

[Centre for Perioperative Care @CPOC_News]

Active preparation for surgery and involvement in postoperative recovery creates better outcomes for patients.

Our new patient leaflet and clinical resource explain how to support patients to actively prepare for surgery and postop recovery.

More info: https://t.co/59QzDO8B4b

[Lea Alhilali, MD @teachplaygrub]

1/Do radiologists sound like they are speaking a different language when they talk about MRI?

T1 shortening what? T2 prolongation who?

Here’s a translation w/an introductory thread to MRI.

[Dr Tony Goldstone @goldstone_tony]

1/ V. Important 🧵 if you are CONSULANT in England. This week I used my FREE modeller to identify & correct an error in #AnnualAllowance for 24/25 which I suspect may be a common error. It will save me over £2,600 from my AA liability, buckle up & see if you are affected
Ps RT

[Majuran @icugasdoc]

Saving someone a Google!

https://t.co/kdVJ7Ru3y0

[IMCrit @IM_Crit_]

ICU Pulmonary Embolism Review:

Kudos to the authors for reviewing PE management strategies:

[Osama Hosheh @OsamaHosheh]

A concise tweetorial about TheArticleOfTheMonth #STARSHIP highlighting the key points is below:
(STARSHIP Study on Cerebral Autoregulation in Severe Paediatric TBI 🧠)
1-What’s STARSHIP?
A prospective, multicentre study (10 UK PICUs, 2018-2024).

[Prof. Nicholas Hart @NickHartGSTT]

@ChanYeow1 @JoaoWinck 2/2: LTTV - There is limited evidence for negative impact of respiratory alkalosis. We need to treat the patient's symptoms e.g. air hunger not just CO2. Always ask about the length, depth and frequency of the pressure support. Usual verbal analogue scales to assess breathless.

[Majuran @icugasdoc]

I entered the Hadestown Lottery for £30 tickets on @TodayTix! Tap here to enter: https://t.co/6txPFjWKBp

[NEJM @NEJM]

Simultaneous measurements in children revealed overestimation of arterial saturation by pulse oximetry that was attributable to spectrophotometric measures of skin tone. Learn more: https://t.co/RrNUvkgMKw

[Robert Oubre, MD | The Doctor of Documentation @Dr_Oubre]

“Can’t do MRI due to pacemaker.”
Just a simple line, right?

Until it gets carried forward for weeks.
No questions.
No confirmation.
Just blind trust.

Finally, someone digs in and discovers the truth:
The pacemaker IS MRI-compatible.

But it’s too late.
Patient care has already been delayed.

This is your reminder:
Your notes are not just for you.
They shape decisions and can harm patients.

Document with precision because people may take what YOU write as as gospel-truth.

[Tony Breu @tony_breu]

1/14
🤔 Why do we use iodine as an intravenous contrast agent?

The answer requires a review of the composition of the human body and a brief tour of one of my favorites, the Periodic Table of Elements.

[Ash Paul @pash22]

Why all randomised controlled trials produce biased results
https://t.co/kpaSV5LEN5

[Hopkins ICU Rehab @icurehab]

Remifentanil vs. dexmedetomidine for cardiac surgery patients with noninvasive ventilation intolerance: a multicenter randomized controlled trial https://t.co/2cgFjtXzSv #icurehab #A2Fbundle

[CHEST @accpchest]

Tranexamic Acid Neurotoxicity After Nebulization and BAL

What's the diagnosis? Read the full Novel Report in the October issue to learn more: https://t.co/HkCSkI1rRP
#MedEd #MedTwitter

[David Menon @Menon_Cambridge]

A Code of Practice for the diagnosis and confirmation of death 2025 Update now out - ready for implementation from 1st January 2025. Thanks to @dalecgardiner and @AndrewElder for their leadership in getting this over the line

https://t.co/PxTLGs2Q91