Silvia Delrio, MD

Cardiothoracic Anesthesia & Intensive Care @SRAnesthesiaICU | @uniud trained | Former Research Trainee @mayoclinic | 🇪🇺🇮🇹

[Matteo Aldo Bonizzoni, MD @MABonizzoni]

🌗The other side of #ECPR 🌓

🫁 Organ #donation🫀

⌛️10 years 🤕 307 refractory #OHCA

✅19% donated ≥ solid organ

✅167 solid organ recipients helped

✅28% ECPR benefit

➡️ Focus on selection criteria

#FOAMed #FOAMcc

1/4

https://t.co/s3DGac4fs1

[Giovanni Landoni, MD @giovannilandoni]

Today I’ve been appointed EIC of @MRE_signavitae (emergency medicine, ICU criticalcare , anesthesia and pain)

IF 1.1 and⬆️, indexed in Scopus

I will need YOUR help to further improve the quality of the Journal after the fantastic work of @giuvarr

https://t.co/0UH0E3ELVR

[Tommaso Scquizzato, MD @tscquizzato]

Thanks. Very complex comparing ECPR and conventional CPR observational data. These survival rates may seem close to those after conventional CPR but populations are completely different. Do you have data showing 17% survival in patients with OHCA and no ROSC after >60 min treated only with conventional CPR?

[Silvia Delrio, MD @md_delrio]

10 years of #ECPR at @SanRaffaeleMI

A long road ahead of us, but the path is set.

Very proud to have contributed to this paper and to be part of the #ECLS program at @SRAnesthesiaICU

#ecmo
#cardiacarrest

[Tommaso Scquizzato, MD @tscquizzato]

Very happy to share the results of our #ECPR program

We treated >300 OHCA patients in the last 10 years in our cardiac arrest center in Milan 🇮🇹

17% survived, 57% of them with good neuro outcome

Outcomes improved as the case volume increased

🧵 1/11
🔗 https://t.co/VthaIab3dj

[San Raffaele Anesthesia and Intensive Care @SRAnesthesiaICU]

1/3

📢FINAL invitation to #PRINCEtrial: a mRCT

🤔Can remote ischemic preconditioning reduce cardiac damage after non-cardiac surgery?

🌏739 patients randomized from 20 centers in 9 countries

🎯To reach 1100 patients, we need your collaboration!

🔓https://t.co/TKufS4h3nj

[Silvia Delrio, MD @md_delrio]

Among the many things I learned at @uniud, I have to thank @DeanaCristian85 for teaching me the basic skills in transcranial Doppler US (#TCD).
A great tool for an intensivist.

#Echofirst
#ICU

[Ross Prager @ross_prager]

#POCUS transcranial Doppler can be hard to integrate into practice - a 🧵on how it can change management. Trauma post OR for laparotomy (no CTs yet) - still unstable, TCDs done given low GCS.. diastolic reversal suggesting severely elevated ICP 🧠🤯😢#medtwitter #echofirst

[Silvia Delrio, MD @md_delrio]

How does the concept of "protective hemodynamics" compare to the idea of "protective ventilation"? https://t.co/cJQtWCYxov @drfdamico #bjachat

[Filippo D'Amico @DrFDamico]

@md_delrio This study's main finding is "no difference," which contradicts earlier assumptions that hypotension had devastating effects on patients. It emphasizes the need to reevaluate these beliefs. #periop #anaesthesia #anesthesia #bjachat https://t.co/mY7rNI3QJ3

[Silvia Delrio, MD @md_delrio]

How does this study challenge the conventional belief that "more is better" when it comes to intraoperative hemodynamics? https://t.co/cJQtWCYxov @drfdamico #bjachat

[Filippo D'Amico @DrFDamico]

Join us tonight on #bjachat, the @BJAJournals chat dedicated to manuscript discussions. At 8:30 PM (Italian time), we'll delve into our recent manuscript on intraoperative hypotension. Stay tuned for an insightful conversation! #periop #anaesthesia #Anesthesia
@SRAnesthesiaICU
https://t.co/lriYGFaC9S

[San Raffaele Anesthesia and Intensive Care @SRAnesthesiaICU]

📈🎖️ we’re proud that 2 young colleagues @MarinaPieri5 @alebelletti1 from @SRAnesthesiaICU are in the top 2% world scientists of their main subfield discipline of the year 2022

Overall >100 scientists from @MyUniSR @SanRaffaeleMI are included!

https://t.co/8ynOHs9oxh

[Silvia Delrio, MD @md_delrio]

If I restore the preoperative pressure, increasing it, how does this not promote the patient's homeostasis? https://t.co/cJQtWCYxov @drfdamico #bjachat

[Silvia Delrio, MD @md_delrio]

Can you highlight the primary result of this study, which is "no difference," and explain how it impact on patients? https://t.co/cJQtWCYxov @drfdamico #bjachat

[Filippo D'Amico @DrFDamico]

🫀Exciting breakthrough in intraoperative hemodynamic management!

Our meta-analysis of randomized trials reveals a game-changing perspective on intraoperative hypotension.

Contrary to previous beliefs, intraoperative hypotension may not be as harmful as once thought.
https://t.co/Gs3u0LfHgs

[Marina Pieri @MarinaPieri5]

A very debated topic, still little evidence:
WHICH CURRENT ROLE FOR IMPELLA IN CARDIAC SURGERY?

Follow the link:
https://t.co/VK8QvZCxW6
Focus, practice and current issues!

@JDAndriaUrsoleo @md_delrio @pacoitaly @AlessandroOrta1 @SRAnesthesiaICU @IJCardio

[Fabrizio Monaco, MD @md_monaco]

📰🗞️ Honoured to have had the possibility recently to be interviewed by @Corriere to share views and insights on my life as an #anesthesiologist and #ICU specialist here at @SanRaffaeleMi and @SRAnesthesiaICU
Read the interview here:[https://t.co/J1dFiAMKei]

[Silvia Delrio, MD @md_delrio]

@mess81rc @Bluefidel47 Da segnalare!

[Silvia Delrio, MD @md_delrio]

@DrMattThomas1 @nickmmark Loving Orange & Grey for ❤️ surgery.
Only missing these white guys (17G) below for intermediate procedures:

[Silvia Delrio, MD @md_delrio]

This.
In obese patients use more PEEP, do not change Vt.

[Sam Ghali, M.D. @EM_RESUS]

Why use IDEAL and not ACTUAL body weight for calculating Tidal Volumes?

Compare the lungs.

This is why.