DRatano

[Intensive Care Medicine @yourICM]

Beyond borders! International fellowships serve as catalysts for development
🌱 professional
🌱 personal
🌱 career
🌱 institutional
shaping fellows’ identity & producing a more well-rounded, empathetic, effective physician.
#FOAMcc on @yourICM
🔓 https://t.co/uSIJBtoi0I

[Giacomo Bellani @GicoBellani]

How to Set #mechanicalventilation during #ecmo ?
Ask @efan75 and @Luigi_ICM
Once a patient is placed on ECMO mechanical ventilation should not aim to maximise gas exchange but to optimise lung protection. Careful selection of DP Vt and PEEP!
https://t.co/qov7K0IuOO

[ELSO @ELSOOrg]

VV #ECMO associated with considerable number of complications: adequate understanding of implications of run initiation/management decisions & complications across pts, families, teams crucial to both minimize/address harm. Narrative review @CritCareMed
🖇️ https://t.co/nzDumvKAos

[M Velia Antonini @FOAMecmo]

Bedside TEE guided VV #ECMO cannulation in severe #COVID19 respiratory failure? Safe & effective! No tamponade/hemothorax/intraabdominal bleeding or TEE-related complications reported in this study nor healthcare provider #SARSCoV2 infection
@JCVAonline
🖇️ https://t.co/UnddygbxtZ

[Jose Dianti @jdianti]

Our physiological trial of an integrated ventilation and sedation strategy for lung and diaphragm protection in patients with AHRF came out today @Crit_Care.

These are, IMO, the main findings of the study:
1/8

https://t.co/vKt3F9mGnC

[Idunn Morris @IdunnMorris]

Decline in Ventilatory Ratio as a Predictor of Mortality in Adults With ARDS Receiving Prone Positioning https://t.co/sf3aAr5G3j …Great work @manutismi @BrunoFerreyro @efan75 @ICUFellowTo

[Intensive Care Medicine @yourICM]

Family/caregivers at #ICU bedside? Essential to pt's care... not merely “visitors”
⬇️ anxiety/#delirium + ⬆️ pts well-being
⬆️ communication & enhanced relationships with team
⬇️ anxiety/depression in family/caregivers
⬆️ psycho-health of HCWs
#FOAMcc
🖇️ https://t.co/FO1j51dESN

[DRatano @RatanoD]

@efan75 @martin_urner @ihpmeuoft @ccmtoronto @JillTinmouth @seymoc @nialldferguson @MamdaniM Well done Martin! Congratulations!

[COVID Critical @COVIDcritical]

https://t.co/0n4EuGeuyW

@UQMedicine
@MetroNorthHHS
@CCRG_Research
@TheCommonGoodAU
@tpchlibrary
@UHN
@efan75
@martin_urner

[COVID Critical @COVIDcritical]

"Probably the most important study in our field." - @IntlECMONet
https://t.co/7X0B9pmaWj

Congrats @efan75 @martin_urner @aidybarnett on the latest paper by @COVIDcritical. Presented as special session @EuroELSO

@bmj_latest
@UQMedicine
@MetroNorthHHS
@tpchlibrary

[Critical Care @Crit_Care]

#CritCare #OpenAccess
Clinical #sepsis-survivors heterogeneity vs distinct #biological_profiles at ICU discharge & late #adverse_events https://t.co/ljwK0amxQU

@jlvincen @ISICEM #FOAMed #FOAMcc #BMC #ICU #Biomarkers #Personalized_medicine #PICS

[ELSO @ELSOOrg]

🦠 VV #ECMO in acute #COVID19 respiratory failure associated with reduction in mortality by 7.1% vs conventional MV without ECLS. Age, severity of hypoxaemia, intensity/duration of MV should be considered to mitigate risk of harm/maximise effectiveness.
📎 https://t.co/KWQsDyBrh0

[Dr. Niall Ferguson @nialldferguson]

Nice example of emulated target trial. #causalinference Also nice example of robust response to reviews and additional analyses by @martin_urner and @efan75 which one can see on the @bmj_latest website. Congrats!🍾

[DRatano @RatanoD]

@AMcMichaelMD @AnnichGail @efan75 @faraonidmd Thanks Ali!! A pleasure and a great result!!

[ELSO @ELSOOrg]

The updated @ELSOOrg adult & pediatric anticoagulation guidelines just out, open access, on @asaiojournal
🩸anticoagulants
🩸therapeutic monitoring of anticoagulants
🩸management of bleeding & thrombotic complications
#FOAMcc #FOAMecmo #PedsICU
🖇 https://t.co/sC8iQK6YL0

[Intensive Care Medicine @yourICM]

Bubble study to rule out PFO??
➡️#ARDS pt, severely hypoxemic despite MV + prone
positioning
➡️#TEE bubble study through upper-limb access
➡️large Eustachian valve prevented bubbles from reaching IAS
#POCUS #FOAMus https://t.co/x2pxDzGGlG

PS consider femoral venous injection...

[DRatano @RatanoD]

@Caroline_gasdoc You look great! Send this one 😂. And people will know your “pessimistic me”. No surprise or questions about non verbal in family meetings 🤣

[Leticia Kawano-Dourado (I'm on BlueSky/LinkedIn) @leticiakawano]

📢An important lesson here for early-career #Medtwitter
@Nature
"often involving junior researchers who have given their all in collaborations only to then feel unfairly relegated down the author or collaborator's lists"

Read this:
https://t.co/Qxhsx1wrGO

[The Lancet @TheLancet]

NEW—Guidance on antimicrobial use should form part of #COVID19 patient care, as UK data confirm bacterial co-infections are rare but antimicrobial use is high.

Read the study from @clarkdrussell, @c_j_fairfield et al. in @LancetMicrobe: https://t.co/oDO5GKeudQ.