San Raffaele Anesthesia and Intensive Care

The Department of Anesthesia and Intensive Care of @SanRaffaeleMI in Italy. Our goal is reducing mortality in the ICU/OR, improving quality of life thereafter.

[San Raffaele Anesthesia and Intensive Care @SRAnesthesiaICU]

OPEN DAY – Scuola di Specializzazione in Anestesia, Rianimazione, Terapia Intensiva e del Dolore - Università vita-salute San Raffaele

🔗 Link di registrazione: https://t.co/YYuST7bkuL

Ti aspettiamo!

[Filippo D'Amico @DrFDamico]

Probably the best editorial I’ve ever written with @giovannilandoni
Published in the @BJAJournals

https://t.co/YXDYsn3E6G

[Rosario Losiggio, MD @LosiggioRosario]

Just published in the @BJAJournals our letter on #aminoacid infusion and #renalprotection

Shorter is better

A brief infusion (≤48 h) is enough to prevent AKI, while avoiding the risks of urea accumulation

#PROTECTIONtrial

[Giovanni Landoni, MD @giovannilandoni]

Desflurane is actually better than TIVA in terms of its carbon footprint.

‘If that had been understood from
the beginning, the well-intentioned efforts of the anaest community
to address environmental sustainability could have focused where
it matters…’ https://t.co/hQ5ARFfgRx

[Giovanni Landoni, MD @giovannilandoni]

🩸 Presenting today at #ICARE2026 #SIAARTI, Milan: RCT of oral iron before hip/knee replacement in 129 anaemic patients. 30 days was NOT superior to 15 days (transfusion 12.9% vs 4.5%, p=0.16). Shorter = cheaper and better compliance. #PBM
https://t.co/fTRQJMsjL3

[Giovanni Landoni, MD @giovannilandoni]

🎧 L’anestesia come non te l’hanno mai raccontata!

Ecco i primi 9 #PodcAnest che spiegano in parole semplicissime, a chi medico non è, l’affascinante mondo dell’anestesia e della terapia intensiva.

Bravissimo @e_mongardini che coordina 👏

👉 https://t.co/GAHB9cxxIu

[Giovanni Landoni, MD @giovannilandoni]

Tomorrow 5 PM CEST: Early multimodal vasoconstrictors in vasoplegia 🩺
Webinar @UNI_FIRENZE with Žiga Kalamar, in English.
NE + vasopressin + Ang II together, from day one? Let’s discuss the TRICYCLE RCT.
DM me for the link 📩
#Vasoplegia #SepticShock #CritCare

[Edoardo @e_mongardini]

Acute normovolemic hemodilution in women undergoing cardiac surgery: less transfusion? No.

Post hoc analysis of the ANH RCT, 405 women:
- RBC transfusion 38.8% vs 44.6% (RR 0.87, 95% CI 0.69–1.10)
- hypotension 16.0% vs 4.8%
- ICU stay +21 h

Would you still use ANH in women?

[Giovanni Landoni, MD @giovannilandoni]

A nasogastric tube is not a trivial procedure

Our systematic review: 168 pts harmed by tube misplacement
🫁 54% airways
🧠 20% brain
⚠️ Mortality 29% (61% if brain)
✅ Only 30% verified by X-ray or pH
No blind insertion after facial trauma.
Open access: https://t.co/2BkZAc3P99

[Filippo D'Amico @DrFDamico]

Article: https://t.co/RffWnZiLjb

[Giovanni Landoni, MD @giovannilandoni]

Published today
Free in @JCVAonline 👉 https://t.co/fiaxiAqSIU #AKI
207 RCTs, 55 interventions, ~64,000 patients: what prevents AKI after cardiac surgery?
Signals of benefit: #dexmedetomidine #fenoldopam #nitricoxide #RIPC #aminoacids #KDIGObundle

@DrFDamico

[Giovanni Landoni, MD @giovannilandoni]

After our ANHtrial in @NEJM we focused on blood transfusion in women

#ANH vs usual care in #cardiacsurgery
🩸 RBC transfusion 38.8% vs 44.6% (NS)
⚠️ Hypotension 16.0% vs 4.8%
🏥 +21h ICU, +1.9 days hospital
Caution with ANH in women. Now in @JAMASurgery
https://t.co/MMgcHz3MQO

[Filippo D'Amico @DrFDamico]

Only 3 amino-acid RCTs—but one enrolled 3,511 patients. Trial count is not evidence strength. All three showed numerically less AKI.

[Giovanni Landoni, MD @giovannilandoni]

un mio videopodcast in Italiano sull’importanza della ricerca (in aggiunta alla clinica)
https://t.co/PADfqWsn3G

intervistato da @MichiIntrona
anche su spotify
https://t.co/VEFVAEPhG6

[Giovanni Landoni, MD @giovannilandoni]

🥇 Con oltre 1.000 preferenze, Anestesia e Rianimazione si conferma la disciplina più scelta in Italia!

Ai neoimmatricolati auguriamo 5 anni di specialità ricchi di crescita, competenze e soddisfazioni. Benvenuti! 💚

#Anestesia #Rianimazione

[Giovanni Landoni, MD @giovannilandoni]

🏆 130+ colleagues from @MyUniSR @SanRaffaeleMI in the Stanford–Elsevier Top 2% Scientists list (single-year impact 2025).
Three from Anesthesia & Intensive Care: @azangrillo @alebelletti1 @giovannilandoni Proud of our team!

https://t.co/LWBIJvPOUO
#Top2Scientists

[ITACTAIC @ITACTAtwits]

📢We are proud that our Italian interdisciplinary consensus on anaesthetic management for transfemoral TAVI (Ajello et al., BJA) is the focus of the BJA editorial by Gudrun Kunst & Christopher Bain! 👏🫀

📄 Editorial: https://t.co/NgHmXtlQyF
📄 Consensus: https://t.co/JeiRRGhsVS

[Marina Pieri @MarinaPieri5]

A great achievement for an extraordinary group of italian cardiac anesthesiologist!!!

[Giovanni Landoni, MD @giovannilandoni]

New in @yourICM Volatile anesthetic sedation in #ARDS
Free full text 👉 https://t.co/l9l0T2nuHr

Strong preclinical rationale, yet harm with sevoflurane in SESAR. Why? Timing, dose/duration, dead space, deep sedation.
Isoflurane remains an open question.

#FOAMcc

[Giovanni Landoni, MD @giovannilandoni]

Oggi ore 17:00 modererò il webinar @Siaarti_online sulla #angiotensina II in #cardiochirurgia

Vasoplegia post-CEC: perché usarla, quando iniziarla e cosa sappiamo sugli effetti renali? Ne discuteremo insieme, con spazio per le domande.

https://t.co/KCclBZcsZv

[Giovanni Landoni, MD @giovannilandoni]

Delayed air embolism: 46% of cases start >1 h after CVC removal. 300 colleagues joined IVAS webinar this Saturday, with lots of questions.
PACMAN slides? DM me.
Webinar with Pacini & Alfaroli? Ask!
Paper: https://t.co/MsJkCxea25
#CriticalCare #VascularAccess