Excited to share our review “Protective Hemodynamics: A Novel Strategy to Manage Blood Pressure”🚨🫀 @giovannilandoni This approach aims to maintain cardiovascular stability while minimizing risks associated with interventions. Check it out! 📄💡 https://t.co/MFkxyv3UAq

💊Antifibrotic drugs like Pirfenidone & Nintedanib decrease mortality by 40% in Acute Lung Injury patients (such as COVID-19)! 🏥This Meta-analysis suggests that this therapy could greatly benefit ALI patients: NNT=13! ⁉️Could this change post-ICU care? What do you think?

Happy to share our paper on: Management of anaesthesia transfemoral transcatheter aortic valve implantation: an Italian interdisciplinary consensus @ITACTAtwits @AjelloValentina @DrFDamico @fabiodoc64 @docsanga @giovannilandoni @MarinaPieri5 https://t.co/7G4ocnKtYt

Proud to share this work — a collaboration among The Italian Association of Cardiothoracic Anaesthesiology and Intensive Care (ITACTAIC) @ITACTAtwits The Italian Society of Anaesthesia, Analgesia, Resuscitation and Intensive Care (SIAARTI) @Siaarti_online The Italian Society

Out now: consensus on anesthetic management for TAVI in @BJAJournals—the result of one year of work by @ITACTAtwits. Kudos to the whole team. I am grateful to have contributed and excited to have been part of such an important and engaging project.

@DrFDamico @BJAJournals extremely interesting for cardiac anesthesiologists! @JCVAonline @EchoSoliman @KhannaAshishCCM @pwierusz @Echotrainer @jiapenghuang @SCVA1997 @JenelleBadulak @EACTAIC @MarcVives13 @tahan_dr @rex_steffen @NetoNigro @ChirojitM @edwinturton1970 @GJCriticalCare @granell_gil

2/ “Minimalist TAVI” ≠ minimalist anesthesia. It means patient-centred decisions, tailored monitoring, and anesthesiologist-led care.

1/ Key messages from the consensus: • Minimalist approach • Local anesthesia ± conscious sedation as first choice • Selective invasive monitoring, driven by patient risk

🚀 Our new article now in British Journal of Anaesthesia @BJAJournals What is the optimal anesthesiologic management for transfemoral TAVI procedures? An Italian interdisciplinary consensus proposes a risk-based framework. 🔽 Read here https://t.co/lO3hiwQA4w

8/ Take-home message ✅ 🔹 Minimal when possible 🔹 Invasive when necessary 🔹 Always tailored — cardiology & anaesthesia working together. Read the article here ⬇️ https://t.co/6JXbXnNxUA

7/ Drugs & strategies 💊 ✔️ remimazolam appropriate ✔️ dexmedetomidine often appropriate ⚠️ propofol: caution with LVEF <30%/instability ✔️ ACT-guided heparin ✔️ bivalirudin only with heparin allergy/HIT

6/ What to avoid 🚫 ❌ nurse-administered anaesthesia ❌ pulmonary artery catheter / pulse contour ❌ routine urinary catheter ❌ prophylactic ECMO ❌ routine TEE ❌ deep/general anaesthesia (except select cases)

5/ Monitoring 🩺 Use invasive monitoring only for selected high-risk patients: • haemodynamic instability • RV dysfunction • LVEF <30% Otherwise → non-invasive.

4/ Core message 💡 When safe, choose a minimalist approach: ➡️ local anaesthesia or conscious sedation in most cases.

3/ How we did it 🧠📚 Multidisciplinary panel + systematic review + RAND/UCLA method → 1032 clinical scenarios rated as: ✔️ appropriate ❌ inappropriate ⚖️ uncertain

2/ Why does it matter? 🤔 TAVI is expanding rapidly — but anaesthetic strategies differ widely across centres. We wanted practical, patient-centred guidance.

1/ 💥Our new article is out in the British Journal of Anaesthesia @BJAJournals 🎉 Italian interdisciplinary consensus on anaesthesia for transfemoral TAVI — helping standardise practice where variability is still high. Read the article here ⬇️ https://t.co/6JXbXnN052

🚀 It’s Out!🎉 📝Our correspondence on postoperative neurocognitive outcomes is now published in @Anaes_Journal This piece reflects on the ambitious umbrella review by @DrFDamico @Stefano__Turi @GiacomoMonti @azangrillo @giovannilandoni @manazzamarcoMD @Giulianalo_ and

As 2025 draws to a close, let's look back at 𝙎𝙞𝙜𝙣𝙖 𝙑𝙞𝙩𝙖𝙚 by the numbers! The most-read article published in 2025 so far is “Reevaluating the lower limit of renal autoregulation: does one size fit all?” 🔗Read the article here: https://t.co/h9O6CU10tU

Following the strong response to our 1st sepsis cartoon, here’s a second... Can precision #immunotherapy change #sepsis outcomes? An important #JAMA article, published last week — presented in our new format. credits: @DrFDamico & @FabioTaccone #ISICEMelearning @JAMANetwork

💉Ketamine vs Etomidate for intubation 🫂3200 critically ill partients in the US ☠️Same mortality at 28 days BUT 🫀Etomidate had less cardiocollapse than Ketamine Great video by @DrFDamico for @ISICEM introducing the research Full article on @NEJM 🔗 https://t.co/p5BJBgvNWJ