How do you titrate your PEEP in moderate to severe ARDS Patients?.

An excellent visual abstract by the master @emireles_c clearly illustrates the equation of motion (EoM) for the respiratory system and its clinical implications under pressure- or volume-controlled settings.

RT @emireles_c: Sharing:.The equation of motion: a brief guide to ventilator adjustment @CCF_PCCM @UCRCriticalCare….

#ICU #criticalcare #CCU

ICU glass door topic🫀💨.Topic: Heart-lung interaction (spontaneous & MV). ✅ Fluid status ≠ responsiveness.✅ IVC variation ≠ automatic bolus.✅ PPV/SVV + POCUS = smarter decisions. POCUS is a mindset. Let’s see who comes back tomorrow for more 👀😉 #MedTwitter

💡Should APRV be used earlier in ARDS instead of waiting for “salvage mode”?. In our @accpchest piece, we summarize the TCAV-APRV physiological benefits . 🔍 More studies needed. 📖 4-min read:.

📖 Explore fresh perspectives from CHEST® Editorial Board members on key topics: managing pulmonary subsolid nodules, opioid use in the ICU, and cardiac arrhythmias in pulmonary arterial hypertension. #CHESTJournal .

Can we personalize mechanical ventilation beyond traditional parameters? EIT shows promise in optimizing PEEP, reducing mechanical power, and improving weaning. Still early — but the future looks interesting.

🩸Lactic acid is a powerful prognostic marker in normotensive .📈Lactate ≥2 =.• Occult shock.• ↑ 30-day mortality.• Higher decomp risk.🔬Vanni et al. (Chest 2013): Elevated lactate helps ID intermediate-high risk PE needing ICU or PERT. 💡Normal BP ≠ stable perfusion

RT @ArielG_RRT: Still struggle with this simple math.

This time of year, some doctors are starting their training, some are graduating, and others are continuing. The road is tough, but full of opportunities. The goal is one: to grow and help patients feel better. Congratulations all, You’re doing a great job. 👏 #MedTwitter.

Excellent summary of #HR25 highlights by Dr. @KiranRikhraj. Eagerly waiting for the online version from @ThinkingCC—each update makes me even more excited to catch the full talks!.

Since the patient was not yet ready for extubation and was exhibiting significant respiratory effort, a decision was made to initiate low-dose fentanyl for analgesia.

PC-CMVa .Load: Pmus.Work shifting .Triggers: one double trigger .Cycle: maybe late cycle

RT @NephroP: Thought of the day. #POCUS #FOAMed #Nephpearls

Congrats to all CHEST Challenge finalists! 👏. Shoutout to the Marshall Pulmonary & Critical Care program – strong work! 💪. Good luck to Marshall, Buffalo, & Colorado! See you in Chicago at #CHEST2025! #MedEd

What is the TAG, inspiratory load, and expiratory load? What are your thoughts about the patient–machine interaction? What can you do to help the patient?. @ArielG_RRT @emireles_c @_MSAMEED @Vent_Busters @ThinkingCC @msiuba @IM_Crit_ @critconcepts @PulmPEEPs @accpchest

RT @accpchest: A new infographic from the CHEST Critical Care Network describes the conditions for patient-ventilator synchrony, what happe….

RT @accpchest: The AASM recently released updated clinical guidelines for the management of restless leg syndrome. What can clinicians le….

RT @accpchest: A new infographic from the CHEST Critical Care Network describes the conditions for patient-ventilator synchrony, what happe….