🧠 organ dysfunction has been incorporated into the core definition of pediatric #sepsis.❗️Pediatric delirium (PD) is a clear manifestation of 🧠dysfunction, but PSS focuses only on GCS/pupils & omits PD. Viewpoint 📝:. #PedsICU #pediatricDelirium #CCS

RT @pilar262004: Gracias a @critcarescience por permitirnos compartir con el mundo la experiencia de @SATIarg 😏.

🧒🏼 How is ped #palliative extubation in 🇧🇷 #PedsICU ?.➡️ Case series w/ 27 children (5 d–10 y) in a tertiary PICU.➡️ Main indications: neurological impairment & IMV weaning failure .➡️ Family presence & shared decision-making were part of most cases.

🦠 Do 🇧🇷pediatricians recognize #sepsis & septic shock accurately?.🇧🇷 355 physicians.🔹 Most participants relied on SIRS-based criteria, intuition & clinical signs for diagnosis.🔹 Only 31.3% & 30% correctly identified sepsis & severe sepsis. #PedsICU .

🔎 Have we truly advanced in #GenderEquity in critical care medicine?. ➡️ Women remain underrepresented in leadership, authorship,grant awards. ➡️ Initiatives exist, but structural barriers & workplace culture continue to limit progress. #ICU #PedsICU

🫁 Can 1 h of positive pressure ventilation post SBT reduce extubation failure?.🔹Multicenter feasibility #RCT in 🇧🇷 w/65 #ICU pts.🔹 Pts ventilated >72h were randomized after successful SBT;.🔹 Extub failure in 7 d: 28.1% (interv.) vs. 42.4% (control).

💧 Should fluid therapy in #ICU pts be shorter & more strategic?.🔹 Excessive fluid resuscitation=worse outcomes;. 🔹#ROSE model & deresuscitation strategies aim to balance perfusion+ 💧 overload;.🔹Tools like US & bioimpedance can guide safe fluid removal.

🤖 Can artificial intelligence improve prediction of postoperative complications #ICU patients?. 🔹 #AI models integrate perioperative data to identify at-risk patients.🔹 Applications include AKI, sepsis, mortality, ICU admission &more. #ICU #PedsICU

🏥 Can general intermediate care units (IMCUs) improve #ICU efficiency & patient safety? .🔹 IMCUs fill the gap between wards & ICUs.🔹 Reduce readmissions & optimize patient allocation.🔹 Improve comfort, allow family presence & enhance monitoring.

🧠 Bayesian analysis in #clinicaltrials: how does it differ from the traditional approach?.Bayesian analysis is being used w/ increasing frequency in #ICU research & brings advantages/disadvantages compared to traditional Frequentist techniques.#Review .

RT @VSLanziotti: ❗️Our letter regarding editorial "Closing #ICU knowledge gap: the importance of publications from LMIC” is published @crit….

🕯️ The legacy of Prof. Rinaldo Bellomo for critical care & scientific publishing. ➡️Special Editorial . ➡️ A pioneer, mentor, & visionary in #ICU medicine. ➡️ His legacy continues to inspire a more inclusive, ambitious &collaborative ICU community.

BRICnet: shaping landscape of #ICU research in 🇧🇷 & beyond.🔹Founded in 2007, has become a leading clin research network in ICU;.➡️ 71 publications .➡️ 15 RCTs & 14 obs.studies.➡️ Strategic partnerships w/ international networks like ANZICS, CCCTG, ESICM.

🦠 Improving sepsis outcomes in 🇧🇷.Strategies & initiatives . ➡️ @ILASepse has led initiatives focused on awareness, education & quality of care.✅ In this viewpoint, authors discuss recent strategies & initiatives aimed at ⬇️ burden of #sepsis .

📺 CPR in 🇧🇷 medical television shows: a descriptive & quality assessment study. ➡️Analysis of 59 CPR scenes from 3 🇧🇷 medical TV shows;.➡️ Major deviations from ACLS guidelines were common: delayed CPR, incorrect defibrillation, poor airway management.

🏠 Home care after #ICU discharge: a global perspective on challenges & opportunities.⬆️readmission rates & long-term disabilities after ICU discharge;.🔹Home visits & follow-up calls ⬇️ readmissions & improve outcomes. #FOAMed @FOAMcc @CritCareReviews

🔵Message from our Editor-in-chief.🔹Advancing for Growth, Quality, & Global Visibility in 2025.We are proud to announce 🔑updates that mark a new phase for CCS:.➡️ New visual identity .➡️ Expanded Editorial Board.➡️ Updated Author Guidelines.#ICU #FOAMed

📚 Translation, cross-cultural adaptation & clinimetric evaluation of the Chelsea Critical Care Physical Assessment (CPAx) for Brazilian Portuguese:. 🔹 ⬆️content validity index (CVI 0.91);.🔹 Excellent interrater reliability (ICC 0.997). #FoaMed #ICU .

💉 Are sedation practices different for patients intubated in the #ED compared to the #ICU?.➡️ Retrospective cohort study comparing sedation practices between ED & ICU pts.🔹 264 pts included (95 ED vs. 169 ICU);.See the results at:. #FOAMed #FoaMcc

🫁🫀 Pulmonary artery pressure assessed by catheterization & its concordance/transthoracic echocardiographic estimates:.🇨🇴 Data from multicenter cohort of patients with pulmonary hypertension in Colombia;.➡️ Retrospective study.➡️ 633 pts. #ICU #FOAMed