Critical Care Science
@critcarescience
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Official account of the Critical Care Science Journal Affiliated with 🇧🇷 AMIB and 🇵🇹 SPCI Editor-in-chief: Jorge Salluh MD, PhD
São Paulo, Brazil
Joined August 2020
#ICU #CriticalCareScience How to implement the new #SOFA - published @JAMA_current and presented at @ESICM LIVES Take a look at this viewpoint article 👇🏻 https://t.co/MAPdqy3O0H
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🔷 SOFA 2.0 – A Quick Guide for clinicians & researchers long-awaited SOFA 2.0 was presented at Hot Topics @ESICM LIVEs & simultaneously published in JAMA on October 29! 7 🇧🇷 authors! 🔷 How should it be implemented in clinical practice & research? 👇🏻 https://t.co/MAPdqy3O0H
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📣 Call for Papers ! Systematic Reviews & Meta-Analysis Critical Care Science welcomes submissions of #SystematicReviews & MetaAnalyses 🗝️topics in #ICU #PedsICU 💎 Open Access: No APCs. No submission fees 👉 Submit your manuscript at: https://t.co/WWQKE2qUu1
#Foamed
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🧠 Is it time for SOFA 2.0 in #ICU ? ➡️ #SOFA score brought standardization to organ dysfunction assessment; ➡️ Advances in tech, sedation,new therapies demand an update; ➡️ SOFA 2.0 brings global input, data-driven validation, methodological rigor. https://t.co/DAYGtA7X5U
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Do we underestimate right ventricle & venous system in #ICU? ➡️ RV function & VR: essential for🫀output & tissue perfusion ➡️ Guyton’s model & concept of mean systemic filling Press : insights into fluid & vasopressor mngment 🎯 Great narrative #Review
https://t.co/bnRBGzEPT6
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👶🏼 How can we identify #palliativecare needs in newborns admitted to #NICU? 🇧🇷 study w/188 neonates in a ⬆️risk Brazilian maternity ➡️ Palineo Score developed using 7 clinical domains ➡️ Exceptional accuracy to guide early & appropriate #palliativecare
https://t.co/Vf42WBdwJu
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👨👩👧👦 Can liberalized family presence in the ICU improve care & how do we make it work? ➡️ Structured implementation involves planning, staff training, & family education. 🎯 Evidence shows benefits for patients, families, & care quality. https://t.co/SCDkrkSYsp
#ICU #PedsICU
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🤖 How can AI improve #ICU & what are the risks? ➡️ AI tools support diagnosis, prediction, & resource allocation ➡️ concerns remain: bias, transparency, inequity & environmental impact 🎯 Mitigating bias is 🗝️to equitable implementation in ICUs. https://t.co/KMBusO9BWn
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🌏 Can Brazil & ANZ build a new model of global collaboration in #ICU? ➡️ cross-continental alliances are no longer optional — they're essential. ➡️ Brazil & ANZ bring complementary strengths: large populations, diverse ICU case-mix, & aligned values. https://t.co/9u4A4u1Nvm
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🧠 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 📝: https://t.co/01XE1ULnJG
#PedsICU #pediatricDelirium #CCS
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Gracias a @critcarescience por permitirnos compartir con el mundo la experiencia de @SATIarg 😏
Muy contentos de compartir la experiencia de 20 años ininterrumpidos de Registro #SatiQ en @critcarescience. Logros, desafíos y futuros proyectos @satiarg 👇 https://t.co/lDV5zKYq61
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🧒🏼 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 https://t.co/B8N4FPlukb
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🦠 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
https://t.co/UMXWFHs5Z6
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🔎 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 https://t.co/XutnsGgiB0
#ICU #PedsICU
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🫁 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) https://t.co/KsOZhEKhg0
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💧 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 https://t.co/2tiwJGqcKO
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🤖 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. https://t.co/sJcFmKuQA8
#ICU #PedsICU
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🏥 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. https://t.co/cIF3QqHh3a
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🧠 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
https://t.co/fLJBLjaOqo
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