📣Our new PRORVnet collaborative publication (CCR) is out in AJRCCM 🫁🫀   'RV Hemodynamics in ARDS: Monitoring and Implications for Clinical Management'   @ATSBlueEditor, #Douglas Slobod, @drhaty, @MadsDam_MD, @DenaultAndre, @prorvnet   https://t.co/eDRrppytjP

Incredible talk by Dr Sern Lim @ICS_updates #SOA25 Key take-homes: ❤️Think Shock ❤️Call Shock Team Early ❤️Early Transfer to CS Centre What can we do to improve our ability to diagnose shock early? Suggestions below 👇🏻

Long-term outcomes after VA #ECMO in adults 🔍 multicenter @anzics study investigating incidence of death or new disability at 12 months after VA #ECLS initiation in 🇦🇺 & 🇳🇿 At 12 months 30% pts alive without new disability. Major burden of disability appears to develop in first

Anticoagulation in #ECMO: how to reduce bleedings? 🔍prospective cohort study including 277 adults on #ECLS 🩸risk of hemorrhagic events 2.97-fold higher in patients with a PTT > 70 vs patients under no UFH therapy Association observed between target PTT & hemorrhagic

Veno-pulmonary #ECLS? carefully managed to avoid negative hemodynamic impact! 🩸elevated EBF increase mPAP/LAP & reduce PA pulsatility potentially leading to complications such pulmonary hemorrhage + permanent vasculature damage: hemodynamic response should be considered when

Initiation of #ECPR in patients presenting with out-of-hospital cardiac arrest? Emergent mechanical circulatory support with VA #ECLS offers a bridge to diagnostic & therapeutic interventions, but can be challenging to provide in a timely fashion. 🔍 55 OHCA patients received

Non-invasive positive pressure ventilation - BiPAP and CPAP, for example - can be a bit of a black box to most of us ⬛️ Once it's started, the nuances of how to adjust it to optimize each patient's physiology takes skill. In the wise words of @iceman_ex - "The goal is to

Lung injury in myocardial infarction-associated cardiogenic shock supported by venoarterial extracorporeal membrane oxygenation: a scoping review

Exciting opportunity alert! 🌟 Join us in Manchester on April 24&25, 2025, for the 14th Ultrasound in Acute Care event. Learn basic to intermediate US techniques from leading pioneers in the field. @iceman_ex @icmteaching @Assoc_Anaes @FICMNews @RCollEM @IM_Crit_ @RCollEM @CC_3N

Right ventricular Injury in patients with in respiratory failure receiving VV #ECMO 🔍 scoping review aimed to map current literature & guide research on definition & management 📚 30 studies reported on RVI (dilation, dysfunction, failure) 📚 23 studies reported on

💉 Sedation practices in adult patients with severe #ARDS on extracorporeal respiratory support using VV #ECMO: if you are an ECMO physician provider don't miss the opportunity to join this survey! 🔗 https://t.co/sWu3glZwGO ⏱️ takes 9' to complete. 🗓️ deadline: January 21, 2025.

If you need a refresher on Swan-Ganz catheters and PA pressures, this is good. Actually, I am lying. It is VERY good... Thank you Matt, Sergio, Max et al!

Development of novel VA #ECMO drainage cannula ⚙️ fluid dynamics #simulation 🔍 ex vivo evaluation 🩸hemolysis assay 🩸PLT activation & receptor shedding 🩸degradation of vW factor multimers 🩸clot volume analysis within cannulae @asaiojournal 🔗 https://t.co/RrAngDHNs6

Use of extracorporeal blood purification therapies in #sepsis/septic shock 🧫 rationale & available clinical evidence supporting use of: #RRT, plasma exchange & coupled plasma filtration + adsorption, hemoadsorption 🩺 considerations for current clinical practice 🔍 (future)

Permissive hypercapnia in acute severe respiratory failure: should we target PaCO2, pH or both?? Safe thresholds in critically ill? 🩺mechanisms & management of hypercapnia requiring IMV 🫁 impact of hypercapnia on outcomes 🫁 🫀🧠significant physiological effects: RV & pulmonary

Modified CALS including rescue-focused cardiac ultrasound and early institution of extracorporeal cardiopulmonary resuscitation instead of chest reopening.#ECMO #CALS #Cardiacarrest https://t.co/YZL4zGzIVl

⚖️ Recognizing unique ethical challenges in #ICU-based research (pts at high risk for adverse events, often unable to consent, relying on surrogates) essential to enhance transparency/understanding among researchers, research ethics committees, public 🔓 https://t.co/kC496IoxQy

Personalized ventilation - Suggested individualized use of permissive hypercapnia. Hot off the press. @vaszochios @JCVAonline @glenfield_aicu @LeicResearch https://t.co/JLlJBwhu9a

🫁 Greater personalization in #ARDS treatment rather than a “one-size fits all” to be pursued, through multi-dimensional approach integrating physiology, biology, imaging, cutting-edge trial design/analysis, to ensure that every pt has best possible chance of recovering from this

Left ventricular energetics in patients receiving VA #ECMO for #ECPR achieving ROSC 🫀 simultaneous invasive left heart catheterization + 3D echocardiography 🫀high ECMO flow significantly reduced LVEDP, LVEDV, and LVSW vs low flow, irrespective of survival status 🩺 6 survivors: