Xavier Monnet

🔥SSC 2026 just released! ➡️ 129 statements ➡️ 23 regarding #Hemodynamic Management ➡️ 17 are new, revised or revisited ➡️ 8 changes in strenght of recommendations 👫 More individualized approach 💧 Fluids 💉 Vasopressors 🫀 Inotropes 🖥️ Monitoring 🔗 rdcu.be/e9wYT

Which preload responsiveness test should I use? Choosing the right preload responsiveness test is key in fluid resuscitation. #Hemodynamics #CriticalCare #FluidResuscitation @Prof_XMonnet @LaiChristopher2

Which preload responsiveness test should I use? w/@Prof_XMonnet #ICU #Hemodynamics #French_hemo Step-by-step approach 1️⃣ Intubated and spontaneous breathing? 2️⃣Which monitoring device? 3️⃣Limitations in interpretation? journals.lww.com/hemodynamics/f…

🚨 "Early norepinephrine in #septic shock: SRMA" @Crit_Care ✅↓D28 mortality ✅↓fluids ✅Faster MAP stabilization 🛡️Safe & effective 🔍Trial sequential analysis : more RCTs still needed to confirm Big thanks to my co-authors! @shiruimaya @Prof_XMonnet 🔗rdcu.be/ek2Uz

💨Weaning-induced pulmonary oedema: a key driver of weaning failure 🏥 13#ICU 🤕634 SBTs, 500 patients 12% all #SBT 36% of weaning failure More frequent w/ T-piece risk factors: COPD (OR 13.2) & cardiopathy (OR 3.97) 🔗 rdcu.be/egWBQ @Crit_Care @Prof_XMonnet @shiruimaya

Liberal or restrictive approach of #fluid resuscitation in #ICU: OUTDATED! @DDeBacker Optimization and personalization 🤔Really need it? ⚖️ benefits/harms ⚠️ Sodium intake ↘️maintenance/dilution fluids #ISICEM25 @ISICEM

Awake prone position is possible and may improve patient’s prognosis ↘️ ☠️ 🕘 success driven by many factors, especially duration of awake PP >8h which might not be that easy to achieve. 🧘‍♀️ Comfort is also important: use bundles of care! @LuigiCamporota @ISICEM @Crit_Care #ICU

Should we abandon Prone Postion for patient under VV-#ECMO? Insight of PRONECMO w/ @PrMatthieuSchmidt Not for every patients but… 📋 ✅no ultra-low Vt ✅bilateral posterior consolidation ✅non-COVID19 ards ✅trained teams @ISICEM @JAMANetwork #ICU 🔗 10.1001/jama.2023.24491

Prone position is not only a matter of oxygenation 🫁 HD effects of prone position by @Prof_XMonnet🩸 ↗️cardiac preload and may ↗️CO ↘️PVR and ↘️RV afterload ⚠️ ↗️IAP w/ waterfall phenomenon Monitor IAP and CO in high risk patients of poorly tolerated PP @ISICEM #ICU @Crit_Care

Today, I find myself facing a frustrating situation that sheds light on those challenges, and I wanted to share it, hoping to make a difference for women in STEM. linkedin.com/posts/fanny-ch…

Today's Paper of the Day is how I personalize fluid therapy in septic shock criticalcarereviews.com/latest-evidenc… Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025

N'oubliez pas le premier congrès dédié à la recherche translationnelle en soins critiques ! Il s'agit du « Symposium Scientifique de la SRLF » (S3), les 13 et 14 mars 2025, à Paris. L'événement est GRATUIT pour les internes adhérents à la SRLF. srlf.org/civicrm-event/… @La_SRLF

When to monitor w/ TPTD and PAC in #ICU? w/@Prof_XMonnet and @DDebacker in @annalsofintensive 🤕In most severe & complex patients 🫀To monitor precise CO 🖼️For a complete view of HD status 💊To guide treatment 🔗rdcu.be/d6wEn N.B: I use it associated w/ echo😉 #FOAMed

Why do we use transpulmonary thermodilution and pulmonary artery catheter in severe shock patients? CCR Journal Watch criticalcarereviews.com/latest-evidenc… Get the latest critical care literature every weekend via the CCR Newsletter - subscribe at criticalcarereviews.com/newsletters/su…

Using the ventilator and heart-lung interactions to predict #fluid responsiveness 💧 🫁 PPV & SVV 🫁Vt challenge 🫁End-expiratory occlusion test 🫁PEEP-test @yourICM @Prof_XMonnet @Manu_Malbrain 🔗rdcu.be/d3P6J

Today's Paper of the Day is venous return and mean systemic filling pressure: physiology and clinical applications criticalcarereviews.com/latest-evidenc… Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2024

Ne manquez pas notre dernier webinaire sur les vasopresseurs dans le choc septique, demain à 19h ! En partenariat avec @ViatrisInc Lien zoom : univ-lille-fr.zoom.us/j/91878248038?…

BALANCE trial in @NEJM ❓ATB duration for bloodstream infections 🏥74 hospitals, 7 countries 🤒3608 pts (55% #ICU) 🚫Excluding Staph inf 🚨7 days ‘Non-inferior’ to 14 days 🔜potential ↘️in antimicrobial resistance🦠, complications💉, cost💸 🔗nejm.org/doi/full/10.10…

Multicentric study 205 MV patients with volume expansion Detection of fluid-responsiveness 💧 ✅↘️ in PCO2gap>2 ✅↗️ in ScvO2>3 Good AUC with nice PPV but NPV ⛔️Baseline PCO2gap or ScvO2: bad predictors🗑️ 🔗 rdcu.be @Crit_Care #french-hemo #ICU #FOAMed

Join the Refresher Course on Cardiovascular & Respiratory Physiology Applied to ICM, Dec 3-5! Watch Prof. @Prof_XMonnet give you a sneak peek into the course, covering vital topics like #mechanicalventilation, #fluid management, #ECMO, and more. 👉 isicem.org/4/main.asp?ety…