Dalne Eric

Non-invasive ventilation is an invaluable tool used to take care of our critically ill patients with respiratory failure. This editorial summarizes what beginners should know when using this extremely helpful tool, often referred to as "BiPAP". 🎩 tip to the authors. eddyjoemd.com/foamed

Green artificial intelligence: Pioneering sustainable innovation in health technologies. pubmed.ncbi.nlm.nih.gov/40509902/ #greenanesthesia #artificial @ValeBelliniMD @Siaarti_online @ESAIC_org

Measurement and interpretation of central venous pressure: a narrative review CCR Journal Watch - tracking the critical care literature daily criticalcarereviews.com/latest-evidenc…

📌 #Leadless #pacemakers 📣 A state-of-the-art review #EPeeps #WomeninEP #CardioTwitter #Review @Hisdoc1 @JonPicciniSr @JagSinghMD @yolyabreuh @CarinaHardy4 @drrakeshg1 @jczerpa @gopi_gdanda1 @DhirajGuptaBHRS @aalahmadmd @SeguraCardio @Dominik_Linz @ZHeart11768530 @Hragy @ftrae

Multimodal Brain Monitoring in Cardiac Surgery Predicts Postop Outcomes! 🔍 Key Findings: 👉 Patients with cerebral desaturation (rSO₂) + deep anesthesia (PSI<25) had longer ICU stays, difficult CPB separation, and higher morbidity. #NeuroMonitoring #fig0001" target="_blank" rel="nofollow noopener">jcvaonline.com/article/S1053-…

Approach to acute breathlessness

🧠💉 Does Quantitative NMT need calibration? TOF precision was best when EMG calibration was done before induction (📉 repeatability: 0.075), nearly matching gold standard Uncalibrated = least precise (0.124). No pain differences at induction. ✅ link.springer.com/article/10.100…

ECPR for refractory cardiac arrest 🩺 physiology/rationale ⚒️ technical considerations 🔍 (growing) evidence ‼️ special circumstances ⚖️ patient selection ⏱️ timing/setting & post-ECPR care 🎓 training 🚧 risks/complications 🥅 goals 🎁 organ donation 💵 economic impact & justice @LancetRespirMed #FOAMcc 🖇️ bit.ly/3HjVSsV

Capnography provides insights into ventilation and perfusion by measuring carbon dioxide levels during the respiratory cycle. The image illustrates the four phases of a capnography waveform: instagram.com/p/DKSN3Y5uasL/

🚨 Can a smartphone app save lives during cardiac arrest? Evidence from Singapore says YES. 📄 Read the complete study here: shorturl.at/Ko8h3 #OHCA #CPR #FirstResponders #DigitalHealth #ILCOR #EmergencyMedicine #Resuscitation #myResponder @ERC_resus @Ilcor_org

This article can add some tools to your toolbox for managing patients with ARDS including some vent and hemodynamic strategies. 🎩 tip to the authors. eddyjoemd.com/foamed/

ANI vs. SPI abd lps surgery 👥 40 pts 💉 propofol, keta, remi 🎯 remi titrated to ANI 50–80 📉 ANI: •70 ➡️ 57 at intub •50–80 📈 SPI: •60 ➡️ 38 at intub •73 at extubation •20–50 📊 Correlation ANI/SPI: weak (r² = 0.053, p < 0.001) link.springer.com/article/10.100…

Today’s Daily Dose ☕️: Critical Care 🥼🩺 Continuous Cardiac Output or Serial Echocardiography in Septic Shock? Let’s rethink the monitor-vs-ultrasound debate for the resuscitating intensivist. Septic shock is a complex beast—characterized by dynamic interactions between vascular tone, myocardial function, and tissue oxygenation. When managing these patients, how we monitor cardiac output (CO) matters—immensely. This recent review by Philippe Vignon in Annals of Translational Medicine lays out a detailed comparison of two key techniques: ⸻ 1. Transpulmonary Thermodilution (TPT) 🖥️🧪 ✅ Offers continuous, real-time CO monitoring ✅ Valuable during dynamic maneuvers (passive leg raise, end-expiratory occlusion) ✅ Useful for early detection of unexpected hemodynamic deterioration ⚠️ But: Accuracy falters in the presence of RV failure, severe TR, low flow states, or thermal indicator loss ⚠️ Requires external calibration every hour to remain trustworthy ⚠️ Does not reveal mechanisms behind low output—just trends ⸻ 2. Critical Care Echocardiography (CCE) 📸🫀 ✅ First-line for evaluating the type of shock, especially early in resuscitation ✅ Depicts stroke volume mechanics, ventricular function, filling pressures, and pulmonary pressures ✅ Identifies causes of low CO missed by TPT: LVOT obstruction, mitral/aortic regurg, tamponade, cor pulmonale ✅ Allows therapy matching: fluids vs inotropes vs afterload control ⚠️ Limitation? Not continuous—but easily repeated, even daily ⸻ So, which one to use? The answer: BOTH. These are complementary tools, not competitors. Use CCE first to understand the phenotype. Use TPT next to follow trends, provided it’s calibrated and interpreted wisely. CCE helps avoid therapeutic mistakes: ❌ Starting dobutamine in dynamic LVOT obstruction ❌ Giving fluids in RV failure ❌ Over-relying on CO changes without context ⸻ Monitoring ≠ Management Unless Actionable Just watching numbers doesn’t save lives—acting on the right information does. This means: ✔️ Avoid targeting supranormal DO2 or CO ✔️ Use inotropes only with evidence of pump failure + tissue hypoperfusion ✔️ Reassess hemodynamics daily—phenotypes change! ⸻ What’s next? 🔭 The future includes miniaturized TEE probes, AI-guided ultrasound, and hopefully, real-time microcirculatory monitoring. But even now, we can do better—by combining tools intelligently. ⸻ Bottom line? 👉 Use CCE to diagnose and guide 👉 Use TPT to trend and confirm 💡 Don’t just monitor—understand, personalize, and adapt. References 📚 Vignon P. Continuous cardiac output assessment or serial echocardiography during septic shock resuscitation? Ann Transl Med. 2020;8(12):797. doi:10.21037/atm.2020.04.11 #CriticalCare #Echocardiography #Sepsis #ICU #Hemodynamics #TPT #CardiacOutput #Pocus #UltrasoundFirst #IntensiveCare #ShockManagement #Resuscitation #FluidResponsiveness

Incomplete neuromuscular block reversal contributes to postop pulmonary complications #PPC. #Sugammadex had greater PPC incidence Vs #neostigmine post-bronchoscopy but difference may not be clinically meaningful bjanaesthesia.org/article/S0007-…

Today's Paper of the Day is: Wearable devices for patient monitoring in the intensive care unit 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

Updates in seizure classification from ILAE! Check elegant summary of new concepts from 2025 Classification by @SBeniczky et al. by @GiovanniFa83566 ! Infographic PDF: shorturl.at/X7IPs Paper: onlinelibrary.wiley.com/doi/10.1111/ep… @giocastellucci @SheikhISMD @AlinaIvaniuk @AnphyLab

🔴Music of the Heart: Arrhythmias 📚⤵️ @JACCJournals 🔹sciencedirect.com/science/articl… #Cardiology #FOAMed #MedEd #medstudent #paramedic #Cardiology #CardioEd #medtwitter #meded #CardioTwitter #cardiotwiteros #MedX #cardiovascular #MedTwitter #medical #medEd #cardiotwitter #medicine

Building health systems capable of leveraging AI: applying Paul Farmer's 5S framework for equitable global health pubmed.ncbi.nlm.nih.gov/40312417/ @AzraBihorac very good job! @Siaarti_online @agata_team

Today's Paper of the Day is: Continuous cardiac output assessment or serial echocardiography during septic shock resuscitation? 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

Defining and subphenotyping ARDS: insights from an international Delphi expert panel CCR Journal Watch - tracking the critical care literature daily criticalcarereviews.com/latest-evidenc…