Francesco Zadek

Plasma Bicarbonate as a Determinant of Fluid-Induced Acid–Base Changes in Postoperative Critically Ill Patients: A Retrospective Analysis. Proud to share our latest publication! shorturl.at/a0of7 #mdpijcm via @JCM_MDPI #CriticalCare #AcidBase @MDPIOpenAccess @CaironiPietro

I am honored to stand together with Alessio Caccioppola as a candidate for ESICM NEXT. My goal is to represent and support the community of young intensivists, fostering collaboration, education, and innovation within ESICM. #esicmNext @ESICM #live2025

I was recently honored with the first Luciano Gattinoni Fellowship prize at the 36th SMART Meeting in Milan. This award will support our physiological research and our commitment to challenging established dogmas. I'm deeply grateful and proud to carry forward your legacy.

Dear friends and colleagues, It is with overwhelming sadness that we share news of the death of our colleague, mentor and friend, Rinaldo Bellomo. During recent days, both he and his family have received dedicated, expert and compassionate care from some of the finest in our ICU community. We share their pain and sense of loss. Over several decades, Rinaldo has made a profound and enduring impact on ICU practice in Australia, New Zealand and around the world. As a passionate researcher he challenged conventions, championed evidence-based practice in the care of the critically ill and supported countless colleagues in their research careers. As a compassionate mentor, colleague and friend, he touched and enriched numerous lives, and will be greatly missed. His loss will affect our whole community and in due course there will be opportunities to come together to celebrate his life. This will be a difficult time for many, but we know that our memories of Rinaldo’s relentless enthusiasm, warmth, optimism and boundless energy will help us all through the weeks ahead. In lieu of flowers, Rinaldo's family would welcome donations to support his research legacy at …lth-community-fundraising.raisely.com/inmem-rinaldo-… Our sincere condolences and best wishes go out to his family, friends and colleagues. Craig Carr, on behalf of the ANZICS community

💡 Acid Base Homeostasis: Stewart Approach at the Bedside 🛏️ 🔹 The Stewart Approach The Stewart approach to acid-base balance is a fascinating method that is increasingly being used by the medical community and especially intensive care physicians. One of the key concepts of the new Stewart approach is that bicarbonate, or HCO3−, does not play any role in acid-base balance as opposed to the traditional and still generally used approach. Interestingly, Stewart does not deny the value of the Henderson Hasselbalch equation. This implies that both approaches are mathematically compatible and that the Stewart approach may provide the overall and bigger picture. According to the Stewart approach, there are only three independent variables that determine the concentration of H+ and thus pH in any fluid, including plasma (Fig. 7.1). 🔹 Physicochemical Perspective Principle of electroneutrality states that concentration of all cations in plasma must be equal to the concentration of all anions to maintain the electrical equilibrium, as can be seen in the Gamblegram below (Fig. 7.2). 🔹 Stewart at Bedside: Fencl-Stewart Approach Fencl and Leith proposed a simplified approach to Stewart’s physicochemical concept by determining the plasma values of independent variables and getting direct insight into the mechanism of acid base abnormality [2]. Fencl-Stewart: Putting It All Together - causes of acidosis (pH < 7.38) can be re-classified and are depicted in Fig. 7.3. Causes of alkalosis (pH > 7.42) can be classified as shown in Fig. 7.4, following Fencl and Stewart approach. 🩺 Unlock these concepts and more on our Members Portal, where you'll find detailed insights, practical applications, and exclusive educational resources tailored for healthcare professionals. 🔗 Join now and elevate your expertise in fluid management and critical care: fluidacademy.mn.co/posts/rational… #AcidBaseBalance #StewartApproach #CriticalCare #FluidManagement #MedicalEducation

Proud faculty at acid base course at ⁦@ircouncil⁩. Continuous teaching and improvements

Residents of Milano Bicocca at ALS competition at IRC congress. @ircouncil @etherBicocca @Thom_Langer

La differenza la fanno i dettagli! 🇮🇹

◾️In memory of Prof L Gattinoni, towering figure in ICM, profoundly shaping understanding of #ARDS & #ECMO. The “father" of prone position revolutionized MV with a pioneering "baby lung” concept. His legacy will guide/inspire for generations to come. 🔗esicm.org/obituary-lucia…

In memory of Prof. L. Gattinoni

ICU Crash Course: @FraZadek illustrating how to approach an ABG. ✅Standard Base Excess as a pCO2-independent marker only for acute respiratory disorders. ✅Persistent hypercapnia increases SBE due to chloride variations. To know more: doi.org/ns2x

Honored to be part of the intensive care crash course! Glad to see the role of locoregional anesthesia in critical care being highlighted! The correct answer? 😀 @etherBicocca @Roberto39823404 @Thom_Langer @Dr_Cit @ERezoagli @FraZadek @docsanga

CHAMPIONS!!! 🏆 @Roberto39823404 @Dr_Cit @Thom_Langer @FraZadek @matteop97554843 @TorranoVito @etherBicocca

Starting day 4️⃣ of our Crash Course walking through the mountains 🏔️to gear up for the upcoming discussion on antibiotics 💊 Thanks to our great guide @Roberto39823404 @ERezoagli @marcogiani @Thom_Langer @TorranoVito @docsanga @FraZadek

To our prof @Roberto39823404 1. Natural and cultural guide ⛰️ 2. Professional guide 🚑 3. Moral and spiritual guide 🔥 #4moreyears @Thom_Langer @ERezoagli @TorranoVito @docsanga @FraZadek

4th Night! ⁦@etherBicocca⁩ CPR contest from ⁦@bormio⁩. Let’s beat the faculty! ⁦@docsanga⁩ ⁦@Thom_Langer⁩ ⁦@ERezoagli⁩ ⁦@Dr_Cit⁩ ⁦@marcogiani⁩

Third night! Proud faculty of an unusual “acid base party” ⁦@etherBicocca⁩ critical care crash course live from ⁦@bormio⁩ ! ⁦@Thom_Langer⁩ ⁦@ERezoagli⁩ ⁦@Dr_Cit⁩ ⁦@TorranoVito⁩ ⁦@marcogiani⁩ 🍾🚑🧪

Day 3️⃣ of the ICU Crash Course @etherBicocca! 🩺 Workshops in full swing, featuring this CRRT station including Virtual Reality! 🙏 @clarissaforlini! @bea_brunoni @FraZadek @marcogiani @ERezoagli @Thom_Langer @Dr_Cit

Here is our resident Linda, setting up (virtually) a CRRT machine! #ICU Crash Course @unimib @clarissaforlini @Thom_Langer @FraZadek @ERezoagli

Day 2 of the ICU Crash Course @etherBicocca in enchanting #Bormio. Workshop on ICU communication with engaging role plays—an essential yet often overlooked skill. 🙏 Led by Dr.ssa Bruni! #Prof_Fumagalli @marcogiani @docsanga @ERezoagli @Thom_Langer @FraZadek @GicoBellani @Dr_Cit