Intensive Care Medicine (@yourICM) - Twitter Profili

Sepsis subtypes & response to IV vitamin C 🧫3 sepsis subtypes based on inflammatory response profile among critically ill adults 🍋NO subtype benefitted from vit C; heterogeneity of effect in magnitude of harm 🍊similar cytokine network in all subtypes 🔓 rdcu.be/d6dHt

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Intensive Care Medicine@yourICM·11 Oca

LV diastolic dysfunction in septic shock 🖥️ LVDD highly prevalent 🪦 not associated with mortality or 💦 initial fluid balance but with 🫁 significantly lower P/F ratio 🫀LVDD improved in survivors, suggesting #sepsis induced impairment of LV relaxation 🔓 rdcu.be/d5YBg

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Intensive Care Medicine@yourICM·10 Oca

CMV in #ICU: be aware! 🩺 pathophysiology 🧫 infection & disease definitions 🔥 reactivation in non-immunocompromised pts 🕯️ CMV in immunocompromised critically ill ⚠️ incidence & risk factors 🔬 presentations & diagnosis 🩺 treatment & prevention 🔓 rdcu.be/d5Sqt

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Intensive Care Medicine@yourICM·9 Oca

Life-supporting interventions in older ICU patients 🔎 > 230K pts in 🇯🇵 🛟 many life-supporting interventions, ⬇️ with age 🏥 ½ of pts in 80s & 60% >90y did not return home 🔓rdcu.be/d5Mf7 With editorial: how to provide better-tailored care? 🔓rdcu.be/d5Mft

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Intensive Care Medicine@yourICM·8 Oca

GCS: evolution & future celebrating 🎂 50 anniversary 🗺️ since introduction, GCS has been rapidly adopted into clinical practice due to its simplicity 🧠 bedrock of assessment of acute #TBI, its use expanded to any pts at risk of impaired consciousness 🔓rdcu.be/d5CEL

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Intensive Care Medicine retweetledi

M Velia Antonini@FOAMecmo·7 Oca

🖥️ Difficult weaning can result from several causes, including impaired function of lung, heart, respiratory pump. #POCUS valuable tool across all stages of mechanical ventilation, including weaning, if properly trained staff. #echofirst #FOAMus 🔗 bit.ly/4j8aL08

Intensive Care Medicine@yourICM

#POCUS to facilitate weaning from MV 🖥️ ABCDE to assess readiness for weaning & diagnose/monitor failure 🖥️ aeration score/pleural effusion 🖥️ below diaphragm 🖥️ cardiac function 🖥️ diaphragm 🖥️ extra‑diaphragmatic muscles 🖥️ future #echofirst #FOAMus 🔗 bit.ly/4j8aL08

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Intensive Care Medicine@yourICM·7 Oca

#POCUS to facilitate weaning from MV 🖥️ ABCDE to assess readiness for weaning & diagnose/monitor failure 🖥️ aeration score/pleural effusion 🖥️ below diaphragm 🖥️ cardiac function 🖥️ diaphragm 🖥️ extra‑diaphragmatic muscles 🖥️ future #echofirst #FOAMus 🔗 bit.ly/4j8aL08

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Intensive Care Medicine@yourICM·4 Oca

Enhancing procedural competency through #simulation 🔎50 #ICU interns/residents, no prior experience 🎓training on essential procedures + gamified skill-specific competency labels to create motivating environment ⬆️ competency/efficiency & ⬇️ errors 🔗 bit.ly/3BW6ZpF

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Intensive Care Medicine@yourICM·2 Oca

Using routinely collected #ICU data? #AI models may assist in diagnosis, treatment & complex care, but before using for #datascience several challenges: quality, lacking long term outcomes, inherent bias, need for temporal updates, should be considered. 🔗 bit.ly/4fC71ks

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Yohei Masuda@YoheiM_MD·29 Ara

UKにおけるICU心エコー実施体制の調査 96%のICUに心エコー認定医はいるが，1日通して1時間以内に緊急心エコー実施可能な体制が整っている施設はわずか15% 本邦でもNPやレジデントのFOCUSスキル獲得はICU内外での心エコーへのアクセスに大いに貢献してくれるように思います。

Intensive Care Medicine@yourICM

Echocardiography in ICU 🔍survey by @TRICNetwork @ICS_updates @FICMNews & @BSEcho, 178 🇬🇧 critical care units 🖥️significant heterogeneity in provision 🖥️96% had accredited clinician 🖥️16% of medical staff accredited in FOCUS & 4% in advanced #echo 🔓rdcu.be/d47LM 🧵1/2

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Intensive Care Medicine@yourICM·31 Ara

🎉 Best wishes for a happy (& full of published papers) 2025 to the Intensive Care Medicine #ICM community! 📫 Do not forget to submit manuscripts at bit.ly/SubmitToICM 🖋️ Instructions for authors/Submission guidelines bit.ly/ICMguidelines

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Intensive Care Medicine@yourICM·30 Ara

Can we use #AI to better treat acute kidney injury? 🤖 role of #ArtificialIntelligence 🔮 prediction & prevention of #AKI 🔍 AKI sub-phenotyping 🩺 (cross-specialty) AKI management 🚧 limitations 🔍 future research #FOAMcc on @icmjournal.bsky.social 🔓 rdcu.be/d5fMv

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Luke Flower@LukeFlower1·29 Ara

📣 Thank you @yourICM for sharing our findings with the ICM community. 🫀NEAT-ECHO demonstrated a need to improve UK echo provision & shock care, alongside the potential impact of trainee-led research. @TRICNetwork 📝 1: bit.ly/3AvjE1O 📝 2: rdcu.be/d47LM

Intensive Care Medicine@yourICM

Echocardiography in ICU 🔍survey by @TRICNetwork @ICS_updates @FICMNews & @BSEcho, 178 🇬🇧 critical care units 🖥️significant heterogeneity in provision 🖥️96% had accredited clinician 🖥️16% of medical staff accredited in FOCUS & 4% in advanced #echo 🔓rdcu.be/d47LM 🧵1/2

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Intensive Care Medicine@yourICM·29 Ara

🧵2/2 🖥️ 89% had approved trainer, teaching provided in 55% 🖥️ 62% had an echo lead, only 44% of them had dedicated time for role 🖥️ only 15% units reported all-hours access to emergency #echo, 42% unreliable/no access 🖥️ regional echocardiographer-to-bed ratio: 0.48 to 0.14

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Intensive Care Medicine@yourICM·29 Ara

Echocardiography in ICU 🔍survey by @TRICNetwork @ICS_updates @FICMNews & @BSEcho, 178 🇬🇧 critical care units 🖥️significant heterogeneity in provision 🖥️96% had accredited clinician 🖥️16% of medical staff accredited in FOCUS & 4% in advanced #echo 🔓rdcu.be/d47LM 🧵1/2

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Intensive Care Medicine@yourICM·27 Ara

@AsianSepsis @TripathySwagata @sebastianttl @ganbold12 @mlevymd @PRICE_critcare @NaomiHammond @azevedo_lcp @esicmmassimo @LingLing7 @arthurkwizera @CLThwaites

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Intensive Care Medicine@yourICM·27 Ara

Managing adults with #sepsis in resource-limited settings 🔍 international Delphi consensus 🩺 statements complement existing guidelines where evidence is lacking + add relevant aspects of management of critically ill, providing additional guidance 🔓 rdcu.be/d4XWB

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Intensive Care Medicine@yourICM·26 Ara

⚖️ 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 🔓 rdcu.be/d4S7g

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Intensive Care Medicine@yourICM·25 Ara

🎄 Happy Holidays from Intensive Care Medicine @yourICM to everyone celebrating this month! Thanks to our readers, #SoMe followers, authors, editors & reviewers for your support, and for your bedside work in the #ICU!

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Faisal Scientist@zaidheartsci·25 Ara

Absolutely! AI in ICU hemodynamic management is revolutionizing patient care. Enhancing monitoring, predicting deterioration – brilliant steps forward! ⚙️ #AI #Healthcare

Intensive Care Medicine@yourICM

#AI to enhance hemodynamic management in #ICU 🖥️optimizing current hemodynamic monitoring ⚠️predicting deterioration 🚦classification/characterization of hemodynamic conditions 🛟treatment support ⚙️enhancing workforce efficiency 🔮future perspective 🔓 rdcu.be/d4Ewm

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Intensive Care Medicine

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