Unimib Anesthesia, Critical Care and Pain Medicine

World Coma Day from IRCCS San Gerardo Monza @neurocritical @etherBicocca @unimib youtube.com/watch?v=gDW8XI…

Weaning from VV #ECMO: results of @ESICM endorsed WEAN-ECMO survey, aimed to better understanding of this complex intervention, are out ‼️ 🔍 303 responses from 187 centers, 🗺️ 46 countries 🚧 marked variability in current practices exists, mirroring #ECLS candidate selection & management 🫁 clinicians mostly rely on gas exchange; objective measures of lung mechanics considered relevant but less influential, Pes monitoring still uncommon 🫁 protocolized sweep gas-off trials implemented in most centres, but duration/evaluation criteria vary widely + ventilatory management heterogeneous ⛔️ perceived weaning failure mostly reflects persistent gas-exchange impairment, respiratory distress, or clinical instability Standardization of weaning criteria/protocols, including monitoring + SGOT duration, may improve comparability across centers and support future consensus recommendations. Open access #FOAMcc #FOAMecmo on @yourICM 🔓 rdcu.be/eVTEY

Anesthesia & Intensive Care – First-Year Crash Course Great energy from our Residents and Faculty! @ERezoagli @Dr_Cit @marcogiani

Inspiring energy from @unimib at @ESICM #LIVES2025 in Munich! Residents and faculty actively contributing to research, education, and the future of intensive care. 🔬💡

Thrombocytopenia in VV #ECMO? Highly prevalent in VV ECMO, and strongly associated with bleeding risk and reduced survival. Platelet transfusions do not appear to significantly reduce bleeding risk: targeted prevention strategies needed! #FOAMcc @Crit_Care 🔓 rdcu.be/ez2mh 🔎 adults w resp failure; baseline thrombocytopenia 27.9%, mild 14.7%, moderate 8.7%, severe 4.4% ⚖️ thrombocytopenia in #ECLS occurred at least once in 80.2%; mild 21.3%, moderate 32.2%, severe 26.7% 🩸mild thrombocytopenia increased risk of bleedings by 61%; moderate & severe by 90% 🚧 risk for thrombocytopenia  increased with ICU days prior to ECMO, postop admission, immunocompromised state, RRT, septic shock, low hemoglobin, circuit replacement.

We need you to understand how to wean patients from Veno-Venous #ECMO... Participate in WeanECMO, an international, multicenter, cross-sectional survey, investigating current practices for weaning patients from VV #ECLS. The survey is endorsed by @ESICM 🔗 bit.ly/WeanECMO @marcogiani @jrdelbrio @ERezoagli

🩸🔗 🫁 How do you wean patients from Veno-Venous #ECMO? What's the optimal strategy?? You still have time to give your contribution, participating in WeanECMO, an international, multicenter, cross-sectional survey, investigating current practices for weaning patients from VV #ECLS! The survey aims to explore the criteria used to assess patient eligibility for weaning trials and the methods employed across different ECMO centers. This short (10') & anonymous survey consists of 4️⃣ domains: 1️⃣ General information 2️⃣ Criteria for weaning from veno-venous ECMO 3️⃣ Sweep gas-off trial 4️⃣ Ventilation modality during weaning phase The survey is endorsed by @ESICM 🔗 bit.ly/WeanECMO

We’ll start 2025 🍾 with an amazing new meeting by @anestesiaUnito @SRAnesthesiaICU and @etherBicocca Do not miss prof Ronco next 9 Jan! 🗓️ 👇free link to join below! @CaironiPietro @giovannilandoni @Thom_Langer #icu #crrt #anestesia

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

🖌️Advancements in critical care over past 2 decades have been revolutionary: it was a challenge/privilege to ensure that ICM helped shape these developments. I am immensely proud of achieved milestones, as dramatic rise in IF & ability to adapt/innovate. 🔓rdcu.be/d2h82

Very important topic, don't miss the webinar!

◾️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…

ICU crash course: 🙏🏻to @ERezoagli and @GicoBellani for their talks on measuring respiratory mechanics during controlled and assisted mechanical ventilation 🫁 Here’s a sketch of the “ICEBERG” of the PMI concept. Useful 🖇️: doi.org/gm42hb doi.org/ntfp

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

Great talk from dr. Laratta about antibiotic stewardship in ICU. We learnt 1️⃣ how to recognise the right moment to ask for microbial cultures 2️⃣ the benefits of the new rapid molecular diagnostic tools 3️⃣ how to choose the right antibiotic therapy

Last day of our ICU Crash Course! Now on @Dr_Cit on 🧠 pathophysiology and monitoring! Why have patients with GCS 3 better outcomes than GCS 4? 🕵‍♂️ @Thom_Langer @ERezoagli @FraZadek @unimib @TorranoVito

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

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

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

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