Hassan A. Raza Nick Mark MD 𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 (he/him) 💊 Pulm PEEPs IMCrit Critical Concepts Brandon nokes we use MB in cardiac icu

data from trials are supportive

Alessandro Pruna, MD Alessandra Bonaccorso, MD Alessandro Belletti Stefano Turi Filippo D'Amico 小谷 祐樹| Yuki KOTANI

pubmed.ncbi.nlm.nih.gov/37880041/

Thanks a lot, Giovanni Landoni, MD & San Raffaele Anesthesia and Intensive Care, for an amazing 2-year journey in Milan!

I made great friends worldwide and had incredible experiences.

For young anesthesiologists & intensivists passionate about clinical research, San Raffaele Anesthesia and Intensive Care should be on your list.

Farewell to our colleague and friend 小谷 祐樹| Yuki KOTANI!

In 2 years, we published 26 manuscripts together, including 19 with Yuki as the 1st author and 1 JAMA article #MERCYtrial .

His collaborative contributions were truly remarkable.

Best of luck on your future research journey!

A meta-analysis of RCTs in ICU and periop pts to permissively lower vs. higher BP goals found that lower BP goals were associated w/ lower mortality, AFib, and transfusions. What do you think of this study? How do we decide what BP to target? @critcaremed buff.ly/3JCmt2u

Prof. ELENA GIOVANNA BIGNAMI this manuscript by Filippo D'Amico San Raffaele Anesthesia and Intensive Care generated a lot of debate in 2023, including six letters to editor British Journal of Anaesthesia Hugh Hemmings

in RCTs, target intraoperative mean arterial pressure ≤60 mm Hg is not associated with increased mortality

pubmed.ncbi.nlm.nih.gov/37739903/

Dear colleagues,
What was the ANESTHESIA IN NON-CARDIAC SURGERY paper of 2023 that struck you the most?
Let me know, below in the comments, justifying your answer.
You can express your preference (no more than one) by 8:00 pm on May 4, 2024. Thank you in advance.
Stay tuned…

Love clinical questions that challenge dogma. Even if there’s more left to be understood, findings like these suggest we are probably still leaning on unreliable markers (washed by confounders) to dictate therapy

Small, but meaningful step away from accepting “MAP>65” for all

Filippo D'Amico Exactly. With what we have available, we should no longer be targeting MAP alone. MAP with a reasonable VTI, CRT and not much CVP should be the goal. Perfusion without congestion. We need work to be done in precision medicine, not one-size fits all🙂

Do we have more guidance on blood pressure targets in the ICU and perioperative settings? What do low or high targets mean? Excellent work Filippo D'Amico Giovanni Landoni, MD and team! Stay tuned for more! Critical Care Medicine

Gonna have to read this. Any info on microcirculation? Because strategies to increase BP are not hemodynamically equal, so broad statements become almost meaningless…

It’s on my reading list. #LessIsMore can be beneficial in many ways.