1/ 🚑 Excited to share our latest publication in 𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢! In prehospital major trauma patients with severe haemorrhagic shock, when peripheral IV access fails, a large-bore trauma line can be life-saving. 🚁

Da settembre a dicembre, gli specializzandi IV-V anno di anestesia e rianimazione parteciperanno ad un corso di formazione clinico-assistenziale in simulazione nel processo donativo e trapiantologico, organizzato insieme al Centro Nazionale Trapianti e Istituto Superiore di Sanità.

Anestesia, Rianimazione, Terapia Intensiva e del Dolore è, ancora una volta, la specialità più scelta dai neolaureati in medicina. Nel 2025, ben 1174 posti assegnati al 1º scaglione: un record che conferma la centralità di una disciplina sempre più affascinante! #SSM2025 #SSM25

>250 participants at the ongoing journal club of San Raffaele Anesthesia and Intensive Care by Marina Pieri Matteo Aldo Bonizzoni, MD #eCPR #OHCA pubmed.ncbi.nlm.nih.gov/38609062/

Postoperative sore throat has an incidence of up to 62%. The current literature lacks high-quality randomised controlled trials on treatments that prevent a complication that is of importance to patients and their recovery. #anaesthesia #MedTwitter doi.org/10.1111/anae.7…

💥The most comprehensive evidence on postoperative delirium has just been published. Our umbrella review includes 114 meta-analyses and over 250,000 patients. Here’s what we found. 👇 doi.org/10.1111/anae.7…

⚠️ Why this matters Postoperative delirium affects up to 50% of surgical patients and is linked to worse recovery, complications, reduced quality of life, and higher mortality. Yet guidelines still rely on weak evidence.

📚 What we did We reviewed all RCT-based meta-analyses on pharmacological and non-pharmacological interventions to prevent postoperative neurocognitive disorders. The result: the most complete evidence map so far. doi.org/10.1111/anae.7…

🧩 Key message Many strategies may reduce postoperative delirium, but none currently offer high-certainty evidence. doi.org/10.1111/anae.7…

New evidence from our umbrella review (114 meta-analyses, >250,000 patients): Remimazolam is emerging as a promising agent against postoperative delirium. Across RCT meta-analyses, remimazolam was associated with a 29% reduction in neurocognitive complications. The signal is

Journal Club tomorrow - 7am (IT time) We’ll dive into the IMPROVE-multi and PRETREAT trials, exploring whether higher MAP targets really improve outcomes in non-cardiac surgeries. 🩺🔍 Are we just squeezing harder for nothing? Link: teams.microsoft.com/l/meetup-join/…

Tomorrow morning with Stefano Turi!! We will discuss about two interesting trials on Intraoperative Hypotension! PRETREAT: jamanetwork.com/journals/jama/… IMPROVE-multi: jamanetwork.com/journals/jama/…

What is "enhanced care"? Post-anaesthetic care unit (PACU) and overnight intensive recovery units. What is the impact? It builds surgical capacity and system resilience. #anaesthesia #MedTwitter #ICU doi.org/10.1111/anae.7…

🚨 New editorial out now! Remote Ischemic Preconditioning in non-cardiac surgery: time to rethink, refine, and refocus. 📄 Read it here ➝ doi.org/10.1161/circul…

We share our latest work published in Signa Vitae, in which we describe the results of > 3 years of intense research: the development of a new CPAP device designed for out-of-hospital emergency treatment of acute respiratory failure. 🔗 oss.signavitae.com/mre-signavitae… 1/3

New edition ‘REVOLUTIONISING CRITICAL CARE WITH AI’ is live. Read now: iii.hm/icu52025 Download: iii.hm/icu52025print iii.hm/icu252025screen Editor-in-Chief: Jean-Louis Vincent Partners Mindray Abionic_EN AOP Health Nova Biomedical CNSystems ISICEM ESICM ESAIC

Join our advanced course in multimodal prehabilitation. A specialized staff with extensive clinical experience will introduce you to the best preoperative optimization strategies. unisr.it/offerta-format… San Raffaele Anesthesia and Intensive Care Università Vita-Salute San Raffaele Giovanni Landoni, MD Federico M. Oliva Filippo D'Amico

🏥 San Raffaele lancia il corso per professionisti dedicato alla pre-abilitazione preoperatoria 📣 🏃‍♂️ Attività fisica e valutazione funzionale 🥗 Ottimizzazione nutrizionale 🧠 Preparazione psicologica e gestione dello stress 👉 per migliori outcome postoperatori 🎓 Per

𝐒𝐞𝐫𝐢𝐨𝐮𝐬 𝐬𝐜𝐢𝐞𝐧𝐜𝐞. 𝐔𝐧𝐞𝐱𝐩𝐞𝐜𝐭𝐞𝐝 𝐟𝐨𝐫𝐦𝐚𝐭. The ISICEM Critical Care Input — presented this time in a new way. Watch it now and enjoy. Credits Filippo D'Amico #ISICEMelearning NEJM Full article nejm.org/doi/full/10.10…

Postoperative ICU admission is a complex clinical decision. Traditional risk stratification tools may have limitations. #AI models demonstrate promising predictive capability for #ICU admission risk across various surgical contexts. Read more: iii.hm/1ycm