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Study does not support Clinical Frailty Scale ≥5, indicating mild frailty, to guide ICU admission for pneumonia British Journal of Anaesthesia David Pilcher bit.ly/36sSyaL

New age Chewy Trial steering committee meeting! Recruitment surging post #Covid_19 👏ANZCA Clinical Trials Network The Royal Melbourne Hospital Critical Care at UniMelb

First patient randomized in our The SNaPP Study pilot trial 🥳Critical Care at UniMelb ANZCA Clinical Trials Network ANZCA The Royal Melbourne Hospital

Congrats to the Royal Adelaide and Fiona Stanley anaesthetic research teams, enrolling 10 Chewy patients each, making 495 total Chewy patients! Who will enrol lucky number 500...?! ANZCA Clinical Trials Network Tom Painter #fionastanleyhospital Kate Leslie

An AMAZING effort by the fantastic Royal Melbourne Hospital Chewy anaesthetic research team, recruiting the 500th Chewy patient in Australia and New Zealand!! Great work team, onwards and upwards!! Kate Leslie ANZCA Clinical Trials Network ANZCA

Very proud of our dedicated Royal Melbourne Hospital Chewy research team bringing up 500 recruited patients. Well done guys!!

🍫 for our great anaesthetists: still helping with #ROCKet trial in #Lockdown4 👏 🥰🚀Critical Care at UniMelb ANZCA Clinical Trials Network

Is there value in screening for frailty on admission to ICU? For an answer read this paper from Jai Darvall and colleagues: sciencedirect.com/science/articl… Critical Care at UniMelb UniMelb MDHS RMH ICU The Royal Melbourne Hospital anzicrc Dalhousie University MRINZ - Medical Research Institute of New Zealand Kenneth Rockwood Paul Young David Pilcher

Authors found that current SOFA score, age or severe comorbidity-based ICU pandemic triage protocols exclude patients with short- and long-term survival. Read more: hubs.la/H0THdVB0 Critical Care at UniMelb Rinaldo Bellomo David Pilcher

Postoperative delirium in BIS 50 group was 19% and BIS 35 group was 28% (OR 0.58 [95% CI 0.38–0.88) @Balanced_Study ANZCA Clinical Trials Network ANZCA Critical Care at UniMelb The Royal Melbourne Hospital British Journal of Anaesthesia

A/Prof Jai Darvall’s work on triaging ICU patients quoted in The Saturday Paper The Royal Melbourne Hospital Critical Care at UniMelb thesaturdaypaper.com.au/news/politics/…

“… our findings imply that a more complex assessment of ICU admission candidates, which might involve a risk score based on a combination of frailty, age, comorbidities, organ dysfunction, and admission diagnosis, is needed to inform triage decisions.”

98% of patients received allocated reversal. Low rate of crossover from neostigmine to sugammadex demonstrates feasibility 👏👏👏 ANZCA Clinical Trials Network Critical Care at UniMelb

How frailty affects critical pts? population-based study including >250K adults from 168 🇦🇺🇳🇿 ICUs: ➡️significantly ⬆️ risk of developing persistent critical illness ➡️better able to predict death if ⬆️ #ICU stay Implement frailty measurement at admission! bit.ly/3AXqoS6

How many METs would you ascribe to these? -Stair climbing -Walking on the flat ground -Dressing oneself? Read this interesting article by Earlene Silvapulle Jai Darvall on subjective methods for preop ax of functional capacity. PLAN Centre for Perioperative Care bjaed.org/article/S2058-…

An article that clarifies the rationale, clinical application and limitation of the different methods of assessment of functional capacity. Earlene Silvapulle and Jai Darvall discuss stair climbing, ADLs and DASI. Centre for Perioperative Care PLAN #anaesthesia bjaed.org/article/S2058-…