as promised, thread on the 2022 CAR Contrast AKi guidelines this was a decade after the last version pubmed.ncbi.nlm.nih.gov/24559602/ 1/

Want to see how PEEP recruits atelectatic lung? Here’s a video I shot of pig lungs 🫁 connected to a ventilator. Watch as we increase the PEEP from 0 to 5 to 10 cmH2O.👇

As an early trainee, I liked the challenge of cannulating the smallest radial artery, only for it to go bad later. To minimize this frustration, we have to pay attention to the sizes. I think catheter-to-vessel ratio target of ~<50% comes from guidelines on venous catheters …

Argentina win the World Cup on penalties! 🏆 adidas Football | #FIFAWorldCup

As we strive to serve our patients without the vestiges of race influenced measurements that may lead to bias, please read our entry in this months CHEST physician! mdedge.com/chestphysician…

4 RCTs published in the last few hours you can’t miss if you work with critically ill patients: #1 Fluids in septic shock #2 Mobilisation and long-term cognitive impairment #3 NIV for extubation of obese patients #4 Nutrition before extubation A thread 🧵👇 #FOAMcc #SCCM2023

Short 🧵(for people going into critical care) regarding when a tracheostomy tube is the same 'size' as its endotracheal tube counterpart, and when it is not. Warning: minutiae follows here...if you're not into critical care, get out now. (1/ )

1/ 🚨Trach Care: 5 Pearls Episode 🚨 What is the process for #decannulation? How do speaking valves and capping trials work? 🎧: link.chtbl.com/Trach_Care 🗒️: bit.ly/3Yuzy2P Sponsor: AMBOSS

IMO: Airway stenting is the most gratifying procedure IP docs perform. However, not every airway malady needs a stent 🤔. Wonderful working with the greats - @ACM_LTx_Bronch Hervé Dutau. ERS publications AABIP Fabien Maldonado 🇺🇸🇫🇷 Tom Gildea Otis B Rickman, DO err.ersjournals.com/content/32/167…

In this randomized trial, hydrocortisone treatment decreased mortality among patients with severe community-acquire pneumonia in the ICU. nej.md/3yDx3kh #ISICEM23

We are back with another tweetorial. In the last one, we talked about the anatomy of the ECLS circuit and the importance of various pressures. This one is all about the flow. Title: Determinants of ECLS flow: deeper dive Level: Medium Author: @thind888

Case Western Pulm Crit represent at ATS #ATS2023

Had so much fun at ATS this year, happy to be part of this wonderful group! UH PCCM Fellowship #ats2023

In this RCT of platelets prior to a central venous catheter for people with platelets 10-50 it looks like platelets might reduce bleeding Note: mostly people with leukemia/lymphoma. <5% with #cirrhosis nejm.org/doi/full/10.10…

Our attendings with the graduating class at last night’s dinner celebration University Hospitals Shoreby Club #workfam #graduation #pccm

#CCR23: In the DEVICE trial, the use of video laryngoscopy in critically ill patients undergoing intubation in the ED or ICU resulted in a higher incidence of successful intubation on the first attempt than direct laryngoscopy. nej.md/43H2t79

We take wellness (and food) seriously over here! ⛳️ #pccm #fellowship #WellnessMatters Topgolf

Very grateful for a program that feels like family 💙🫁 #fellowship #pccm #MedEd

Our graduating fellows 🥹🤍🎓 University Hospitals CWRU School of Medicine #pccm #fellowship #graduation Abdulaziz Alonazi 🫁 Jojo Zach Strumpf

🫁 2 important things about survival in idiopathic pulmonary fibrosis (IPF): 1) The median survival in registries is 3-5 years, however it is very important to know that median = middle number (of a very large range). Some patients can have a faster progression, but many can