Our PRO for prone positioning during ECMO rdcu.be/dGDls Just published on Intensive Care Medicine Read also the -Not sure- by D.Abrams et al and -Con- by Schmidt et al Springer Nature

Prone positioning on #ECMO for severe #ARDS?? 🚦PRO: conflicting literature data & not sufficient evidence to support routine application of PP, despite the sound pathophysiological rationale. However, if performed in experienced/highly specialized ECMO centers, PP is feasible &

Percutaneous tracheostomy in ICU. Beware of lung volume loss and of dynamic inflation (30% of pts). You can measure inflation with EIT and calculate its risk with a new formula. Out now on Journal of Clinical Monitoring and Computing Terrific job by Roberta Garberi Emanuele Rezoagli Università degli Studi di Milano-Bicocca link.springer.com/article/10.100…

Today's Paper of the Day is on pulmonary shunt in critical care criticalcarereviews.com/latest-evidenc… Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2024

Sono aperte le iscrizioni per la quarta edizione del Corso Executive ECMO Università degli Studi di Milano-Bicocca Link bit.ly/4e97D1s Roberto Fumagalli Marco Giani Emanuele Rezoagli @Thom_Langer Alberto Lucchini Giacomo Bellani

Our last work on children with syndromic craniofacial synostosis undergoing Le Fort III surgery - Just published journals.lww.com/jcraniofacials…

🩸Recent systemic thrombolysis per sè should NOT be considered contraindication for initiating #ECLS in high-risk PE. Study including pts undergoing/not to pre #ECMO cannulation thrombolysis: no difference in survival/bleeding risk #FOAMcc Intensive Care Medicine 🔓 rdcu.be/dLOBk

Effect of Helmet CPAP on Tidal Volume Assessed by Bioelectrical Impedance Just out in RESPIRATORY CARE

Prone-position decreases airway closure in a patient with ARDS undergoing VV ECMO - novel data just published in Journal of Clinical Monitoring and Computing! link.springer.com/article/10.100… Marco Giani Davide Raimondi Cominesi matteo pozzi Critical Care Toronto Università degli Studi di Milano-Bicocca AsstMonza University of Toronto Unity Health Toronto

MDR Gram - bacteria on VV #ECMO, RANGER STUDY 🧫 overall isolation 50%: 21% detected pre, 29% post initiation 🪦17 mortality 42%, higher if isolation before ECMO 🏥 larger annual hospital volume? lower probability of acquiring on ECMO #FOAMcc Critical Care 🔓rdcu.be/dScaF

Enhancing ICU environment. Our recently published study examined the effects of a novel illumination system on the use of sedative drugs and the incidence of delirium in ICU patients. Intensive and Critical Care Nursing authors.elsevier.com/a/1jnsf3RG-MiI… Unimib Anesthesia, Critical Care and Pain Medicine Marco Giani Emanuele Rezoagli

Starting day 4️⃣ of our Crash Course walking through the mountains 🏔️to gear up for the upcoming discussion on antibiotics 💊 Thanks to our great guide Roberto Fumagalli Emanuele Rezoagli Marco Giani @Thom_Langer Vito Torrano Fabio Sangalli Francesco Zadek

🔗🫁 How to wean from VV #ECMO?? Participate in WeanECMO survey, investigating how to assess eligibility for #ECLS weaning trials + methods employed across different centers. The short (10')/anonymous survey is endorsed by ESICM 🔗 bit.ly/WeanECMO

Prone positioning during VV #ECMO, systematic review & meta-analysis aimed to assess association of PP vs non with clinical outcomes in different subgroups: 🔍 2 RCTs + 20 non-RCTs 🔎 >3.4K patients included 🫁 pts with acute hypoxemic respiratory failure on VV #ECLS who received

🩸🔗 🫁 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

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 🔗

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 Critical Care 🔓

PROTECmo Study: Thrombocytopenia in VenoVenous ECMO Linked to High Bleeding Risk Jordi Riera Raj Ramanan Marco Giani Vito Fanelli K. Szułdrzyński Ait Hssain 小谷祐樹 Yuki Kotani｜集中治療医 Intensivist Critical Care hemostasistoday.com/science/study-… #BleedingRisk #ECMO #Health #Hematology #HemostasisToday #Medicine

Best paper I’ve read in 2025: jacc.org/doi/10.1016/j.… “VA ECMO increases wedge pressure” >> oversimplification (and often wrong)

Volatile sedation during ECMO > what’s the impact on hemodynamics? Just published M Velia Antonini EuroELSO journals.lww.com/anesthesiology…