Thank you 小谷 祐樹 | Yuki KOTANI Rinaldo Bellomo and team! Just the beginning of the journey of precision assessments of renin-angiotensin metabolites in septic shock SCCM SCCM Research Section Society of Critical Care Anesthesiologists ANNALS OF INTENSIVE CARE - AIC

Norepinephrine dose reporting? No reason to delay standardization! 💉NE dose has known prognostic implications 💉gap of NE base equivalence wide among different preparation/labeling 🔓rdcu.be/dISUF Reply to 🔓rdcu.be/dISSr 💉Refer to 🔓rdcu.be/dGazg

💉 Discussion on norepinephrine dose ongoing on Intensive Care Medicine!! Appropriate & consistent reporting critical to avoid consequences to #ptsafety/clinical practice, as heterogeneity could bias perception of severity & prognosis, with risk of triggering early, delayed, inadequate

Erin Wieruszewski is an Immunocompromised ICU pharmacist Mayo Clinic in Minnesota. She’s the 2024 SCCM Clinical Pharmacy and Pharmacology Section Communications Committee Charge 4 Lead, helping authors take their pharmacotherapy articles to publication! Research interests include #neuroemergency #shock and #meded. #PharmICU

Bifemoral vvECMO cannulation with bicaval multistage access positioning. More stable/higher ECBFs with proximal drainage holes in IVC (not common iliac) and distal in SVC/RA junction, which offsets percieved concerns over increased recirculation fraction. SvO2 60-76% in this pt

See below the incredible journey of a pediatric heart transplant, where a heart as small as a walnut brings new life. Watch the transformation from pre to post-implantation!

Thank you OSU Anesthesiology Critical Care Ohio State Anesthesiology Residency Program for having us this afternoon! It was a huge honor and blast to share the stage with the amazing Dr. Troy Seelhammer on our roadshow of bivalirudin taking over heparin-based ECMO! Mayo Clinic Department of Anesthesiology Ohio State Wexner Medical Center Surgery Dept. The Ohio State University Wexner Medical Center Ohio State Pharmacy MayoAnesthesiaResMN

Happy to have our protocol for Cochrane systematic review on ECMO anticoagulation published -really looking forward to this important study! Stay tuned for results! cochranelibrary.com/cdsr/doi/10.10… Mayo Clinic Department of Anesthesiology Mass General Anesthesia Christoph G. S. Nabzdyk Scott Nei MayoPCCM Mayo Clinic Kern Scholars Program

After adjusting for age, cumulative #epinephrine doses above 3 mg during cardiac arrest may be associated with unfavorable neurologic outcomes after #ECPR and require further investigation. #ECMO #CardiacArrest Sahar A. Saddoughi, MD, PhD Patrick Wieruszewski bit.ly/3RDunNe

Thinking about vasopressor verbiage in light of a recent discussion with Patrick Wieruszewski. Our thinking is aligned but I’m curious about your opinion. If a patient is on norepinephrine, vasopressin is added, then norepinephrine titrated off, is the vasopressin adjunctive or monotherapy?

Neurologic complications during ECMO are highly morbid. We comprehensively reviewed these, and their epidemiological evolution over time - read it for FREE👇🏼 🔗 link.springer.com/article/10.100… Mayo Clinic Department of Anesthesiology Pulmonary Therapy M Velia Antonini

A discussion on the pathophysiology, risk factors, and outcomes related to neurologic complications occurring during #ECMO support 🫁🧠 Read the full review here: link.springer.com/article/10.100… Patrick Wieruszewski Mayo Clinic Department of Anesthesiology Mayo Clinic Cardiac Surgery #pulmonary #respiratory #neurology

#CPPPSU Highlights: A recent position paper from Critical Care Medicine recommends using norepinephrine base rather than salt 🧂 forms when ordering, administering, and reporting doses to enhance patient safety and research. #PharmICU Patrick Wieruszewski Christa Schorr loom.ly/_LJtweA

We should not assume interventions for conventional CPR are suitable for ECPR. Read our take on epinephrine 👇🏼 🔗 sciencedirect.com/science/articl… Mayo Clinic Department of Anesthesiology MayoAnesthesiaResMN Mayo Clinic Emergency Medicine Mayo Clinic EM Residency Matt Sztajnkrycer Jeff Scott M Velia Antonini

Kicking off #C4 with an overview of ECMO for the critical care practitioner The classic question of heparin vs bival as preferred anticoagulation is posed - is there a preference?

Our article examining the use of methadone in #cardiacsurgery is online. We included cases from all Mayo Clinic Department of Anesthesiology sites and examined outcomes until POD7. We have a few more #methadone papers coming out. ASA Monitor ASA® Erica Wittwer Ryan D'Souza, MD Ed Mariano, MD, MAS, FASA, FASRA 🇺🇸🇵🇭

Ringer’s solution distributes in 2 interstitial compartments with different turnover times. The slow compartment became dominant when large amounts of fluid were infused and during general anesthesia. buff.ly/3ABRwdr

SubhasisChatterjeeMD and I invite you to join us #ACC2024 A fantastic blend of local and national expert speakers under a unique presentation format. Here are the ones coming from other states/countries. texasheart.org/education/cont…

Attention Texas Medical Center physicians, APPs, RNs, and trainees -cutting edge critical care from leaders; practical advice to take back to your unit BCM_Surgery BCM Department of Medicine BCM Department of Anesthesiology The Texas Heart Institute

It’s not often such great innovation like this comes around, but remimazolam is a real game changer in anesthesia. Check out our comprehensive review led by the brilliant Juan G. Ripoll, MD 😷💉 👉🏼FREE ACCESS 🔗 authors.elsevier.com/c/1jl9~3lSIPxz… Mayo Clinic Department of Anesthesiology MayoAnesthesiaResMN Mass General Anesthesia