3)Therefore, in DanGer Shock 100% of LV were unloaded, but in ECLS shock in the ECMO arm only 5.8% had a mechanical vent. Why?

5) What about population? In ECLS shock 77.5% had a a previous cardiac arrest (CA), while in DanGer shock only 21.8%, exluding OHCA. Furthermore, Patients in DanGer Shock had less lactate, and more LAD or LM coronary arteries stenosis as culprit lessons.

Here is the ultimate thread of online resources for meta-analysis. Comment other resources and I will add them to this thread. Doing Meta-Analysis in R (online open-access book) by Mathias Harrer @[email protected] and others : bookdown.org/MathiasHarrer/… 1/n

#haemodynamics #hemodynamics myths. Myth 1. 'Sepsis causes low SVR and high stroke volume/CO'

How I communicate research findings without overstating conclusions

Most patients with sepsis don't need anti-anaerobic antibiotics. But most get them anyway. Why not, what's the harm? I worry the harm is considerable. Our new study in JAMA Internal Medicine: using a 15-month pip-tazo shortage to answer this question. 1/n jamanetwork.com/journals/jamai…

It is hard resuscitating patients on the ward 🏥 You don't have the same resources, personnel, or familiarity with the physical space. This can lead to slow and clunky resuscitations. 🦥 Here are 10 tips for smooth resuscitations on the ward that I learned as a paramedic (and

If ECMO care, outcomes research and innovation resonate with you, you don't want to miss this opportunity! Inaugural ELSO Scientific Oversight Committee Fellowship for global trainees (adult or pediatric) and early (< 3 years) career faculty! App deadline: July 1st, '24!

Dr. Brittany Rance discusses Ten Palliative Care Pointers for acute medicine at #HR24 So important for anyone caring for acutely ill patients! Some that I admittedly don't think of but definitely will now! 👇 #1: Early palliative care for all - improves Quality of Life -

You've probably heard "don't give lactated ringers because it raises lactate" This statement is ~98% false, but there's one crucial practice-changing fact that you need to know. A 🧵 all about lactic acid and lactated ringers! 1/

What should we use for #VTE #prophylaxis after joint replacement surgery? 🕸️ #Network #meta-analysis of 70 RCTs 💊 Factor Xa inhibitors a/w lower VTE risk without bleeding or death ❓ Future studies should investigate hybrid regimens. thieme-connect.com/products/ejour… #FOAMed

#Immunomodulators in #COVID-19 #ECMO: 🫂 #ELSO registry study of 7,181 patients ❌ Steroids a/w mortality, ✅ other immunomodulators without steroids a/w survival 🤔 Selection bias over #pandemic for steroid-resistant patients? #FOAMed annalsofintensivecare.springeropen.com/articles/10.11…

It took me SEVEN years to figure out that you can save a ggplot as a vectorized .svg file ggsave("file.svg"). The svg file can be opened on powerpoint and it will be completely vectorized, even text are still recognized as text boxes! No more recreating plots on illustrator!!!!!

Acute hypoxemic respiratory failure in #ICU in 🇦🇺🇳🇿: disease burden may be higher than expected! 🪦mortality ⬆️ with ⬇️ P/F, particularly <200: need to reconsider how we stratify AHRF severity? 🪦mortality ⬇️ over time: improvements in critical care? 🔓 bit.ly/3Xrdh8E

I believe that #ECMO is a life-saving temporising intervention. Yet, there are ethical dilemmas when it appears "futile". In The Lancet Respiratory Medicine, Kiran Shekar Ramanathan KR and I envision a future where ECMO can be reliably used as a long-term device. thelancet.com/journals/lanre…

🌊 When #ECMO-dependent patients are no longer candidates for destination therapy, should #ECLS be continued indefinitely? It would eventually serve only as a bridge to fatal complication. Complications might prolong suffering and affect quality of life. Beyond ethical

Thanks to Ryan Ruiyang Ling Kiran Shekar Ramanathan KR for this thought provoking commentary on our comment in The Lancet Respiratory Medicine thelancet.com/journals/lanre… Interdisziplinäre Medizinische Intensivtherapie FR ELSO DGIIN e.V. M Velia Antonini EuroELSO

How should we deal with ECMO when transition to recovery or transplant is no longer possible! Let’s discuss! Kiran Shekar Ramanathan KR Ryan Ruiyang Ling Tobias Wengenmayer Dirk Westermann Dawid Staudacher Justyna Swol MD • ECMOdaily Stefan Kluge ECMO_Karagiannidis Interdisziplinäre Medizinische Intensivtherapie FR thelancet.com/journals/lanre…