Adrian Wong @avkwong
Consultant ICM/Anaes @KingsCritCare PhD candidate @KCLDocStudies @KingsCollegeLon Editor @WICSBottomLine Views my own. linkedin.com/in/adrian-wong… South East, England Joined June 2010-
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Great comment of Antoine Vieillard Baron, Phillipe Vignon et al on the recent paper on Coexistence of Fluid Responsiveness and Fluid Tolerance! An open field for debate with potential relevant clinical implications! Free access
Latest paper from @GJanaesresearch and team in @BioMedCentral #PerioperativeMedicine Looking at the Epidemiology of perioperative RV dysfunction. As highlighted in the article, “there is much to understand, study, and trial in this area.” #rightventricle …tivemedicinejournal.biomedcentral.com/articles/10.11…
A pretty packed day on the legal and ethical challenges on the ICU. @ICS_updates ics.ac.uk/learning/event…
OK. I've obviously seen/listened/watched lots of presentations on ivc, fluids, hemodynamics but I've just had a sneak peek at @GVWINFOCUS s talk for the webinar next week and it's a #pocus #ivc blinder. Lots to discuss.
OK. I've obviously seen/listened/watched lots of presentations on ivc, fluids, hemodynamics but I've just had a sneak peek at @GVWINFOCUS s talk for the webinar next week and it's a #pocus #ivc blinder. Lots to discuss. https://t.co/EembkvBAqV
HOT OFF THE PRESS: The new edition ‘Decision-Making in the ICU’ is live. Read now: iii.hm/1pt5 Download the pdfs: iii.hm/1pt6 (print optimised) & iii.hm/1pt7 (screen optimised) Editor-in-Chief: @jlvincen
Guiding resuscitation on serial lactate measurements? Not an accurate biomarker of hypoperfusion. However integration with clinical phenotyping + peripheral perfusion assessment could better individualize strategies 🔓rdcu.be/dFa9Y Refers to 🔓rdcu.be/dFcL4
20th Anniversary ACCS is going to happen next week. Still places available come and join us. register at critcaresymposium.co.uk @avkwong @lizgoingon @DarkNatter @andymoz78 @cathymac40 @iceman_ex @Wilkinsonjonny @NW_Anaesthesia @sicsmembers @WelshICS @CMCCN_ODN @ELHT_DERI @CC_3N
Fluids restriction in septic shock #ICU patients 🔍777 adults, restrictive vs standard IV fluids 🧪post hoc analysis of lactate concentrations, CLASSIC RCT ☔️restrictive fluid strategy does not seem to affect time to resolution of hyperlactatemia #FOAMcc 🔓rdcu.be/dEGOB
We wait for you in Genoa! Sonic- brain Ultrasound course and update on New Guidelines of SAH!
Great to be here in Graz for #notfallmedizin2024 I think the biggest and best German speaking EM conference (there is an English track too). Talking on complex education, EM, PHEM and making mistakes. @SimonOrlob Great setting and wonderful people.
End-tidal hyperinflation: how to easily detect & address extensive overdistention at bedside, to help individualize stretch-minimized protective strategy? 🫁 practical aspects of chest wall loading 🫁 position 🫳🏻 manual compression ⚖️ external weighting 🖇️ bit.ly/3vMlKZ0
🏅This was one of the most impactful publications in 2023 in the field of Critical Care👇 Learn more on fluid management ☔️ and its interaction with mechanical ventilation 🫁 icm-experimental.springeropen.com/articles/10.11… 🔥Full list of impactful publications in CC 2023 here 👇springernature.com/gp/researchers…
Into the wikeawades warld from sleep we are passing. ccforum.biomedcentral.com/articles/10.11… @iceman_ex @avkwong @ThinkingCC @ross_prager @EMNerd_ @CriticalCareNow @MaxHockstein @JeiblMy @corinnetheCOS @khaycock2 @SCCM @StanleyCup #echofirst
Excellent read. Also add this from @GuinotPg and team pubmed.ncbi.nlm.nih.gov/38462160/
Excellent read. Also add this from @GuinotPg and team pubmed.ncbi.nlm.nih.gov/38462160/
#4: We still do not know A LOT about venous congestion, but fortunately there are great teams worldwide working on this. These are some of the questions we are currently answering: 1) What thresholds of congestion cause harm in septic patients (is it the same as cardiac surgery…
#1: Venous congestion (measured by #VEXUS 2 or 3) has a prevalence of ~20% on ICU Day 1. Some patients with congestion on Day 1 become de-congested on Day 3 (and vice versa). Underpowered to assess association between fluid balance and these class shifts between congested and…
#2: Venous congestion is highly associated with RV and LV failure. Congestion is NOT volume overload, but a complex interplay between cardiac function, IV fluids, and thoracoabdominal pressures, compliance, and flow.
@avkwong @iceman_ex Congratulations on your work. It is interesting to see the dissociation between dry weight and the presence of vascular congestion. We presented a similar paper at the @ERAkidney congress showing that the pattern of vascular congestion is dynamic, with 45% of patients having…
Like most of these, there are things we would have done differently #pocus #echofirst #vexus. But things I now ponder... 1. Weight as a target for HD/RRT 2. Clinical parameters as oppose to ultrasound #casper 3. Fluid congestion <-->fluid responsive is an oversimplification
Like most of these, there are things we would have done differently #pocus #echofirst #vexus. But things I now ponder... 1. Weight as a target for HD/RRT 2. Clinical parameters as oppose to ultrasound #casper 3. Fluid congestion <-->fluid responsive is an oversimplification
Our little study on #vexus #pocus in the dialysis patient has just been published. Generating more questions for subsequent studies.... @iceman_ex theultrasoundjournal.springeropen.com/articles/10.11…
Intensive Care Medici.. @yourICM
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𝙟𝙤𝙨𝙝 𝙛.. @PulmCrit
62K Followers 548 Following zentensivist 😷 FOAMite 🌊 diuresis jedi 💦 leader of the rebel alliance ⚔️ resuscitationist 💉 humanist 😢 writer with aweful speling 😬 no COI 💰
Segun Olusanya (He/Hi.. @iceman_ex
19K Followers 3K Following Husband to @monanniecakes| Intensivist @nhsbartshealth| Ultrascoundrel |#FOAMed|@thosewecarry|@ics_updates|@wicsbottomline|@esicm|@tea_empathynhs| 🇳🇬
Cliff Reid @cliffreid
42K Followers 3K Following EM/ICM/PHEM doc. LOVE learning + teaching. I work in the sky above Sydney, have the attention span of a bullet, + often have days that are like cartoons #FOAMed
British Journal of An.. @BJAJournals
37K Followers 980 Following BJA is a high-impact international journal for #Anaesthesia, #CriticalCare, #Pain & #PeriOpMed. BJA Education supports CPD & BJA Open provides Gold Open Access
𝘈𝘯𝘢𝘦𝘴�.. @Anaes_Journal
44K Followers 804 Following 𝘼𝙣𝙖𝙚𝙨𝙩𝙝𝙚𝙨𝙞𝙖 is the official journal of @Assoc_Anaes with comprehensive coverage in peri-operative medicine, critical care and pain. IF 10.7.
Steve Mathieu @stevemathieu75
6K Followers 2K Following President @ics_updates |ICM Consultant @icu_portsmouth|Divisional Director Clinical Delivery @PHU_NHS|SOA Congress Director 2018-21 |TBL @WICSBottomLine
M Velia Antonini @FOAMecmo
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Critical Care Reviews @CritCareReviews
55K Followers 916 Following The leading critical care evidence dissemination platform. Website, newsletter, blog, book, podcast, livestream & meeting. #CCR24 June 12-14
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Intensive Care Societ.. @ICS_updates
40K Followers 2K Following We are the oldest intensive care professional body and charity in the world. The home of the UK's #intensivecare community since 1970.
ESICM @ESICM
42K Followers 260 Following European Society of Intensive Care Medicine is an association promoting education, research, and professional development in intensive care medicine.
Eduardo R Argaiz @ArgaizR
18K Followers 3K Following Attending Nephrologist @incmnszmx | Board Member at the Mexican Society of Echocardiography @SONECOM_AC | #Hemodynamics #EchoFirst
Dr Amit Pawa💉🎙�.. @amit_pawa
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Noel Diaz Robles. MD,.. @NOELDIAZROBLES
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Dra.Dev @den83536781
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Ahmed Elsawy @AhmedEl83558437
1 Followers 64 Following Intensive Care Trainee NW, UK. Formerly, Imperial College NHS healthcare Trust
Global Health-SPINE |.. @prasad_hara
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362 Followers 249 Following Dad, Husband, Intensivist, PhD / Assistant Professor @FacMedicinaUC 🇨🇱/ Collaborative research. LIVEN. Views are my own.
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Farhan Shaikh @drfarhan74
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becky graves @beckygraves118
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the HEAL science @ScienceHeal
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BizarrMD 🧬🦠🔬.. @DrAntonioSilva1
205 Followers 2K Following #infectiousdiseases egresado Infectología HCFAA @HospitalCivil #ID Buscando un cambio para contribuir con ciencia. Entrepreneur, Health marketing.
Catalina 🇻🇪 @anti_imp98
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Daniel Hammersley @drdanhamm
313 Followers 755 Following Cardiology ST7 @KingsCollegeNHS | PhD @ImperialNHLI @RBandH| Interested in inherited cardiac conditions, heart failure & CMR | #Cardiomyopathies #Cardiogenetics
EchoTalk Echocardiogr.. @echotalk
6K Followers 780 Following Prof. Jose R. Matos-Souza. Echocardiography: UNICAMP Medical School. https://t.co/ib8ucnPJ72 (YouTube =EchoTalk) . Pubmed: Matos-Souza J R , MD PhD .
Philippa Emma @irfanudin011
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tlz @tlz1267336
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Vimal Bhardwaj @drvimalzenICU
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El severo @JulioSevero91
76 Followers 179 Following Mi alma renueva búsquedas eternas para encontrar la mejor complejidad de mi ser. Medicina Interna/R de Med. Crítica 👨⚕️INCMNSZ
vignesh sakthi @klebsielacrexdr
41 Followers 426 Following
ACTTI_UK @ACTTI_UK1
184 Followers 208 Following This is the official account of the Association of CardioThoracic Transplant Intensivists in UK.
PRESUNA @PresunaHealth
122 Followers 224 Following Unlock equitable ultrasound healing - software for ultrasound training and research.
Victòria Felices. @victoriaf97
331 Followers 301 Following MIR Anestesiología y Reanimación. 📍 Hospital Clínic de València.
Rhea Candie Real-Sant.. @candie_rea20086
12 Followers 162 Following
kamleshmishra @kamleshmishra02
74 Followers 448 Following
Donna Andrews @Donnajm_Andrews
9 Followers 603 Following Lured the best beauties from all US states 🙈 Ready for a 1 on 1 meeting Nudes in profile! Watching this https://t.co/DjIZ22wppv
Anid Hassan, MD @AnidHassan
92 Followers 177 Following Post-Doctoral Research Fellow in Pulmonary and Critical Care Medicine at Johns Hopkins University School of Medicine | MD | ECFMG Certified IMG|
Ramón Mula @mula_ramon
3 Followers 29 Following
Tracey Lopez @TraceyL88416598
240 Followers 2K Following
Intensive Care Medici.. @yourICM
71K Followers 156 Following International peer-reviewed medical journal for all involved in Intensive Care #FOAMed #FOAMcc 🖋 Write https://t.co/j4p0oZF5XA 📨 Submit https://t.co/BJMsQ4rNz3
𝙟𝙤𝙨𝙝 𝙛.. @PulmCrit
62K Followers 548 Following zentensivist 😷 FOAMite 🌊 diuresis jedi 💦 leader of the rebel alliance ⚔️ resuscitationist 💉 humanist 😢 writer with aweful speling 😬 no COI 💰
Segun Olusanya (He/Hi.. @iceman_ex
19K Followers 3K Following Husband to @monanniecakes| Intensivist @nhsbartshealth| Ultrascoundrel |#FOAMed|@thosewecarry|@ics_updates|@wicsbottomline|@esicm|@tea_empathynhs| 🇳🇬
Cliff Reid @cliffreid
42K Followers 3K Following EM/ICM/PHEM doc. LOVE learning + teaching. I work in the sky above Sydney, have the attention span of a bullet, + often have days that are like cartoons #FOAMed
British Journal of An.. @BJAJournals
37K Followers 980 Following BJA is a high-impact international journal for #Anaesthesia, #CriticalCare, #Pain & #PeriOpMed. BJA Education supports CPD & BJA Open provides Gold Open Access
𝘈𝘯𝘢𝘦𝘴�.. @Anaes_Journal
44K Followers 804 Following 𝘼𝙣𝙖𝙚𝙨𝙩𝙝𝙚𝙨𝙞𝙖 is the official journal of @Assoc_Anaes with comprehensive coverage in peri-operative medicine, critical care and pain. IF 10.7.
Steve Mathieu @stevemathieu75
6K Followers 2K Following President @ics_updates |ICM Consultant @icu_portsmouth|Divisional Director Clinical Delivery @PHU_NHS|SOA Congress Director 2018-21 |TBL @WICSBottomLine
M Velia Antonini @FOAMecmo
14K Followers 811 Following CCP E-AEC ECMO/EISOR spec + POCUS @EuroELSO Steering C & Chair NRP WG @ELSOeducation taskforce SoMe Director @ELSOOrg SoMe Editor @yourICM @ESICM @asaiojournal
Fluid Academy @Fluid_Academy
17K Followers 136 Following International Fluid Academy promotes #FOAM education + innovation. Mark #IFAD2024 May 10 @ECCC_DUBAI and August 20 @crit_sa CCSSA Jo-burg, #SMACC affiliated
Philippe Rola @ThinkingCC
10K Followers 1K Following #zentensivist, EMCrit Teammate, Proud daddy and husband. ICU chief at Santa Cabrini Hospital, @[email protected]
Rosie Baruah @rosieICM
14K Followers 3K Following A she/her ICU consultant | #PoCUS #QualitativeResearch | #neuroICU | #GenderInMedicine researcher | Autistic | Seeker of a fair field and no favour
Charlotte Summers @charlot_summers
17K Followers 6K Following Director of @hlri_Cambridge & Professor of Intensive Care @Cambridge_Uni; Fellow @selwyn1882 Tweets represent only my personal views.
Critical Care Reviews @CritCareReviews
55K Followers 916 Following The leading critical care evidence dissemination platform. Website, newsletter, blog, book, podcast, livestream & meeting. #CCR24 June 12-14
Hatem Soliman, FRCP, .. @EchoSoliman
8K Followers 5K Following Consultant Cardiac Intensivist, ECMO, MCS @RBandH | Echo Councillor, EACVI Board @escardio | Senior Lecturer @kingscardio | Editor | Author | EchoFirst | POCUS
Intensive Care Societ.. @ICS_updates
40K Followers 2K Following We are the oldest intensive care professional body and charity in the world. The home of the UK's #intensivecare community since 1970.
ESICM @ESICM
42K Followers 260 Following European Society of Intensive Care Medicine is an association promoting education, research, and professional development in intensive care medicine.
Eduardo R Argaiz @ArgaizR
18K Followers 3K Following Attending Nephrologist @incmnszmx | Board Member at the Mexican Society of Echocardiography @SONECOM_AC | #Hemodynamics #EchoFirst
Tim Cook @doctimcook
15K Followers 367 Following Bath-based anaesthetist/intensivist. I study medical complications to improve safety. Own views except where I knick others’. Insta @timcooksnaps. Airway goblin
Dr Amit Pawa💉🎙�.. @amit_pawa
17K Followers 990 Following Consultant Anaesthetist & Podcaster @GSTTnhs @clecliniclondon #RAUK24 #RegionalAnaesthesia @BlockIt_Hot_Pod #BILIH COI:GE,Pacira https://t.co/6a1YlyIYs9
Eduardo Kattan @edu_kattan
362 Followers 249 Following Dad, Husband, Intensivist, PhD / Assistant Professor @FacMedicinaUC 🇨🇱/ Collaborative research. LIVEN. Views are my own.
EchoTalk Echocardiogr.. @echotalk
6K Followers 780 Following Prof. Jose R. Matos-Souza. Echocardiography: UNICAMP Medical School. https://t.co/ib8ucnPJ72 (YouTube =EchoTalk) . Pubmed: Matos-Souza J R , MD PhD .
PRESUNA @PresunaHealth
122 Followers 224 Following Unlock equitable ultrasound healing - software for ultrasound training and research.
JCriticalCare @JCriticalCare
637 Followers 161 Following The Journal of Critical Care is a leading international, peer-reviewed journal that aims to improve patient care integrating science and clinical practice.
Anaesthesia Critical .. @AccpmJ
3K Followers 53 Following SCI indexed, Impact Factor 5.5, International peer-reviewed research in #Anesthesia #CriticalCare #ICU #Pain #PeriOpMed
Filippo D'Amico @DrFDamico
1K Followers 340 Following Anesthesia and Intensive care San Raffaele Hospital
DoctorsVote 🦀 #Tel.. @Doctors_Vote
13K Followers 126 Following A campaign group of doctors across the country who are seeking #PayRestoration
ExplosiveEnema @ExplosiveEnema2
2K Followers 826 Following Lord Defecation Associate | Advanced Flow Practitioner #OneHoleTeam #BeHind | https://t.co/hiAjMhE91X | Archive: @ExplosiveEnema
Dr Asif Qasim 💙 @DrAsifQasim
11K Followers 9K Following Founder MedShr - network for doctors to share knowledge & save lives! Join over 2,500,000 members globally ! https://t.co/dFiqASu4ff Interventional Cardiologist
JCM MDPI @JCM_MDPI
3K Followers 3K Following JCM (ISSN 2077-0383; IF 2022 = 3.9; CiteScore 2022 = 5.4) is an international, peer-reviewed, #openaccess journal on #clinical and pre-clinical research.
Sarah Muldoon @gasgal13
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3K Followers 145 Following We are a group of Anaesthetists who feel our views on AAs and workforce issues haven't been listened to. Join us https://t.co/8DsjxxcGd8
'Critical Care MCQ' A.. @SumeshArora8
203 Followers 149 Following Over 2700 MCQ World's largest collection of Critical Care MCQ 'Critical Car MCQ' App on App Store and Play Store W: https://t.co/4sHRquwVZv
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1K Followers 1K Following Assistant professor - researcher Anesthesia and Critical Care @unito. PI of @INTUBEStudy and @PreventionTrial and co-PI of @STARGATE_study
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696 Followers 333 Following Nephrologist & Ultrasonographer 🇮🇹 Research in Clinical Ultrasonography
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572 Followers 247 Following Internist. Fellow in intensive care medicine & infectious disease. Views my own.
Dan Kim @dan___kim
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Ruth Kleinpell @RKleinpell
2K Followers 2K Following Associate Dean for Clinical Scholarship; Professor; Nurse Practitioner
Mariangela Pellegrini @MariangelaPell
218 Followers 182 Following 🇮🇹 🇸🇪 Intensive care MD, PhD. and Researcher 👩🔬 Uppsala University Hospital and Hedenstierna Laboratory, Uppsala University, Sweden
Bonita Anderson @BonitaEcho
4K Followers 235 Following Cardiac sonographer, echo educator, author of Echo textbooks. 💗 #echocardiography #echofirst
DaBi @DavidBihari3
116 Followers 661 Following Down and nearly out! But back on Twitter. All views are those of Freddie the horse!
Umar J Wali FRCS @ujwaliofficial
4K Followers 1K Following Consultant Trauma Surgeon @KingsCollegeNHS 🏥 Northern Irish ☘️ Motorsport Medic 🏎️
ABCDEcografía @ABCDEcografia
5K Followers 496 Following
DellCares @DellCares
138K Followers 58K Following Dell's Social Media 24X7 Global Support. We're here to listen, help & provide proactive info to our customers. Order Status: https://t.co/S9k2jg7Ne5
Frantisek Duska @FrantaDuska
253 Followers 152 Following
King's Clinical Acade.. @Kings_CATO
393 Followers 135 Following Supporting Health Professionals engaged in research at @KingsCollegeLon, @KCLDocStudies & @Kings_HSDTC. New PhD Programme for HPRs: https://t.co/Jj4DSocAJJ
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787 Followers 357 Following Intensivist, cardiologist and physiology enthusiast
bram kilapong @bramspan
236 Followers 932 Following Intensivist and Anesthesiologist, SCCM Sosmed ambasador 😅
Gregorio Romero-Gonz�.. @Tubulocentric
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Dr. Tuinman @TuinmanDr
17 Followers 50 Following
SAMBA Past President @basemcc
294 Followers 131 Following Basem Abdelmalak, MD, FASA. Anesthesiologist @ClevelandClinic, ENT/Bronchoscopy Anesthesia and Whole Lung Lavage Specialist, Periop glucose manage tweets=my own
The Hospitalist and R.. @HandRConference
345 Followers 159 Following HR2023 is a cutting edge acute care medicine conference that will give you the latest in evidence based, physiology informed practice.
Exo @exoeffect
7K Followers 6K Following Ultrasound Unconstrained. Exo is taking medical imaging where you never thought it could go- everywhere. #POCUS
Pramod K Guru.MD,DM(N.. @pkguru10
2K Followers 2K Following One 🤖Among 7+Billions in the 🌎. Professor of Medicine. ECMO Director. PD CCM Fellowship. #Ravenshaw #SCB #PGI #Creighton #UPMC #Mayo.Views Personal.
Prof. ELENA GIOVANNA .. @ElenaG_Bignami
815 Followers 360 Following PO, MED/41 Direttore, UOC 2 Anestesia e Rianimazione, AOU Parma Direttore Scuola di Specializzazione in ARTID, Univ Parma Presidente eletto SIAARTI 2025-2027
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216 Followers 996 Following Veterinary Surgeon. Postgrad Cert AVP in Veterinary Anaesthesia and Analgesia with an equine focus. Loves travelling and being active. All views my own.
Ross Prager @ross_prager
7K Followers 622 Following Intensivist ⚕️Creator of https://t.co/S7HBZvwYR6 Follow for ultrasound cases, hemodynamics, and discussions around performing efficient and impactful research 📊
TheFrenchPOCUS @TheFrenchPOCUS
1K Followers 897 Following 🇫🇷 MD | Emergency medicine | Critical Care and Emergency Ultrasound #POCUS | Memesmith #VoltaireProtocol #NoFakeMed #FOAMed
Vishal Sharma @Vish_Sharm
4K Followers 97 Following Cardiologist, Chair BMA Consultants Committee, Chair BMA Pensions Committee. Previous Vice President, BSE. Passionate about the NHS. Thoughts my own.
MouldKingBrick @BrickMould
49 Followers 5 Following Hello! You made it to the official MOULDKING Twitter account. A lot of interesting content, Come together😀 Mould King, Build the Blocks Technology!
Laura Borgstedt @DrLBorgstedt
190 Followers 196 Following Anesthesiologist in Munich, ESICM NEXT Committee member
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725 Followers 607 Following Critical Care Nephrology, Medical Simulation, Trauma, Healthcare Management (MSc @altems4) ... Cats Addicted😸@unitrento @Cismed #gendergap #diversity
Guinot PG @GuinotPg
272 Followers 246 Following Cardio-vascular, Anesthesiology, ICU, perioperative medicine, POCUS, CHU Dijon, UMR 1231 SFAR, ARCOTHOVA, ESAIC
Daniel Shmukler @DrShmuk
1K Followers 122 Following Anaesthetist, foodie, still dreaming of being a tennis pro! Passionate EEG in anaesthesia advocate. ❤️TIVA. Views my own.
Audrey De Jong @audreydejongMD
1K Followers 453 Following Department of Anesthesiology and Intensive Care Unit Saint Eloi Montpellier University Hospital@DrMiguelIbarra1 @AndromedaShock @ThinkingCC @ross_prager @avkwong Ahahaha true!
@casita1981 @AndromedaShock @ThinkingCC @ross_prager @DrMiguelIbarra1 @avkwong Muchas gracias!
Watched them all again recently. They remain masterpieces.
The Lord of the Rings trilogy is returning to theaters in June 2024, including the first theatrical screenings of Peter Jackson's 2020 remastered versions. bit.ly/4ddFWE8
Great comment of Antoine Vieillard Baron, Phillipe Vignon et al on the recent paper on Coexistence of Fluid Responsiveness and Fluid Tolerance! An open field for debate with potential relevant clinical implications! Free access
Latest paper from @GJanaesresearch and team in @BioMedCentral #PerioperativeMedicine Looking at the Epidemiology of perioperative RV dysfunction. As highlighted in the article, “there is much to understand, study, and trial in this area.” #rightventricle …tivemedicinejournal.biomedcentral.com/articles/10.11…
Today I stepped down in my 12th year as editor for @BjaEducation. Thanks to EiC @JPThompson1964 and all the other editors; proud to have been part of such a great CPD journal @RCoANews
HOT OFF THE PRESS: The new edition ‘Decision-Making in the ICU’ is live. Read now: iii.hm/1pt5 Download the pdfs: iii.hm/1pt6 (print optimised) & iii.hm/1pt7 (screen optimised) Editor-in-Chief: @jlvincen
Guiding resuscitation on serial lactate measurements? Not an accurate biomarker of hypoperfusion. However integration with clinical phenotyping + peripheral perfusion assessment could better individualize strategies 🔓rdcu.be/dFa9Y Refers to 🔓rdcu.be/dFcL4
20th Anniversary ACCS is going to happen next week. Still places available come and join us. register at critcaresymposium.co.uk @avkwong @lizgoingon @DarkNatter @andymoz78 @cathymac40 @iceman_ex @Wilkinsonjonny @NW_Anaesthesia @sicsmembers @WelshICS @CMCCN_ODN @ELHT_DERI @CC_3N
Fluids restriction in septic shock #ICU patients 🔍777 adults, restrictive vs standard IV fluids 🧪post hoc analysis of lactate concentrations, CLASSIC RCT ☔️restrictive fluid strategy does not seem to affect time to resolution of hyperlactatemia #FOAMcc 🔓rdcu.be/dEGOB
We have officially started Intensive Care Conference in Krakow Poland (Forum Intensywnej Terapii) - with a fantastic opening lecture delivered by prof. Jan de Waele @criticcaredoc, President Elect of the ESICM society (@ESICM @yourICM) : ‘When NOT to give antibiotics’ > 1000…
We wait for you in Genoa! Sonic- brain Ultrasound course and update on New Guidelines of SAH!
Great to be here in Graz for #notfallmedizin2024 I think the biggest and best German speaking EM conference (there is an English track too). Talking on complex education, EM, PHEM and making mistakes. @SimonOrlob Great setting and wonderful people.
🏅This was one of the most impactful publications in 2023 in the field of Critical Care👇 Learn more on fluid management ☔️ and its interaction with mechanical ventilation 🫁 icm-experimental.springeropen.com/articles/10.11… 🔥Full list of impactful publications in CC 2023 here 👇springernature.com/gp/researchers…
Into the wikeawades warld from sleep we are passing. ccforum.biomedcentral.com/articles/10.11… @iceman_ex @avkwong @ThinkingCC @ross_prager @EMNerd_ @CriticalCareNow @MaxHockstein @JeiblMy @corinnetheCOS @khaycock2 @SCCM @StanleyCup #echofirst
#4: We still do not know A LOT about venous congestion, but fortunately there are great teams worldwide working on this. These are some of the questions we are currently answering: 1) What thresholds of congestion cause harm in septic patients (is it the same as cardiac surgery…
#1: Venous congestion (measured by #VEXUS 2 or 3) has a prevalence of ~20% on ICU Day 1. Some patients with congestion on Day 1 become de-congested on Day 3 (and vice versa). Underpowered to assess association between fluid balance and these class shifts between congested and…
#2: Venous congestion is highly associated with RV and LV failure. Congestion is NOT volume overload, but a complex interplay between cardiac function, IV fluids, and thoracoabdominal pressures, compliance, and flow.
@Tubulocentric @avkwong @iceman_ex @ERAkidney Part of this may well be that RV dysfunction apart from volume status is a significant factor in venous congestion.
@JoelChoMD @ABCDEcografia @NephroP @G2Disrupt @ria_dancel It happens, I “score” the worse signal and tend to ignore the ivc. Especially if more than 1 organ signal is screaming “congestion”
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