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#icusky
Latest posts tagged with #icusky on Bluesky
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Posts tagged #icusky
💥🆕“Sepsis”.The Lancet Seminar
Our new article
👇Free Access
bit.ly/4aJIiKo
@unmc.bsky.social @unmc-id.bsky.social @unmccom.bsky.social @critcaremed.bsky.social @criticalcarereviews.com @thelancet.com @thelancetinfdis.bsky.social@lancetrespirmed.bsky.social#IDSky #MedSky #PCCSky #ICUSky #Ansky #EMSky
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🆕“Corticosteroids and community-acquired pneumonia: Africa deserves an explanatory trial”
👇Free
bit.ly/4axverF
@critcaremed.bsky.social @criticalcarereviews.com #IDSky #MedSky #PCCSky #ICUSky #EMIMCC #Ansky #EMSky #AMSSky #Pharmsky #ClinMicro@unmc.bsky.social@unmc-id.bsky.social@unmccom.bsky.social
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Any recommendations for leadership courses that people have liked? There may be some upcoming opportunities for guiding/leading an intensive care unit and while I'm quite adept at the learn by doing... I feel there may be a better way to do things right the first time. #EMIMCC #ICUsky #medsky
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Differences in procedural case-mix between peri-operative enhanced & critical care services (UK)
Critical care: liver/pancreatic transplantation; oesophagectomy; major airway surgery
Enhanced care: colonic resections; joint replacements; carotid surgery
#AnSky #ICUSky
doi.org/10.1111/anae...
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Of 234,069 ICU survivors in South Korea, 55.6% developed new-onset PICS within 12 months of hospital discharge:
• 35.5% had physical impairment
• 28.2% psychiatric impairment
• 18.9% cognitive impairment
#ICUSky
doi.org/10.1111/anae...
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Many people struggle after ICU care with problems like weakness, memory trouble, or feeling anxious or sad.
Health records from South Korea showed that more than half of ICU survivors developed new health problems within a year after leaving hospital.
#ICUSky
doi.org/10.1111/anae...
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In South Korea, over half of ICU survivors developed post-intensive care syndrome w/i 12 months.
But what is PICS?
Persistent sequelae incl physical, cognitive & psychiatric domains which can impair quality of life, functional capacity & psychological wellbeing.
#ICUSky
doi.org/10.1111/anae...
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Compared with standard care, PCT-guided antibiotic discontinuation protocols:
• reduced antibiotic therapy by, on average, 2 days compared with standard care
• may reduce the mortality risk by 5% on average, both in the short and long term
#AnSky #ICUSky #sepsis
doi.org/10.1111/anae...
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There is evidence that procalcitonin-guided discontinuation protocols may be safe & effective for patients who are critically ill with sepsis, with no increased risk in mortality.
In contrast, the evidence supporting CRP-guided protocols is limited.
#AnSky #ICUSky #sepsis
doi.org/10.1111/anae...
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There is growing interest in using inflammatory biomarkers, such as procalcitonin or CRP, to guide clinical decision-making on the duration of antibiotic therapy in patients who are critically ill.
#AnSky #ICUSky #sepsis
doi.org/10.1111/anae...
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Should we use fewer arterial catheters in critical care patients?
It may prevent harm from non-infective and infective complications, lower financial and environmental costs and reduce iatrogenic blood loss and blood transfusions in individual patients.
#AnSky #ICUSky
doi.org/10.1111/anae...
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Neurocognitive outcomes: too much data, not enough clarity
#AnSky #MedSky #ICUSky
doi.org/10.1111/anae...
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How do population characteristics vary between individual enhanced care units and their respective critical care facilities?
#AnSky #ICUSky #MedSky
doi.org/10.1111/anae...
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Y’all American #icusky #anesky peeps
You ok?
Have your patients all exploded due to you handing out WMDs?
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💥🆕“What Impacts Sepsis Outcomes in Low-Middle-Income Countries: Antibiotic Timing, Shock, or Supportive Care?”
👇Free Access
bit.ly/4pyimHC
@critcaremed.bsky.social @criticalcarereviews.com #IDSky #MedSky #PCCSky #ICUSky #EMIMCC #Ansky #EMSky #AMSSky #Pharmsky @unmc.bsky.social @unmc-id.bsky.social
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What is "enhanced care"?
Post-anaesthetic care unit (PACU) and overnight intensive recovery units.
What is the impact?
It builds surgical capacity and system resilience.
#AnSky #ICUSky
doi.org/10.1111/anae...
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Arterial catheter infection rates remain notably higher than those of peripheral intravenous catheters, which have an incidence of approximately 0.03%.
Why is a higher infection risk in arterial catheters tolerated?
#AnSky #ICUSky
doi.org/10.1111/anae...
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8–12 million arterial catheters are inserted each year.
Non-infectious complications represent the greater burden of arterial catheter failure in ICUs.
This translates to up to 2.6 million non-infectious failures annually.
#AnSky #ICUSky
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Arterial catheter complications:
• 13/100 catheters failed for any reason
• 20/100 catheters failed for reasons not caused by infection
• bloodstream infections - 1/100 catheters
• local infections (around the area where the catheter goes in) - 1/100 cases
#ICUSky #AnSky
doi.org/10.1111/anae...
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Complications associated with central venous catheters are widely known.
Less is known about arterial catheter-related complications.
Here's a systematic review which quantifies the incidence of arterial catheter-related complications and failure in ICU.
#ICUSky #AnSky
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Did you know that CA125 is well known to be elevated in ovarian cancer but can also be elevated in heart failure, particularly right-sided heart failure & heart failure with preserved ejection fraction?
@rgdavies70 @USW_Oxygen
#MedSky #AnSky #ICUSky
doi.org/10.1002/anr3...
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In this case, the pulmonary artery catheter had been inadvertently sutured to the pulmonary artery likely when an injury occurred at the base of the pulmonary artery during an ascending aortic replacement.
It was noticed when the PAC was difficult to remove.
#AnSky #ICUSky
doi.org/10.1002/anr3...
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It can be morally permissible to aim for unconsciousness at the end of life.
What are the problems with the use of propofol to achieve this goal?
Should benzodiazepine and opioid-based strategies be preferred for providing terminal sedation?
#AnSky #MedSky #ICUSky
doi.org/10.1111/anae...
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A systematic review of brain health in adults with chronic pain
#AnSky #MedSky #ICUSky #PainSky
doi.org/10.1111/anae...
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