#icusky
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greendoc.bsky.social
9 signs of PE on TEE.
1. RV Hypokinesis
2. RV enlargement
3. Small LV
4. Flattening of the Intraventricular
septum or paradoxical septal motion
5. Dilated PA
6. Dilated RA
7. Distended IVC with loss of respiratory variation
8. Tricuspid Insufficiency
9. McConnel's Sign #medsky #icusky #FOAMED
November 2, 2026 at 12:04 AM
anaesjournal.bsky.social
In patients aged ≥ 90 years admitted to ICU after elective surgery, frailty was independently associated with:

• increased in-hospital, 1-year & 5-year mortality
• prolonged duration of hospital stay
• reduced likelihood of return to pre-admission residence

#AnSky #ICUSky

doi.org/10.1111/anae...
October 22, 2026 at 8:00 AM
anaesjournal.bsky.social
Impact of clinical frailty on mortality after elective surgery in patients aged ≥ 90 years admitted to critical care: a binational intensive care registry analysis

#AnSky #MedSky #ICUSky

doi.org/10.1111/anae...
October 21, 2026 at 8:01 AM
anaesjournal.bsky.social
Sedation strategy and the search for a better patient experience in ICU

#AnSky #MedSky #ICUSky

doi.org/10.1111/anae...
October 20, 2026 at 1:01 PM
aci-journal.medsky.social
NEW: Real-World Effects of a #Sepsis Early Detection Model Integrated into Clinical Workflow: A Quasi-Experimental Study www.thieme-connect.com/products/ejo...

#MedSky #ICUSky #IntensiveCare #HealthIT #DigitalHealth
October 15, 2026 at 3:20 PM
zentensivistilko.bsky.social
Today I spent Indigenous Persons Day in the ICU calling out all the urine and respiratory culture colonizers -- and promptly ignoring them.
#ICUsky #IDSKY #medsky #ersky #pleaseclap
October 13, 2026 at 2:23 AM
anaesjournal.bsky.social
Procalcitonin-guided or C-reactive protein-guided antibiotic discontinuation protocols for adult patients who are critically ill with sepsis: a reply

#AnSky #MedSky #sepsis #ICUSky

doi.org/10.1111/anae...
October 5, 2026 at 8:01 AM
anaesjournal.bsky.social
Procalcitonin-guided antibiotic discontinuation in sepsis

"We suggest, however, that implementation of procalcitonin-guided discontinuation should remain source-aware rather than threshold-driven."

#AnSky #MedSky #sepsis #ICUSky

doi.org/10.1111/anae...
October 2, 2026 at 8:00 AM
drandrekalil.bsky.social
💥🆕“Hospital Strategies to Improve Sepsis Outcomes”
IDSA/ACEP/ASM/PIDS/SCCM/SHEA/SHM/SIDP
👇Free
bit.ly/3UnauhT
@unmc-id.bsky.social @critcaremed.bsky.social @criticalcarereviews.com #IDSky #MedSky #PCCSky #ICUSky #EMIMCC #Ansky #EMSky #AMSSky #ClinMicro @cidjournal.bsky.social @cmicomms.bsky.social
IDSA/ACEP/ASM/PIDS/SCCM/SHEA/SHM/SIDP Multisociety Position Paper: Hospital Strategies to Improve Sepsis Outcomes
Abstract. Sepsis remains a leading cause of morbidity and mortality in US hospitals despite extensive efforts to improve early recognition and treatment, p
bit.ly
August 29, 2026 at 2:28 PM
anaesjournal.bsky.social
Preconditions for considering tracheal extubation

Project for Universal Management of Airways: guidelines for tracheal extubation @universalairway.org @Chrimesy.com

#AnSky #MedSky #ICUSky

doi.org/10.1111/anae...
August 27, 2026 at 4:17 AM
springermedicine.com
Antibiotic overuse remains one of the defining stewardship challenges across healthcare. Yet, one area remains comparatively neglected: antibiotic use in dying critically ill patients.

👉️ buff.ly/7Z3ZkDQ

#IDSky #ICUSky
Antibiotics must be part of end-of-life decisions: a necessary evil?
Antibiotic overuse remains one of the defining stewardship challenges across healthcare. Yet, one area remains comparatively neglected: antibiotic use in dying critically ill patients.
springermedicine.com
August 17, 2026 at 3:15 PM
survivorshipit.medsky.social
#ImplementationScience #HealthPolicy #ICUSky
August 13, 2026 at 2:44 PM
zentensivistilko.bsky.social
What is something in your consult/progress note that someone else would almost immediately recognize as being only from you?

I'll start:
-"Avoid avoidable nephrotoxins"
-"low threshold for methylene blue"

An RN pointed out some of my note quirks and it made me curious. #emimcc #medsky #icusky
August 12, 2026 at 2:19 PM
pbafuma.bsky.social
Curious what #pharmSky and #icusky think of this ...

Gotta say I'm intrigued.... Maybe a 1x dose for delirium preventing vent weaning? 🤔🤔

pubmed.ncbi.nlm.nih.gov/39648603/
Valproic Acid for Hyperactive Delirium and Agitation in Critically Ill Patients - PubMed
The addition of VPA to a complex pharmacologic regimen for hyperactive delirium and agitation is safe and can assist in the prevention of polypharmacy and overall workload in critically ill patients a...
pubmed.ncbi.nlm.nih.gov
December 15, 2024 at 12:22 AM
pbafuma.bsky.social
Chronic SDG:

Nonsurgical vs burr hole + MMA embolization (surgeons choice)

Symptomatic recurrence/progression @90d: 9.9% vs 6.7% not significant)

but.... Lower serious adverse events(6.7% vs 11.6%)

#neurocritsky #neurosky #ICUsky #emimcc

pubmed.ncbi.nlm.nih.gov/39565989/
Middle Meningeal Artery Embolization for Nonacute Subdural Hematoma - PubMed
Among patients with symptomatic nonacute subdural hematoma (of whom 78% underwent burr-hole drainage), middle meningeal artery embolization resulted in a 90-day incidence of symptomatic recurrence or ...
pubmed.ncbi.nlm.nih.gov
November 25, 2024 at 2:08 PM
pbafuma.bsky.social
I don't know who needs to hear this but routine daily CXR & ABGs for funsies are generally unnecessary.

#ICUsky #emimcc

www.ccjm.org/content/86/9...
a cartoon of homer simpson is holding a newspaper that says old man yells at cloud
ALT: a cartoon of homer simpson is holding a newspaper that says old man yells at cloud
media.tenor.com
November 23, 2024 at 9:40 PM
sabrinaeggmann.bsky.social
I'm so excited to attend my first #CCR learning about trial methods and stats from the best #ICUsky
criticalcarereviews.com Critical Care Reviews @criticalcarereviews.com · Nov 18
There are just 3 weeks to CCR Down Under!

We host the results presentations of 8 major critical care RCTs.

Join us in Melbourne or watch the full free livestream.

December 10th & 11th

criticalcarereviews.com/meetings/ccr...

In partnership with the Alfred Intensive Care Academic Centre
CCR Down Under
Critical Care Reviews Meeting Down Under - The Edge, Federation Square, Melbourne, December 10th - 11th, 2024
criticalcarereviews.com
November 18, 2024 at 10:22 PM
sidpharm.bsky.social
Big news #IDSky! The @idsainfo.bsky.social opened a public comment period for the upcoming 2025 Updated #cUTI guidelines. The IDSA wants feedback from #HCPs and non-HCPs.

Public comment will end on Mar 19, 2025 at 5pm so check it out here: buff.ly/TqCJnz5

#pharmsky #rxsky #medsky #AMSsky #ICUsky
Public Comment: Complicated Urinary Tract Infections
Published , 2/19/2025
www.idsociety.org
March 6, 2025 at 3:16 AM
amywski.bsky.social
#pharmsky #icusky
April 30, 2025 at 8:35 PM
amywski.bsky.social
Booked onto @ukcpa.bsky.social Advanced Critical Care symposium for June. Looks a fantastic line up being hosted at St Thomas’ 🎉 #pharmsky #icusky
April 11, 2025 at 11:36 AM
amywski.bsky.social
For a more anaesthesia focused one….. #icusky #medsky
February 14, 2025 at 7:26 PM
amywski.bsky.social
#ICUSky IV Sodium bicarbonate for correction of metabolic acidosis - yay or nay? Or, depends?
January 9, 2025 at 8:53 PM
amywski.bsky.social
#ICUSky I’m keen to know what dosing of Teicoplanin do you use in your ITU CVVHDF cohort of patients?

Much local guidance I feel is causing us to under dose by a massive % vs literature recommended dosing.
December 30, 2024 at 7:06 PM
amywski.bsky.social
We like to say common things are common. But today was my first time seeing Quetiapine induced Akathisia. Important (but difficult) to distinguish between this vs increasing the dose for suspected worsening delirium. #icusky
November 26, 2024 at 1:18 PM
mhcadreamer.medsky.network
This should concern everyone. I heard estimates ranging from 11-16M people will lose healthcare. ED are already overwhelmed & on burnout from the COVID pandemic, along w/hospital closures. An influx of neglected but preventable problems isn’t going to help our healthcare woes. #MedSky #EMSky #ICUSky
npr.org NPR @npr.org · Jul 3
In 2017, when President Trump tried to repeal Obamacare and roll back Medicaid coverage, Republican governors rallied against it. Now, as Trump tries again to scale back Medicaid, they've gone quiet.
GOP governors stay silent amid plans to slash Medicaid spending in their states
In 2017, when President Trump tried to repeal Obamacare and roll back Medicaid coverage, Republican governors rallied against it. Now, as Trump tries again to scale back Medicaid, they've gone quiet.
n.pr
July 3, 2025 at 2:31 PM