Discover and read the best of Twitter Threads about #Peep

Most recents (6)

Latest thoughts on the incompetence of Govt response post #Grenfell from our Founder @MattHodgesLong - special mention for @team_greenhalgh linkedin.com/posts/matthodg…
Matt discusses 7 key issues where @team_greenhalgh @luhc @ukhomeoffice have failed to adequately address the key learnings from the #Grenfell tragedy.
1. Cladding Remediation - 57 months post #Grenfell there are still 70 high rise blocks with ACM cladding on their walls. Thousands of blocks with other types of combustible cladding remain stuck in the Government Building Safety Fund (for numerous Govt policy inflicted reasons)
Read 10 tweets
Mon premier fil à celles et ceux qui méprisent les profs.

Voici comment ce métier vous bouffe...
Avant de commencer, je m'adresse principalement à #profbashing #BlanquerMent @MariestellPech @auroreberge @AChristine_Lang @EmmanuelMacron @vpecresse et tous les autres abrutis qui méprisent les enseignants
Et surtout aux journalistes doivent être aigris de ne pas avoir les capacités d'enseigner et qui comme les journalistes sportifs, qui ne seront jamais joueurs professionnels, crachent leur haine contre ceux et celles qui ont réussi...
Read 24 tweets
#POCUS y #SoMe4MV en #PedsICU
🔊en Ventilación Mecánica 🫁

Abro hilo, iniciamos, y abiertos los comentarios:
Esta información tuvimos el gusto de compartirla en el IV Curso Internacional de Medicina Intensiva Pediátrica dentro del XVI Congreso Internacional de Medicina Intensiva organizado por la @sopemi_org.
Gracias por la invitación. Ahora si, entremos en materia.
Los objetivos planteados en tres puntos:
Relacionar el Ultrasonido Pulmonar (LUS) y la Ventilación Mecánica (VM).
Conocer guías y monitoreo que nos ofrece el POCUS en VM y mencionar elementos evaluables por LUS.
Read 56 tweets
Opening talk @WFPICCS is ‘protective lung ventilation’ by Robinder Khemani

Much data is from the adult ARDSNet work demonstrating 6ml/kg is optimal data for adults

#PedsICU #WFPICCS20
However - limited #PedsICU data for #pARDS and some data suggests higher tidal volumes in children may have better survival.

But this is not an RCT data...and some data shows higher driving pressure is associated with increased mortality...

#WFPICCS20
Should we be using transpulmonary pressure as a measurement rather than driving pressures in #pARDS?

In our unit we don’t measure transpulmonary pressures... but might be worth thinking about

#PedsICU #WFPICCS20 #PedsAnes
Read 8 tweets
@CPSolvers @thecurbsiders @cardionerds @justinberk @MikeRoseMDMPH @JudithBVick @BBroderickMD @TijanaTuhy @AlexHorneMD @SSRaj017 @reverendofdoubt Since you guys asked for it - @WApplefeld and @Sam_Brusca present “An Introduction to Mechanical Ventilation: A Tweetorial Series”
In this series, we hope to clearly illustrate our approach to the physics, physiology, and practical application of mechanical ventilation.

Here is chapter 1: A Physics Primer 1/x
Imagine a garden hose. The flow of liquid develops from the high pressure region to the low pressure region, with the nozzle (and potentially your thumb) acting as a resistor. 2x Image
Read 19 tweets
🗣️Hilo

Los mejores artículos #PedsICU (UCIP) del 2018 📖
La suma de lo más relevante publicado y un #Tweetorial acompañante

Selección colaborativa con entre @PICJournalWatch & @sgdambrauskas
Publicado en simultáneo Inglés/Español

Favor comparte. ¡Nos vemos en 2019!
1/
Estudio PARIS en @nejm
Gran estudio que gatilló discusión en el ámbito del #CNAF. Incluso diferentes interpretaciones de resultados de sus coautores

¿Cambió mi práctica? NO
¿Mi investigación? SI

ncbi.nlm.nih.gov/pubmed/29562151

Lean correspondencia:
nejm.org/doi/full/10.10…
2/
ECA en @PedCritCareMed
@pus27 y cols encontraron que #CPAP precoz en niños inmunocomprometidos admitidos en #PedsICU no es mejor (incluso peor) que O2 estándar en 🇬🇧
¿Cambió mi práctica? Quizás
¿Mi investigación? NO

ncbi.nlm.nih.gov/pubmed/30095746
Read 21 tweets

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