Discover and read the best of Twitter Threads about #resustwitter
Most recents (5)
WHAT ARE THE FINDINGS OF CAG AFTER OHCA?🫀
We performed a SRMA of 128 studies (>62k pts) to describe angiographic features in resuscitated and refractory OHCAs
We found that
🔸 significant CAD is present in 75%
🔸 CAD is more severe in refractory OHCA
🔸 CAD is common also in… twitter.com/i/web/status/1…
We performed a SRMA of 128 studies (>62k pts) to describe angiographic features in resuscitated and refractory OHCAs
We found that
🔸 significant CAD is present in 75%
🔸 CAD is more severe in refractory OHCA
🔸 CAD is common also in… twitter.com/i/web/status/1…
@giovannilandoni @NickJohnsonMD @expensivecare @Pipes_n_pumps @EduardArgudo @CritCareReviews @jas_soar @krychtiukmd @PabloJ @proftomquinn 2/
Although the high frequency of CAD in OHCAs is well known and numerous studies were published, use and findings of CAG are variable and often described only in some subgroups of patients
Type/frequency of coronary lesions in OHCA pts were not summarized before
#ResusTwitter
Although the high frequency of CAD in OHCAs is well known and numerous studies were published, use and findings of CAG are variable and often described only in some subgroups of patients
Type/frequency of coronary lesions in OHCA pts were not summarized before
#ResusTwitter
@giovannilandoni @NickJohnsonMD @expensivecare @Pipes_n_pumps @EduardArgudo @CritCareReviews @jas_soar @krychtiukmd @PabloJ @proftomquinn 3/
We conducted a systematic review with meta-analysis of proportions combining CAG findings from 128 studies (62k patients), including refractory OHCA
Nine subgroups were analyzed for a more accurate description of CAG use and findings
📄 resuscitationjournal.com/article/S0300-… #ResusTwitter
We conducted a systematic review with meta-analysis of proportions combining CAG findings from 128 studies (62k patients), including refractory OHCA
Nine subgroups were analyzed for a more accurate description of CAG use and findings
📄 resuscitationjournal.com/article/S0300-… #ResusTwitter
🔸ECPR improves survival with good neuro outcome🔸
We just published the first meta-analysis of 4 RCTs
➡️ More OHCA patients had good neuro outcome when randomized to #ECPR (27% vs 18%, p=0.02)
🧵 Learn more in the thread /11
🔗 onlinelibrary.wiley.com/doi/full/10.11…
#FOAMcc #ResusTwitter
We just published the first meta-analysis of 4 RCTs
➡️ More OHCA patients had good neuro outcome when randomized to #ECPR (27% vs 18%, p=0.02)
🧵 Learn more in the thread /11
🔗 onlinelibrary.wiley.com/doi/full/10.11…
#FOAMcc #ResusTwitter
2/
In refractory OHCA, VA-#ECMO during ongoing CPR, known as #ECPR, can restore and maintain organ perfusion limiting brain injury
Growing evidence suggest that this approach can improve survival and neuro outcome
#FOAMcc #ResusTwitter
In refractory OHCA, VA-#ECMO during ongoing CPR, known as #ECPR, can restore and maintain organ perfusion limiting brain injury
Growing evidence suggest that this approach can improve survival and neuro outcome
#FOAMcc #ResusTwitter
3/
After decades of evidence from non-RCTs, 3 single-center RCTs investigated #ECPR vs conventional CPR and 2 suggested a potential benefit
In 2023, the first multi-center RCT (INCEPTION) was published and showed no major differences in outcomes
#FOAMcc #ResusTwitter
After decades of evidence from non-RCTs, 3 single-center RCTs investigated #ECPR vs conventional CPR and 2 suggested a potential benefit
In 2023, the first multi-center RCT (INCEPTION) was published and showed no major differences in outcomes
#FOAMcc #ResusTwitter
ECPR for OHCA: Pre-hospital or in-hospital?
Happy to share this Editorial written with @Alice_hutin and @giovannilandoni commenting on a SR/MA by @nattiejpk investigating the role of pre-hospital #ECPR.
🧵👇 Learn more in the thread /17
🔗 bit.ly/3ZQQNNG #ResusTwitter
Happy to share this Editorial written with @Alice_hutin and @giovannilandoni commenting on a SR/MA by @nattiejpk investigating the role of pre-hospital #ECPR.
🧵👇 Learn more in the thread /17
🔗 bit.ly/3ZQQNNG #ResusTwitter
2/
#ECPR is the last rescue therapy when despite high-quality conventional CPR it is not possible to achieve ROSC.
In such situations, OHCA is considered refractory and E-CPR recently demonstrated to improve outcomes in selected patients.
#ResusTwitter
#ECPR is the last rescue therapy when despite high-quality conventional CPR it is not possible to achieve ROSC.
In such situations, OHCA is considered refractory and E-CPR recently demonstrated to improve outcomes in selected patients.
#ResusTwitter
3/
@nattiejpk recently conducted a SRMA published on @JCVAonline investigating effect of preh initiation of #ECPR on low-flow and survival
Most evidence comes from Paris, first EMS applying preh ECPR since 2011 @LionelLamhaut @alice_hutin
#ResusTwitter
@nattiejpk recently conducted a SRMA published on @JCVAonline investigating effect of preh initiation of #ECPR on low-flow and survival
Most evidence comes from Paris, first EMS applying preh ECPR since 2011 @LionelLamhaut @alice_hutin
#ResusTwitter
It's #ResusciTuesday and today we discuss about the use of point-of-care ultrasound (POCUS) during Cardiopulmonary Resuscitation with @NatasaSpr
#ResusciTuesday #ResusTwitter #ERC #RESUS22 #FOAMed #POCUS
#ResusciTuesday #ResusTwitter #ERC #RESUS22 #FOAMed #POCUS
@NatasaSpr POCUS has been adopted by many physicians over the past decades and has been integrated in CA algorithms for the detection and treatment of reversible causes such as pneumothorax and cardiac tamponade. Many different protocols have been proposed. (Anesthesiology 2021;135:508–519)
@NatasaSpr Pearls and Pitfalls
❌Right Ventricular dilation during CA: In isolation should not be used to diagnose massive PE. It is observed minutes after CA as blood shifts from systemic circulation to the right heart, probably as a result of hypovolaemia, hyperkalaemia and arrhythmia.
❌Right Ventricular dilation during CA: In isolation should not be used to diagnose massive PE. It is observed minutes after CA as blood shifts from systemic circulation to the right heart, probably as a result of hypovolaemia, hyperkalaemia and arrhythmia.
This week we will discuss #Ventilation during #Resuscitation. As a starter, we’d like to hear from you.
In your practice, which of the following ventilation parameters do you routinely measure during resuscitation?
@ERC_resus #ResusciTuesdays #ResusTwitter #CPR #ALS
In your practice, which of the following ventilation parameters do you routinely measure during resuscitation?
@ERC_resus #ResusciTuesdays #ResusTwitter #CPR #ALS
Thanks a lot for all your answers.
Let’s reveal the right answer (and more) through this thread with this interesting information brought by @johannes_wittig
Let’s reveal the right answer (and more) through this thread with this interesting information brought by @johannes_wittig
