Thread by @SapnaKmd

In this thread, I'm live-tweeting @sgdambrauskas awesome talk for @AKUGlobal series on #COVID19 in #PedsICU

Critically important topic #Zentensivist #ICURehab #BacktoBasics #DoNoHarm

Defining iatrogenic via @sgdambrauskas #PedsICU

Critical Illness is an iatrogenic disorder- @sgdambrauskas highlights an important perspective by John Marshall in @CritCareMed #PedsICU

.@sgdambrauskas : "It's not easy to talk about iatrogenesis-- it's distressing for us as #Pediatricians, because it's the opposite of primum non nocere"

Indeed. #icurehab #A2Fbundle #PedsICU #COVID19 @AKUGlobal #tweetiatrician

So much has changed-- look at the difference in the cover of this #PedsICU textbook between 2005 and 2016 via @sgdambrauskas #Zentensivist

.@sgdambrauskas @AKUGlobal : Less is more is not doing nothing. In fact, it might be doing more.

Highlighting recent article from @Qalb2Abbas

.@sgdambrauskas shows a paper from the 70s suggesting that bilateral chest tubes should be prophylactically placed to prevent tension pneumo! #Zentensivist

Love this slide from @sgdambrauskas - do we really need to intubate? The baby running away from the intensivist might tell you otherwise! :-) #PedsICU #respiratory

.@sgdambrauskas We have to think about every sedative, everything we do that may contribute to withdrawal and/or #delirium

How things have changed. The new normal for #transfusion in #PedsICU and beyond. #blood @BloodNet_PALISI

.@sgdambrauskas How many kids are walking around today with hearing loss due to lasix they received in the #PedsICU? Paper in @PedCritCareMed (Visual Abstract by @dr_mark_russell)

journals.lww.com/pccmjournal/Ab…

.@sgdambrauskas - Familes can help us diminish errors and optimize adverse event surveillance. Always remember the #A2FBundle ends with family. #PedsICU #icurehab

Must-read article on Science of ICU Liberation @WesElyMD : ncbi.nlm.nih.gov/pmc/articles/P…

#A2FBundle

.@sgdambrauskas: What happened in 2020 with #COVID19? We have intervention bias-- or "Do Something Syndrome"

Recognition is the 1st step toward overcoming bias. #PedsICU

Results from the #CAKE study via @sgdambrauskas - we should not improvise when

Incredible team and perspective with beautiful conceptual framework via @sgdambrauskas @LaCampo4.

Must embrace the #Zententivist approach-- "aggressively gentle care"

#icurehab #pedsicu #A2Fbundle

.@sgdambrauskas's last slides- #LessIsMore, #EBM, #DoNoHarm #PedsICU #ICURehab