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1/
I want to thank all my colleagues for the wonderful #COVID19 research they published during these months: >200 PubMed-indexed articles from @SanRaffaeleMI @SRAnesthesiaICU @MyUniSR @azangrillo
I’ll summarize few of them in this thread.
2/
In February, before the start of #COVID19 in Europe, we suggested the use of helmet to deliver #CPAP #NIV in emergency departments. This can be a key issue to prevent future spread of respiratory pandemics in emergency departments.
thelancet.com/journals/lance…
3/
As soon as #COVID19 spread in Lombardy we helped other centers to manage their worst patients: 39 patients from other centers were admitted in our ICUs. The H was reshaped to cope with the new situation. The manusc cited 38 times in the first 4 months.
4/
We gave to #COVID19 disease a new name: #microCLOTS and underlined the importance of inflammation and thrombosis in research and in treatment strategies. This manuscript was cited 78 times in the first 4 months.
5/
We published the first case series of western ARDS invasively ventilated #COVID19 patients suggesting that short term mortality was relevant but not so high as previously reported in Chinese cohorts... and several other hints
6/
We were the first ones to administer the vasoconstrictor angiotensin II in #COVID19 patients and to share the findings.
7/
We were the first one to report the use of pronation during #NIV #CPAP in awake patients outside the ICU in #COVID19 patients
8/
We were the first ones to report the beneficial effects of the immunosuppressant anakinra in hyperinflammed #COVID19 ARDS patients to reduce invasive ventilation/mortality. (already cited 93 times in 3 months)
9/
We confirmed that tocilizumab has anti-inflammatory properties in #COVID19 patients, but that its widespread use is not indicated so far.
10/
We also tested #mavrilumumab and #sarilumab in hyperinflammed #COVID19 ARDS patients outside the ICU.
ard.bmj.com/content/early/…
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We reported the rate of AKI/RRT in #COVID19 invasively ventilated patients and the outcome of patients with this complication.
12/
We identified older age, coronary artery disease, cancer, low lymphocyte count and high RALE score as predictors of poor outcome in a large cohort of hospitalized #COVID19 patients.
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We reported the counterintuitive protective effect of active smoking on the progression of #COVID19 disease in our hospital and worldwide
14/
We demonstrated that the use of home ventilators designed for support of patients with sleep apnoea and/or chronic respiratory insufficiency is feasible in ARDS #COVID19 patients.
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We were the first ones to publish an important reduction in 30 days mortality in hospitalized #COVID19 patients over time
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