Tobin vs Gattinoni: Infinity WarπŸ’£
Get some more popcorn 🍿
Let's start back at the beginning...
πŸ₯ŠRound #1: Tobin's original editorial casts shade on P-SILI & recommends our usual, conservative approach to intubation (rather than pre-emptive intubation)
bit.ly/3h7wx3r ImageImage
Round #2: Gattinoni replies
πŸ₯Š3 citations to support existence of P-SILI
πŸ₯Šclaims COVID patients have unusually good compliance based on observing hundreds of patients (no data)
πŸ₯Šrecommends using esophageal pressure swings as a trigger for intubation 🀑
bit.ly/3aAHGaA ImageImage
Round #3: Tobin strikes back
πŸ₯ŠMajor flaws noted in three citations supporting the existence of P-SILI (still hasn't been clearly demonstrated, even in animal models πŸ‘)
πŸ₯ŠLack of evidentiary support for esophageal pressure thresholds
bit.ly/3aEmUXB ImageImage
Round #4: Gattinoni hits back weakly
πŸ₯ŠCites pediatric study on asthma as evidence of P-SILI ImageImage
Round #5: Tobin strikes back
πŸ₯ŠPediatric asthma study widely believed to be fabricated data.
πŸ₯ŠTrends show improving mortality correlates with reduced intubation rates. ImageImage

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