Amazing discussion going on at the #CHEST2020 opening session by @sqsimp @CHESTPrez @RMavesMd @mnarasimhan Image
@mnarasimhan highlights that as we know more about the natural course of COVID-19 we have seen that #PPE works! Also, that we should try non-invasive ventilation in COVID-19 patients as long as we have appropriate PPE #CHEST2020 #CHESTCritCare
@RMavesMd highlighted that several countries in the South Hemisphere didn't have as much flu this season as in previous years, and hopefully we will see the same phenomenon in the US now that flu season is coming #CHEST2020 #CHESTCritCare
@sqsimp shared the amazing #COVIDTaskforce initiaive put together by @accpchest to keep its members updated with the most recent evidence. @sqsimp reminds us that standard of care in ARDS management should be used to treat COVID-19 patients. #CHEST2020 #CHESTCritCare

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More from @CHESTCritCare

21 Oct
Coagulopathy on COVID-19 is about to start! @accpchest #CHEST2020 #CHESTCritCare
Comparison of VTE in other diseases in the ICU #CHEST2020 #CHESTCritCare Image
And comparison of COVID-19 VTE and historical ICU co-horts. Thrombosis in COVID higher in well matched ARDS patients and also higher than in patients with flu. @accpchest #CHEST2020 #CHESTCritCare Image
Read 11 tweets
20 Oct
@GallodeMoraesMD will be live tweeting the #PICS talk @ACCP #CHESTCritCare
@crit_caring_MD @GioraNetzer @itsradu @ICU_Recovery are talking about #PICS now!
At 12 months only 44% of ICU survivors are PICS-free, being cognitive a significative part of the post-ICU impairment. With more ICU survivors, we will likely be seeing more PICS. #CHEST2020 #CHESTCritCare
The lack of visitors in the COVID-19 era, will likely contribute to higher number of survivors with PICS #CHEST2020 #CHESTCritCare
Read 11 tweets
19 Oct
Starting soon, Sepsis: Most Recent Advances

#CHESTCritCare is going to be Tweeting hightlights live by @crit_caring_MD

#CHEST2020 Image
Up first, Dr. Matthew Churpek discussing machine learning and big data.

Trade off between high sensitivity and high specificity depending on if you use SIRS vs. qSOFA.

#CHEST2020
#CHESTCritCare Image
NEWS and MEWS much more acute tools for predicting mortality.

#CHEST2020
#CHESTCritCare Image
Read 21 tweets
19 Oct
First up: Props to #CHEST2020 learning partners for that amazing wait music. Ne'er been a fan of wait music. But this is ... well .. peppy. Am in the mood to learn about #AirwayManagement!

Speakers: @Chaeface @J_Mendelson_MD @KDoerschug

Coverage: @virenkaul

#CHESTCritCare
.@J_Mendelson_MD: HFNC and proning in severe hypoxic resp failure:

- Can reduce dead space ventilation, assist with WOB, improved resp mechanics
- Pre-COVID data: Can be successful in potentially preventing invasive ventilation vs NIV and low flow O2

#CHEST2020 #CHESTCritCare Image
.@Chaeface: Pre-oxygenation modifications to reduce aerosolization

Use V-E technique vs C-E technique for rescue BMV. Improved efficacy for ventilation and better seal. (Lower picture): bit.ly/2H5aY7a

#CHEST2020 #COVID19 Image
Read 9 tweets
18 Oct
Vitamins in Critical Illness starting now!

Discussing: Vitamin C, Vitamin B12, Vitamin D

#CHESTCritCare
#CHEST2020 Image
Vitamin B12 up first by Dr. Jayshil Patel.
#CHESTCritCare
#CHEST2020 Image
There are elevated hydrogen sulfide (H2S) in early sepsis.
Read 22 tweets
18 Oct
Covering pardon the interruption with @davidschulman moderating!!!!!

Power-packed speaker list covering a gamut of critical care topics at #CHEST2020

@SMHollenberg @ammo_uw @KristinBurkart3 and Dr. Bowton

And punches are already being thrown. D'oh! Image
Here are the competitors:
Dr. Bowton: The Real Deal Tarheel
@KristinBurkart3: The Beat of the Northeast
@SMHollenberg: The Heartless Cardiologist
@ammo_uw: Dr. "Who Can Ask for Anything" Morris

Here are the ground rules!

New rules this year!!

#CHEST2020 Image
Role of glucocorticoids in CAP:
Dr. Bowton: No mortality benefit
@SMHollenberg: Loses points 4 trying to get points. "It's a toss-up"
@ammo_uw: "Depends": How do you define severe" They help for severe!
@KristinBurkart3: Do the "boys" never find indication? ... burn!

#CHEST2020 Image
Read 36 tweets

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