Katri Typpo presenting the basic science arm of the Peds Year in Review (it's not all SARS-CoV2) #CCC50#PedsICU
Typpo: looking at mechanism of Cytokine Release Syndrome in CAR-T therapy #CCC50#PedsICU by Liu at al Blocking GSDME may prevent CRS
Typpo: an animal model of Inhaled Vitame E Acetate and EVALI-like Lung injury #CCC50#PedsICU
Typpo: in situ recruitment of regulatory T-cells promotes donor specific tolerance in vascularlized composite allotransplantation - teaching T-cells to tolerate transplants, and help reduce rejection #CCC50#PedsICU
Typpo: Gut educated IgA defends meningeal venous sinuses, role in gut microbiome in preventing meningitis particularly in critical illness #CCC50#PedsICU
Typpo: SLC25A51 role in NAD+ transport and mitochodrial function, big implications in energy metabolism in critical illness #CCC50#PedsICU and perhaps targetting cell death.
Typpo: SARS first reported December 13, 2019, entire genome sequenced and reported January 10, 2020 #CCC50#PedsICU
Typpo: distinguishing MIS-C from Kawasaki Disease #CCC50#PedsICU
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Sevransky: rationale for Vitamin C in sepsis and shock #CCC50#PedsICU
Sevransky: CITRIS-ALI #CCC50#PedsICU 167 patients with Sepsis AND ARDS for < 24 hours.
Sevransky: it did raise Vitamin C levels but didn't modify SOFA or other scores. But interventional group had a lower mortality (not a primary outcome measure of the study though, one of 46 secondary measures) #CCC50#PedsICU Billiard analogy of calling your shot -
Douglas White (UPMC): ICU triaging both on saving most lives and those with longest life expectancy, even based on SOFA scores invariably will bias against patients of color, or lower SES #CCC50#PedsICU
White: 4 strategies for ICU triage that promote equity
White: Arizona as an example, some hospitals were overburdened, others had empty beds. Arizona surgeline addressed this to coordinate and facilitate transfer 5000 patient transfer so they didn't need to triage. #CCC50#PedsICU
The legend Ann Thompson, MD, MHCPM, MCCM talking about her career in #PedsICU, including offering herself up as chief at Pittsburgh 6 months out of fellowship. #CCC50#PedsICU (her caveat was that the division was 2 people with one fellow, 7 nurses, 10 PICU beds)
Dr. Laura Evans, FCCM asking Dr. Thompson about that transition from fellowship to leadership, the growth of the program. Dr. Thompson relying back on her guidance from Drs Raphaelly and Downes at CHOP who mentored her. "Holding on by your fingertips" at times. #CCC50#PedsICU
Dr. Thompson points out that having a strong team helped them persevere. (A team of course that she built over the years). #CCC50#PedsICU