These model types were found to be clinically relevant! #ATS2022
This study looked at non-invasive ventilation and outcomes. #ATS2022
Fewer patients treated with CPAP had a lower odds of intubation and death. No significance difference was seen in HFNC (but underpowered). More adverse effects with CPAP. #ATS2022
These studies also found a positive effect of HFNC. #ATS2022
This trial looked at PaO2 targets of 60 vs 90. They found no difference in mortality of adverse effects or vent free days. HOWEVER, they used SpO2 for titration and they did not consider race or skin tone. #ARDS2022
This study analyzed discrepancies between SpO2 and PaO2 in patients with darker skin tones. Hidden hypoxia was associated with increased mortality and organ dysfunction! #ATS2022
Next up is my old friend Dr. Joe Cicenia (@handsnotmitts) with “Interventional Pulmonology.” #ATS2022
This study looked at COPD survival with bronchoscopic lung volume reduction. There was increased survival in treated patients. #ATS2022
This study found that bronchoscopic endobronchial valve treatment may decrease pneumothorax risk. #ATS2022
This study looked at bronchoscopy in patients with COVID. Most were done for diagnostic intent, and 25% were done for therapeutic reasons (mainly secretion clearance). #ATS2022
This was a study from Spain of bronchoscopies in patients with COVID. A higher population in this study was for therapeutic intent. #ATS2022
This study looked at performance monitoring of EBUS programs. #ATS2022
This study looked at factors associated with the diagnostic accuracy of robotic bronchoscopy. #ATS2022
This study looked at shape-sensing robotic-assisted bronchoscopy in the diagnosis of pulmonary parenchymal lesions. #ATS2022
When you put these studies together you see that localization doesn’t always equal yield. #ATS2022
This RCT evaluated HFNC vs NC during pediatric bronchoscopy. HFNC had less hypoxia but no change in clinical outcomes. #ATS2022
This study looked at the value of dyspnea and spirometry in detecting relapse of benign tracheal stenosis. The peak flow was highly correlated with the degree of stenosis in patients with relapse. #ATS2022
This study looked at exposure to workplace trauma and risk of PTSD in interns. Over half of them experienced trauma and 1 in 10 screened positive for PTSD by the end of the year. #ATS2022
Many of you have reached out, asking me what company I used to plan my trips. I actually plan the vast majority entirely myself. So since so many of you seem curious, here’s how I do it: 1/
Disclaimer 1: For certain polar locations I have booked cruises through Quark Expeditions. These include my trip to Antarctica, as well as upcoming trips to Greenland and Svalbard. I particularly like this company due to their focus on environmental protection and education. 2/
Disclaimer 2: I did use a travel agency for my most recent trip to Africa, because it is very difficult to book, safari and transfers there without someone with expert knowledge of the area. 3/
My final #SCCM2023 tweetucation session for today is “Late-Breaking Studies Affecting Patient Outcomes”!
First we have “Continued Enteral Nutrition Until Extubation Compared to Fasting Prior to Extubation in the Intensive Care Unit: A Clustered Randomized Trial” with Stephan Ehrmann (@stephanehrmann)! #SCCM2023
Nearly all ICUs impose some form of fasting before extubation, but this time seems to be decreasing. #SCCM2023
Next up for tweetucation at #SCCM2023 is “The Intersection of Climate Change and Critical Care” with Dr. Srinivas Murthy (@srinmurthy99) and Dr. Gloria Rodriquez-Vega!
We will talk about whether our ICUs are ready and what they can do to help. #SCCM2023
Case presentation - this is a code red for humanity! #SCCM2023
My next session for tweetucation is something I’m VERY passionate about!: “Moral Injury: Don’t Just Stand There, Do Something”! #SCCM2023
First up is “Recognizing the Signs, Symptoms, and Impacts of Moral Injury” with Kimberly Ichrist (@IchristKimberly)! #SCCM2023
The concept of moral injury is from military literature and is “a wound from doing something that violated one’s own ethics, beliefs, or attachments.” #SCCM2023