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Mateusz Zawadka

@m_zawadka

Oct 23, 2022 • 13 tweets • 4 min read • Read on X

Scrolly

@ESICM

#LIVES2022 #IntensiveCare #MechanicalVentilation @ESICM

impact of MV on 🫘

Dr Antoine Schneider

Association is not causation

What is the rational

🫘PEEP level was associated with deterioration in renal function

Increase od CVP lower kidney perfusion

People ventricle as the main actor

Increase venous pressure impacts kidney perfusion

Role of inflammation in AKI

Permissive hypercapnia

Happy lungs, not so happy kidneys

How to avoid AKI during MV

Fluid overload 💦
Appropriate MAP

New markers of kidney stress

Conclusions

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More from @m_zawadka

Mateusz Zawadka

@m_zawadka

Mar 3, 2023

Ultrasound guided subclavian/axillary vein cannulation 🧵
✅Why subclavian?
✅Why ultrasound guided?
✅How to do it?

Why axillary/ subclavian access is superior in ICU:
✅Lower risk of CVC related infections
✅Lower rate of thrombosis
✅Logistics for future lines

Why use real-time ultrasound guidance?
Summary of our recent Met-analysis with Trial Sequential Analysis
doi.org/10.1097/ccm.00…
US vs Landmark Technique
✅US better success rate and success at first attempt
✅US lower complication rate
✅US fewer attempts
✅US shorter a.time

Read 8 tweets