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Mateusz Zawadka

@m_zawadka

Oct 23, 2022 • 15 tweets • 5 min read • Read on X

Scrolly

@ESICM

#LIVES2022 #IntensiveCare #MechanicalVentilation @ESICM

Prone position
Dr Lise Piquilloud

Why we should use prone position

PROSEVA huge impact on mortality

As soon as PF 150
New guidelines will suggest the same

Recruitment without overdistation
Only method that can do that

Anatomical responses

More homogeneous lung

Cumulative effect of proning

V/Q

RV loves proning

So we all agree

The recipe 👨‍🍳

Only one absolute contraindication

Complications of proning

Awake proning

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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