Patient enrollment #SCCM2023
Patient characteristics #SCCM2023
These slides show that they did indeed have a difference in therapies given. #SCCM2023
There was no difference in the primary outcome of mortality or the secondary outcomes. #SCCM2023
There were also no differences in pre-specified subgroups. #SCCM2023
There were more patients in the restrictive group who needed ICU management and who had central catheters places. #SCCM2023
Safety of peripheral vasopressors #SCCM2023
Discussion #SCCM2023
Conclusions #SCCM2023
Next we have Dr. Somnath Bose (@somnathbose07) with “Association Between Unmet Non-Medication Needs After Hospital Discharge and Readmission or Death Among Acute Respiratory Failure Survivors: A Multicenter Prospective Cohort Study”! #SCCM2023
We are having more survivors who are dealing with PICS! #SCCM2023
Post-discharge needs can be classified into medication needs and non-medication needs. #SCCM2023
Gaps in knowledge #SCCM2023
Study aims #SCCM2023
Study design #SCCM2023
Inclusion and exclusion criteria #SCCM2023
Exposure and outcome #SCCM2023
Statistical analysis #SCCM2023
Sample size #SCCM2023
Results #SCCM2023
Baseline characteristics #SCCM2023
Non-medication discharge needs #SCCM2023
There were a lot of unmet non-medication discharge needs! #SCCM2023
90-day outcomes #SCCM2023
They did not find differences in outcomes before the groups. #SCCM2023
They then looked at the drivers of unmet needs. #SCCM2023
Discussion #SCCM2023
Additional insights #SCCM2023
Study strengths #SCCM2023
Study limitations #SCCM2023
Conclusion #SCCM2023
Next up is Dr. Mekela Whyte-Nesfield with “Pediatric Critical Care-Associated Parental Traumatic Stress: Beyond the First Year”. #SCCM2023
Acute vs post-traumatic stress #SCCM2023
Epidemiology of stress in the PICU #SCCM2023
Effects of parental traumatic stress #SCCM2023
So we know we have post-traumatic parental stress in the PICU, but what we don't know is what happens to these parents after the first year. #SCCM2023
Inclusion and exclusion criteria #SCCM2023
Study tools #SCCM2023
Assessment timeline #SCCM2023
Demographics #SCCM2023
Retention #SCCM2023
Trajectory of PTSD #SCCM2023
Results #SCCM2023
Overall trends #SCCM2023
So when can we act? What are things to consider at different timepoints? #SCCM2023
Next steps #SCCM2023
And last in this session is “Effect of Early Nasal High-Flow for Children with Acute Hypoxemic Respiratory Failure: The PARIS-2 Randomized Clinical Trial” with Dr. Andreas Schibler! #SCCM2023
Baseline characteristics of infants with acute hypoxemic respiratory failure #SCCM2023
Study design #SCCM2023
Baseline characteristics #SCCM2023
Primary outcome was not significant. #SCCM2023
Secondary outcomes #SCCM2023
An alternate look at PICU admissions #SCCM2023
There was a lot of crossover of treatment due to intolerance of HFNC. #SCCM2023
How do PARIS 1 and PARIS 2 compare? #SCCM2023
Paris 1 secondary outcomes also showed a slightly longer hospital stay and higher rate of PICU admissions.  #SCCM2023
Conclusions #SCCM2023

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More from @gretchemaben

Oct 2
Today I took a Freedom Trail tour in Boston and learned a lot. Read on to brush up on some history!
William Blackstone signed up for an expedition to come from England to North America in the mid-1620s. He sets up a farm in what is now Boston.
The king of England and the church were not getting along in 1630, so people came over because they wanted a more strict church (puritans) and landed in Charleston, which is marshland.
Read 64 tweets
Sep 9
Here’s something I don’t understand. If I had $10 million invested with a 4% return, I would have $400,000 in interest every year. Even with my mortgage and taxes and a new car every year, I could still buy all the books, take incredible care of my pets, and travel the world. 1/
This amount would also be more than enough to completely retire and open my animal sanctuary which would be self-sustaining (I have it all planned out). And of course this would be without even touching the principal balance. 2/
Don’t get me wrong, I have absolutely no intent of ever having this kind of money. But here’s what I don’t understand - why in the world are we giving all these tax breaks to people with millions and millions of dollars. There are 759 BILLIONAIRES in the U.S. alone! 3/
Read 9 tweets
Mar 21
Travel Tips Thread!

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/
Read 32 tweets
Jan 22, 2023
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
Read 121 tweets
Jan 21, 2023
My next #SCCM2023 tweetucation session is “Late-Breaking Studies That Will Change Your Practice”!
First we have Dr. Ivor Douglas (@com543) with “Restrictive vs Liberal Fluid Management for Sepsis-Induced Hypotension”! #SCCM2023
So what is the optimal fluid resuscitation strategy in shock? #SCCM2023
Read 10 tweets
Jan 21, 2023
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
Read 30 tweets

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