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

Jan 22
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 Image
Nearly all ICUs impose some form of fasting before extubation, but this time seems to be decreasing. #SCCM2023 Image
Read 121 tweets
Jan 21
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
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
Jan 21
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
Read 35 tweets
Jan 21
My first #SCCM2023 session for tweetucation is “ARDS in the Time of COVID-19”!
First up we have “Noninvasive respiratory support: In COVID-19 and otherwise” with Dr. Robert Hyzy (@bhyzy)! #SCCM2023
We know that the P/F increases with NIV/MV compared to HFNC, likely due to PEEP. #SCCM2023
Read 34 tweets
Jan 19
Who’s ready for another timeline cleanse?!? We went to the Aquarium this morning and as Rosie said when we parked, “It’s ANIMAL TIME!” ImageImageImageImage
My favorite snake is a green tree python! ImageImageImageImage
Read 10 tweets

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