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#COVIDFOAM

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Intensive Care Medicine<p>Procalcitonin &amp; C-reactive protein in critically ill patients with pneumonia associated to <a href="https://med-mastodon.com/tags/COVID19" class="mention hashtag" rel="tag">#<span>COVID19</span></a>?<br />🇪🇸 55 Spanish ICUs<br />🏥 &gt; 4K patients included<br />🧫 3% presented bacterial coinfection<br />🧪 a single measurement of either PCT &amp; CRP alone is not enough to rule out bacterial coinfection. Considering combined values of these biomarkers + symptoms timing &amp; broader clinical context, appears to be relevant in their interpretation.<br />Open access <a href="https://med-mastodon.com/tags/FOAMcc" class="mention hashtag" rel="tag">#<span>FOAMcc</span></a> <a href="https://med-mastodon.com/tags/COVIDFOAM" class="mention hashtag" rel="tag">#<span>COVIDFOAM</span></a> on <span class="h-card" translate="no"><a href="https://med-mastodon.com/@ICM" class="u-url mention">@<span>ICM</span></a></span> <br />🖇️ <a href="https://rdcu.be/dh9ex" target="_blank" rel="nofollow noopener" translate="no"><span class="invisible">https://</span><span class="">rdcu.be/dh9ex</span><span class="invisible"></span></a></p>
Intensive Care Medicine<p>Coronavirus disease 2019 <a href="https://med-mastodon.com/tags/COVID19" class="mention hashtag" rel="tag">#<span>COVID19</span></a>:<br />💉 rapid generation of evidence for therapeutics<br />🫁 changing landscape in respiratory support<br />🛏️ translating evidence into practice<br />🎓 lessons &amp; opportunities<br />...so much to learn from unparalleled advances made during <a href="https://med-mastodon.com/tags/pandemic" class="mention hashtag" rel="tag">#<span>pandemic</span></a>, but also many lessons from limitations, opening exciting opportunities for improvement!<br />Open access <a href="https://med-mastodon.com/tags/FOAMcc" class="mention hashtag" rel="tag">#<span>FOAMcc</span></a> <a href="https://med-mastodon.com/tags/COVIDFOAM" class="mention hashtag" rel="tag">#<span>COVIDFOAM</span></a> on <span class="h-card" translate="no"><a href="https://med-mastodon.com/@ICM" class="u-url mention">@<span>ICM</span></a></span> <br />🖇️ <a href="https://bit.ly/47aGbgb" target="_blank" rel="nofollow noopener" translate="no"><span class="invisible">https://</span><span class="">bit.ly/47aGbgb</span><span class="invisible"></span></a></p>
ELSO<p>🦠 3 years after the onset of <a href="https://med-mastodon.com/tags/pandemic" class="mention hashtag" rel="tag">#<span>pandemic</span></a>, here an expert consensus on evolving role of VV <a href="https://med-mastodon.com/tags/ECMO" class="mention hashtag" rel="tag">#<span>ECMO</span></a> for <a href="https://med-mastodon.com/tags/COVID19" class="mention hashtag" rel="tag">#<span>COVID19</span></a> related severe <a href="https://med-mastodon.com/tags/ARDS" class="mention hashtag" rel="tag">#<span>ARDS</span></a>:<br />📃 14 statements on patient selection, <a href="https://med-mastodon.com/tags/ethics" class="mention hashtag" rel="tag">#<span>ethics</span></a>, and clinical, logistic &amp; operational <a href="https://med-mastodon.com/tags/ECLS" class="mention hashtag" rel="tag">#<span>ECLS</span></a> management, to be used to guide providers during future pandemics.<br />Open access <a href="https://med-mastodon.com/tags/FOAMcc" class="mention hashtag" rel="tag">#<span>FOAMcc</span></a> <a href="https://med-mastodon.com/tags/FOAMecmo" class="mention hashtag" rel="tag">#<span>FOAMecmo</span></a> <a href="https://med-mastodon.com/tags/COVIDFOAM" class="mention hashtag" rel="tag">#<span>COVIDFOAM</span></a><br />🖇️ <a href="https://bit.ly/42eMxYz" target="_blank" rel="nofollow noopener" translate="no"><span class="invisible">https://</span><span class="">bit.ly/42eMxYz</span><span class="invisible"></span></a></p>
ELSO<p>Intracannula thrombosis in patients with <a href="https://med-mastodon.com/tags/COVID19" class="mention hashtag" rel="tag">#<span>COVID19</span></a> associated respiratory failure on oxy-RVAD. A case series detailing thrombus formation within dual lumen RA to PA <a href="https://med-mastodon.com/tags/ECMO" class="mention hashtag" rel="tag">#<span>ECMO</span></a> cannula. In all patients thrombus developed in the setting of an additional venous cannula. <br />Open access on ASAIO Journal <a href="https://med-mastodon.com/tags/FOAMcc" class="mention hashtag" rel="tag">#<span>FOAMcc</span></a> <a href="https://med-mastodon.com/tags/FOAMecmo" class="mention hashtag" rel="tag">#<span>FOAMecmo</span></a> <a href="https://med-mastodon.com/tags/COVIDFOAM" class="mention hashtag" rel="tag">#<span>COVIDFOAM</span></a> <br />🖇️ <a href="http://bit.ly/3IVGIr2" target="_blank" rel="nofollow noopener" translate="no"><span class="invisible">http://</span><span class="">bit.ly/3IVGIr2</span><span class="invisible"></span></a></p>

Long-term outcomes of patients with acute hypoxemic respiratory failure due to pneumonia, follow-up study of the Helmet-COVID RCT. Helmet noninvasive ventilation compared to usual respiratory support:
↔️ did not decrease 180-day mortality
↔️ did not improve health-related quality of life
➡️ invasive mechanical ventilation independent predictor of lower HRQoL
Free to read on @ICM
🖇️ rdcu.be/c6ioV

provision in , international @EuroELSO 2022 update survey:
📈 majority of pts received for respiratory support
📈 adults dominated
📊 indications/contraindications aligned with available guidelines
📉 most of centers considered age > 65 or biological age as contraindication for ECLS
📉 withdrawal criteria difficult to define as long-term outcomes, impact of critical illness & of long-COVID still not known
Open
📎 bit.ly/3ZqOror

🏥 Acute disease severity in : patients who needed mechanical ventilation during hospital stay had significantly lower health‐related quality of life & worse results for mortality, major cardiovascular events, re‐hospitalisation, new disabilities in instrumental activities of daily living, anxiety and post‐traumatic stress symptoms, and return to work or study vs pts who did not need MV. Full results of coalition VII 🇨🇬 prospective cohort study
🗞️ rdcu.be/c2WsP

Mental health symptom in survivors of severe related ? Occurrence of symptoms of anxiety, depression or PTSD poorly correlated with peripheral inflammatory biomarkers concentrations. Until -specific biomarkers can be identified & validated in this setting, early screening of mental health symptoms should be offered regardless concentrations of initial inflammatory biomarkers.
Free to read on @ICM
📎 rdcu.be/c0VFk