Bernie Bissett
@berniebissett.bsky.social
Researcher, Educator, Physiotherapist, Optimist. Intensive care rehabilitation.
Views are my own.
Canberra, Australia.
Views are my own.
Canberra, Australia.
Reposted by Bernie Bissett
Delighted to have our systematic review of #IMT in ventilated patients published in @auscriticalcare.bsky.social @berniebissett.bsky.social @rcsi.bsky.social
New RCSI research reviews evidence for respiratory muscle training in mechanically ventilated intensive care patients.
Findings show the training improves respiratory muscle strength and may reduce ventilation and weaning time.
🔗 www.sciencedirect.com/science/arti...
#RCSIdiscover
Findings show the training improves respiratory muscle strength and may reduce ventilation and weaning time.
🔗 www.sciencedirect.com/science/arti...
#RCSIdiscover
September 30, 2025 at 6:39 AM
Delighted to have our systematic review of #IMT in ventilated patients published in @auscriticalcare.bsky.social @berniebissett.bsky.social @rcsi.bsky.social
Excited to share this collab with my colleagues in Ireland: updated SR&MA of Respiratory Muscle Training for ICU patients. Only included IMT with measurable resistance. Want your patient off the vent faster? IMT is your friend.
Great work Eimear McCormack!!
www.sciencedirect.com/science/arti...
Great work Eimear McCormack!!
www.sciencedirect.com/science/arti...
What is the effect of measurable respiratory muscle training on respiratory muscle strength in mechanically ventilated adults in intensive care units? A systematic review and meta-analysis
Respiratory muscle weakness, associated with mechanical ventilation during critical illness, is well established. Respiratory muscle strength training…
www.sciencedirect.com
September 22, 2025 at 2:40 AM
Excited to share this collab with my colleagues in Ireland: updated SR&MA of Respiratory Muscle Training for ICU patients. Only included IMT with measurable resistance. Want your patient off the vent faster? IMT is your friend.
Great work Eimear McCormack!!
www.sciencedirect.com/science/arti...
Great work Eimear McCormack!!
www.sciencedirect.com/science/arti...
Reposted by Bernie Bissett
Just how reliable are bedside sputum assessments anyway? 📄 Schuiteman et al in #journal_CHESTCritCare @accpchest.bsky.social www.chestcc.org/article/S294...
📍 10 ventilated pts, videos/photos shown to 383 ICU staff
📍 Gold standard = gram stain PMNs
@hbgmd.bsky.social @chriscarrollmd.com #MedSky
📍 10 ventilated pts, videos/photos shown to 383 ICU staff
📍 Gold standard = gram stain PMNs
@hbgmd.bsky.social @chriscarrollmd.com #MedSky
August 11, 2025 at 9:29 PM
Just how reliable are bedside sputum assessments anyway? 📄 Schuiteman et al in #journal_CHESTCritCare @accpchest.bsky.social www.chestcc.org/article/S294...
📍 10 ventilated pts, videos/photos shown to 383 ICU staff
📍 Gold standard = gram stain PMNs
@hbgmd.bsky.social @chriscarrollmd.com #MedSky
📍 10 ventilated pts, videos/photos shown to 383 ICU staff
📍 Gold standard = gram stain PMNs
@hbgmd.bsky.social @chriscarrollmd.com #MedSky
Reposted by Bernie Bissett
July issue Editor's choice
Do virtual reality interventions cause seizures in the critically ill? A rapid review
www.australiancriticalcare.com/article/S103...
Do virtual reality interventions cause seizures in the critically ill? A rapid review
www.australiancriticalcare.com/article/S103...
July 30, 2025 at 2:39 AM
July issue Editor's choice
Do virtual reality interventions cause seizures in the critically ill? A rapid review
www.australiancriticalcare.com/article/S103...
Do virtual reality interventions cause seizures in the critically ill? A rapid review
www.australiancriticalcare.com/article/S103...
Reposted by Bernie Bissett
It was an honour to present our results of the PEAiCE study at #WorldPhysio2025
See below for poster 👇
Interesting, physios rarely screen for delirium despite the impact of #ICUrehab on the condition. More work to do💪
See below for poster 👇
Interesting, physios rarely screen for delirium despite the impact of #ICUrehab on the condition. More work to do💪
May 30, 2025 at 11:29 AM
It was an honour to present our results of the PEAiCE study at #WorldPhysio2025
See below for poster 👇
Interesting, physios rarely screen for delirium despite the impact of #ICUrehab on the condition. More work to do💪
See below for poster 👇
Interesting, physios rarely screen for delirium despite the impact of #ICUrehab on the condition. More work to do💪
Amazing few days in Cuenca Spain with my Physio colleagues talking about inspiratory muscle training. Hey where are my paediatric physios … if you’re using IMT, please publish your case studies! We need guidance around the world! Let’s learn from each other.
May 25, 2025 at 7:05 PM
Amazing few days in Cuenca Spain with my Physio colleagues talking about inspiratory muscle training. Hey where are my paediatric physios … if you’re using IMT, please publish your case studies! We need guidance around the world! Let’s learn from each other.
Reposted by Bernie Bissett
Kids visitations in the ICU. Ten recommendations for child-friendly visiting policies in critical care.
@esicm.bsky.social Podcast with M. Brauchle & P. Nydahl
www.esicm.org/esicm-talk-k...
@esicm.bsky.social Podcast with M. Brauchle & P. Nydahl
www.esicm.org/esicm-talk-k...
Kids visitations in the ICU. Ten recommendations for child-friendly visiting policies in critical care - ESICM
Your Intensive Care Bites on the go!
www.esicm.org
May 22, 2025 at 12:19 PM
Kids visitations in the ICU. Ten recommendations for child-friendly visiting policies in critical care.
@esicm.bsky.social Podcast with M. Brauchle & P. Nydahl
www.esicm.org/esicm-talk-k...
@esicm.bsky.social Podcast with M. Brauchle & P. Nydahl
www.esicm.org/esicm-talk-k...
More evidence that individualised, nuanced assessment is crucial for ICU survivors. No shortcuts. No recipes. We need a whole MDT to meet these patients’ needs.
Editor's choice May 2025
Tracking Outcomes Post Intensive Care: Findings of a longitudinal observational study
www.australiancriticalcare.com/article/S103... #OpenAccess
Tracking Outcomes Post Intensive Care: Findings of a longitudinal observational study
www.australiancriticalcare.com/article/S103... #OpenAccess
May 6, 2025 at 12:35 PM
More evidence that individualised, nuanced assessment is crucial for ICU survivors. No shortcuts. No recipes. We need a whole MDT to meet these patients’ needs.
Reposted by Bernie Bissett
The 9th Asia Pacific conference on Weaning and Early Mobilization for Critically Ill Patient will be in Tokyo just after #WorldPhysio25 - see link for the exciting program: pub.idisk-just.com/fview/5eWW7o...
May 5, 2025 at 11:40 PM
The 9th Asia Pacific conference on Weaning and Early Mobilization for Critically Ill Patient will be in Tokyo just after #WorldPhysio25 - see link for the exciting program: pub.idisk-just.com/fview/5eWW7o...
Reposted by Bernie Bissett
Editor's choice May 2025
Adverse events during and after early mobilisation: A post hoc analysis of the TEAM trial #OpenAccess
www.australiancriticalcare.com/article/S103...
Adverse events during and after early mobilisation: A post hoc analysis of the TEAM trial #OpenAccess
www.australiancriticalcare.com/article/S103...
May 6, 2025 at 5:14 AM
Editor's choice May 2025
Adverse events during and after early mobilisation: A post hoc analysis of the TEAM trial #OpenAccess
www.australiancriticalcare.com/article/S103...
Adverse events during and after early mobilisation: A post hoc analysis of the TEAM trial #OpenAccess
www.australiancriticalcare.com/article/S103...
Reposted by Bernie Bissett
Editor's choice May 2025
Acceptability of a physiotherapy-led intensive prone positioning service in intensive care: A qualitative study with multidisciplinary clinicians
www.australiancriticalcare.com/article/S103... #OpenAccess
Acceptability of a physiotherapy-led intensive prone positioning service in intensive care: A qualitative study with multidisciplinary clinicians
www.australiancriticalcare.com/article/S103... #OpenAccess
May 6, 2025 at 5:21 AM
Editor's choice May 2025
Acceptability of a physiotherapy-led intensive prone positioning service in intensive care: A qualitative study with multidisciplinary clinicians
www.australiancriticalcare.com/article/S103... #OpenAccess
Acceptability of a physiotherapy-led intensive prone positioning service in intensive care: A qualitative study with multidisciplinary clinicians
www.australiancriticalcare.com/article/S103... #OpenAccess
Reposted by Bernie Bissett
Highlights need for:
Early screening
Med optimization 💊
Targeted exercises 🏋️♀️
Read more here: journals.lww.com/ccmjournal/p...
#icurehab #ICUcare #FallPrevention
@zudin.bsky.social @kelamb.bsky.social @catherinegranger.bsky.social er.bsky.social @selinaparry.bsky.social .social
Part 2/2
Early screening
Med optimization 💊
Targeted exercises 🏋️♀️
Read more here: journals.lww.com/ccmjournal/p...
#icurehab #ICUcare #FallPrevention
@zudin.bsky.social @kelamb.bsky.social @catherinegranger.bsky.social er.bsky.social @selinaparry.bsky.social .social
Part 2/2
Incidence and Associated Risk Factors for Falls in Adults... : Critical Care Medicine
ho required invasive ventilation for 48 hours and in an ICU for at least 4 days.
Interventions:
Not applicable.
Measurements and Main Results:
Falls were monitored prospectively for 1 year with ...
journals.lww.com
April 30, 2025 at 4:52 AM
Highlights need for:
Early screening
Med optimization 💊
Targeted exercises 🏋️♀️
Read more here: journals.lww.com/ccmjournal/p...
#icurehab #ICUcare #FallPrevention
@zudin.bsky.social @kelamb.bsky.social @catherinegranger.bsky.social er.bsky.social @selinaparry.bsky.social .social
Part 2/2
Early screening
Med optimization 💊
Targeted exercises 🏋️♀️
Read more here: journals.lww.com/ccmjournal/p...
#icurehab #ICUcare #FallPrevention
@zudin.bsky.social @kelamb.bsky.social @catherinegranger.bsky.social er.bsky.social @selinaparry.bsky.social .social
Part 2/2
Here's the recording of the ATS Journal club where we discussed the latest RCT from the Belgium group about Inspiratory Muscle Training in ICU. Such a great study, find out why external load might not be as important as intrinsic loads - and why cueing is important!
www.youtube.com/watch?v=yDDD...
www.youtube.com/watch?v=yDDD...
Similar Weaning Success Rate with High-intensity and Sham Inspiratory Muscle Training
YouTube video by American Thoracic Society
www.youtube.com
April 23, 2025 at 5:32 AM
Here's the recording of the ATS Journal club where we discussed the latest RCT from the Belgium group about Inspiratory Muscle Training in ICU. Such a great study, find out why external load might not be as important as intrinsic loads - and why cueing is important!
www.youtube.com/watch?v=yDDD...
www.youtube.com/watch?v=yDDD...
Reposted by Bernie Bissett
Winner 2024 Excellence in Research Award
Indigenous Australians critically ill with sepsis: Characteristics, outcomes, and areas for improvement
Congratulations Dr Satyen Hargovan and team #OpenAccess
www.australiancriticalcare.com/article/S103...
Indigenous Australians critically ill with sepsis: Characteristics, outcomes, and areas for improvement
Congratulations Dr Satyen Hargovan and team #OpenAccess
www.australiancriticalcare.com/article/S103...
Indigenous Australians critically ill with sepsis: Characteristics, outcomes, and areas for improvement
Aboriginal and Torres Strait Islander Australians have amongst the highest incidence
of sepsis globally.
www.australiancriticalcare.com
April 18, 2025 at 6:34 AM
Winner 2024 Excellence in Research Award
Indigenous Australians critically ill with sepsis: Characteristics, outcomes, and areas for improvement
Congratulations Dr Satyen Hargovan and team #OpenAccess
www.australiancriticalcare.com/article/S103...
Indigenous Australians critically ill with sepsis: Characteristics, outcomes, and areas for improvement
Congratulations Dr Satyen Hargovan and team #OpenAccess
www.australiancriticalcare.com/article/S103...
Reposted by Bernie Bissett
Highly commended 2024 Excellence in Research Award
Delirium & delirium severity screening in the intensive care—correspondence of screenings tools #OpenAccess
Congratulations Dr Marie O. Collet and team
www.australiancriticalcare.com/article/S103...
Delirium & delirium severity screening in the intensive care—correspondence of screenings tools #OpenAccess
Congratulations Dr Marie O. Collet and team
www.australiancriticalcare.com/article/S103...
Delirium and delirium severity screening in the intensive care—correspondence of screenings tools
Delirium severity scores are gaining acceptance for measuring delirium in the intensive
care unit (ICU).
www.australiancriticalcare.com
April 18, 2025 at 6:38 AM
Highly commended 2024 Excellence in Research Award
Delirium & delirium severity screening in the intensive care—correspondence of screenings tools #OpenAccess
Congratulations Dr Marie O. Collet and team
www.australiancriticalcare.com/article/S103...
Delirium & delirium severity screening in the intensive care—correspondence of screenings tools #OpenAccess
Congratulations Dr Marie O. Collet and team
www.australiancriticalcare.com/article/S103...
Reposted by Bernie Bissett
Highly commended 2024 Allied Health Award
Exploring current physiotherapy practices in the care of people who are potential lung donors: A qualitative study #OpenAccess
Congratulations Ms Cassandra Raios and Team
www.australiancriticalcare.com/article/S103...
Exploring current physiotherapy practices in the care of people who are potential lung donors: A qualitative study #OpenAccess
Congratulations Ms Cassandra Raios and Team
www.australiancriticalcare.com/article/S103...
Exploring current physiotherapy practices in the care of people who are potential lung donors: A qualitative study
The aim of this study was to determine physiotherapists' current practices and perspectives
regarding their role in caring for people who are potential lung donors in the intensive
care unit (ICU).
www.australiancriticalcare.com
April 18, 2025 at 6:50 AM
Highly commended 2024 Allied Health Award
Exploring current physiotherapy practices in the care of people who are potential lung donors: A qualitative study #OpenAccess
Congratulations Ms Cassandra Raios and Team
www.australiancriticalcare.com/article/S103...
Exploring current physiotherapy practices in the care of people who are potential lung donors: A qualitative study #OpenAccess
Congratulations Ms Cassandra Raios and Team
www.australiancriticalcare.com/article/S103...
Reposted by Bernie Bissett
Winner 2024 Allied Health Award
In-person peer support for critical care survivors: The ICU REcovery Solutions cO-Led through surVivor Engagement (ICURESOLVE) pilot randomised controlled trial #OpenAccess
Congratulations Prof Kimberley Haines and Team
www.australiancriticalcare.com/article/S103...
In-person peer support for critical care survivors: The ICU REcovery Solutions cO-Led through surVivor Engagement (ICURESOLVE) pilot randomised controlled trial #OpenAccess
Congratulations Prof Kimberley Haines and Team
www.australiancriticalcare.com/article/S103...
In-person peer support for critical care survivors: The ICU REcovery Solutions cO-Led through surVivor Engagement (ICURESOLVE) pilot randomised controlled trial
Peer support is a promising intervention to mitigate post-ICU disability, however
there is a paucity of rigorously designed studies.
www.australiancriticalcare.com
April 18, 2025 at 6:41 AM
Winner 2024 Allied Health Award
In-person peer support for critical care survivors: The ICU REcovery Solutions cO-Led through surVivor Engagement (ICURESOLVE) pilot randomised controlled trial #OpenAccess
Congratulations Prof Kimberley Haines and Team
www.australiancriticalcare.com/article/S103...
In-person peer support for critical care survivors: The ICU REcovery Solutions cO-Led through surVivor Engagement (ICURESOLVE) pilot randomised controlled trial #OpenAccess
Congratulations Prof Kimberley Haines and Team
www.australiancriticalcare.com/article/S103...
Excited to be talking about the most recent RCT from my Belgian friends on Thursday 10th April (well, 3am Friday my time!!). Join us for a deep dive into this fascinating study of inspiratory muscle training in ICU pts. (Spoiler: they measured 'unpleasantness'!!).
site.thoracic.org/events/simil...
site.thoracic.org/events/simil...
American Thoracic Society | Similar Weaning Success Rate with…
The American Thoracic Society is the world's leading medical society dedicated to accelerating the advancement of global respiratory health through…
site.thoracic.org
April 9, 2025 at 5:03 AM
Excited to be talking about the most recent RCT from my Belgian friends on Thursday 10th April (well, 3am Friday my time!!). Join us for a deep dive into this fascinating study of inspiratory muscle training in ICU pts. (Spoiler: they measured 'unpleasantness'!!).
site.thoracic.org/events/simil...
site.thoracic.org/events/simil...
I would totally wear this t shirt.
March 22, 2025 at 12:15 AM
I would totally wear this t shirt.
Reposted by Bernie Bissett
📢 Author Spotlight: Dr Amy Freeman-Sanderson
💡 Check out Dr. Freeman-Sanderson's Current Insights article published in ICCN: Communication with the critically ill patient: A nexus between patient needs, communication partner skills and the ICU environment. doi.org/10.1016/j.ic...
💡 Check out Dr. Freeman-Sanderson's Current Insights article published in ICCN: Communication with the critically ill patient: A nexus between patient needs, communication partner skills and the ICU environment. doi.org/10.1016/j.ic...
March 10, 2025 at 3:29 AM
📢 Author Spotlight: Dr Amy Freeman-Sanderson
💡 Check out Dr. Freeman-Sanderson's Current Insights article published in ICCN: Communication with the critically ill patient: A nexus between patient needs, communication partner skills and the ICU environment. doi.org/10.1016/j.ic...
💡 Check out Dr. Freeman-Sanderson's Current Insights article published in ICCN: Communication with the critically ill patient: A nexus between patient needs, communication partner skills and the ICU environment. doi.org/10.1016/j.ic...
Insightful commentary here on the problems of censorship of gender in scientific research and publishing. Thanks Andrea Marshall and colleagues for refusing to walk past this issue in 2025.
Woke ideology or accurate scientific reporting: Censorship in research
👇
authors.elsevier.com/a/1kf7Y3hkRO...
Accurate reporting in science is imperative.
Thanks Tom Buckley and Bellomo Rinaldo for your contributions to the recent @auscriticalcare.bsky.social editorial
👇
authors.elsevier.com/a/1kf7Y3hkRO...
Accurate reporting in science is imperative.
Thanks Tom Buckley and Bellomo Rinaldo for your contributions to the recent @auscriticalcare.bsky.social editorial
authors.elsevier.com
March 10, 2025 at 10:34 AM
Insightful commentary here on the problems of censorship of gender in scientific research and publishing. Thanks Andrea Marshall and colleagues for refusing to walk past this issue in 2025.
Reposted by Bernie Bissett
The @icurehab.bsky.social literature list has been updated again! More than 4,000 references about early rehabilitation, patient outcome, ICUAW, nutrition, and many more!
All references with links to pubmed and other sources
Thanks to Dr. Dale Needham
icurehabnetwork.org/resources/
All references with links to pubmed and other sources
Thanks to Dr. Dale Needham
icurehabnetwork.org/resources/
March 6, 2025 at 9:00 AM
The @icurehab.bsky.social literature list has been updated again! More than 4,000 references about early rehabilitation, patient outcome, ICUAW, nutrition, and many more!
All references with links to pubmed and other sources
Thanks to Dr. Dale Needham
icurehabnetwork.org/resources/
All references with links to pubmed and other sources
Thanks to Dr. Dale Needham
icurehabnetwork.org/resources/
Reposted by Bernie Bissett
My latest @bmj.com on why an experienced workforce is necessary for safety and productivity www.bmj.com/content/387/...
“Rookie factor”: why healthcare workforce policy needs to embrace experience
What price experience? I have been working across several safety critical industries for years and in terms of the approaches that these industries take to workforce issues there are some stark differ...
www.bmj.com
December 20, 2024 at 4:12 PM
My latest @bmj.com on why an experienced workforce is necessary for safety and productivity www.bmj.com/content/387/...
Reposted by Bernie Bissett
👀📰#RCT on home exercise for #LungCancer patients after surgery: While it didn't improve self-report physical function, it ⬆️#ExerciseCapacity , #QOL & #SelfEfficacy up to 6 months! Program had high #PatientAdherence. Promising #HomeRecovery approach! ja.ma/4eZQTJ0
Home-Based Exercise and Self-Management After Lung Cancer Resection
This randomized clinical trial evaluates whether a home-based exercise and self-management program can improve physical function among patients after lung resection.
ja.ma
December 2, 2024 at 8:34 PM
👀📰#RCT on home exercise for #LungCancer patients after surgery: While it didn't improve self-report physical function, it ⬆️#ExerciseCapacity , #QOL & #SelfEfficacy up to 6 months! Program had high #PatientAdherence. Promising #HomeRecovery approach! ja.ma/4eZQTJ0
How about electronic devices for IMT in the ICU? For your very weak patients, this might be just the trick. Fab to collaborate with Marc Nickels and the Queensland crew on this study published earlier this year.
www.australiancriticalcare.com/article/S103...
www.australiancriticalcare.com/article/S103...
Feasibility, safety, and patient acceptability of electronic inspiratory muscle training in patients who require prolonged mechanical ventilation in the intensive care unit: A dual-centre observationa...
Inspiratory muscle training (IMT) is an intervention that can be used to rehabilitate
the respiratory muscle deconditioning experienced by patients with critical illness,
requiring prolonged mechanica...
www.australiancriticalcare.com
November 19, 2024 at 5:44 AM
How about electronic devices for IMT in the ICU? For your very weak patients, this might be just the trick. Fab to collaborate with Marc Nickels and the Queensland crew on this study published earlier this year.
www.australiancriticalcare.com/article/S103...
www.australiancriticalcare.com/article/S103...