Romain Barthélémy
@rombarthelemy.bsky.social
ICU physician, Hôpital Lariboisière, Paris, France
#Hemodynamics #Monitoring #Echo #AcuteBrainInjury #CriticalCare #NeuroCriticalCare #Physiology #Rstats
#Hemodynamics #Monitoring #Echo #AcuteBrainInjury #CriticalCare #NeuroCriticalCare #Physiology #Rstats
Reposted by Romain Barthélémy
Professor Jan Bakker presented the interesting relationship between CVP and prediction of respiratory weaning failure
💦An early increase in CVP >= 5mmHg is highly predicative of weaning failure
#ISICEM25
💦An early increase in CVP >= 5mmHg is highly predicative of weaning failure
#ISICEM25
March 20, 2025 at 10:53 AM
Professor Jan Bakker presented the interesting relationship between CVP and prediction of respiratory weaning failure
💦An early increase in CVP >= 5mmHg is highly predicative of weaning failure
#ISICEM25
💦An early increase in CVP >= 5mmHg is highly predicative of weaning failure
#ISICEM25
Reposted by Romain Barthélémy
March 19, 2025 at 7:15 PM
Reposted by Romain Barthélémy
2nd day starts with a great session on subphenotying at #ISICEM25
Why do we bother about subphenotypes?
First talk by @seymoc.bsky.social
@ISICEM.bsky.social
Why do we bother about subphenotypes?
First talk by @seymoc.bsky.social
@ISICEM.bsky.social
March 19, 2025 at 7:42 AM
2nd day starts with a great session on subphenotying at #ISICEM25
Why do we bother about subphenotypes?
First talk by @seymoc.bsky.social
@ISICEM.bsky.social
Why do we bother about subphenotypes?
First talk by @seymoc.bsky.social
@ISICEM.bsky.social
Reposted by Romain Barthélémy
Jan BAKKER at #ISICEM25
Congestion coexisting w/ fluid responsiveness
With some @argaiz.bsky.social inside
Congestion coexisting w/ fluid responsiveness
With some @argaiz.bsky.social inside
March 19, 2025 at 10:27 AM
Jan BAKKER at #ISICEM25
Congestion coexisting w/ fluid responsiveness
With some @argaiz.bsky.social inside
Congestion coexisting w/ fluid responsiveness
With some @argaiz.bsky.social inside
Reposted by Romain Barthélémy
#ISICEM25 | Endotypes & Mortality – A key framework for personalizing sepsis management. Understanding distinct biological profiles could shape targeted therapies and improve outcomes with Prof Evangelos Giamarellos–Bourboulis
March 19, 2025 at 9:48 AM
#ISICEM25 | Endotypes & Mortality – A key framework for personalizing sepsis management. Understanding distinct biological profiles could shape targeted therapies and improve outcomes with Prof Evangelos Giamarellos–Bourboulis
Reposted by Romain Barthélémy
#ISICEM25 | Over 300 posters showcased in 4 days, highlighting the latest breakthroughs in intensive care and emergency medicine. A deep dive into innovation, research, and future clinical practice! Don’t miss it!
March 19, 2025 at 9:47 AM
#ISICEM25 | Over 300 posters showcased in 4 days, highlighting the latest breakthroughs in intensive care and emergency medicine. A deep dive into innovation, research, and future clinical practice! Don’t miss it!
Reposted by Romain Barthélémy
Prof Xavier Monnet addresses the HD effects of prone positioning.
Great take homes about the risk of the waterfall effect and the use of Trendelenburg position in the prone patient to predict fluid responsiveness.
Linked paper below
#ISICEM25
#EMIMCC
ccforum.biomedcentral.com/articles/10....
Great take homes about the risk of the waterfall effect and the use of Trendelenburg position in the prone patient to predict fluid responsiveness.
Linked paper below
#ISICEM25
#EMIMCC
ccforum.biomedcentral.com/articles/10....
March 18, 2025 at 5:54 PM
Prof Xavier Monnet addresses the HD effects of prone positioning.
Great take homes about the risk of the waterfall effect and the use of Trendelenburg position in the prone patient to predict fluid responsiveness.
Linked paper below
#ISICEM25
#EMIMCC
ccforum.biomedcentral.com/articles/10....
Great take homes about the risk of the waterfall effect and the use of Trendelenburg position in the prone patient to predict fluid responsiveness.
Linked paper below
#ISICEM25
#EMIMCC
ccforum.biomedcentral.com/articles/10....
Reposted by Romain Barthélémy
The initiation of vasopressin following recommendations by a reinforcement learning model was associated with decreased mortality in patients with septic shock already receiving norepinephrine. https://ja.ma/3FOK2WU #ISICEM25
March 18, 2025 at 8:05 AM
The initiation of vasopressin following recommendations by a reinforcement learning model was associated with decreased mortality in patients with septic shock already receiving norepinephrine. https://ja.ma/3FOK2WU #ISICEM25
Reposted by Romain Barthélémy
Among patients with moderate to severe ARDS, inhaled sedation with sevoflurane resulted in fewer ventilator-free days at day 28 and lower 90-day survival than sedation with propofol. https://ja.ma/4kxDZGm #ISICEM25
March 18, 2025 at 7:50 AM
Among patients with moderate to severe ARDS, inhaled sedation with sevoflurane resulted in fewer ventilator-free days at day 28 and lower 90-day survival than sedation with propofol. https://ja.ma/4kxDZGm #ISICEM25
Reposted by Romain Barthélémy
At #ISICEM
Fodder for the evening run is gathering.
Not least the OVISS study looking at a reinforcement learning tool for the optimal timing of vasopressin introduction.
jamanetwork.com/journals/jam...
Fodder for the evening run is gathering.
Not least the OVISS study looking at a reinforcement learning tool for the optimal timing of vasopressin introduction.
jamanetwork.com/journals/jam...
Optimal Vasopressin Initiation in Septic Shock
This multicenter study uses reinforcement learning to examine the treatment implications of a vasopressin initiation rule developed to improve short-term and hospital outcomes in critically ill adults...
jamanetwork.com
March 18, 2025 at 10:00 AM
At #ISICEM
Fodder for the evening run is gathering.
Not least the OVISS study looking at a reinforcement learning tool for the optimal timing of vasopressin introduction.
jamanetwork.com/journals/jam...
Fodder for the evening run is gathering.
Not least the OVISS study looking at a reinforcement learning tool for the optimal timing of vasopressin introduction.
jamanetwork.com/journals/jam...
A good start to the year with the publication of this work in #JCBFM
pmc.ncbi.nlm.nih.gov/articles/PMC...
#neurocrit
pmc.ncbi.nlm.nih.gov/articles/PMC...
#neurocrit
Association between cerebral oxygenation and usual parameters of cerebral perfusion in critically ill patients with acute brain injury
In patients with acute brain injury (ABI), optimizing cerebral perfusion parameters relies on multimodal monitoring. This include data from systemic monitoring–mean arterial pressure (MAP), arterial c...
pmc.ncbi.nlm.nih.gov
January 22, 2025 at 9:07 PM
A good start to the year with the publication of this work in #JCBFM
pmc.ncbi.nlm.nih.gov/articles/PMC...
#neurocrit
pmc.ncbi.nlm.nih.gov/articles/PMC...
#neurocrit
Reposted by Romain Barthélémy
I think it’s underappreciated how often aspiration is the symptom of worsening systemic illness rather then the cause
January 19, 2025 at 12:33 PM
I think it’s underappreciated how often aspiration is the symptom of worsening systemic illness rather then the cause
Reposted by Romain Barthélémy
New #neurocriticalcare guidelines from NCS 💡 Guidelines for Seizure Prophylaxis in Patients Hospitalized With Nontraumatics ICH: ow.ly/o7wi50UFCps
January 13, 2025 at 7:32 PM
New #neurocriticalcare guidelines from NCS 💡 Guidelines for Seizure Prophylaxis in Patients Hospitalized With Nontraumatics ICH: ow.ly/o7wi50UFCps
Reposted by Romain Barthélémy
I am SO thrilled to share this paper, which has truly been a labour of love on a topic I care about deeply.
"Demystifying Volume Status: An Ultrasound-Guided Physiologic Framework," now published online in @accpchest
Let us know what you think!
#emimcc
journal.chestnet.org/article/S001...
"Demystifying Volume Status: An Ultrasound-Guided Physiologic Framework," now published online in @accpchest
Let us know what you think!
#emimcc
journal.chestnet.org/article/S001...
Demystifying Volume Status: An Ultrasound-Guided Physiologic Framework
Accurate assessment of a patient’s volume status is crucial in many conditions, informing
decisions on fluid prescribing, vasoactive agents, and decongestive therapies. Determining
a patient’s volume ...
journal.chestnet.org
January 13, 2025 at 4:47 PM
I am SO thrilled to share this paper, which has truly been a labour of love on a topic I care about deeply.
"Demystifying Volume Status: An Ultrasound-Guided Physiologic Framework," now published online in @accpchest
Let us know what you think!
#emimcc
journal.chestnet.org/article/S001...
"Demystifying Volume Status: An Ultrasound-Guided Physiologic Framework," now published online in @accpchest
Let us know what you think!
#emimcc
journal.chestnet.org/article/S001...
Reposted by Romain Barthélémy
read both links plz
.
'Electrical impedance tomography (EIT) is an emerging technology for the non-invasive monitoring of regional distribution of ventilation and perfusion' #p-sili #vili #pulmsky #critcaresky #emimcc #peep #ventilator
ccforum.biomedcentral.com/articles/10....
.
'Electrical impedance tomography (EIT) is an emerging technology for the non-invasive monitoring of regional distribution of ventilation and perfusion' #p-sili #vili #pulmsky #critcaresky #emimcc #peep #ventilator
ccforum.biomedcentral.com/articles/10....
Electrical impedance tomography monitoring in adult ICU patients: state-of-the-art, recommendations for standardized acquisition, processing, and clinical use, and future directions - Critical Care
Electrical impedance tomography (EIT) is an emerging technology for the non-invasive monitoring of regional distribution of ventilation and perfusion, offering real-time and continuous data that can g...
ccforum.biomedcentral.com
December 14, 2024 at 9:16 PM
read both links plz
.
'Electrical impedance tomography (EIT) is an emerging technology for the non-invasive monitoring of regional distribution of ventilation and perfusion' #p-sili #vili #pulmsky #critcaresky #emimcc #peep #ventilator
ccforum.biomedcentral.com/articles/10....
.
'Electrical impedance tomography (EIT) is an emerging technology for the non-invasive monitoring of regional distribution of ventilation and perfusion' #p-sili #vili #pulmsky #critcaresky #emimcc #peep #ventilator
ccforum.biomedcentral.com/articles/10....
Results of the #SAHARAtrial released after #CCRdownunder. A lot to discuss…
www.nejm.org/doi/full/10....
#neurocriticalcare
www.nejm.org/doi/full/10....
#neurocriticalcare
Liberal or Restrictive Transfusion Strategy in Aneurysmal Subarachnoid Hemorrhage | NEJM
The effect of a liberal red-cell transfusion strategy as compared with a restrictive
strategy in patients during the critical care period after an aneurysmal subarachnoid
hemorrhage is unclear. We ...
www.nejm.org
December 10, 2024 at 11:16 AM
Results of the #SAHARAtrial released after #CCRdownunder. A lot to discuss…
www.nejm.org/doi/full/10....
#neurocriticalcare
www.nejm.org/doi/full/10....
#neurocriticalcare
Nice work from colleagues, confirming risks factors of ventriculatis in our cohort of #NeuroCriticalCare patients and proposing the VERI-score for risk stratification
journals.lww.com/neurosurgery...
journals.lww.com/neurosurgery...
The VEntriculostomy-Related Infection Score: An Antibiotic... : Neurosurgery
antibiotic therapy initiation when VRI is suspected.
METHODS:
This retrospective, single-center cohort study included patients admitted to the intensive care unit after EVD placement who were suspe...
journals.lww.com
December 10, 2024 at 10:14 AM
Nice work from colleagues, confirming risks factors of ventriculatis in our cohort of #NeuroCriticalCare patients and proposing the VERI-score for risk stratification
journals.lww.com/neurosurgery...
journals.lww.com/neurosurgery...
Reposted by Romain Barthélémy
Reposting this brilliant must read paper, highlightkng some common misunderstandings regarding EF.
A supranormal EF is not a sign of hypovolemia! #echosky #pocus #emimcc
A supranormal EF is not a sign of hypovolemia! #echosky #pocus #emimcc
Ejection Fraction Revisited: this is THE paper to read on EF, it’s relation to contractility and load, as well as the concepts of ventricular and arterial elastance. Teaser: EF is to a varying degree preload dependent. #FOAMcc #CardioEd #echofirst...
December 8, 2024 at 11:20 AM
Reposted by Romain Barthélémy
ICU Hemodynamics:
Refresher from Michael Pinsky's lecture:
Refresher from Michael Pinsky's lecture:
December 8, 2024 at 5:05 AM
ICU Hemodynamics:
Refresher from Michael Pinsky's lecture:
Refresher from Michael Pinsky's lecture:
Reposted by Romain Barthélémy
➡️ 8 major critical care trial results live from Melbourne
➡️ Full free livestream
➡️ Tuesday & Wednesday, December 10th & 11th
➡️ Times are UTC +11
➡️https://criticalcarereviews.com
➡️ Full free livestream
➡️ Tuesday & Wednesday, December 10th & 11th
➡️ Times are UTC +11
➡️https://criticalcarereviews.com
December 3, 2024 at 11:10 PM
➡️ 8 major critical care trial results live from Melbourne
➡️ Full free livestream
➡️ Tuesday & Wednesday, December 10th & 11th
➡️ Times are UTC +11
➡️https://criticalcarereviews.com
➡️ Full free livestream
➡️ Tuesday & Wednesday, December 10th & 11th
➡️ Times are UTC +11
➡️https://criticalcarereviews.com
Reposted by Romain Barthélémy
Scientists, academics, researchers: We’re excited to share that @altmetric.com is now tracking mentions of your research on Bluesky! 🧪
There are already many articles for which there is more attention on Bluesky than on other comparable micro-blogging sites, meaning the academic community and the general public have clearly adopted Bluesky as one of its core places to disseminate and discuss new research.
A Place of Joy.
A Place of Joy.
December 3, 2024 at 2:10 PM
Scientists, academics, researchers: We’re excited to share that @altmetric.com is now tracking mentions of your research on Bluesky! 🧪
Reposted by Romain Barthélémy
A sad day for critical care - and what a phenomenal legacy he has left us.
RIP Prof Gattinoni, a Giant ⚕️📟
www.esicm.org/obituary-luc...
RIP Prof Gattinoni, a Giant ⚕️📟
www.esicm.org/obituary-luc...
Obituary: Luciano Gattinoni - ESICM
In Memory of Professor Luciano Gattinoni
www.esicm.org
December 2, 2024 at 5:02 PM
A sad day for critical care - and what a phenomenal legacy he has left us.
RIP Prof Gattinoni, a Giant ⚕️📟
www.esicm.org/obituary-luc...
RIP Prof Gattinoni, a Giant ⚕️📟
www.esicm.org/obituary-luc...