Hans van Huellen
@hvh86.bsky.social
Brighton (UK) based anaesthesia and intensive care registrar interested in cardiac anaesthesia & CICU, med Ed, periop. Novice dad. All views my own. 🇬🇧🇩🇪
Hard lessons re cardiogenic shock at #SoA25 - refusal of ICU admission because of lack of organ support needs at that point always irks me.
In a sick patient with multi organ dysfunction we clearly ought to intervene early to mitigate the need to organ support - are we too reactive as a specialty?
In a sick patient with multi organ dysfunction we clearly ought to intervene early to mitigate the need to organ support - are we too reactive as a specialty?
July 1, 2025 at 1:03 PM
Hard lessons re cardiogenic shock at #SoA25 - refusal of ICU admission because of lack of organ support needs at that point always irks me.
In a sick patient with multi organ dysfunction we clearly ought to intervene early to mitigate the need to organ support - are we too reactive as a specialty?
In a sick patient with multi organ dysfunction we clearly ought to intervene early to mitigate the need to organ support - are we too reactive as a specialty?
Reposted by Hans van Huellen
Conservative oxygen therapy with a target SpO2 of 90% did not reduce 90-day all-cause mortality compared to usual oxygen therapy in mechanically ventilated adult patients.
#CCR25 @criticalcarereviews.com
https://ja.ma/4kG5gWK
#CCR25 @criticalcarereviews.com
https://ja.ma/4kG5gWK
June 12, 2025 at 8:15 AM
Conservative oxygen therapy with a target SpO2 of 90% did not reduce 90-day all-cause mortality compared to usual oxygen therapy in mechanically ventilated adult patients.
#CCR25 @criticalcarereviews.com
https://ja.ma/4kG5gWK
#CCR25 @criticalcarereviews.com
https://ja.ma/4kG5gWK
Reposted by Hans van Huellen
Donald Trump’s gargantuan self-dealing | Opinion
https://www.ft.com/content/f1cf9453-8fc4-49d5-9781-e117f744c3c7
https://www.ft.com/content/f1cf9453-8fc4-49d5-9781-e117f744c3c7
Donald Trump’s gargantuan self-dealing | Opinion
Federal ethics rules now seem little more than decoration
www.ft.com
May 13, 2025 at 11:39 AM
Donald Trump’s gargantuan self-dealing | Opinion
https://www.ft.com/content/f1cf9453-8fc4-49d5-9781-e117f744c3c7
https://www.ft.com/content/f1cf9453-8fc4-49d5-9781-e117f744c3c7
Reposted by Hans van Huellen
Everyone should ideally leave twitter and come to bluesky for several reasons.
- Unify the discussion
- Safe space for everyone (eg LGBTQ)
- Stop supporting twitter (which is now a vehicle of misinformation & political manipulation)
- Twitter is currently NSFW (eg frankly pornographic content)
- Unify the discussion
- Safe space for everyone (eg LGBTQ)
- Stop supporting twitter (which is now a vehicle of misinformation & political manipulation)
- Twitter is currently NSFW (eg frankly pornographic content)
May 5, 2025 at 6:49 PM
Everyone should ideally leave twitter and come to bluesky for several reasons.
- Unify the discussion
- Safe space for everyone (eg LGBTQ)
- Stop supporting twitter (which is now a vehicle of misinformation & political manipulation)
- Twitter is currently NSFW (eg frankly pornographic content)
- Unify the discussion
- Safe space for everyone (eg LGBTQ)
- Stop supporting twitter (which is now a vehicle of misinformation & political manipulation)
- Twitter is currently NSFW (eg frankly pornographic content)
Scary what’s going on in the US right now - but also clearly legally highly dubious?
Chest is a superb scientific journal to which I regular submit some of my best science. This letter is an obvious travesty
I hope @accpchest.bsky.social treats it as the travesty it is
I hope @accpchest.bsky.social treats it as the travesty it is
1. This is so poorly written that the sentence that is -- I think -- supposed to convey a semi-veiled legal threat is incomprehensible.
2. I'm jealous of whichever lawyer gets to write the response.
2. I'm jealous of whichever lawyer gets to write the response.
April 18, 2025 at 12:10 PM
Scary what’s going on in the US right now - but also clearly legally highly dubious?
Reposted by Hans van Huellen
Time to dump my shares in Sedaconda!
Inhaled Sevoflurane led to increased 90d mortality compared to propofol (52.9% v 44.3%) in pts with ARDS
(Also median duration of NMB use of 5 days in both groups seems wild 🫤)
jamanetwork.com/journals/jam...
#MedSky #EMIMCC
Inhaled Sevoflurane led to increased 90d mortality compared to propofol (52.9% v 44.3%) in pts with ARDS
(Also median duration of NMB use of 5 days in both groups seems wild 🫤)
jamanetwork.com/journals/jam...
#MedSky #EMIMCC
Inhaled Sedation in Acute Respiratory Distress Syndrome
This clinical trial compares the efficacy of inhaled sevoflurane vs intravenous propofol for sedation in patients with acute respiratory distress syndrome.
jamanetwork.com
March 27, 2025 at 7:06 PM
Time to dump my shares in Sedaconda!
Inhaled Sevoflurane led to increased 90d mortality compared to propofol (52.9% v 44.3%) in pts with ARDS
(Also median duration of NMB use of 5 days in both groups seems wild 🫤)
jamanetwork.com/journals/jam...
#MedSky #EMIMCC
Inhaled Sevoflurane led to increased 90d mortality compared to propofol (52.9% v 44.3%) in pts with ARDS
(Also median duration of NMB use of 5 days in both groups seems wild 🫤)
jamanetwork.com/journals/jam...
#MedSky #EMIMCC
Highly recommended for anyone with even a fleeting interest in cardiothoracic anaesthesia!
Here is our programme of meetings for 2025.
Our first meeting of 2025 is on Friday 21st February.
All other meetings on the 2nd Monday of each month.
info@cardiothoracicanaesthesia.com for MS teams links
Our first meeting of 2025 is on Friday 21st February.
All other meetings on the 2nd Monday of each month.
info@cardiothoracicanaesthesia.com for MS teams links
February 10, 2025 at 9:11 AM
Highly recommended for anyone with even a fleeting interest in cardiothoracic anaesthesia!
Reposted by Hans van Huellen
vasopressin challenge: this group evaluated 1U bolus of vasopressin to evaluate patient responsiveness
I love this for a few reasons:
[1] allows vaso to have rapid onset (rather than taking 30-60 min to build up)
[2] we can get a sense of whether the vaso is helping
🧵 1/5 #EMIMCC
I love this for a few reasons:
[1] allows vaso to have rapid onset (rather than taking 30-60 min to build up)
[2] we can get a sense of whether the vaso is helping
🧵 1/5 #EMIMCC
January 24, 2025 at 3:02 PM
vasopressin challenge: this group evaluated 1U bolus of vasopressin to evaluate patient responsiveness
I love this for a few reasons:
[1] allows vaso to have rapid onset (rather than taking 30-60 min to build up)
[2] we can get a sense of whether the vaso is helping
🧵 1/5 #EMIMCC
I love this for a few reasons:
[1] allows vaso to have rapid onset (rather than taking 30-60 min to build up)
[2] we can get a sense of whether the vaso is helping
🧵 1/5 #EMIMCC
Reposted by Hans van Huellen
Speaking about my own patch… Wales has the lowest number of ICU beds per head of population in the world - and you can’t do that in the community.
These conversations shouldn’t be an either/or between primary and secondary care. It needs to be asking what are hospitals *for*?
These conversations shouldn’t be an either/or between primary and secondary care. It needs to be asking what are hospitals *for*?
@welshgasdoc.bsky.social
Waiting on your view…..
Wales has too many hospitals, says Drakeford www.bbc.com/news/article...
Waiting on your view…..
Wales has too many hospitals, says Drakeford www.bbc.com/news/article...
Wales has too many hospitals, says Mark Drakeford
Former first minister tells podcast Wales has too many hospitals and too many beds.
www.bbc.com
January 23, 2025 at 8:08 PM
Speaking about my own patch… Wales has the lowest number of ICU beds per head of population in the world - and you can’t do that in the community.
These conversations shouldn’t be an either/or between primary and secondary care. It needs to be asking what are hospitals *for*?
These conversations shouldn’t be an either/or between primary and secondary care. It needs to be asking what are hospitals *for*?
Reposted by Hans van Huellen
Wrote a little piece for the @ficm.bsky.social Resident’s Eye Newsletter on our forays into tabletop simulation on the ICU - have a read!
January 11, 2025 at 6:23 PM
Wrote a little piece for the @ficm.bsky.social Resident’s Eye Newsletter on our forays into tabletop simulation on the ICU - have a read!