🚨 Attn #PedsICU HCPs headed to Belfast for #pccs2025 @pccsociety.bsky.social

We'd love to hear your perspective on TCD use in PICU for a @ox.ac.uk study

Refreshments & education will be provided (along with the joy of contributing to research!)

Info & RSVP: forms.office.com/e/b7z27AQL5C

Happy to share our latest in PedCritCareMed 🎉

Creation of #PedsICU outcome database by recruiting a global team at WFPICCS & machine learning

16,055 citations ➡️ 1,301 full text in 2mo, sensitivity 98%

@zorkosaurus.bsky.social & I equal effort aka dream team, w/ an incredible group 🙌

Are adaptive clinical trials a reflection of a shift in epistemology of quantitative research? From positivism to a relativist recognition of true variation in how individuals experience disease and respond to treatment?
Reflections during #ESPNIC2025 Platform Trial session @markpicu.bsky.social

Global #PedsICU collaboration through the PICU-CONNECT Network to help bring research & clinical care forward w/ more coordination, efficiency and benefit globally 🙌
Presented by Dr. Kusum Menon & Dr. Luregn Schlapbach #ESPNIC2025

Excellent reminder of cognitive biases when implementing changes in our clinical practice to set the tone for the #OxyPICU session with @markpicu.bsky.social
#ESPNIC2025 #PICUSky

🚨🚨New trial @nejm.org

Endovascular thrombectomy + usual care VS usual care (tPA or tenectaplase with rehabilitation) in 530 adult patients with medium vessel ischemic stroke; with no difference in outcome (death/disability at 90 days)

How/Does this apply to #PedsICU #NCC?

Beautiful beautiful #Edinburgh

Shot with a tilt shift lens for the effect!

Happy snow day Ontario ❄️
featuring the very good boy Winnie

One of my favorite parts of this study was our very talented global #PedsICU team from all different professional and geographic backgrounds - made the project so much better together 🌍❤️

Great review from adult periop&ICU #PedsICU

Approach to protective hemodynamics & permissive hypotension

⚖️ Balancing aggressive MAP targets w/ harm of ⬆️⬆️ pressors

Discusses-

Individualized MAP
Macro+microcirculation decoupling & periph perfusion-targeted resus

www.jcvaonline.com/article/S105...

Loved their supplement figure showing PRx monitoring

Supports discussions on cerebral autoregulation as a dynamic process - looking further then static ICP and CPP thresholds to improve patient outcomes
@neurocritical.bsky.social
#PedsICU

Good morning @ox.ac.uk @kelloggoxford.bsky.social 🌞

Recommend this review to anyone looking after septic patients #PedsICU #MedSky

🕣Early ECHO to define patient phenotype
💧Ensure adequate preload
🌊Avoid fluid over-resuscitation
❤️Adrenergic-tachycardia +/- dynamic LVOTO +/- diastolic dysf; ⬇️HR may ⬆️CO

www.frontiersin.org/journals/car...

@theelso.bsky.social #PedsICU neuromonitoring on #ECMO
@neurocritical.bsky.social

HUS🔊 pre-ECMO, post daily 3-5 days then prn
CT Head🧠 if clin concern for neuro injury or abn HUS
NIRS🖥️ consider in all, follow the trend (>20% drop from baseline =w/u)
cEEG⚡within 12-24hr, for 24-48hr
TCD🩸 TBD

Our #delirium info sheet here ⬇️

Feedback so far is good from residents coming on rotation & new nurses to the unit for info & structure

How do others find updating & implementing delirium guidelines, and monitoring for improvement?
@nidus-delirium.bsky.social
#PICUSky #PedsICU

In fellowship I worked with a great team of pharmacists, nurses, Palliative Care docs, and intensivists to update our institutions' #SAM protocol based on @sccmcriticalcare.bsky.social PANDEM guidelines

One of our flowsheets here ⬇️
Would love to hear what different units use!
#PedsICU #MedSky

🔥🔥 Central vs peripheral #ECMO cannulation in #PedsICU patients with sepsis:

👥1242 patients
📃retrospective analysis of ELSO registry
❤️ not including congenital heart disease

⬇️ Mortality with ⬆️ flow rates @ 4hrs (but not 24hr)
⬆️ Mortality with periph cannulation

journals.lww.com/pccmjournal/...