Dr Stephen T Webb
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Dr Stephen T Webb
@stephen-t-webb.bsky.social
800 followers 280 following 61 posts
Past President Intensive Care Society 🩺
Consultant in Intensive Care in Cambridge 🏥
Follow for🫀🫁🚴‍♂️🦋🌳🍪⚔️☘️ Views=own
https://cambridgecriticalcare.co.uk/
Posts Replies Media Videos
Reposted by Dr Stephen T Webb
jamanetworkopen.com
During the COVID-19 pandemic, variable proportions of agency nurses and higher nurse turnover in pediatric intensive care units were associated with increased complications and ventilator-associated pneumonia.

#CCR25 #MedSky

ja.ma/4jI7YK2
June 12, 2025 at 5:00 PM
Reposted by Dr Stephen T Webb
nottheflyhalf.bsky.social
PROMIZING

Discover the impact of Proportional-Assist Ventilation vs. Pressure-Support Ventilation on extubation times in critically ill patients.
PROMIZING
Discover the impact of Proportional-Assist Ventilation vs. Pressure-Support Ventilation on extubation times in critically ill patients.
criticalcarenorthampton.com
June 13, 2025 at 1:31 PM
Reposted by Dr Stephen T Webb
nejm.org
In the PROMIZING trial, proportional-assist ventilation with load-adjustable gain factors did not differ significantly from pressure-support ventilation with respect to the time to liberation from mechanical ventilation. Full trial results: nej.md/4kC2a67

@criticalcarereviews.com #CCR25
A graph showing the cumulative probability of successful liberation from ventilation and of death before successful liberation.
June 13, 2025 at 1:00 PM
Reposted by Dr Stephen T Webb
nejm.org
Presented at #CCR25:

A trial involving children with severe acute malnutrition and gastroenteritis showed no evidence of a difference in mortality at 96 hours between oral and intravenous rehydration strategies. Full GASTROSAM trial results: nej.md/3TjfSP7

@criticalcarereviews.com
A graph showing the primary end point, which was death at 96 hours.
June 13, 2025 at 8:20 AM
Reposted by Dr Stephen T Webb
marionkcampbell.bsky.social
Fantastic presentation of the #GASTROSAM trial at #CCR25 - IV rehydration strategies for children with severe acute malnutrition & gastroenteritis. Amazing commitment to generating evidence in the hardest of circumstances incl a coup and flooding. Bravo! www.nejm.org/doi/full/10....
Intravenous Rehydration for Severe Acute Malnutrition with Gastroenteritis | NEJM
International recommendations advise against the use of intravenous rehydration therapy in children with severe acute malnutrition because of the concern about fluid overload, but evidence to suppo...
www.nejm.org
June 13, 2025 at 9:03 AM
Reposted by Dr Stephen T Webb
signavitaejournal.bsky.social
👑Live from #CCR25 the #Princetrial

🫀Does remote ischemic preconditioning reduce troponin levels after surgery?

A preview on the matter is in #signavitae
🔗 www.signavitae.com/articles/10.22514/sv.2024.151

@giovannilandoni.bsky.social @mmarmiere.bsky.social
June 13, 2025 at 10:19 AM
Reposted by Dr Stephen T Webb
criticalcarereviews.com
#PROMIZINGtrial results are in - no difference in time to successful liberation from mechanical ventilation between proportional-assist ventilation and pressure support ventilation
#CCR25
June 13, 2025 at 12:53 PM
Reposted by Dr Stephen T Webb
pulmcrit.bsky.social
Myburgh is going deep on the origin of balanced fluid.

Debate continues 200 yrs later.

LR was discovered by accident when tap water containing calcium was accidentally used in a lab experiment, causing greater muscle contractility.

-Dr Myburgh #CCR25
June 12, 2025 at 3:10 PM
Reposted by Dr Stephen T Webb
pulmcrit.bsky.social
how to quickly set up a useful MedSky account!

🦋 Mix of basic & more advanced stuff (eg designing user-curated hashtag feeds)

🦋 Take a look & add any useful tips you have in the comments section

blog:

emcrit.org/pulmcrit/blu... #MedSky
PulmCrit: How to quickly create a useful professional account in BlueSky
I discussed the reasons for migrating to BlueSky here. I've received positive feedback from several FOAMed expats who migrated to Bluesky and enjoy it
emcrit.org
November 28, 2024 at 2:58 PM
Reposted by Dr Stephen T Webb
signavitaejournal.bsky.social
🩸#ANHtrial results are live #CCR25

A survey from the authors:
www.signavitae.com/articles/10.22514/sv.2025.076
June 12, 2025 at 12:54 PM
Reposted by Dr Stephen T Webb
jama.com
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/4kOIA6w
Figure 2. Oxygen Exposure and Arterial Oxygenation by Treatment Group in Patients With Enhanced Data Collection
June 12, 2025 at 2:00 PM
Reposted by Dr Stephen T Webb
criticalcarereviews.com
Last trial of day 2

Crystalloid FLUID Choices for Resuscitation of Hospital Patients

Always a hot topic!

#CCR25
June 12, 2025 at 2:30 PM
Reposted by Dr Stephen T Webb
nejm.org
Presented at #CCR25:

In the ANH phase 3 trial involving adult patients undergoing elective cardiac surgery, acute normovolemic hemodilution did not reduce the number of patients receiving allogeneic red-cell transfusion. Full trial results: nej.md/3FxdMrW

@criticalcarereviews.com
Table 3. Clinical Outcomes.
June 12, 2025 at 12:53 PM
Reposted by Dr Stephen T Webb
nottheflyhalf.bsky.social
ICU-acquired weakness and cardiogenic shock in patients requiring mechanical support, highlighting biomarkers and outcomes.

@criticalcarereviews.com #FOAMed #POCUS #FOAMcc #CCR25

https://criticalcarenorthampton.com/2025/06/12/biomarkers-in-icu-acquired-weakness/
Post Image
June 12, 2025 at 12:30 PM
stephen-t-webb.bsky.social
A big moment for Royal Papworth Hospital Clinical Trials Unit ! The first RPH trial to be presented at the Critical Care Reviews Conference - Andy Klein CI of the NOTACS Trial presented the results today 👏👏 @criticalcarereviews.com @royalpapworth.bsky.social #CCR25 #NOTACS #NOTACSTrial
June 12, 2025 at 10:18 AM
Reposted by Dr Stephen T Webb
criticalcarereviews.com
Andrew Klein highlights the value of working with patient and family members throughout the lifecycle of a clinical trial #NOTACStrial

#CCR25
June 12, 2025 at 10:11 AM
stephen-t-webb.bsky.social
Never fails to impress every year… the venue and the conference! 😄👏@criticalcarereviews.com #CCR25
June 12, 2025 at 9:06 AM
Reposted by Dr Stephen T Webb
jama.com
Editorial: The UK-ROX trial demonstrates that targeting lower oxygen saturation in critically ill patients is safe but does not improve outcomes.

#CCR25 @criticalcarereviews.com

https://ja.ma/4ngdtmn
Image shows PDF.
June 12, 2025 at 8:30 AM
Reposted by Dr Stephen T Webb
jama.com
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
Figure 2. Oxygen Exposure and Arterial Oxygenation by Treatment Group in Patients With Enhanced Data Collection
June 12, 2025 at 8:15 AM
Reposted by Dr Stephen T Webb
jamanetworkopen.com
A multifaceted anemia prevention and treatment bundle improved hemoglobin recovery up to 3 months after hospital discharge compared to standard care in critically ill adults.

#CCR25 #MedSky

ja.ma/4kGGw0I
June 11, 2025 at 3:04 PM
Reposted by Dr Stephen T Webb
jamanetworkopen.com
Intravenous hydrocortisone was associated with a reduced need for new kidney replacement therapy in patients with septic shock.

#CCR25 #MedSky

ja.ma/3SLC3xg
June 11, 2025 at 3:01 PM
Reposted by Dr Stephen T Webb
jama.com
Augmenting enteral protein did not improve outcomes for critically ill patients compared with standard protein levels in the intensive care setting.

#CCR25 <a href="https://bsky.app/profile/did:plc:u6ai4u2rvrdb5xjk62y2jpci" class="hover:underline text-blue-600 dark:text-sky-400 no-card-link" target="_blank" rel="noopener" data-link="bsky-mention">@criticalcarereviews.com

https://ja.ma/4kuYRxv
Figure 2. Total Protein and Calories
June 11, 2025 at 8:15 AM
Reposted by Dr Stephen T Webb
criticalcarereviews.com
Slightly late, and to be updated with the results of today's TTM2 biomarker results, today's Paper of the Day is:

Biomarkers for neuroprognostication after out-of-hospital cardiac arrest

https://criticalcarereviews.com/latest-evidence/paper-of-the-day
June 11, 2025 at 12:40 PM
Reposted by Dr Stephen T Webb
jama.com
Augmenting enteral protein did not improve outcomes for critically ill patients compared with standard protein levels in the intensive care setting.

#CCR25 @criticalcarereviews.com

https://ja.ma/4mUjFQr
Figure 2. Total Protein and Calories
June 11, 2025 at 2:15 PM
Reposted by Dr Stephen T Webb
davidaharrison.bsky.social
Here we go… #UKROXtrial #CCR25
Professor Dan Martin presenting the UK - ROX trial at Critical Care Reviews 2025
June 12, 2025 at 8:04 AM