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Reposted by Filippo D’Amico

giovannilandoni.bsky.social @giovannilandoni.bsky.social · Jun 13

ping @tscquizzato.com @filippodamico.bsky.social

Reposted by Filippo D’Amico

NEJM.org @nejm.org · Jun 12

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

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Filippo D’Amico @filippodamico.bsky.social · Mar 21

#ISICEM25 | Cardiac-Synchronized Mechanical Ventilation? 🫁❤️

🔬 Markus Skrifvars explores its impact:
✅ Higher PaO₂ & lower PaCO₂ with no pressure differences
❓ Key question: Are pneumothorax findings relevant to humans, or is this an effect seen only in pigs? 🐷

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Filippo D’Amico @filippodamico.bsky.social · Mar 21

#ISICEM25 | Key Questions in Advanced Airway Management 🫁❓

🔥 Ari Moskowitz highlights ongoing debates:
🔹 Best device? ETI vs. SGA 🤔
🔹 Video vs. Direct Laryngoscopy 📹
🔹 When to intubate? Timing remains unclear ⏳
🔹 Should strategy vary based on arrest etiology, rhythm, or location?

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Filippo D’Amico @filippodamico.bsky.social · Mar 21

#ISICEM25 | Key Questions in Advanced Airway Management 🫁❓

🔥 Ari Moskowitz highlights ongoing debates:
🔹 Best device? ETI vs. SGA 🤔
🔹 Video vs. Direct Laryngoscopy 📹
🔹 When to intubate? Timing remains unclear ⏳
🔹 Should strategy vary based on arrest etiology, rhythm, or location?

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Filippo D’Amico @filippodamico.bsky.social · Mar 21

#ISICEM25 | Ari Moskowitz on Controversies in Airway Management during CPR 🫁🚑

🔹 OHCA: RCTs suggest SGA may be as good or better than ETI, based on operator skill.
🔹 IHCA: Limited data—observational studies lean toward no intubation
🔹 Ongoing trials comparing SGA vs. ETI for IHCA.

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Filippo D’Amico @filippodamico.bsky.social · Mar 21

#ISICEM25 | IV vs. IO Access—Key Takeaways 💉🦴

📢 Markus Skrifvars on why IV remains the first choice:
✅ Higher ROSC rate
✅ Standard method for non-cardiac arrest patients
✅ As fast as IO in most cases
✅ Less expensive

Filippo D’Amico @filippodamico.bsky.social · Mar 21

#ISICEM25 | IV vs. IO Access—What’s the Best Choice? 💉🦴

🔍 Markus Skrifvars explores the pros & cons:
✅ IO is as good as IV—but not better
💰 More expensive & should be second choice after IV
🚑 Useful in EMS for patients with difficult access (e.g., children)
⚡ No faster than IV

Filippo D’Amico @filippodamico.bsky.social · Mar 21

#ISICEM25 | 🏥 New Guidelines for Perioperative Cardiac Arrest 🔄❤️

📢 Sharon Einav presents the methodology & PICO questions shaping the upcoming recommendations.

🔹 Evidence-based updates coming in the next few months!
🔹 Focus on best practices for managing cardiac arrest in surgical patients.

Filippo D’Amico @filippodamico.bsky.social · Mar 21

#ISICEM25 | 🚑 CPR Session Starting Now! 🚑

Moderated by Michel Slama & @fabio_taccone, this session dives into the latest advances in cardiopulmonary resuscitation

Filippo D’Amico @filippodamico.bsky.social · Mar 21

#ISICEM25 | 🏆 POSTER AWARDS 2025 🏆

👏 Xavier Monnet presents this year’s best research contributions!

📊 431 abstracts submitted
✅ 321 abstracts accepted
🏅 4 awards + 1 ISF (International Sepsis Forum) award

A celebration of innovation and excellence in intensive care research!

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Filippo D’Amico @filippodamico.bsky.social · Mar 21

#ISICEM25 | Lennie Derde asks: Why is nobody using SDD despite strong evidence? 🤔💊

📊 Thousands of patients, consistent data, and mortality reduction, yet SDD remains underutilized.

🔹 Open questions:
•Availability
•Optimal regimen
•Impact on microbiome

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Filippo D’Amico @filippodamico.bsky.social · Mar 21

#ISICEM25 | Paul Elbers on when to stop antibiotics—insights from data science 🔬💊

🔹 19% of patients had antibiotics reinitiated frequently

Reinitiating antibiotics is linked to:
📈 Longer ICU stay (22.0 vs. 15.9 days)
⚠️ Higher 90-day mortality (40% vs. 25%)

Filippo D’Amico @filippodamico.bsky.social · Mar 21

#ISICEM25 | Antoni Torres on when to stop antibiotics in severe CAP 🦠💊

🔹 Outpatients: ≤5 days if stable
🔹 Non-severe inpatients: <5 days (minimum 3)
🔹 Severe CAP: ≥5 days if stable

Key question: Can clinical stability criteria from CAP be applied to SCAP patients on mechanical ventilation?

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Reposted by Filippo D’Amico

Teddy Tun Win HLA @teddyhla.bsky.social · Mar 21

Guys. Isicem is on Bsky. And follow @filippodamico.bsky.social and @tscquizzato.bsky.social for isicem tweets !!

👏🏽👏🏽👏🏽👏🏽👏🏽

isicem.bsky.social @isicem.bsky.social · Mar 6

ISICEM is more than a symposium—it’s the pulse of #IntensiveCare & #EmergencyMedicine.
A place where experts connect, ideas spark, and innovation shapes the future of patient care.
Be part of the movement!
🔗 isicem.org/1/Registration…#ISICEM252#TogetherAtISICEME#medicalinnovationon

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Filippo D’Amico @filippodamico.bsky.social · Mar 20

#ISICEM25 | Always fascinating to hear @MichardFrederic discuss the future of bedside screens 🖥️🔍

📊 Evolution to visual decision support tools
🔹 Turning data into knowledge
⚡ Faster & more accurate detection of abnormalities
🧠 Improving situation awareness & reducing cognitive workload

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Filippo D’Amico @filippodamico.bsky.social · Mar 20

#ISICEM25 | Michard Frederic on the future of bedside monitoring! 🚀📊

🔹 New ways to display monitoring variables
🔹 Advanced tools to visualize data
🔹 Seamless data integration into a single monitor
🔹 Data fusion—combining variables into one visual tool

Filippo D’Amico @filippodamico.bsky.social · Mar 20

#ISICEM25 | Vitaly Herasevich on building smart alerts in critical care ⚡🔍

🔹 No perfect detection algorithm exists—manual confirmation is key
🔹 Visual decision support tools enhance clinician feedback
🔹 Real-time compliance reports enable reinforced learning

Filippo D’Amico @filippodamico.bsky.social · Mar 20

#ISICEM25 | Michael R. Pinsky on Autonomous Diagnosis & Treatment of Circulatory Shock 🚑💡

🔹 The key to precision resuscitation:
•Is the patient in compensated shock?
•Will cardiac output improve with fluids?
•What is the arterial tone status?
•Can the heart sustain output without filling pressures?

Filippo D’Amico @filippodamico.bsky.social · Mar 20

#ISICEM25 | Michael Pinsky presents an algorithm for precise personalized resuscitation in shock management 🔄📊

🔹 Stepwise decision-making:
✅ Is the patient hemodynamically stable? If yes, do nothing.
✅ If unstable, assess preload responsiveness.
✅ If preload-responsive, evaluate vasomotor tone

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Filippo D’Amico @filippodamico.bsky.social · Mar 20

#ISICEM25 | Michael Pinsky on Functional Hemodynamic Monitoring & Closed-Loop Resuscitation 🔄📊

✅ Guided resuscitation with clear decision rules
✅ Standardized yet personalized fluid & vasopressor strategies
✅ Adaptable across ICUs, remote care, and austere environments

Looking at the future!

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Filippo D’Amico @filippodamico.bsky.social · Mar 20

#ISICEM25 | Lennie Derde on the future of sepsis treatment 🔬🦠

🚀 Moving beyond syndromes to treatable traits
🔹 Reframing immunobiology for better-targeted therapies
🎯 Immune modulation: precision over generalization
🧬 Metabolic reprogramming—a new frontier?

Filippo D’Amico @filippodamico.bsky.social · Mar 20

#ISICEM25 | Patricia Rocco on the future of ARDS treatment 🫁🔬

ARDS is heterogeneous, requiring tailored management strategies

Filippo D’Amico @filippodamico.bsky.social · Mar 20

#ISICEM25 | @fabio_taccone delivers a brilliantly clear presentation on Automated Pupillometry 👁️💡

"The conclusion is quite simple: If you think measuring pupils makes sense, the pupillometer is better than you!"

🔹 Objective, reproducible, and precise
🔹 Eliminates subjectivity in pupil assessment

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Filippo D’Amico @filippodamico.bsky.social · Mar 20

#ISICEM25 | Massimiliano Greco on wearable technologies and the future of ICU monitoring! 🚀📡

🔹 Increase mobility & physical therapy
🔹 Reduce invasive devices & sampling
🔹 Improve data visualization & reduce fatigue
🔹 Detect delirium earlier
🔹 Bridge monitoring gaps between ICU & wards

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