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Mashup Score: 6
Systemic sclerosis (SSc) is a chronic, autoimmune disease involving small vessels characterized by skin and internal organs fibrosis. Interstitial lung disease (ILD) is one of the main findings, alon…
Source: onlinelibrary.wiley.comCategories: General Medicine News, Critical CareTweet
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Mashup Score: 6
Systemic sclerosis (SSc) is a chronic, autoimmune disease involving small vessels characterized by skin and internal organs fibrosis. Interstitial lung disease (ILD) is one of the main findings, alon…
Source: onlinelibrary.wiley.comCategories: General Medicine News, Critical CareTweet
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Mashup Score: 47
A few words about it… HR2025 is about putting it all together. We’ve been talking about the venous side for a long time and it has been fantastic seeing how much it has taken off – at l…
Source: thinkingcriticalcare.comCategories: General Medicine News, Critical CareTweet
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Mashup Score: 19Interfaces with Rory Spiegel (@EMNerd)! - 1 month(s) ago
This is “Interfaces with Rory Spiegel (@EMNerd)!” by @ThinkingCC / CCUS Institute on Vimeo, the home for high quality videos and the people who love them.
Source: vimeo.comCategories: General Medicine News, Critical CareTweet
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Mashup Score: 13
Background Fluid administration has traditionally focused on preload responsiveness (PR). However, preventing fluid intolerance, particularly due to systemic venous congestion (VC), is equally important. This study evaluated the incidence and predictability of VC following a 7 ml/kg crystalloid infusion in fluid-tolerant preload-responders and its association with adverse outcomes. Methods This single-center, prospective, observational study (May 2023–July 2024) included 40 consecutive patients who were mechanically ventilated within 6 h of intensive care unit (ICU) admission after elective open-heart surgery and had acute circulatory failure. Patients were eligible if they were both fluid-tolerant and preload-responsive. PR was defined as a ≥ 12% increase in left-ventricular outflow tract velocity time integral (LVOT-VTI) 1 min after a passive leg raising (PLR) test. VC was defined by a portal vein pulsatility index (PVPI) ≥ 50%. Patients received a 7 ml/kg Ringer’s Lactate infusion o
Source: ccforum.biomedcentral.comCategories: General Medicine News, Critical CareTweet
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Mashup Score: 2With Trump’s Victory, Schools Offer ‘Post-Election Wellness Spaces’ - 1 month(s) ago
Canceled classes, erased grades, and individual counseling: Universities rush to console their ‘grieving’ students.
Source: www.thefp.comCategories: General Medicine News, Critical CareTweet
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Mashup Score: 1Large National Review Logo - 2 month(s) ago
West Virginia attorney general Patrick Morrisey has filed a suit in support of the five middle-school girls who were banned from an upcoming track event after they forfeited a shot put competition against a biological male. “I will do everything in my power to defend these brave young girls,” Morrisey said Monday. “This is just wrong. We must stand for what’s right and oppose these radical trans policies.” On April 18, the girls participated in the Harrison County Middle School Championships. Becky
Source: www.nationalreview.comCategories: General Medicine News, Critical CareTweet
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Mashup Score: 46
A few words about it… HR2025 is about putting it all together. We’ve been talking about the venous side for a long time and it has been fantastic seeing how much it has taken off – at l…
Source: thinkingcriticalcare.comCategories: General Medicine News, Critical CareTweet
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Mashup Score: 13
Background Fluid administration has traditionally focused on preload responsiveness (PR). However, preventing fluid intolerance, particularly due to systemic venous congestion (VC), is equally important. This study evaluated the incidence and predictability of VC following a 7 ml/kg crystalloid infusion in fluid-tolerant preload-responders and its association with adverse outcomes. Methods This single-center, prospective, observational study (May 2023–July 2024) included 40 consecutive patients who were mechanically ventilated within 6 h of intensive care unit (ICU) admission after elective open-heart surgery and had acute circulatory failure. Patients were eligible if they were both fluid-tolerant and preload-responsive. PR was defined as a ≥ 12% increase in left-ventricular outflow tract velocity time integral (LVOT-VTI) 1 min after a passive leg raising (PLR) test. VC was defined by a portal vein pulsatility index (PVPI) ≥ 50%. Patients received a 7 ml/kg Ringer’s Lactate infusion o
Source: ccforum.biomedcentral.comCategories: General Medicine News, Critical CareTweet
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Mashup Score: 86
Background It is uncertain whether fluid administration can improve patients with systemic venous congestion and haemodynamic instability. This study aimed to describe the changes in systemic venous congestion and peripheral perfusion parameters induced by a fluid challenge in these patients, and to analyse the influence of the fluid responsiveness status on these changes. Methods The study is a single-centre prospective cohort study of 36 critically ill ICU patients with haemodynamic instability and a maximum vena cava diameter ≥ 20 mm. Changes in cardiac index during a fluid challenge (4 mL/kg of lactated Ringer’s solution during 5 min) assessed by pulse contour analysis, central venous pressure, ultrasound systemic congestion parameters (portal venous flow pulsatility index, supra hepatic and intrarenal venous Doppler), and peripheral perfusion parameters (capillary refill time and peripheral perfusion index) were assessed in the overall population. All these data were compared betw
Categories: General Medicine News, Critical CareTweet
RT @SergioVelM: Using RVOT morphology to guide vasodilatory therapy in systemic sclerosis. https://t.co/7P6KLaDxoZ @ThinkingCC @NephroP…