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Hayley Gershengorn @hbgmd.bsky.social · 1d

🤞 Ever wish we had a tool to accurately predict HFNC failure? 🛠️

J Taylor & colleagues look at ROX…

www.chestcc.org/article/S294...

✳️ SPOILER ALERT ✳️
… it seems to “work” 😊

#journal_CHESTCritCare
#OpenAccess

@accpchest.bsky.social

Hayley Gershengorn @hbgmd.bsky.social · 3d

☔️ It’s raining #journal_CHESTCritCare research!

Out today, 🥉 studies to:

*️⃣ eval processes to support surrogate decision makers

*️⃣ assess use of lactate clearance in post-op ♥️ surgery

*️⃣ compare exposure & outcomes across opioid drugs in ARF

All at:
chestcc.org

@accpchest.bsky.social

Hayley Gershengorn @hbgmd.bsky.social · 9d

It’s back! …#journal_CHESTCritCare’s A.T.L.A.S. 🗺️

@annajanas.bsky.social & colleagues from ⭐️Around The Land and Across Specialties⭐️ discuss how the “Oxy-PICU” trial impacts their care:

www.chestcc.org/article/S294...

To learn about the ATLAS series:
www.chestcc.org/article/S294...

#OpenAccess

Hayley Gershengorn @hbgmd.bsky.social · 9d

Editorials bring studies into great focus 🔬 :

✔️ out a new one by A Khan & S Giovanni for Arita et Al’s recent pub:

Ed: www.chestcc.org/article/S294...

Art: www.chestcc.org/article/S294...

#journal_CHESTCritCare
#OpenAccess

@accpchest.bsky.social

Hayley Gershengorn @hbgmd.bsky.social · 11d

🏃‍♀️ I try so hard to keep up…

…but sometimes it’s just too much!

#journal_CHESTCritCare had 3 new pubs today & there’s something for everyone:

1️⃣ editorial (re iNO)
1️⃣ review (re AI)
1️⃣ study (re EOL care)

✅ them out… all #OpenAccess:

www.chestcc.org

@accpchest.bsky.social

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Hayley Gershengorn @hbgmd.bsky.social · 11d

🧩+🧩? …ever thought to add immunomodulators together?

A Shorr & colleagues 👀 at vilobelimab added to others in COVID, just out in #journal_CHESTCritCare:

www.chestcc.org/article/S294...

Could this stacked approach have value in other viral pneumonia?

@accpchest.bsky.social

Hayley Gershengorn @hbgmd.bsky.social · 16d

I ❤️ numbers in the ICU… but what if they aren’t accurate?

@mdspraider.bsky.social et al evaluated whether the airway pressures we see on ventilators 🟰 the tracheal P during iMV…

✴️ SPOILER ALERT ✴️ …nope!

www.chestcc.org/article/S294...

✔️ it out in #journal_CHESTCritCare

@accpchest.bsky.social

Hayley Gershengorn @hbgmd.bsky.social · 16d

💰…🤕 Curious about the interplay of financial hardship & ICU patient outcomes❓

Just out in #journal_CHESTCritCare, Uyeda & colleagues look at:
1️⃣ risk factors of $ hardship &
2️⃣ association of hardship w outcomes:

www.chestcc.org/article/S294...

@accpchest.bsky.social

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Reposted by Hayley Gershengorn

Annals of the ATS @annalsats.bsky.social · 17d

Association of Intensive Care Unit Patient-to-Clinician Ratios with Mortality across Two U.S. Health Systems
@hbgmd.bsky.social @hwunsch.bsky.social
@atscommunity.bsky.social #medsky

🔗 tinyurl.com/3b9u5ppv

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Hayley Gershengorn @hbgmd.bsky.social · 21d

🔴🔵🟢🟡 Editorials help give research studies more color…

See what you think with Hadler & Kohn’s ⭐️editorial⭐️:

Ed: www.chestcc.org/article/S294...

Article: www.chestcc.org/article/S294...

#journal_CHESTCritCare is all #OpenAccess!

@accpchest.bsky.social

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Hayley Gershengorn @hbgmd.bsky.social · 27d

🩻 ARDS occurs in trauma… but what about spinal cord injury specifically?

Just out in #journal_CHESTCritCare, Lozano & colleagues learn:
➡️ how often?
➡️ in whom?

www.chestcc.org/article/S294...

@accpchest.bsky.social

Hayley Gershengorn @hbgmd.bsky.social · 27d

Is there a “just right” reintubation rate? 🐻

Arita et al explore the association of reintub rate w outcomes, just released in #journal_CHESTCritCare:

www.chestcc.org/article/S294...

I was surprised by their findings 😳

@accpchest.bsky.social

Hayley Gershengorn @hbgmd.bsky.social · 29d

🎁 It’s here… & it’s bigger than ever…

#journal_CHESTCritCare, vol 3, iss 3 is out!

www.chestcc.org/current

✳️ 15 res articles
✳️ 1 review
✳️ 1 special feature
✳️ 1 US corner case series
✳️ 7 editorials
✳️ 3 letters

It’s #OpenAccess, so what’s your excuse to not look? 👀

@accpchest.bsky.social

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Hayley Gershengorn @hbgmd.bsky.social · Sep 10

🤔 Ever wonder if our ICU families experience trauma? Esp those w a trauma history?

D Ashana & colleagues 👀 at just that thru interviews w 26 family members, just out in #journal_CHESTCritCare:

www.chestcc.org/article/S294...

#OpenAccess

@joannahart.bsky.social
@accpchest.bsky.social

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Hayley Gershengorn @hbgmd.bsky.social · Sep 10

SpO2 👆 is better vs SaO2 🩸, bc it’s noninvasive…

…but it must be accurate for all 🧒🏽👩🏼👨🏿… & it hasn’t been ☹️

Just out in #journal_CHESTCritCare, Travers et al report the pilot results of a prosp study w skin tone:

www.chestcc.org/article/S294...

@accpchest.bsky.social
@andrewgoodwin.bsky.social

Hayley Gershengorn @hbgmd.bsky.social · Sep 3

✔️ out Kelly Toth & Leanne Boehm’s editorial, just out today…

Ed: www.chestcc.org/article/S294...

Article: www.chestcc.org/article/S294...

#journal_CHESTCritCare
#OpenAccess

@accpchest.bsky.social

Hayley Gershengorn @hbgmd.bsky.social · Sep 3

💭 What’s the right steroid & dose for ARDS? 🩻

…dexamethasone, hydrocortisone, or methylprednisolone… 💉

Imai & colleagues perform a 🌟network meta-analysis🌟 in COVID & non-COVID patients, just out in #journal_CHESTCritCare:

www.chestcc.org/article/S294...

@accpchest.bsky.social

Reposted by Hayley Gershengorn

Cathy Gao-Howard MD MS @catgaohow.bsky.social · Aug 25

2/ 🔑 Risks: coagulopathy, longer ventilation, closed suction
⚠️ Ppeak ↑ but not clinically useful as many blocked tubes did not have this elevation!
Full paper: www.chestcc.org/article/S294... @hbgmd.bsky.social
@chriscarrollmd.com
@accpchest.bsky.social

Mapping the Epidemiologic Features of Endotracheal Tube Obstruction

Moderate ETB was more prevalent in patients in the ICU, with significant factors including coagulopathy, closed suction practice, and mechanical ventilation duration. Ppeak alarms lacked clinical impa...

www.chestcc.org

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Hayley Gershengorn @hbgmd.bsky.social · Aug 26

❓ Are you a lumper or a splitter… or a transporter?

Flick & colleagues query whether sepsis survivor subtypes are 🚀transportable🚀 to ARDS survivors, just out in #journal_CHESTCritCare:

www.chestcc.org/article/S294...

@tvalley.bsky.social
@iwashyna.bsky.social
@accpchest.bsky.social

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Hayley Gershengorn @hbgmd.bsky.social · Aug 24

It’s a real gift 🎁, to be able to give a dying person a comfortable death…

…but: What if we fail? What if they’re in pain/distress? 😩🫨

Just out in #journal_CHESTCritCare, Fehnel et al look at how often this happens:

www.chestcc.org/article/S294...

👀, it’s #OpenAccess!

@accpchest.bsky.social

Hayley Gershengorn @hbgmd.bsky.social · Aug 24

🧐 Ever wonder what happens to the patients who don’t get a requested VV-ECMO cannulation? 🫁

Just out in #journal_CHESTCritCare, Dinh & colleagues show us…

www.chestcc.org/article/S294...

#OpenAccess

@accpchest.bsky.social

Reposted by Hayley Gershengorn

Cathy Gao-Howard MD MS @catgaohow.bsky.social · Aug 11

Just how reliable are bedside sputum assessments anyway? 📄 Schuiteman et al in #journal_CHESTCritCare @accpchest.bsky.social www.chestcc.org/article/S294...

📍 10 ventilated pts, videos/photos shown to 383 ICU staff
📍 Gold standard = gram stain PMNs

@hbgmd.bsky.social @chriscarrollmd.com #MedSky

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Reposted by Hayley Gershengorn

ASHE Journal @ashejournal.bsky.social · Aug 8

From @hbgmd.bsky.social @hwunsch.bsky.social: Use of early PCR-based MRSA nasal swabs varied across US hospitals and increased over time from 2008-2021. Receiving care in a hospital with higher swab use was associated with shorter anti-MRSA antibiotic duration.
doi.org/10.1017/ash....

Methicillin-resistant Staphylococcus aureus nasal swabs: trends in use and association with outcomes | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Methicillin-resistant Staphylococcus aureus nasal swabs: trends in use and association with outcomes - Volume 5 Issue 1

doi.org

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Hayley Gershengorn @hbgmd.bsky.social · Aug 6

❓ What does iNO do in the setting of COVID pneumonia? 🫁

Does it differ by respiratory support modality?

T Ramaswamy & colleagues explore these ?s:

www.chestcc.org/article/S294...

#journal_CHESTCritCare is all #OpenAccess!

@accpchest.bsky.social

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Hayley Gershengorn @hbgmd.bsky.social · Aug 6

Sometimes we need to consider unexpected tools 🛠️…

Just out in #journal_CHESTCritCare, Auld & colleagues 👀 at cyproheptadine for COVID as part of the I-SPY platform 🕵️‍♂️:

www.chestcc.org/article/S294...

Learn about the adaptive platform trial infrastructure (#OpenAccess)

@accpchest.bsky.social

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