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Critical Care Science @critcarescience.bsky.social · 16d

Do we underestimate right ventricle & venous system in #ICU?

➡️ RV function & VR: essential for🫀output & tissue perfusion
➡️ Guyton’s model & concept of mean systemic filling Press : insights into fluid & vasopressor management
🎯 Great narrative #Review

criticalcarescience.org/wp-content/u...

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Critical Care Science @critcarescience.bsky.social · 24d

👶🏼 How can we identify #palliativecare needs in newborns admitted to #NICU?

🇧🇷 study w/188 neonates in a ⬆️risk Brazilian maternity
➡️ Palineo Score developed using 7 clinical domains
➡️ Exceptional accuracy to guide early & appropriate #palliativecare

criticalcarescience.org/article-keyw...

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Critical Care Science @critcarescience.bsky.social · Sep 7

👨‍👩‍👧‍👦 Can liberalized family presence in the ICU improve care & how do we make it work?
➡️ Structured implementation involves planning, staff training, & family education.

🎯 Evidence shows benefits for patients, families, & care quality.

criticalcarescience.org/wp-content/u...

#ICU #PedsICU

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Critical Care Science @critcarescience.bsky.social · Sep 1

🤖 How can AI improve #ICU & what are the risks?
➡️ AI tools support diagnosis, prediction & resource allocation
➡️ concerns remain:bias, transparency, inequity & environmental impact
🎯 Mitigating bias is 🗝️to equitable implementation in ICUs.

criticalcarescience.org/wp-content/u...

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Critical Care Science @critcarescience.bsky.social · Aug 29

🌏 Can Brazil and ANZ build a new model of global collaboration in ICU ?

➡️ cross-continental alliances are no longer optional — they're essential

➡️ Brazil & ANZ bring complementary strengths: large populations, diverse ICU case-mix, & aligned values

www.sciencedirect.com/science/arti...

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Critical Care Science @critcarescience.bsky.social · Aug 7

‼️Call for Papers – Critical Care Science 🔎 Focus: Original Research from low- and middle-income countries 📎Deadline: November 1, 2025

#ICU #PedsICU #FoaMed #FoaCc #CCS #LMIC #sepsis #Some4MV

Submit your paper at:

criticalcarescience.org

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Critical Care Science @critcarescience.bsky.social · Jul 18

🧠 organ dysfunction has been incorporated into the core definition of pediatric #sepsis
❗️Pediatric delirium (PD) is a clear manifestation of CNS dysfunction, but PSS focuses only on GCS/pupils & omits delirium
Viewpoint 📝:

criticalcarescience.org/wp-content/u...

#PedsICU #pediatricDelirium #CCS

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Critical Care Science @critcarescience.bsky.social · Jun 28

🧒🏼 How is ped #palliative extubation in 🇧🇷 #PedsICU ?
➡️ Case series w/ 27 children (5 d–10 y) in a tertiary PICU
➡️ Main indications: neurological impairment & IMV weaning failure
➡️ Family presence & shared decision-making were part of most cases

criticalcarescience.org/article/prac...

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Reposted by Critical Care Science

Alexandre Serafim @2210alex.bsky.social · Jun 27

Important work from distinguished brazilian intensivists Daniela Souza, José Colleti e Andrea Ventura

Critical Care Science @critcarescience.bsky.social · Jun 27

🦠 Do 🇧🇷pediatricians recognize #sepsis & septic shock accurately?
🇧🇷 355 physicians
🔹 Most participants relied on SIRS-based criteria, intuition & clinical signs for diagnosis
🔹 Only 31.3% & 30% correctly identified sepsis & severe sepsis

#PedsICU #FoaMcc

criticalcarescience.org/article/unco...

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Critical Care Science @critcarescience.bsky.social · Jun 27

🦠 Do 🇧🇷pediatricians recognize #sepsis & septic shock accurately?
🇧🇷 355 physicians
🔹 Most participants relied on SIRS-based criteria, intuition & clinical signs for diagnosis
🔹 Only 31.3% & 30% correctly identified sepsis & severe sepsis

#PedsICU #FoaMcc

criticalcarescience.org/article/unco...

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Critical Care Science @critcarescience.bsky.social · Jun 19

🔎 Have we truly advanced in #GenderEquity in critical care medicine?

➡️ Women remain underrepresented in leadership, authorship,grant awards
➡️ Initiatives exist,but structural barriers & workplace culture continue to limit progress

criticalcarescience.org/article/gend...

#ICU #PedsICU #WomenInICU

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Critical Care Science @critcarescience.bsky.social · Jun 18

🫁 Can 1 hour of positive pressure ventilation post SBT reduce extubation failure?
🔹Multicenter feasibility #RCT in 🇧🇷 w/65 #ICU pts
🔹 Pts ventilated >72h were randomized after successful SBT;
🔹 Extub failure in 7 d: 28.1% (intervention) vs. 42.4% (control)

criticalcarescience.org/wp-content/u...

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Critical Care Science @critcarescience.bsky.social · Jun 14

💧 Should fluid therapy in #ICU pts be shorter & more strategic?

🔹 Excessive fluid resuscitation=worse outcomes;
🔹#ROSE model & deresuscitation strategies aim to balance perfusion+ 💧 overload;
🔹Tools like US & bioimpedance can guide safe fluid removal

criticalcarescience.org/article/flui...

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Critical Care Science @critcarescience.bsky.social · Jun 6

🤖 Can artificial intelligence improve prediction of postoperative complications #ICU patients?

🔹 #AI models integrate perioperative data to identify at-risk patients
🔹 Applications include AKI, sepsis, mortality, ICU admission &more.

criticalcarescience.org/article/arti...

#ICU #PedsICU

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Critical Care Science @critcarescience.bsky.social · Jun 4

🏥 Can general intermediate care units (IMCUs) improve #ICU efficiency & patient safety?
🔹 IMCUs fill the gap between wards & ICUs
🔹 Reduce readmissions & optimize patient allocation
🔹 Improve comfort, allow family presence & enhance monitoring.

criticalcarescience.org/article/gene...

#CCS

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Critical Care Science @critcarescience.bsky.social · Jun 3

🧠 Bayesian analysis in #clinicaltrials: how does it differ from the traditional approach?

❗️Bayesian analysis is being used w/ increasing frequency in #ICU research & brings advantages/disadvantages compared to traditional Frequentist techniques
#Review

criticalcarescience.org/article/unde...

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Critical Care Science @critcarescience.bsky.social · May 27

🕯️ The legacy of Prof. Rinaldo Bellomo for critical care & scientific publishing

➡️Special Editorial

➡️ A pioneer, mentor, & visionary in #ICU medicine

➡️ His legacy continues to inspire a more inclusive, ambitious &collaborative ICU community

criticalcarescience.org/wp-content/u...

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Critical Care Science @critcarescience.bsky.social · May 26

#BRICnet: shaping the landscape of #ICU research in 🇧🇷 & beyond.
🔹Founded in 2007, has become a leading clinical research network in ICU;
➡️ 71 publications
➡️ 15 RCTs & 14 obs.studies
➡️ Strategic partnerships w/ international networks like ANZICS, CCCTG, ESICM

criticalcarescience.org/article/braz...

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Critical Care Science @critcarescience.bsky.social · May 18

🦠 Improving sepsis outcomes in 🇧🇷
Strategies & initiatives

➡️ @ILASepse has led initiatives focused on awareness, education & quality of care
✅ In this viewpoint, authors discuss recent strategies & initiatives aimed at ⬇️ burden of #sepsis

criticalcarescience.org/article/impr...

#ICU #PedsiCU

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Critical Care Science @critcarescience.bsky.social · May 15

📺 CPR in 🇧🇷 medical television shows: a descriptive &quality assessment study
➡️Analysis of 59 CPR scenes from 3 🇧🇷 medical TV shows
➡️ Major deviations from ACLS guidelines were common: delayed CPR, incorrect defibrillation, poor airway management.
#ICU #PedsICU

criticalcarescience.org/article/card...

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Critical Care Science @critcarescience.bsky.social · May 13

🏠 Home care after #ICU discharge:a global perspective on challenges & opportunities
⬆️readmission rates & long-term disabilities after ICU discharge;
🔹Home visits & follow-up calls ⬇️ readmissions & improve outcomes
#FoaMed #FoaMcc #PedsICU #CriticalCareScience

criticalcarescience.org/article/home...

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Reposted by Critical Care Science

Vanessa S. Lanziotti @vslanziotti.bsky.social · May 3

Im proud & honored to be part of editorial board of @critcarescience.bsky.social, full open access journal -no fee for authors & readers.
As science should be!
CCS is the official journal of associação de medicina intensiva brasileira & Sociedade Portuguesa de cuidados intensivos.
#ICU #PedsICU

Critical Care Science @critcarescience.bsky.social · May 3

🔵Message from our Editor-in-chief
🔹Advancing for Growth, Quality, & Global Visibility in 2025
We are proud to announce key updates that mark a new phase for CCS:
➡️ New visual identity
➡️ Expanded Editorial Board: more diverse,international experts
➡️ Updated Author Guidelines

criticalcarescience.org

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Critical Care Science @critcarescience.bsky.social · May 3

🔵Message from our Editor-in-chief
🔹Advancing for Growth, Quality, & Global Visibility in 2025
We are proud to announce key updates that mark a new phase for CCS:
➡️ New visual identity
➡️ Expanded Editorial Board: more diverse,international experts
➡️ Updated Author Guidelines

criticalcarescience.org

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Critical Care Science @critcarescience.bsky.social · Apr 30

📚 Translation, cross-cultural adaptation & clinimetric evaluation of the Chelsea Critical Care Physical Assessment (CPAx) for Brazilian Portuguese:

🔹 ⬆️content validity index (CVI 0.91);
🔹 Excellent interrater reliability (ICC 0.997)

#FoaMed #ICU #FoaMcc

criticalcarescience.org/article/braz...

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Critical Care Science @critcarescience.bsky.social · Apr 30

💉 Are sedation practices different for patients intubated in the #ED compared to the #ICU?
➡️ Retrospective cohort study comparing sedation practices between ED & ICU pts
🔹 264 pts included (95 ED vs. 169 ICU);
See the results at:
criticalcarescience.org/article/seda...

#ICU #PedsICU #FoaMed #FoaMCc

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