Raphaël Chambon MD
@drn4z.bsky.social
Intensive Care Practitioner. Cannes, France.
Interested in neuro ICU and electrophysiology
Proud dad of two and lover of one
He/him
https://orcid.org/0000-0001-6805-1267
Interested in neuro ICU and electrophysiology
Proud dad of two and lover of one
He/him
https://orcid.org/0000-0001-6805-1267
Peep 5 is like homeopathy. I would put vt 6ml/kg and put as much peep as I can to reach plateau pressure 30
December 8, 2025 at 4:42 AM
Peep 5 is like homeopathy. I would put vt 6ml/kg and put as much peep as I can to reach plateau pressure 30
En médecine/biologie la règle est que le premier auteur est celui qui écrit. Le dernier est souvent le responsable principal ou le professeur le plus gradé du service du labo. Après sur la quotité de travail dur a dire. Souvent des guerres de pouvoir.
December 1, 2025 at 12:42 PM
En médecine/biologie la règle est que le premier auteur est celui qui écrit. Le dernier est souvent le responsable principal ou le professeur le plus gradé du service du labo. Après sur la quotité de travail dur a dire. Souvent des guerres de pouvoir.
Comme dirait Brian Goldman. Un joueur de baseball légendaire ne touche que 40% des balles. C'est dur de soigner des proches
November 24, 2025 at 11:10 AM
Comme dirait Brian Goldman. Un joueur de baseball légendaire ne touche que 40% des balles. C'est dur de soigner des proches
I do sympathize so much. It's a blue finger intensive care.
November 16, 2025 at 7:28 PM
I do sympathize so much. It's a blue finger intensive care.
Yes but my only argument is there is not sufficient evidence. Then he goes in the details of Vaast and vanish. Then I say that vanish should disappear. Then details and secondary endpoints. And it goes on and on.
November 16, 2025 at 7:26 PM
Yes but my only argument is there is not sufficient evidence. Then he goes in the details of Vaast and vanish. Then I say that vanish should disappear. Then details and secondary endpoints. And it goes on and on.
But one of my colleagues is a strong believer. No conflicts of interest though. I don't know what to do.
November 16, 2025 at 7:17 PM
But one of my colleagues is a strong believer. No conflicts of interest though. I don't know what to do.
I do agree so much. I never found a moment when i need it.
November 16, 2025 at 6:43 PM
I do agree so much. I never found a moment when i need it.
I often say that 1L of normal saline is as much salt as in 1kg of crisps.
November 13, 2025 at 9:02 AM
I often say that 1L of normal saline is as much salt as in 1kg of crisps.
For me florali means that when people have hypoxic distress (not OAP) and need ventilation (hence musculary assistance) don't delay endotracheal intubation. Optiflow in that condition doesn't hide the exhaustion, Niv do. But in happy hypoxemia COVID, no worries. No psili.
November 13, 2025 at 6:15 AM
For me florali means that when people have hypoxic distress (not OAP) and need ventilation (hence musculary assistance) don't delay endotracheal intubation. Optiflow in that condition doesn't hide the exhaustion, Niv do. But in happy hypoxemia COVID, no worries. No psili.
I do agree on CPAP. But if the patient is exhausted or needing high fio2, prepare the tube. COVID made me move from the non NIV in cap.
November 12, 2025 at 8:31 AM
I do agree on CPAP. But if the patient is exhausted or needing high fio2, prepare the tube. COVID made me move from the non NIV in cap.
Et non. Après un début un peu tumultueux (8gamma/kg/min de nad ) une nuit de cvvh il s'est stabilisé. Et extubation a 48h. Il était jeune.
November 7, 2025 at 7:49 AM
Et non. Après un début un peu tumultueux (8gamma/kg/min de nad ) une nuit de cvvh il s'est stabilisé. Et extubation a 48h. Il était jeune.
Triple:
- acidocétose
- insuffisance rénale aiguë sur chronique
- acidose lactique avec surdosage en metformine
- acidocétose
- insuffisance rénale aiguë sur chronique
- acidose lactique avec surdosage en metformine
November 6, 2025 at 4:52 PM
Triple:
- acidocétose
- insuffisance rénale aiguë sur chronique
- acidose lactique avec surdosage en metformine
- acidocétose
- insuffisance rénale aiguë sur chronique
- acidose lactique avec surdosage en metformine
Rad. Ne pas reconsulter
Puis-je jouer?
Puis-je jouer?
November 6, 2025 at 10:07 AM
Rad. Ne pas reconsulter
Puis-je jouer?
Puis-je jouer?
I think it's more the opposite. Some people are rushing on A line. We have the evidence that right antibiotics, right diagnosis, and treatment that save lives need to be prioritised.
November 4, 2025 at 6:55 PM
I think it's more the opposite. Some people are rushing on A line. We have the evidence that right antibiotics, right diagnosis, and treatment that save lives need to be prioritised.
Cela dit j'en ai 7 mais avec moitié moins de lit. On est quitte!
November 3, 2025 at 5:45 PM
Cela dit j'en ai 7 mais avec moitié moins de lit. On est quitte!
So what would be the corner stones to judge?
October 29, 2025 at 9:38 AM
So what would be the corner stones to judge?
For us we prefer ketamin. No blood pressure jump, better sedation and visualisation, especially in agitated patient. Etomidate don't make people sleep.
October 28, 2025 at 6:06 AM
For us we prefer ketamin. No blood pressure jump, better sedation and visualisation, especially in agitated patient. Etomidate don't make people sleep.
I do agree with the fact that meningitis and enkephalitis are two distinct disease. So it's rare to give both treatment. Otherwise in bacterial meningitis the multiplex PCR change practice. We don't use probability but specific therapy when we can wait. Or just one try and we adapt
October 16, 2025 at 4:14 AM
I do agree with the fact that meningitis and enkephalitis are two distinct disease. So it's rare to give both treatment. Otherwise in bacterial meningitis the multiplex PCR change practice. We don't use probability but specific therapy when we can wait. Or just one try and we adapt
N'ayant pas lu le livre je ne peux que m'interroger sur ses raisons à lui. Pour être dans ces situations souvent j'ai l'impression qu'une grande partie du travail est d'écouter les patients et faire appliquer Claeys leonetti et Leonetti. Et je crois pas qu'un livre m'est utile.
September 20, 2025 at 4:57 PM
N'ayant pas lu le livre je ne peux que m'interroger sur ses raisons à lui. Pour être dans ces situations souvent j'ai l'impression qu'une grande partie du travail est d'écouter les patients et faire appliquer Claeys leonetti et Leonetti. Et je crois pas qu'un livre m'est utile.
Je comprends l'humanité. Les raisons qui motivent ses décisions. Et la nécessité de soulagement. Je comprends mal l'intérêt d'en faire un livre. En plus quand cela entraîne un tel impact sur sa vie.
September 20, 2025 at 4:36 PM
Je comprends l'humanité. Les raisons qui motivent ses décisions. Et la nécessité de soulagement. Je comprends mal l'intérêt d'en faire un livre. En plus quand cela entraîne un tel impact sur sa vie.
Same here in France. Ward or intensive care. Amikacin most. Some time just one day. Really High dose. For widening the spectrum.
July 24, 2025 at 7:59 PM
Same here in France. Ward or intensive care. Amikacin most. Some time just one day. Really High dose. For widening the spectrum.