Guillaume Emeriaud
@gemeriaud.bsky.social
pediatric intensivist #PedsICU CHU SteJustine, Univ de Montreal
Father and grand-father! Interested in pediatric ventilation, PARDS, neuromonitoring,...and environmental protection.
Father and grand-father! Interested in pediatric ventilation, PARDS, neuromonitoring,...and environmental protection.
Absent/low drive is associated with higher mortality and later ICU discharge.
Excessive effort (very hig Pocc, 25-30 or more) also associated with adverse outcomes especially in patients with PF<150
Excessive effort (very hig Pocc, 25-30 or more) also associated with adverse outcomes especially in patients with PF<150
November 26, 2025 at 2:25 PM
Absent/low drive is associated with higher mortality and later ICU discharge.
Excessive effort (very hig Pocc, 25-30 or more) also associated with adverse outcomes especially in patients with PF<150
Excessive effort (very hig Pocc, 25-30 or more) also associated with adverse outcomes especially in patients with PF<150
Absent drive is very frequent (80%+ of the time)
November 26, 2025 at 2:24 PM
Absent drive is very frequent (80%+ of the time)
Interesting cohort (adult) study in Canada on the association between respiratory drive and outcome. Limited by the observational design, but well done… and supporting the Lung and Diaphragm protective ventilation concept.
#PedsICU
www.sciencedirect.com/science/arti...
#PedsICU
www.sciencedirect.com/science/arti...
November 26, 2025 at 2:24 PM
Interesting cohort (adult) study in Canada on the association between respiratory drive and outcome. Limited by the observational design, but well done… and supporting the Lung and Diaphragm protective ventilation concept.
#PedsICU
www.sciencedirect.com/science/arti...
#PedsICU
www.sciencedirect.com/science/arti...
La LOI-2 dehors
Les ENFANTS d'Abord !
les 4 centres pédiatriques du QC manifestaient à midi... il faut sauver les soins de qualité pour tous les enfants, et la loi 2 nous fera reculer. #NonLoi2
Les ENFANTS d'Abord !
les 4 centres pédiatriques du QC manifestaient à midi... il faut sauver les soins de qualité pour tous les enfants, et la loi 2 nous fera reculer. #NonLoi2
November 16, 2025 at 10:15 PM
La LOI-2 dehors
Les ENFANTS d'Abord !
les 4 centres pédiatriques du QC manifestaient à midi... il faut sauver les soins de qualité pour tous les enfants, et la loi 2 nous fera reculer. #NonLoi2
Les ENFANTS d'Abord !
les 4 centres pédiatriques du QC manifestaient à midi... il faut sauver les soins de qualité pour tous les enfants, et la loi 2 nous fera reculer. #NonLoi2
Mobilisation massive !
On ne peut pas laisser la situation pourrir...
On ne peut pas laisser la situation pourrir...
November 14, 2025 at 5:58 PM
Mobilisation massive !
On ne peut pas laisser la situation pourrir...
On ne peut pas laisser la situation pourrir...
Les pédiatres n'acceptent pas la Loi 2, pour défendre les soins aux enfants !
«Nos enfants et nos ados: 20% de la population, 100% de notre avenir, 0% de la Loi»
Dimanche 16 novembre, à midi, manifestons devant le CHU Ste Justine et les 4 CHU pédiatriques pour le futur des enfants!
#StopLoi2
«Nos enfants et nos ados: 20% de la population, 100% de notre avenir, 0% de la Loi»
Dimanche 16 novembre, à midi, manifestons devant le CHU Ste Justine et les 4 CHU pédiatriques pour le futur des enfants!
#StopLoi2
November 14, 2025 at 5:56 PM
Les pédiatres n'acceptent pas la Loi 2, pour défendre les soins aux enfants !
«Nos enfants et nos ados: 20% de la population, 100% de notre avenir, 0% de la Loi»
Dimanche 16 novembre, à midi, manifestons devant le CHU Ste Justine et les 4 CHU pédiatriques pour le futur des enfants!
#StopLoi2
«Nos enfants et nos ados: 20% de la population, 100% de notre avenir, 0% de la Loi»
Dimanche 16 novembre, à midi, manifestons devant le CHU Ste Justine et les 4 CHU pédiatriques pour le futur des enfants!
#StopLoi2
Mais à part ca...
tout va très bien tout va très bien
tout va très bien tout va très bien
October 30, 2025 at 6:06 PM
Mais à part ca...
tout va très bien tout va très bien
tout va très bien tout va très bien
La pire qualité de l’air de nouveau… on alterne avec les inondations et les chaleurs accablantes …
mais bien sûr on essaie de nous faire croire que ca manque de pipelines et GNL. Stop les énergies fossiles!
mais bien sûr on essaie de nous faire croire que ca manque de pipelines et GNL. Stop les énergies fossiles!
July 26, 2025 at 3:34 PM
La pire qualité de l’air de nouveau… on alterne avec les inondations et les chaleurs accablantes …
mais bien sûr on essaie de nous faire croire que ca manque de pipelines et GNL. Stop les énergies fossiles!
mais bien sûr on essaie de nous faire croire que ca manque de pipelines et GNL. Stop les énergies fossiles!
Interesting study by #LARed network, describing the respiratory support in 7374 #PedsICU patients.
NRS used in 84% patients, with a 85% success rate 👍
NIV failure not associated with worse PICU LOS or vent duration compared to primary IMV
doi.org/10.1016/j.jo...
NRS used in 84% patients, with a 85% success rate 👍
NIV failure not associated with worse PICU LOS or vent duration compared to primary IMV
doi.org/10.1016/j.jo...
April 17, 2025 at 3:46 PM
Interesting study by #LARed network, describing the respiratory support in 7374 #PedsICU patients.
NRS used in 84% patients, with a 85% success rate 👍
NIV failure not associated with worse PICU LOS or vent duration compared to primary IMV
doi.org/10.1016/j.jo...
NRS used in 84% patients, with a 85% success rate 👍
NIV failure not associated with worse PICU LOS or vent duration compared to primary IMV
doi.org/10.1016/j.jo...
Great Editorial note in @pedcritcaremed.bsky.social by @robertctasker.bsky.social on the advances in knowledge about #PARDS since PALICC-2, and some great suggestions on what still needs to be done.
#PedsICU
journals.lww.com/pccmjournal/...
#PedsICU
journals.lww.com/pccmjournal/...
April 7, 2025 at 12:52 PM
Great Editorial note in @pedcritcaremed.bsky.social by @robertctasker.bsky.social on the advances in knowledge about #PARDS since PALICC-2, and some great suggestions on what still needs to be done.
#PedsICU
journals.lww.com/pccmjournal/...
#PedsICU
journals.lww.com/pccmjournal/...
Great editorial by N Yehya and @markpicu.bsky.social about the importance to conduct research in #PedsICU and the critical need to use alternative model to obtain the parental consent, in those critical situations.
Based on great data by Furyk and coll.
journals.lww.com/pccmjournal/...
Based on great data by Furyk and coll.
journals.lww.com/pccmjournal/...
March 15, 2025 at 12:04 PM
Great editorial by N Yehya and @markpicu.bsky.social about the importance to conduct research in #PedsICU and the critical need to use alternative model to obtain the parental consent, in those critical situations.
Based on great data by Furyk and coll.
journals.lww.com/pccmjournal/...
Based on great data by Furyk and coll.
journals.lww.com/pccmjournal/...
Agree ! It's time for Canada to get closer to friendly countries that still share our moral vision!
portal.europeanmovement.eu/european_mov...
portal.europeanmovement.eu/european_mov...
March 7, 2025 at 6:16 PM
Agree ! It's time for Canada to get closer to friendly countries that still share our moral vision!
portal.europeanmovement.eu/european_mov...
portal.europeanmovement.eu/european_mov...
Interesting paper by @benrwhite.bsky.social and #Bacon large cohort : 42% of infants intubated with bronchiolitis have #PARDS, and this is associated with adverse outcomes.
#PedsICU
journals.lww.com/pccmjournal/...
#PedsICU
journals.lww.com/pccmjournal/...
March 7, 2025 at 1:42 PM
Interesting paper by @benrwhite.bsky.social and #Bacon large cohort : 42% of infants intubated with bronchiolitis have #PARDS, and this is associated with adverse outcomes.
#PedsICU
journals.lww.com/pccmjournal/...
#PedsICU
journals.lww.com/pccmjournal/...
The US has lost all credibility in the world
February 28, 2025 at 7:09 PM
The US has lost all credibility in the world
@ccctg.bsky.social the best place to discuss/prepare future projects ! With the best #pedsICU team !
@cra-chusj.bsky.social
@cra-chusj.bsky.social
January 23, 2025 at 6:38 PM
@ccctg.bsky.social the best place to discuss/prepare future projects ! With the best #pedsICU team !
@cra-chusj.bsky.social
@cra-chusj.bsky.social
Of the 10 most widely read articles in JAMA Peds in 2024, 4 relate to screen time and are worrying...
It is important to follow the recommendations of pediatric societies!
soinsdenosenfants.cps.ca/handouts/beh...
By the way, vaccination is safe...
read.alerts.jamanetwork.com/csb/Public/s...
It is important to follow the recommendations of pediatric societies!
soinsdenosenfants.cps.ca/handouts/beh...
By the way, vaccination is safe...
read.alerts.jamanetwork.com/csb/Public/s...
December 20, 2024 at 2:45 PM
Of the 10 most widely read articles in JAMA Peds in 2024, 4 relate to screen time and are worrying...
It is important to follow the recommendations of pediatric societies!
soinsdenosenfants.cps.ca/handouts/beh...
By the way, vaccination is safe...
read.alerts.jamanetwork.com/csb/Public/s...
It is important to follow the recommendations of pediatric societies!
soinsdenosenfants.cps.ca/handouts/beh...
By the way, vaccination is safe...
read.alerts.jamanetwork.com/csb/Public/s...
4 sur les 10 articles les + lus de JAMApeds en 2024 portent sur le temps d'écran des enfants et sont préoccupants!
Il est important de respecter les recommandations des sociétés pédiatriques
soinsdenosenfants.cps.ca/handouts/beh...
read.alerts.jamanetwork.com/csb/Public/s...
Il est important de respecter les recommandations des sociétés pédiatriques
soinsdenosenfants.cps.ca/handouts/beh...
read.alerts.jamanetwork.com/csb/Public/s...
December 20, 2024 at 2:44 PM
4 sur les 10 articles les + lus de JAMApeds en 2024 portent sur le temps d'écran des enfants et sont préoccupants!
Il est important de respecter les recommandations des sociétés pédiatriques
soinsdenosenfants.cps.ca/handouts/beh...
read.alerts.jamanetwork.com/csb/Public/s...
Il est important de respecter les recommandations des sociétés pédiatriques
soinsdenosenfants.cps.ca/handouts/beh...
read.alerts.jamanetwork.com/csb/Public/s...
Great collaborative work by A Kawagushi /P Jouvet on Prolonged vent in #PedsICU across the globe.
A complex and frequent (25% prevalence) condition, with high mortality rate.
Heterogeneity reflecting between site differences...and the lack of evidence...
www.sciencedirect.com/science/arti...
A complex and frequent (25% prevalence) condition, with high mortality rate.
Heterogeneity reflecting between site differences...and the lack of evidence...
www.sciencedirect.com/science/arti...
December 19, 2024 at 8:39 PM
Great collaborative work by A Kawagushi /P Jouvet on Prolonged vent in #PedsICU across the globe.
A complex and frequent (25% prevalence) condition, with high mortality rate.
Heterogeneity reflecting between site differences...and the lack of evidence...
www.sciencedirect.com/science/arti...
A complex and frequent (25% prevalence) condition, with high mortality rate.
Heterogeneity reflecting between site differences...and the lack of evidence...
www.sciencedirect.com/science/arti...
Important RCT conducted in 1800+ adults with different type of respiratory distress, testing NIV vs HFNC.
Interestingly, median NIV use duration was 10-12hrs...
This seems very different from #PedsICU NIV practice (infants/child are more compliant!)...extrapolation should be prudent!
Interestingly, median NIV use duration was 10-12hrs...
This seems very different from #PedsICU NIV practice (infants/child are more compliant!)...extrapolation should be prudent!
December 11, 2024 at 2:17 PM
Important RCT conducted in 1800+ adults with different type of respiratory distress, testing NIV vs HFNC.
Interestingly, median NIV use duration was 10-12hrs...
This seems very different from #PedsICU NIV practice (infants/child are more compliant!)...extrapolation should be prudent!
Interestingly, median NIV use duration was 10-12hrs...
This seems very different from #PedsICU NIV practice (infants/child are more compliant!)...extrapolation should be prudent!
2024 Lancet Countown...
We are falling behind schedule, + more impact on the planet, and these delays will be very costly (in money and human lifes). Healthcare systems (esp in rich countries) contribute a lot, and have rising GHG emissions (+36% since 2016).
www.sciencedirect.com/science/arti...
We are falling behind schedule, + more impact on the planet, and these delays will be very costly (in money and human lifes). Healthcare systems (esp in rich countries) contribute a lot, and have rising GHG emissions (+36% since 2016).
www.sciencedirect.com/science/arti...
November 11, 2024 at 8:33 PM
2024 Lancet Countown...
We are falling behind schedule, + more impact on the planet, and these delays will be very costly (in money and human lifes). Healthcare systems (esp in rich countries) contribute a lot, and have rising GHG emissions (+36% since 2016).
www.sciencedirect.com/science/arti...
We are falling behind schedule, + more impact on the planet, and these delays will be very costly (in money and human lifes). Healthcare systems (esp in rich countries) contribute a lot, and have rising GHG emissions (+36% since 2016).
www.sciencedirect.com/science/arti...