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drandrekalil.bsky.social
🆕“Corticosteroids and community-acquired pneumonia: Africa deserves an explanatory trial”
👇Free
bit.ly/4axverF
@critcaremed.bsky.social @criticalcarereviews.com #IDSky #MedSky #PCCSky #ICUSky #EMIMCC #Ansky #EMSky #AMSSky #Pharmsky #[email protected]@[email protected]
Corticosteroids and community-acquired pneumonia: Africa deserves an explanatory trial - Critical Care
Critical Care -
bit.ly
February 11, 2026 at 11:15 PM
leedsmedic.bsky.social
I hope everyone will forgive a bit of self promotion!

#AnSky #MedSky #ICUSky #NeuroSky
bjaeducation.bsky.social BJA Education @bjaeducation.bsky.social · 7d
Read this fantastic new #BJAEd article by Summers & colleagues which describes the surgical considerations, anatomy, physiology and perioperative care of patients undergoing elective cervical spine surgery: www.bjaed.org/article/S205...
February 9, 2026 at 6:27 AM
zentensivistilko.bsky.social
Any recommendations for leadership courses that people have liked? There may be some upcoming opportunities for guiding/leading an intensive care unit and while I'm quite adept at the learn by doing... I feel there may be a better way to do things right the first time. #EMIMCC #ICUsky #medsky
January 30, 2026 at 8:22 PM
anaesjournal.bsky.social
Differences in procedural case-mix between peri-operative enhanced & critical care services (UK)

Critical care: liver/pancreatic transplantation; oesophagectomy; major airway surgery

Enhanced care: colonic resections; joint replacements; carotid surgery

#AnSky #ICUSky

doi.org/10.1111/anae...
January 30, 2026 at 3:00 PM
anaesjournal.bsky.social
Of 234,069 ICU survivors in South Korea, 55.6% developed new-onset PICS within 12 months of hospital discharge:
• 35.5% had physical impairment
• 28.2% psychiatric impairment
• 18.9% cognitive impairment

#ICUSky

doi.org/10.1111/anae...
January 26, 2026 at 12:10 PM
anaesjournal.bsky.social
Many people struggle after ICU care with problems like weakness, memory trouble, or feeling anxious or sad.

Health records from South Korea showed that more than half of ICU survivors developed new health problems within a year after leaving hospital.

#ICUSky

doi.org/10.1111/anae...
January 26, 2026 at 11:02 AM
anaesjournal.bsky.social
In South Korea, over half of ICU survivors developed post-intensive care syndrome w/i 12 months.

But what is PICS?

Persistent sequelae incl physical, cognitive & psychiatric domains which can impair quality of life, functional capacity & psychological wellbeing.

#ICUSky

doi.org/10.1111/anae...
January 26, 2026 at 9:06 AM
anaesjournal.bsky.social
Compared with standard care, PCT-guided antibiotic discontinuation protocols:
• reduced antibiotic therapy by, on average, 2 days compared with standard care
• may reduce the mortality risk by 5% on average, both in the short and long term

#AnSky #ICUSky #sepsis

doi.org/10.1111/anae...
doi.org
January 12, 2026 at 12:10 PM
anaesjournal.bsky.social
There is evidence that procalcitonin-guided discontinuation protocols may be safe & effective for patients who are critically ill with sepsis, with no increased risk in mortality.

In contrast, the evidence supporting CRP-guided protocols is limited.

#AnSky #ICUSky #sepsis

doi.org/10.1111/anae...
doi.org
January 12, 2026 at 11:02 AM
anaesjournal.bsky.social
There is growing interest in using inflammatory biomarkers, such as procalcitonin or CRP, to guide clinical decision-making on the duration of antibiotic therapy in patients who are critically ill.

#AnSky #ICUSky #sepsis

doi.org/10.1111/anae...
January 12, 2026 at 9:40 AM
anaesjournal.bsky.social
Should we use fewer arterial catheters in critical care patients?

It may prevent harm from non-infective and infective complications, lower financial and environmental costs and reduce iatrogenic blood loss and blood transfusions in individual patients.

#AnSky #ICUSky

doi.org/10.1111/anae...
doi.org
January 7, 2026 at 3:01 PM
anaesjournal.bsky.social
Neurocognitive outcomes: too much data, not enough clarity

#AnSky #MedSky #ICUSky

doi.org/10.1111/anae...
January 7, 2026 at 12:10 PM
anaesjournal.bsky.social
How do population characteristics vary between individual enhanced care units and their respective critical care facilities?

#AnSky #ICUSky #MedSky

doi.org/10.1111/anae...
doi.org
January 5, 2026 at 3:00 PM
greendoc.bsky.social
ICU acquired weakness #medsky #icusky #ICM #anesky
December 19, 2025 at 6:35 PM
greendoc.bsky.social
ABC score to predict MTP #medsky #anesky #icusky
December 19, 2025 at 6:01 PM
drfreeze.bsky.social
Y’all American #icusky #anesky peeps

You ok?

Have your patients all exploded due to you handing out WMDs?
a picture of a nuclear explosion with the words gifbin at the bottom
ALT: a picture of a nuclear explosion with the words gifbin at the bottom
media.tenor.com
December 16, 2025 at 5:53 PM
drandrekalil.bsky.social
💥🆕“What Impacts Sepsis Outcomes in Low-Middle-Income Countries: Antibiotic Timing, Shock, or Supportive Care?”
👇Free Access
bit.ly/4pyimHC
@critcaremed.bsky.social @criticalcarereviews.com #IDSky #MedSky #PCCSky #ICUSky #EMIMCC #Ansky #EMSky #AMSSky #Pharmsky @unmc.bsky.social @unmc-id.bsky.social
bit.ly
November 26, 2025 at 9:15 PM
anaesjournal.bsky.social
What is "enhanced care"?

Post-anaesthetic care unit (PACU) and overnight intensive recovery units.

What is the impact?

It builds surgical capacity and system resilience.

#AnSky #ICUSky

doi.org/10.1111/anae...
November 21, 2025 at 7:59 AM
anaesjournal.bsky.social
Arterial catheter infection rates remain notably higher than those of peripheral intravenous catheters, which have an incidence of approximately 0.03%.

Why is a higher infection risk in arterial catheters tolerated?

#AnSky #ICUSky

doi.org/10.1111/anae...
November 7, 2025 at 9:06 AM
anaesjournal.bsky.social
8–12 million arterial catheters are inserted each year.

Non-infectious complications represent the greater burden of arterial catheter failure in ICUs.

This translates to up to 2.6 million non-infectious failures annually.

#AnSky #ICUSky
doi.org
November 7, 2025 at 7:03 AM
anaesjournal.bsky.social
Arterial catheter complications:
• 13/100 catheters failed for any reason
• 20/100 catheters failed for reasons not caused by infection
• bloodstream infections - 1/100 catheters
• local infections (around the area where the catheter goes in) - 1/100 cases

#ICUSky #AnSky

doi.org/10.1111/anae...
November 6, 2025 at 9:06 AM
anaesjournal.bsky.social
Complications associated with central venous catheters are widely known.

Less is known about arterial catheter-related complications.

Here's a systematic review which quantifies the incidence of arterial catheter-related complications and failure in ICU.

#ICUSky #AnSky
doi.org
November 6, 2025 at 7:03 AM
anaesthesiareports.bsky.social
Did you know that CA125 is well known to be elevated in ovarian cancer but can also be elevated in heart failure, particularly right-sided heart failure & heart failure with preserved ejection fraction?

@rgdavies70 @USW_Oxygen

#MedSky #AnSky #ICUSky

doi.org/10.1002/anr3...
October 23, 2025 at 1:01 PM
anaesthesiareports.bsky.social
In this case, the pulmonary artery catheter had been inadvertently sutured to the pulmonary artery likely when an injury occurred at the base of the pulmonary artery during an ascending aortic replacement.

It was noticed when the PAC was difficult to remove.

#AnSky #ICUSky

doi.org/10.1002/anr3...
October 23, 2025 at 11:01 AM
anaesjournal.bsky.social
It can be morally permissible to aim for unconsciousness at the end of life.

What are the problems with the use of propofol to achieve this goal?

Should benzodiazepine and opioid-based strategies be preferred for providing terminal sedation?

#AnSky #MedSky #ICUSky

doi.org/10.1111/anae...
October 22, 2025 at 8:06 AM