New publication out in Intensive Care Medicine! We review the challenges & advances in managing atrial fibrillation in critical illness, and outline key gaps for future research.
Read it here: doi.org/10.1007/s001...
#ICU #AFib #CriticalCare
Posts by Brian Johnston
@ortegamartorell.bsky.social @ivanolier.bsky.social @ingeborgwelters.bsky.social
In Lund, Sweden ๐ธ๐ช for the TARGET meeting โ advancing AI-driven virtual twins ๐ค to fight AF โค๏ธ and stroke ๐ง across Europe ๐ช๐บ
#TARGETproject #DigitalHealth #AF #EUresearch
@nhsuhlg-ri.bsky.social @target-horizoneu.bsky.social @liverpooluni.bsky.social
Opening slide regarding Haemodynamic effects of Prone Positioning by Prof X. Monnet
Infographic describing potential outcomes of prone positioning g on the cardiovascular system
Four keys messages on the impact of prone positioning on patient Haemodynamics
Prof Xavier Monnet addresses the HD effects of prone positioning.
Great take homes about the risk of the waterfall effect and the use of Trendelenburg position in the prone patient to predict fluid responsiveness.
Linked paper below
#ISICEM25
#EMIMCC
ccforum.biomedcentral.com/articles/10....
#ISICEM25 | Always fascinating to hear @MichardFrederic discuss the future of bedside screens ๐ฅ๏ธ๐
๐ Evolution to visual decision support tools
๐น Turning data into knowledge
โก Faster & more accurate detection of abnormalities
๐ง Improving situation awareness & reducing cognitive workload
Absolutely thrilled that @liverpooluni.bsky.social 4th year medical student Jessica who undertook her MRes with us at NHS University Hospitals of Liverpool Group has won an award for her poster at #isicem25 #isicem ISICEM. Absolutely bossing it! ๐๐ป๐ค well done Jessica! ๐๐ป
@nhsuhlg-ri.bsky.social
Visual Abstract. Inhaled Sedation in Acute Respiratory Distress Syndrome
Among patients with moderate to severe ARDS, inhaled sedation with sevoflurane resulted in fewer ventilator-free days at day 28 and lower 90-day survival than sedation with propofol. https://ja.ma/4kxDZGm #ISICEM25
Prof. Julia Wendon finishing her talk on acute on chronic liver failure (ACLF) and encouraging hepatology sustaining behaviours.
The liver IS evil.
Is does needs exercise
The day ends with a phenomenal talk from one of my favourite hepatologists - Prof Julia Wendon.
ACLFโฆ a difficult topic that we all should know more about.
Prognosis is everything.
#ISICEM25
#EMIMCC
Now @pirracchior presenting the OVISS Reinforcement Learning Study: Optimal Vasopressin Initiation in Septic
Shock
@ISICEM.bsky.social #ISICEM25
Results of the #SESARtrial:
Among patients with moderate/severe ARDS, inhaled sedation with sevoflurane resulted in
- fewer ventilator-free days at day 28
- lower 90-day survival
than sedation with propofol.
Now published in JAMA jamanetwork.com/journals/ja...
@isicem.bsky.social #ISICEM25
At #ISICEM
Fodder for the evening run is gathering.
Not least the OVISS study looking at a reinforcement learning tool for the optimal timing of vasopressin introduction.
jamanetwork.com/journals/jam...
@isicem.bsky.social is renowned for its full, high-quality scientific program.
Watch now Prof. Fabio Taccone's recommendations & start crafting your personalized learning journey today!
More sessions on isicem.org/1/ProgrammeI...
#criticalcare #intensivecare #emergencymedicine
Image shows article on website.
"The sparseness of formal regulation contrasts starkly with AIโs potential to cause harm." This Viewpoint examines prospects for populating the regulatory landscape for health and health care AI in the coming years. https://ja.ma/429LY54
This is horrible to post, but I may as well post it. We are essentially shutting down research operations in my group, which is focused on treatments for pediatric brain cancer. Iโm a well funded investigator, and thereโs no choice. Science canโt function without the stability of NIH
In a small trial, nearly half of pancreatic cancer patients who received an mRNA vaccine had no signs of relapse after three years.
Dr. Vinod Balachandran from @mskcancercenter.bsky.social joins us to discuss the results and what they could mean for cancer treatment.
๐ฉบ๐ซ Exciting news! ๐ซ๐ฉบ
Thank you, Isansys Lifecare, for delivering our next batch of wireless patient monitoring systems for the WARD 24/7 substudy!
Weโre using AI & wireless monitoring to improve patient care & save lives.
#AIinHealthcare #WirelessMonitoring #Research #AI
@nhsuhlg-ri.bsky.social
Disappointing decision whatever the underlying reasons, given that Liverpool's future economic growth is centred on Health and Life Sciences development.
Me in a hospital bed wearing one of those standard NHS hospital gowns preparing for a mastectomy
It's World Cancer Day and 10 years ago this year I was diagnosed with breast cancer. I can't believe it was a decade ago
This is me in hospital waiting to have a mastectomy. I'm smiling but god I was so anxious, so worried I wouldn't wake up from the anaesthetic
๐งต
Signalling pathways, cytokine axes and possible therapeutic interventions for managing CAR-T cell inflammatory toxicity.
#Medsky๐งช #IDSky #Immunosky #pharmasky #publichealth This Review discusses management of safety issues for #CARTcell therapies : #cytokine release syndrome, as well as druggable targets & cellular engineering strategies to develop safer #CART cells
www.nature.com/articles/s41...
๐จ๐จWeโre so excited to be back podding today!!
Listen now to the first episode in our new Guidelines Series. Weโre starting with the Asthma GINA guidelines and today talking about diagnosis, assessment, and phenotyping
www.pulmpeeps.com/2025/02/04/9...
And submental muscle recruitment increases during expiratory loading tasks
pubmed.ncbi.nlm.nih.gov/17294298/
Although post extubation dysphagia is clearly multi factorial, could training of the submental muscles after extubation improve swallowing?
Expiratory muscle strength training (EMST) has some evidence for improving swallowing in several disease states
But what about after extubation in intensive care? Can EMST improve post extubation dysphagia?
Our SR protocol, published today #critcare
onlinelibrary.wiley.com/doi/full/10....
๐ซ Can breathing training help ICU patients swallow again?
๐ก 41% of ICU patients struggle with swallowing after ventilation. This review explores Expiratory Muscle Strength Training (EMST)โa technique that strengthens breathing muscles ๐ช to aid recovery.
#medsky #icu #criticalcare #recovery
New: The largest medical A.I. randomized controlled trial yet performed, enrolling >100,000 women undergoing mammography screening
The use of AI led to 29% higher detection of cancer, no increase of false positives, and reduced workload compared with radiologists w/o AI thelancet.com/journals/lan...
Stromatolites xkcd.com/3046
@liverpoolccs.bsky.social @nhsuhlg-ri.bsky.social @liverpooluni.bsky.social @ljmuofficial.bsky.social
๐ Can AI predict pneumonia severity? A study finds ML models show promise but need better validation. Some outperform CURB-65, but practical barriers remain. Future focus: clinical validation, integration & transparency. AI in healthcare is evolvingโwill it transform pneumonia care? #AI #Healthcare
The NHS treats research as a hobby rather than a properly remunerated part of a clinicianโs work. www.ukri.org/news/report-...
#sepsis @nhsuhlg-ri.bsky.social
One of my kitchen utensils seems to be playing classical music.
I think itโs the Chopin board.
#dadjokes