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Posts by Brian Johnston

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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

11 months ago 4 0 0 0

@ortegamartorell.bsky.social @ivanolier.bsky.social @ingeborgwelters.bsky.social

1 year ago 1 0 0 0
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In Lund, Sweden ๐Ÿ‡ธ๐Ÿ‡ช for the TARGET meeting โ€” advancing AI-driven virtual twins ๐Ÿค– to fight AF โค๏ธ and stroke ๐Ÿง  across Europe ๐Ÿ‡ช๐Ÿ‡บ

#TARGETproject #DigitalHealth #AF #EUresearch

@nhsuhlg-ri.bsky.social @target-horizoneu.bsky.social @liverpooluni.bsky.social

1 year ago 4 0 1 0
Opening slide regarding Haemodynamic effects of Prone Positioning by Prof X. Monnet

Opening slide regarding Haemodynamic effects of Prone Positioning by Prof X. Monnet

Infographic describing potential outcomes of prone positioning g on the cardiovascular system

Infographic describing potential outcomes of prone positioning g on the cardiovascular system

Four keys messages on the impact of prone positioning on patient Haemodynamics

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....

1 year ago 8 5 1 0
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#ISICEM25 | Always fascinating to hear @MichardFrederic discuss the future of bedside screens ๐Ÿ–ฅ๏ธ๐Ÿ”

๐Ÿ“Š Evolution to visual decision support tools
๐Ÿ”น Turning data into knowledge
โšก Faster & more accurate detection of abnormalities
๐Ÿง  Improving situation awareness & reducing cognitive workload

1 year ago 2 2 0 0
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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! ๐Ÿ‘Š๐Ÿป๐Ÿค— well done Jessica! ๐Ÿ‘Š๐Ÿป

@nhsuhlg-ri.bsky.social

1 year ago 1 0 0 0
Visual Abstract. Inhaled Sedation in Acute Respiratory Distress Syndrome

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

1 year ago 17 8 0 5
Prof. Julia Wendon finishing her talk on acute on chronic liver failure (ACLF) and encouraging hepatology sustaining behaviours.

Prof. Julia Wendon finishing her talk on acute on chronic liver failure (ACLF) and encouraging hepatology sustaining behaviours.

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The liver IS evil.
Is does needs exercise

The day ends with a phenomenal talk from one of my favourite hepatologists - Prof Julia Wendon.

ACLFโ€ฆ a difficult topic that we all should know more about.

Prognosis is everything.
#ISICEM25
#EMIMCC

1 year ago 7 4 0 0
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Now @pirracchior presenting the OVISS Reinforcement Learning Study: Optimal Vasopressin Initiation in Septic
Shock

@ISICEM.bsky.social #ISICEM25

1 year ago 1 1 0 0
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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

1 year ago 5 3 0 0
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Optimal Vasopressin Initiation in Septic Shock This multicenter study uses reinforcement learning to examine the treatment implications of a vasopressin initiation rule developed to improve short-term and hospital outcomes in critically ill adults...

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...

1 year ago 4 5 2 0
Video

@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

1 year ago 3 3 0 0
Image shows article on website.

Image shows article on website.

"The sparseness of formal regulation contrasts starkly with AIโ€™s 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

1 year ago 11 10 0 0

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. Iโ€™m a well funded investigator, and thereโ€™s no choice. Science canโ€™t function without the stability of NIH

1 year ago 26665 10725 712 804
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A Vaccine For Pancreatic Cancer Continues To Show Promise In a small trial, nearly half of pancreatic cancer patients who received an mRNA vaccine for the disease had no relapse three years later.

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.

1 year ago 24140 5606 691 759
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๐Ÿฉบ๐Ÿซ€ Exciting news! ๐Ÿซ€๐Ÿฉบ

Thank you, Isansys Lifecare, for delivering our next batch of wireless patient monitoring systems for the WARD 24/7 substudy!

Weโ€™re using AI & wireless monitoring to improve patient care & save lives.

#AIinHealthcare #WirelessMonitoring #Research #AI

@nhsuhlg-ri.bsky.social

1 year ago 0 0 0 0

Disappointing decision whatever the underlying reasons, given that Liverpool's future economic growth is centred on Health and Life Sciences development.

1 year ago 3 2 0 0
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Me in a hospital bed wearing one of those standard NHS hospital gowns preparing for a mastectomy

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

๐Ÿงต

1 year ago 4111 256 173 15
Signalling pathways, cytokine axes and possible therapeutic interventions for managing CAR-T cell inflammatory toxicity.

Signalling pathways, cytokine axes and possible therapeutic interventions for managing CAR-T cell inflammatory toxicity.

#Medsky๐Ÿงช #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...

1 year ago 11 3 2 0
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๐Ÿšจ๐ŸšจWeโ€™re so excited to be back podding today!!

Listen now to the first episode in our new Guidelines Series. Weโ€™re starting with the Asthma GINA guidelines and today talking about diagnosis, assessment, and phenotyping

www.pulmpeeps.com/2025/02/04/9...

1 year ago 9 5 0 0
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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?

1 year ago 2 1 1 0
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Effects of Expiratory Muscle Strength Training on Swallowing in Survivors of Critical Illness: A Protocol for a Systematic Review and Metaโ€Analysis Background and Aims Post Extubation Dysphagia (PED) is a common consequence of mechanical ventilation. Muscular weakness and atrophy are potential causes. Expiratory Muscle Strength Training (EMST) ...

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....

1 year ago 4 4 1 1
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Effects of Expiratory Muscle Strength Training on Swallowing in Survivors of Critical Illness: A Protocol for a Systematic Review and Metaโ€Analysis Background and Aims Post Extubation Dysphagia (PED) is a common consequence of mechanical ventilation. Muscular weakness and atrophy are potential causes. Expiratory Muscle Strength Training (EMST) ...

๐Ÿซ Can breathing training help ICU patients swallow again?

๐Ÿ’ก 41% of ICU patients struggle with swallowing after ventilation. This review explores Expiratory Muscle Strength Training (EMST)โ€”a technique that strengthens breathing muscles ๐Ÿ’ช to aid recovery.

#medsky #icu #criticalcare #recovery

1 year ago 6 2 0 0
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Screening performance and characteristics of breast cancer detected in the Mammography Screening with Artificial Intelligence trial (MASAI): a randomised, controlled, parallel-group, non-inferiority, ... The findings suggest that AI contributes to the early detection of clinically relevant breast cancer and reduces screen-reading workload without increasing false positives.

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...

1 year ago 1351 347 38 89
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Stromatolites xkcd.com/3046

1 year ago 9610 1247 77 72

@liverpoolccs.bsky.social @nhsuhlg-ri.bsky.social @liverpooluni.bsky.social @ljmuofficial.bsky.social

1 year ago 0 0 0 0
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Sage Journals: Discover world-class research Subscription and open access journals from Sage, the world's leading independent academic publisher.

๐Ÿš‘ 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 evolvingโ€”will it transform pneumonia care? #AI #Healthcare

1 year ago 2 1 1 0
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The NHS treats research as a hobby rather than a properly remunerated part of a clinicianโ€™s work. www.ukri.org/news/report-...

1 year ago 8 2 1 0

#sepsis @nhsuhlg-ri.bsky.social

1 year ago 0 0 0 0

One of my kitchen utensils seems to be playing classical music.

I think itโ€™s the Chopin board.

#dadjokes

1 year ago 31 7 4 0