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In adults with moderate to severe #ARDS, inhaled sevoflurane sedation produced fewer ventilator-free days and lower 90-day survival than intravenous propofol, raising safety concerns including acute kidney injury.

๐ŸŽฅ Watch the video and read the full article:

ja.ma/4bNuPlu

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Taken together, our results support an underlying landscape of genetic heterogeneity in the spectrum of rare variants influencing #ARDS susceptibility.

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Most notable genetic associations were observed for variants in gene clusters enriched in the Toll-like receptor cascades and the Interferon signaling. We also found no overlap between the genetic risk for #ARDS and patient survival.

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We show that rare variants with predicted impact in gene function and affecting biologically proximal gene clusters are associated with #ARDS risk among sepsis patients.

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Rare genetic variant risks in patients with sepsis-associated acute respiratory distress syndrome - Respiratory Research Respiratory Research - Acute respiratory distress syndrome (ARDS) is a complex, heterogeneous, and deadly condition often resulting from pulmonary lesions due to sepsis, among other causes. There...

Here, we identified rare genetic risk factors of sepsis-associated #ARDS using a gene-clustering approach by leveraging a large exome sequencing of the GEN-SEP study and information from biological processes for adapting to patient heterogeneity. link.springer.com/article/10.1...

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To date, sequencing-based studies assessing rare genetic variant effects on #ARDS have been conducted with small cohorts or with affected families with immune defects.

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It has been shown that common genetic variants (>1% population frequency) in genes involved in cellular adhesion, platelet activation, vascular permeability, and immune-inflammatory processes have a role in #ARDS susceptibility.

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Host genetic variation influence responses to infections. Sepsis is a severe response to infection and these patients can develop acute respiratory distress syndrome #ARDS

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Alt: aerial view of Chicago skyscrapers covered in cloud, with orange to blue sunset colours

Credit: Razvan Sera/Amazing Aerial Agency/Science Photo Library

Alt: aerial view of Chicago skyscrapers covered in cloud, with orange to blue sunset colours Credit: Razvan Sera/Amazing Aerial Agency/Science Photo Library

๐Ÿ“Š Round up of The Lancet Respiratory Medicine content presented at #SCCM

๐Ÿฅ Wonderful to see so many advances presented during the congress, continuing progress in #CriticalCare

#ARDS #SEPSIS #BRONCHIOLITIS @sccmcriticalcare.bsky.social

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๐Ÿšจ Conference Alert: New Article Available Open Access @sccmcriticalcare.bsky.social

๐Ÿ“Š Bedside identification of subphenotypes in acute respiratory failure (PHIND): a multicentre, observational cohort study

#ARDS #Sepsis #SCCM

๐Ÿ”“ tinyurl.com/mwvtjub3

๐Ÿ“ฐ Linked Comment: tinyurl.com/yy2aps7m

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๐ŸŽฅ Don't miss the ๐˜€๐—ฒ๐—ฐ๐—ผ๐—ป๐—ฑ ๐—˜๐—ฆ๐—œ๐—–๐— โ€“๐—œ๐—ฆ๐—–๐—–๐—  ๐—•๐—ฟ๐—ถ๐—ฑ๐—ด๐—ฒ ๐—ช๐—ฒ๐—ฏ๐—ถ๐—ป๐—ฎ๐—ฟ focusing on ๐—”๐—ฅ๐——๐—ฆ ๐—ฎ๐—ป๐—ฑ ๐˜๐—ต๐—ฒ ๐—ถ๐—ป๐—ท๐˜‚๐—ฟ๐—ฒ๐—ฑ ๐—น๐˜‚๐—ป๐—ด!

๐Ÿ’ก Expect a real-life case study, rich clinical insights, and a dynamic expert discussion with our faculty.

๐Ÿ—“๏ธ ๐—ง๐—ต๐˜‚๐—ฟ๐˜€๐—ฑ๐—ฎ๐˜†, ๐Ÿฎ๐Ÿฒ ๐— ๐—ฎ๐—ฟ๐—ฐ๐—ต, ๐Ÿญ๐Ÿฒ:๐Ÿฌ๐Ÿฌ ๐—–๐—˜๐—ง๐Ÿ‘‰ shorturl.at/yisTe

#ESICM #ISCCM #ARDS #IntensiveCare #ESICMWebinar

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JAMA Network Open presents RCT: Sivelestat and Incidence of Acute Respiratory Distress Syndrome After Cardiovascular Surgery. Population: 210 men, 172 women. Intervention: 424 patients randomized, 382 analyzed. Findings show Sivelestat reduced ARDS compared to placebo.

JAMA Network Open presents RCT: Sivelestat and Incidence of Acute Respiratory Distress Syndrome After Cardiovascular Surgery. Population: 210 men, 172 women. Intervention: 424 patients randomized, 382 analyzed. Findings show Sivelestat reduced ARDS compared to placebo.

In patients undergoing cardiovascular surgery with cardiopulmonary bypass, postoperative infusion with #Sivelestat significantly reduced the incidence of #ARDS and 90-day mortality compared with placebo.

ja.ma/3NzsK4q

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Pulmonary hemodynamics in #ARDS pts in VV #ECMO
PAH highly prevalent, and early upward trajectories in mPAP predicted mortality
๐Ÿซ invasive pulmonary hemodynamic monitoring may provide relevant insights in selected pts at higher risk of RV dysfunction or with early signs of RV failure
๐Ÿ”“ rdcu.be/e7Dof

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#ECMO without systemic anticoagulation? Editorial
๐Ÿ”— bit.ly/4u6yqUd

๐Ÿฉธ Refers to study investigating association between systemic anticoagulation & outcomes in patients with #ARDS receiving VV #ECLS. Authors observed no link between systemic anticoagulation and
short-term survival.
๐Ÿ”— bit.ly/3P1pkrv

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COVID-19 ARDS survivors face lasting disability and high late mortality, researchers report In this single-center ambispective cohort of 283 Polish patients with COVID-19โ€“related ARDS requiring invasive mechanical ventilation, cumulative mortality reached 44.5% at four years after ICU admiss...

๐Ÿ˜ท Four years after ICU, nearly half of ventilated COVID-19 ARDS patients have died, and survivors still battle fatigue, insomnia, and disability. The long-term toll is stark. www.news-medical.net/news/2026030... #Covid19 #LongCovid #ARDS

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VT-109, an EB3 inhibitor, restores endothelial integrity in #ARDS by blocking #CalciumSignaling, reannealing VE-cadherin, and activating #FOXM1; it improves #LungFunction and reduces #inflammation.

#OpenAccess in #STTT: doi.org/10.1038/s413...

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ARDS (Acute Respiratory Distress Syndrome): Pathophysiology, Stages, Diagnosis & ICU Management
#ARDS #AcuteRespiratoryDistressSyndrome #CriticalCare #ICU #RespiratoryFailure #MechanicalVentilation #PulmonaryEdema #RefractoryHypoxemia #Sepsis #MedicalEducation

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Prone positioning in VV #ECMO?? no net physiological benefit after #ECLS initiation in this animal model ๐Ÿ– with severe #ARDS randomized after VV initiation to prone or supine positioning for 48 h, receiving an ultraprotective MV strategy ๐Ÿซ
Open access #FOAMcc #FOAMecmo
๐Ÿ”“ rdcu.be/e28tP

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Prone positioning in VV #ECMO
๐Ÿ– 8 pigs with severe #ARDS randomized after VV initiation
๐Ÿซ PP did not reduce the overall extent/severity of lung injury but shifted distribution of damage, with greater involvement of dependent regions and relative preservation of non-dependent areas.
๐Ÿ”“ rdcu.be/e28tP

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Tomorrow we welcome Dr. Angela Meier to Grand Rounds. #MedEd #PCCM #ARDS
@ucsdmedschool.bsky.social

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#VT109, a synthetic EB3 inhibitor, shows efficacy in murine #ARDS by restoring endothelial barriers, activating #FOXM1 repair, reducing #inflammation, and improving #LungFunctionโ€”emerging as a strong candidate for clinical testing.

#OpenAccess in #STTT: doi.org/10.1038/s413...

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