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.
๐ฅ Watch the video and read the full article:
ja.ma/4bNuPlu
Taken together, our results support an underlying landscape of genetic heterogeneity in the spectrum of rare variants influencing #ARDS susceptibility.
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.
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.
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...
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.
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.
Host genetic variation influence responses to infections. Sepsis is a severe response to infection and these patients can develop acute respiratory distress syndrome #ARDS
Alt: aerial view of Chicago skyscrapers covered in cloud, with orange to blue sunset colours Credit: Razvan Sera/Amazing Aerial Agency/Science Photo Library
๐ Round up of The Lancet Respiratory Medicine content presented at #SCCM
๐ฅ Wonderful to see so many advances presented during the congress, continuing progress in #CriticalCare
#ARDS #SEPSIS #BRONCHIOLITIS @sccmcriticalcare.bsky.social
๐จ Conference Alert: New Article Available Open Access @sccmcriticalcare.bsky.social
๐ Bedside identification of subphenotypes in acute respiratory failure (PHIND): a multicentre, observational cohort study
#ARDS #Sepsis #SCCM
๐ tinyurl.com/mwvtjub3
๐ฐ Linked Comment: tinyurl.com/yy2aps7m
๐ฅ Don't miss the ๐๐ฒ๐ฐ๐ผ๐ป๐ฑ ๐๐ฆ๐๐๐ โ๐๐ฆ๐๐๐ ๐๐ฟ๐ถ๐ฑ๐ด๐ฒ ๐ช๐ฒ๐ฏ๐ถ๐ป๐ฎ๐ฟ focusing on ๐๐ฅ๐๐ฆ ๐ฎ๐ป๐ฑ ๐๐ต๐ฒ ๐ถ๐ป๐ท๐๐ฟ๐ฒ๐ฑ ๐น๐๐ป๐ด!
๐ก Expect a real-life case study, rich clinical insights, and a dynamic expert discussion with our faculty.
๐๏ธ ๐ง๐ต๐๐ฟ๐๐ฑ๐ฎ๐, ๐ฎ๐ฒ ๐ ๐ฎ๐ฟ๐ฐ๐ต, ๐ญ๐ฒ:๐ฌ๐ฌ ๐๐๐ง๐ shorturl.at/yisTe
#ESICM #ISCCM #ARDS #IntensiveCare #ESICMWebinar
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
๐ FULLTIME โ Loughgall 0โ1 Ards. Championship #loughgall #ards
๐ FULLTIME โ Loughgall 0โ1 Ards. Championship
#loughgall #ards
โฝ SECOND_HALF โ Loughgall 0โ0 Ards. Championship
#loughgall #ards
โธ๏ธ HALFTIME โ Loughgall 0โ0 Ards. Championship
#loughgall #ards
โฝ KICKOFF โ Loughgall 0โ0 Ards. Championship #loughgall #ards
โฝ KICKOFF โ Loughgall 0โ0 Ards. Championship
#loughgall #ards
Pulmonary hemodynamics in #ARDS pts in VV #ECMO
PAH highly prevalent, and early upward trajectories in mPAP predicted mortality
๐ซ invasive pulmonary hemodynamic monitoring may provide relevant insights in selected pts at higher risk of RV dysfunction or with early signs of RV failure
๐ rdcu.be/e7Dof
#ECMO without systemic anticoagulation? Editorial
๐ bit.ly/4u6yqUd
๐ฉธ 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.
๐ bit.ly/3P1pkrv
๐ท 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
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...
ARDS (Acute Respiratory Distress Syndrome): Pathophysiology, Stages, Diagnosis & ICU Management
#ARDS #AcuteRespiratoryDistressSyndrome #CriticalCare #ICU #RespiratoryFailure #MechanicalVentilation #PulmonaryEdema #RefractoryHypoxemia #Sepsis #MedicalEducation
Prone positioning in VV #ECMO?? no net physiological benefit after #ECLS initiation in this animal model ๐ with severe #ARDS randomized after VV initiation to prone or supine positioning for 48 h, receiving an ultraprotective MV strategy ๐ซ
Open access #FOAMcc #FOAMecmo
๐ rdcu.be/e28tP
Prone positioning in VV #ECMO
๐ 8 pigs with severe #ARDS randomized after VV initiation
๐ซ 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.
๐ rdcu.be/e28tP
#VT109, a synthetic EB3 inhibitor, shows efficacy in murine #ARDS by restoring endothelial barriers, activating #FOXM1 repair, reducing #inflammation, and improving #LungFunctionโemerging as a strong candidate for clinical testing.
#OpenAccess in #STTT: doi.org/10.1038/s413...
๐ FULLTIME โ Ards 0โ0 Institute. Championship #ards #institute
๐ FULLTIME โ Ards 0โ0 Institute. Championship
#ards #institute