Luda Karnatovskaia
@NydahlPeter discussed humanizing delirium care at #ISICEM25. All feels real in delirium. Talk to pts in simple language. No words with double meaning. Establish trust. Respect pt! Explain delirium. Integrate pt into decision making. Train family how to talk to pt.
ICYMI: Check out our content presented at #ISICEM25
1/ Effectiveness of NHF oxygen during apnoea on hypoxaemia and intubation success in paediatric emergency and #ICU settings 🔗 tinyurl.com/5kvbk8t6
#criticalcare
@isicem.bsky.social
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1) #saelanews
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3) #sblab25
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#ISICEM25 | Cardiac-Synchronized Mechanical Ventilation? 🫁❤️
🔬 Markus Skrifvars explores its impact:
✅ Higher PaO₂ & lower PaCO₂ with no pressure differences
❓ Key question: Are pneumothorax findings relevant to humans, or is this an effect seen only in pigs? 🐷
#ISICEM25 | Key Questions in Advanced Airway Management 🫁❓
🔥 Ari Moskowitz highlights ongoing debates:
🔹 Best device? ETI vs. SGA 🤔
🔹 Video vs. Direct Laryngoscopy 📹
🔹 When to intubate? Timing remains unclear ⏳
🔹 Should strategy vary based on arrest etiology, rhythm, or location?
#ISICEM25 | Key Questions in Advanced Airway Management 🫁❓
🔥 Ari Moskowitz highlights ongoing debates:
🔹 Best device? ETI vs. SGA 🤔
🔹 Video vs. Direct Laryngoscopy 📹
🔹 When to intubate? Timing remains unclear ⏳
🔹 Should strategy vary based on arrest etiology, rhythm, or location?
#ISICEM25 | Ari Moskowitz on Controversies in Airway Management during CPR 🫁🚑
🔹 OHCA: RCTs suggest SGA may be as good or better than ETI, based on operator skill.
🔹 IHCA: Limited data—observational studies lean toward no intubation
🔹 Ongoing trials comparing SGA vs. ETI for IHCA.
#ISICEM25 | IV vs. IO Access—Key Takeaways 💉🦴
📢 Markus Skrifvars on why IV remains the first choice:
✅ Higher ROSC rate
✅ Standard method for non-cardiac arrest patients
✅ As fast as IO in most cases
✅ Less expensive
#ISICEM25 | IV vs. IO Access—What’s the Best Choice? 💉🦴
🔍 Markus Skrifvars explores the pros & cons:
✅ IO is as good as IV—but not better
💰 More expensive & should be second choice after IV
🚑 Useful in EMS for patients with difficult access (e.g., children)
⚡ No faster than IV
#ISICEM25 | 🏥 New Guidelines for Perioperative Cardiac Arrest 🔄❤️
📢 Sharon Einav presents the methodology & PICO questions shaping the upcoming recommendations.
🔹 Evidence-based updates coming in the next few months!
🔹 Focus on best practices for managing cardiac arrest in surgical patients.
In the final stretch of #ISICEM25! Savoring every moment.
Today we conclude an exceptional cycle of presentations, but the day is far from over. We still have fascinating presentations from renowned and distinguished speakers ahead. 🔝
#ISICEM25 #INAAQC
@isicem.bsky.social
@inaaqcbo.bsky.social
CONCLUSIONS on ➩ Nobody is using #SDD: do we need more trials?’
By #LennieDerde
🔝
#ISICEM25 #INAAQC
@isicem.bsky.social @inaaqcbo.bsky.social
#ISICEM25 | 🚑 CPR Session Starting Now! 🚑
Moderated by Michel Slama & @fabio_taccone, this session dives into the latest advances in cardiopulmonary resuscitation
Shane George presenting this new research
🚨Conference Alert! Some fantastic @lancetrespirmed.bsky.social content presented today at #ISICEM25
1️⃣ Shane George with "Effectiveness of NHF oxygen during apnoea on hypoxaemia and intubation success in paediatric emergency and #ICU settings
🔗Article: tinyurl.com/5kvbk8t6
@isicem.bsky.social
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! 👊🏻🤗 well done Jessica! 👊🏻
@nhsuhlg-ri.bsky.social
#ISICEM25 | 🏆 POSTER AWARDS 2025 🏆
👏 Xavier Monnet presents this year’s best research contributions!
📊 431 abstracts submitted
✅ 321 abstracts accepted
🏅 4 awards + 1 ISF (International Sepsis Forum) award
A celebration of innovation and excellence in intensive care research!
#ISICEM25 | Lennie Derde asks: Why is nobody using SDD despite strong evidence? 🤔💊
📊 Thousands of patients, consistent data, and mortality reduction, yet SDD remains underutilized.
🔹 Open questions:
•Availability
•Optimal regimen
•Impact on microbiome
#ISICEM25 | Paul Elbers on when to stop antibiotics—insights from data science 🔬💊
🔹 19% of patients had antibiotics reinitiated frequently
Reinitiating antibiotics is linked to:
📈 Longer ICU stay (22.0 vs. 15.9 days)
⚠️ Higher 90-day mortality (40% vs. 25%)
#ISICEM25 | Antoni Torres on when to stop antibiotics in severe CAP 🦠💊
🔹 Outpatients: ≤5 days if stable
🔹 Non-severe inpatients: <5 days (minimum 3)
🔹 Severe CAP: ≥5 days if stable
Key question: Can clinical stability criteria from CAP be applied to SCAP patients on mechanical ventilation?
Individualised care as always is the goal.
Doing this without EIT/Oesophageal manometry is pretty tough, but is achievable (at least initially😬)
- see the linked paper by Prof Piquilloud.
#emimcc
#ISICEM25
ccforum.biomedcentral.com/articles/10....
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#ISICEM25 | Always fascinating to hear @MichardFrederic discuss the future of bedside screens 🖥️🔍
📊 Evolution to visual decision support tools
🔹 Turning data into knowledge
⚡ Faster & more accurate detection of abnormalities
🧠 Improving situation awareness & reducing cognitive workload
#ISICEM25 | Michard Frederic on the future of bedside monitoring! 🚀📊
🔹 New ways to display monitoring variables
🔹 Advanced tools to visualize data
🔹 Seamless data integration into a single monitor
🔹 Data fusion—combining variables into one visual tool
#ISICEM25 | Vitaly Herasevich on building smart alerts in critical care ⚡🔍
🔹 No perfect detection algorithm exists—manual confirmation is key
🔹 Visual decision support tools enhance clinician feedback
🔹 Real-time compliance reports enable reinforced learning
#ISICEM25 | Michael R. Pinsky on Autonomous Diagnosis & Treatment of Circulatory Shock 🚑💡
🔹 The key to precision resuscitation:
•Is the patient in compensated shock?
•Will cardiac output improve with fluids?
•What is the arterial tone status?
•Can the heart sustain output without filling pressures?
#ISICEM25 | Michael Pinsky presents an algorithm for precise personalized resuscitation in shock management 🔄📊
🔹 Stepwise decision-making:
✅ Is the patient hemodynamically stable? If yes, do nothing.
✅ If unstable, assess preload responsiveness.
✅ If preload-responsive, evaluate vasomotor tone