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Wondering how #ICU clinicians use nonverbal communication? ☹️😮😊

Just out in #journal_CHESTCritCare, A Renet & colleagues 👀 at how we interact w families…

www.chestcc.org/article/S294...

🫸 (that’s my nonverbal push for you to ✔️ it out… why not, it’s #OpenAccess)

@accpchest.bsky.social

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✅ We know engaging patients & families 🧑‍🧑‍🧒‍🧒 in the ICU is important… but how is it best done?

E Christoph & colleagues identify processes that enable such engagement, just out in #journal_CHESTCritCare:

www.chestcc.org/article/S294...

#OpenAccess

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🥵 Ever feel stuck w how to manage severe metabolic acidosis in the #ICU?

B Jung & colleagues provide thoughtful guidance in a new #journal_CHESTCritCare HIDI:

www.chestcc.org/article/S294...

👀 check it out, it’s #OpenAccess!

@accpchest.bsky.social

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💦 How much do you consider humidification in your iMV patients?

In a #journal_CHESTCritCare LtE, F Lellouche suggests we should think about it re: ETT occlusion 🛑:

Letter: www.chestcc.org/article/S294...

Article: www.chestcc.org/article/S294...

@accpchest.bsky.social

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🛠️ ICU clinicians ❤️ monitoring tools… but ever worry you’re interpreting them wrong?

Just out in #journal_CHESTCritCare, M Siuba et al present a HIDI on interpreting invasive hemodynamics in clinical context:

www.chestcc.org/article/S294...

➕ learn about esoph manometry!

@accpchest.bsky.social

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🗓️ We’ve hit volume 4️⃣! & it’s the biggest #journal_CHESTCritCare issue yet! 💪

14 original res papers 🔬
2 res letters ✉️
4 editorials 💭
1 ATLAS 🌎
1 HIDI 📏
1 review 📚
1 US corner 🎆

All content #openaccess!

www.chestcc.org/current

@accpchest.bsky.social

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👀 Check out the 🔥editorial🔥 by @catgaohow.bsky.social on how @BrandonTemte & colleagues use ML the right way… with:

⭐️ interoperability
⭐️ transparency
⭐️ readiness for prospective testing

All 🔑 to appropriate implementation!

www.chestcc.org/article/S294...

#journal_CHESTCritCare

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2️⃣ days in a row of #journal_CHESTCritCare readers engaging w authors!

✔️ out today’s installment on ⭐️negative P vent for AECOPD⭐️:

Ltr 2 Ed: www.chestcc.org/article/S294...

Reply: www.chestcc.org/article/S294...

(Article: www.chestcc.org/article/S294...

@accpchest.bsky.social

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I ❤️ when #journal_CHESTCritCare readers engage with our content!

Check out a great interaction between J-E Kenny et al & H Senay:

Ltr: www.chestcc.org/article/S294...

Reply: www.chestcc.org/article/S294...

(Study: www.chestcc.org/article/S294...

@accpchest.bsky.social

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🩻 Does an ARDS dx impact 3y COVID outcomes?

Z Kahn & colleagues assess long term inflammation 🔥, endothelial dysfunc 🧫, & frailty 💪 in ARDS vs pna pts:

www.chestcc.org/article/S294...

#openaccess in #journal_CHESTCritCare

@accpchest.bsky.social

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😵‍💫 Are you confused by Bayesian methods? Do you worry you’re alone? 🫢

Just in #journal_CHESTCritCare, B Malley et al eval how intensivists differently interpret results from Bayesian and frequentist trials…

www.chestcc.org/article/S294...

…I’m a bit unsettled 😉

@accpchest.bsky.social

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🧸 ICU clinicians love new toys… right? 🪁

S Komatsu et al present an interesting case of an infant w RSV 👶 showcasing Dynamic Digital Radiography 🩻:

www.chestcc.org/article/S294...

#OpenAccess in #journal_CHESTCritCare!

@accpchest.bsky.social

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📏 Does size matter… in intubation blades?

K Landefeld & colleagues 👀 at whether intub outcomes differ w size 3 vs 4 standard geometry VL blades:

www.chestcc.org/article/S294...

A ⭐️ comparative effectiveness study just out in #journal_CHESTCritCare!

@accpchest.bsky.social

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🤔 Are clinical subphenotypes of ICU pts as useful as biomarker-derived ones? 🔴🔵🟢

Just out in #journal_CHESTCritCare, Terry et al evaluate HTE of steroids across ⭐️clinical⭐️ subphenotypes:

www.chestcc.org/article/S294...

✳️ SPOILER ALERT: HTE exists!

@accpchest.bsky.social

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⚙️ Curious re the long term outcomes of ECMO & iMV? 🫁

👀 Check out N Jawa & S Fernando’s new 🌟editorial🌟 on L Rose et al’s study in #journal_CHESTCritCare:

Ed: www.chestcc.org/article/S294...

Art: www.chestcc.org/article/S294...

@accpchest.bsky.social

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🤨 Still wondering what to make of Helmet-CPAP? ⛑️

GC Gomes & colleagues consider its effectiveness for COVID ARF in a resource limited setting:

www.chestcc.org/article/S294...

Read all about it in #journal_CHESTCritCare; all #OpenAccess all the time!

@accpchest.bsky.social

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The Impact of Early Enteral Nutrition on Ventilator- and Vasopressor-Free Days in Mechanically Ventilated Patients with Septic Shock: A Secondary Analysis of a Pilot Randomized Controlled Trial

🍽️ Might early enteral nutrition improve organ 🫀🫁 recovery in the ICU?

J Patel et al show some intriguing findings, just out in #journal_CHESTCritCare:

www.chestcc.org/article/S294...

#OpenAccess as always!

@accpchest.bsky.social

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🩸 Transfusions in the ICU - balancing benefits & harms is hard ⚖️

Guidelines were recently released in @journal_CHEST:

journal.chestnet.org/article/S001...

📰 Out today, Soghier et al offer practical recs on using this guidance in a #journal_CHESTCritCare HIDI:

www.chestcc.org/article/S294...

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✅ We all say non-pharmacological treatments for ICU delirium are good…

…but what about this one?

S Janga & colleagues plan to study this novel device… 🤓 read their protocol just out in #journal_CHESTCritCare:

www.chestcc.org/article/S294...

@accpchest.bsky.social

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👧 Ever wonder if disparities affect pediatric critical illness?

C Myers & colleagues evaluate if census-tract Child Opportunity Index is associated w PICU use, out today in #journal_CHESTCritCare:

www.chestcc.org/article/S294...

#OpenAccess

@accpchest.bsky.social

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😖 Ever struggled to manage the vent after tracheobronchoplasty? 🫁

If so, learn “How I Do It” from Y Fraiha, B O’Gara, & colleagues, out today in #journal_CHESTCritCare:

www.chestcc.org/article/S294...

#OpenAccess as always!

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🏁 A new milestone for #journal_CHESTCritCare! 5️⃣ pieces in 1 day!

Do you care about:
🫁 resp muscles,
- motor control
- airway occl techniques
🫀 heart dysfunc in sepsis,
🫣 omission bias,
💪 longer term ECMO outcomes?

Yes? Read at:
www.chestcc.org/inpress

@accpchest.bsky.social

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Black Surrogate Decision Makers’ Perspectives on the ATS-SCCM Statement on Shared Decision Making in ICUs Participants endorsed the main recommendations in the ATS/SCCM policy statement on shared decision making in ICUs and highlighted numerous areas for refinement. Participants’ perspectives should infor...

🥼 We often ask what clinicians think about ICU guidelines…

…but do we ask what patients & families think? 🧑‍🧑‍🧒‍🧒

Just out on #journal_CHESTCritCare, Bulova et al query Black surrogates re: shared decision making guidance:

www.chestcc.org/article/S294...

@accpchest.bsky.social

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a cartoon drawing of a hand holding a red stamp ALT: a cartoon drawing of a hand holding a red stamp

#journal_CHESTCritCare is getting an impact factor!!! 🎉🥳

📖 Read all about our indexation in the Web of Science Core Collection!

www.chestnet.org/newsroom/pre...

Thanks to our amazing authors ✍️, readers 👀, editors ✂️, and staff 👫!

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Amazing things happen when 3️⃣2️⃣ ICU frailty experts get together!

✔️ out the new ✳️Special Feature✳️ in #journal_CHESTCritCare outlining their consensus on research priorities for the field:

www.chestcc.org/article/S294...

#OpenAccess

@accpchest.bsky.social

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🎯 The precise relationship between ARF, delirium, & long term morbidity has been confusing… 😵‍💫

Just out in #journal_CHESTCritCare, H Ferguson, A Sanjuan, et al help us better understand it 👍:

www.chestcc.org/article/S294...

#OpenAccess as always.

@accpchest.bsky.social

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ICU culture varies across units… & uptake of EBM varies… but are they related? 🤔

Out today in #journal_CHESTCritCare, @chadhoc.bsky.social & colleagues show us they may be… at least for lung protective vent:

www.chestcc.org/article/S294...

@accpchest.bsky.social
@iwashyna.bsky.social

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😫 Working in ICUs can be hard…

#journal_CHESTCritCare ⭐️HIDI⭐️ series to the rescue! 🛟

Out today, 2 new HIDIs:

1. How to discuss harm

www.chestcc.org/article/S294...

2. How to avoid omission bias

www.chestcc.org/article/S294...

Thx, Molly Hayes, for editing this section!
@accpchest.bsky.social

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👍 QI research is best when it identifies an issue, designs a solution, & evals its implementation…

Lee, Mangaoang, Duby, et al show us how it’s done in their study of the ⭐️sedation gap⭐️:

🌉: www.chestcc.org/article/S294...

🧠: www.chestcc.org/article/S294...

#journal_CHESTCritCare

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Treatment associations of liberal vs. conservative fluid therapy on ventricular systolic function in septic patients. LV GLS and RVFWS are unaffected by treatment with liberal fluids in septic patients, but mechanical ventilation was associated with worse function as measured by LV GLS.

As intensivists rely more & more on advanced echo 🫀, we must ❓ how our interventions affect TTE metrics 📏…

Just out in #journal_CHESTCritCare, M Lanspa et al eval how volume resus is associated w LV GLS & RVFWS:

www.chestcc.org/article/S294...

#OpenAccess

@accpchest.bsky.social

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