Estefanía Gracia
@FanyGraciaAnestesia y Reanimación. Hospital Clínico Universitario de Valencia
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Por cierto el himno de Valencia es el mejor de España.
Honor. Gracias infinitas, Real Madrid. Esto no se olvidará nunca.
Fluid balance in patients with acute circulatory failure & severe AKI on #RRT: RCT ☔️ early/active fluid removal guided by dynamic indices of preload dependence allowed balance control, no ⬆️ in hemodynamic instability episodes or severe adverse events 🔓 bit.ly/3zSatIZ
“La cura para todo es siempre agua salada: el sudor, las lágrimas o el mar.” Karen Blixen (Isak Dinesen)
RCT comparing VV #ECMO vs prone positioning in severe #ARDS ethically challenging... 🫁#ECLS before cheap, safe, effective therapy? 🫁 continue proning who failed to improve? 🔓 rdcu.be/dQO94 Reply to🔓 rdcu.be/dQPaf Refer to 🔓 rdcu.be/dQMDg
Excelente resumen de cómo se ha llevado a cabo el enorme y chapucero fraude electoral en Venezuela. 👇 youtu.be/0g855Y_1tAg?si…
Major causes of lactic acidosis & their mechanisms. 🔗 N Engl J Med 2014;371:2309-2319 #MedEd #FOAMcc #SCCMSoMe H/T @NephroP
20% human albumin bolus after cardiac surgery, HAS FLAIR-II RCT 💦 albumin vs predominantly crystalloid fluid therapy associated with less positive fluid balance but not reduction in duration of vasopressors 🔓 rdcu.be/dMAwB With editorial... 🔓 rdcu.be/dMAqZ
Frailty, outcomes, recovery & care steps of critically ill 🔍prevalence ⬆️ if measured with FI vs CFS 🔍associated with worse outcomes ie ⬆️ mortality 🛏️⬇️ mobility + ⬆️ delirium 🔍severity ⬆️ to hospital discharge vs ICU admission, but ⬇️ by 6 months 🔓rdcu.be/dIXEs
🔴Algorithm for the management of atrial fibrillation with rapid ventricular response #Atrial #fibrillation #AFib #RVR #Algorithm #management #Emergency #Cardiology #MedX #MedTwitter #CardioTwitter #medx #medEd #MedTwitter #MedEd #cardiotwitter #FOAMed #CardioEd #Cardiology
🔙 2️⃣0️⃣0️⃣4️⃣ | Tal día como hoy conquistábamos la Copa de la @UEFAcom_es 🏆 🆚 @OM_Officiel ⚽️ #ADNVCF 🦇
🖥️ Using #echocardiography to predict fluid-responsiveness & manage need for fluids in ICU 💧when to fill? ☔️when NOT to? 💦optional filling... gray zone Adequate training pivotal to avoid misinterpretation! Free to read #FOAMcc #FOAMus #echofirst #POCUS 🔓rdcu.be/dH6nb
Empirical antimicrobials in #ICU? Review aimed to provide a step-by-step approach for prescription: ⏱️ assessing need & urgency 🧫 pathogen profiling ⚖️ selecting the right arsenal 🔮 future perspectives Free to read #FOAMcc on @yourICM 🔓 bit.ly/4ai3zss
⏪ #TalDíaComoHoy en 2⃣0⃣0⃣1⃣... El @valenciacf lograba el pase a la 𝗙𝗜𝗡𝗔𝗟 😍 #UCL
Diuretics in #ICU 🫘 what the indications? 🫘 how to monitor? 🫘 continuous infusion more effective vs intermittent dosing? 🫘 combining w albumin to improve effectiveness? 🫘 furosemide stress test 🫘 how to manage diuretic resistance #FOAMcc @yourICM 🔓 rdcu.be/dG6xx
Postoperative nausea and vomiting did not differ in patients assigned to 80% or 30% inspired oxygen. Similarly, a meta-analysis of available trials indicated that supplemental oxygen does not reduce postoperative nausea and vomiting. Learn more: ow.ly/la9v50RptSI
🔴 Diagnosis and Management of Pulmonary Hypertension and Right Ventricular Failure in the Cardiovascular Intensive Care Unit #openaccess criticalcare.theclinics.com/article/S0749-… #CardioEd #cardiotwitter #cardiology #MedEd
🔴Guidelines: Diagnosis & Management of Infective Endocarditis in Adults @JAMANetworkOpen jamanetwork.com/journals/jaman… #Cardiology #CardioEd #enarm #FOAMed
Prone positioning?? Used since 70s to improve oxygenation in patients with #ARDS. Here concise overview 🫁main pathophysiological findings 🫁supporting evidence & practical considerations for use 🫁awake proning in non-intubated pts #FOAMcc on @yourICM 🔓rdcu.be/dFIdO
🗞🩸Asociación de los niveles iniciales de lactato 💥y la estrategia de transfusión de glóbulos rojos después de un traumatismo grave🩸💥Durante la fase inicial de reanimación traumática. Hilo 🧵🪡👇 wjes.biomedcentral.com/articles/10.11… 🔓🔑 acrobat.adobe.com/link/track?uri…
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