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Santé publique France et l’ARS Auvergne Rhône Alpes investiguent un épisode de cas groupés d’infections par le virus de l’encéphalite à tiques (TBE) survenus en juin 2024. Lire le communiqué : srlf.org/article/cas-gr…

Treating acute encephalitis 💉antimicrobial therapy 🧠dexamethasone ⚡️antiseizure drugs 🔍diagnostic studies ⚠️when to suspect/treat autoimmune cause? Comprehensive/individualized approach critical for appropriate indications & to optimize outcomes. 🖇️ bit.ly/3X1fgk3

Intubation in critical adults with physiologically difficult airway, consensus & expert statements Society of Critical Care Anesthesiologists ➡️location + factors ⬆️complications ➡️team preparation + human factors ➡️pt preparation & optimization ➡️procedure ➡️post‑intubation care 🖇️ bit.ly/3AFcasZ

CAR-T cell therapy 🔥 CRS cytokine release syndrome 🧠 neurotoxicity + movement & neurocognitive adverse events 📉 pseudoprogression 🩸 hematotoxicity 🧫 hypogammaglobulinemia & infections 🩸 hemophagocytic lymphohistiocytosis 🫀 cardiotoxicity #FOAMcc 🖇️ rdcu.be/dRRzt

La prochaine Masterclass, consacrée au SDRA, se tiendra les du 12 et 13 décembre 2024, à la SLRF à Paris. Une Masterclass... bientôt complète ! Venez vite vous inscrire ! Programme et inscription : zurl.co/CzYU #SRLF #SDRA

Étude REHALITE Le recrutement des centres démarre cet automne, pour une soumission au CPP avant la Toussaint. Si vous souhaitez participer, contactez la CERC par mail (comcerc.srlf+rehalitéGmail.com). Date limite : 18/10/2024 En savoir plus : srlf.org/article/etude-…

#POCUS checklist in VA #ECMO 🖥️ cannula position/drainage insufficiency 🖥️ aortic VTI & required EBF 🖥️ AV opening 🖥️ venting 🖥️ pericardial effusion/tamponade 🖥️ settings of right-sided #ECLS + LV support 🖥️ ECMO still needed? 🖥️ post-ECMO complications 🔓rdcu.be/dYbV6

Spontaneous breathing trials? GLOBAL WEAN study 🩺100 #ICU adults 🫁unassisted SBTs PSV0PEEP0 & T-piece trial most appropriate to replicate postextubation effort to breathe 🪡personalized approach according to critical illness may improve SBT performance 🔓rdcu.be/dYft5

Mark Toshner Montani David Pulmotension InsermU999 HTaPFrance Société de Pneumologie de Langue Française (SPLF) Here is our proposed algorithm for PAH

Using the ventilator to predict fluid responsiveness 🫀pulse pressure & stroke volume variation (PPV & SVV) 🖥️ vena cava diameter changes 🫁 Vt challenge 🫁 end-expiratory occlusion test 🫁 recruitment maneuvers 🫁 PEEP test ⁉️ how to select right tool? 🔓 bit.ly/3DfOQ6t

Gattinoni’s legacy? 🫁personalizing #ARDS management through approach integrating physiology, biology, imaging, cutting-edge trial design/analysis 🔗 bit.ly/41UN9FM 💡Refers to study suggesting oxygenation impairment fails to predict VILI risk 🔓 rdcu.be/d4ApC

Permissive hypercapnia in acute severe respiratory failure: should we target PaCO2, pH or both?? Safe thresholds in critically ill? 🩺mechanisms & management of hypercapnia requiring IMV 🫁 impact of hypercapnia on outcomes 🫁 🫀🧠significant physiological effects: RV & pulmonary

CMV in #ICU: be aware! 🩺 pathophysiology 🧫 infection & disease definitions 🔥 reactivation in non-immunocompromised pts 🕯️ CMV in immunocompromised critically ill ⚠️ incidence & risk factors 🔬 presentations & diagnosis 🩺 treatment & prevention 🔓 rdcu.be/d5Sqt

Using toxidromes in #ICU to quickly identify likely toxicant class, initiate immediate specific treatment (if available) + guide monitoring in poisoned pts & early detect poisoning in exposed but asymptomatic pts 🪜stepwise approach: vital sign, physical examination, bedside

Tryptique. Panneau 1. Vous n’avez rien de prévu samedi 15 mars? Par chance le GIHP fait sa masterclass annuelle à cette date! Et à Saint-Etienne.🏨💉🩸🌡️💊🩹📝 Venez donc discuter d’hémostase, de thrombose et d’hémorragie! Inscription: [email protected] SFAR Anesthésie Réanimation

Should we abandon Prone Postion for patient under VV-#ECMO? Insight of PRONECMO w/ @PrMatthieuSchmidt Not for every patients but… 📋 ✅no ultra-low Vt ✅bilateral posterior consolidation ✅non-COVID19 ards ✅trained teams ISICEM JAMA Network #ICU 🔗 10.1001/jama.2023.24491

🚨 SAVE THE DATE ! 🚨 La 3ᵉ Journée Stéphanoise de Vasculaire arrive ! 🔬🩸 Au programme : ✅ Pathologies artérielles, veineuses & lymphatiques ✅ Thérapeutiques innovantes ✅ Peter Verhamme en invité d'honneur ! ⤵️ #JSV2025

Volume of resuscitation fluids in adult critically ill patients, ESICM clinical practice guideline on fluid therapy - part 2️⃣ providing 4 conditional + 4 ungraded best practice statements, no recommendations for 2 questions. 🧫 💦 #sepsis or septic shock: administer up to 30

😱 quel succès pour la future Journée Stéphanoise de Vasculaire ! En moins de 3 semaines, les capacités d'accueil sont déjà remplies aux 2 tiers 👏 ⌚ dépêchez vous pour les dernières places, à la différence des années précédentes, il ne sera pas possible de "pousser les murs"

Nasal high flow oxygen is a tool I use daily in the ICU. The ROX index can also be helpful in certain situations. Here's how those two work. 🎩 tip to the authors. eddyjoemd.com/foamed