Xavier Monnet (@prof_xmonnet) 's Twitter Profile
Xavier Monnet

@prof_xmonnet

Intensivist @Hopital_Bicetre @APHP

ID: 1398158907432972290

calendar_today28-05-2021 06:07:33

113 Tweet

1,1K Followers

39 Following

Commission Jeune de la SRLF (@jeunessrlf) 's Twitter Profile Photo

🤩🤩🤩 Du nouveau sur l'application e-ICU! Des fiches didactiques réalisées par de jeunes médecins pédagogues! 👨‍🏫👩‍🎓 Mises à jour de la définition de l'insuffisance rénale aiguë, EEG, SHU typique et bien d'autres!...

🤩🤩🤩 Du nouveau sur l'application e-ICU! Des fiches didactiques réalisées par de jeunes médecins pédagogues! 👨‍🏫👩‍🎓
Mises à jour de la définition de l'insuffisance rénale aiguë, EEG, SHU typique et bien d'autres!...
Lai Christopher (@laichristopher2) 's Twitter Profile Photo

Multicentric study 205 MV patients with volume expansion Detection of fluid-responsiveness 💧 ✅↘️ in PCO2gap>2 ✅↗️ in ScvO2>3 Good AUC with nice PPV but NPV ⛔️Baseline PCO2gap or ScvO2: bad predictors🗑️ 🔗 rdcu.be Critical Care #french-hemo #ICU #FOAMed

Multicentric study
205 MV patients with volume expansion 
Detection of fluid-responsiveness 💧 
✅↘️ in PCO2gap>2
✅↗️ in ScvO2>3
Good AUC with nice PPV but NPV
⛔️Baseline PCO2gap or ScvO2: bad predictors🗑️ 

🔗 rdcu.be
<a href="/Crit_Care/">Critical Care</a> 
#french-hemo #ICU #FOAMed
Lai Christopher (@laichristopher2) 's Twitter Profile Photo

BALANCE trial in NEJM ❓ATB duration for bloodstream infections 🏥74 hospitals, 7 countries 🤒3608 pts (55% #ICU) 🚫Excluding Staph inf 🚨7 days ‘Non-inferior’ to 14 days 🔜potential ↘️in antimicrobial resistance🦠, complications💉, cost💸 🔗nejm.org/doi/full/10.10…

BALANCE trial in <a href="/NEJM/">NEJM</a> 
❓ATB duration for bloodstream infections
🏥74 hospitals, 7 countries
🤒3608 pts (55% #ICU)
🚫Excluding Staph inf

🚨7 days ‘Non-inferior’ to 14 days
🔜potential ↘️in antimicrobial resistance🦠, complications💉, cost💸

🔗nejm.org/doi/full/10.10…
Commission Jeune de la SRLF (@jeunessrlf) 's Twitter Profile Photo

🚨CJ-QUIZZ de décembre ! 🍾🎄 ☑︎ Concernant le mechanical power au cours de la ventilation mécanique 🫁 ... ☒ Quel est le paramètre qui l'influence le plus parmi ceux-ci ?

Commission Jeune de la SRLF (@jeunessrlf) 's Twitter Profile Photo

Encore bienvenue à la nouvelle promo MIR 🩺✨! Prêt pour cette aventure aussi intense que passionnante …? On est ravis de vous accueillir ! #MIR2024 SRLF CeMIR ANJMIR CREUF

Encore bienvenue à la nouvelle promo MIR 🩺✨! 

Prêt pour cette aventure aussi intense que passionnante …?

On est ravis de vous accueillir !

#MIR2024 
<a href="/La_SRLF/">SRLF</a> <a href="/CeMIR_off/">CeMIR</a> <a href="/jeunesMIR/">ANJMIR</a> <a href="/CREUF_rea/">CREUF</a>
ANJMIR (@jeunesmir) 's Twitter Profile Photo

Ne manquez pas notre dernier webinaire sur les vasopresseurs dans le choc septique, demain à 19h ! En partenariat avec Viatris Lien zoom : univ-lille-fr.zoom.us/j/91878248038?…

Ne manquez pas notre dernier webinaire sur les vasopresseurs dans le choc septique, demain à 19h !
En partenariat avec <a href="/ViatrisInc/">Viatris</a> 
Lien zoom : univ-lille-fr.zoom.us/j/91878248038?…
Commission Jeune de la SRLF (@jeunessrlf) 's Twitter Profile Photo

Vous ne voulez plus avoir de secret sur la tomographie par impédance électrique 🫁🩸 🌬️ ? Et connaitre ses intérêts potentiels en réanimation ?! Ecoutez notre nouveau PostCast #lignedeMIR🎙️🧐 C'est par ici : srlf.org/media/place-to…

Critical Care Reviews (@critcarereviews) 's Twitter Profile Photo

Today's Paper of the Day is venous return and mean systemic filling pressure: physiology and clinical applications criticalcarereviews.com/latest-evidenc… Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2024

Today's Paper of the Day is venous return and mean systemic filling pressure: physiology and clinical applications

criticalcarereviews.com/latest-evidenc…

Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2024
Lai Christopher (@laichristopher2) 's Twitter Profile Photo

Using the ventilator and heart-lung interactions to predict #fluid responsiveness 💧 🫁 PPV & SVV 🫁Vt challenge 🫁End-expiratory occlusion test 🫁PEEP-test Intensive Care Medicine Xavier Monnet Manu Malbrain 🔗rdcu.be/d3P6J

Using the ventilator and heart-lung interactions to predict #fluid responsiveness 💧
🫁 PPV &amp; SVV 
🫁Vt challenge 
🫁End-expiratory occlusion test 
🫁PEEP-test

<a href="/yourICM/">Intensive Care Medicine</a> <a href="/Prof_XMonnet/">Xavier Monnet</a> <a href="/Manu_Malbrain/">Manu Malbrain</a> 
🔗rdcu.be/d3P6J
Critical Care Reviews (@critcarereviews) 's Twitter Profile Photo

Why do we use transpulmonary thermodilution and pulmonary artery catheter in severe shock patients? CCR Journal Watch criticalcarereviews.com/latest-evidenc… Get the latest critical care literature every weekend via the CCR Newsletter - subscribe at criticalcarereviews.com/newsletters/su…

Why do we use transpulmonary thermodilution and pulmonary artery catheter in severe shock patients?

CCR Journal Watch

criticalcarereviews.com/latest-evidenc…

Get the latest critical care literature every weekend via the CCR Newsletter - subscribe at criticalcarereviews.com/newsletters/su…
Lai Christopher (@laichristopher2) 's Twitter Profile Photo

When to monitor w/ TPTD and PAC in #ICU? w/Xavier Monnet and David De Backer in @annalsofintensive 🤕In most severe & complex patients 🫀To monitor precise CO 🖼️For a complete view of HD status 💊To guide treatment 🔗rdcu.be/d6wEn N.B: I use it associated w/ echo😉 #FOAMed

ANJMIR (@jeunesmir) 's Twitter Profile Photo

N'oubliez pas le premier congrès dédié à la recherche translationnelle en soins critiques ! Il s'agit du « Symposium Scientifique de la SRLF » (S3), les 13 et 14 mars 2025, à Paris. L'événement est GRATUIT pour les internes adhérents à la SRLF. srlf.org/civicrm-event/… SRLF

Critical Care Reviews (@critcarereviews) 's Twitter Profile Photo

Today's Paper of the Day is how I personalize fluid therapy in septic shock criticalcarereviews.com/latest-evidenc… Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025

Today's Paper of the Day is how I personalize fluid therapy in septic shock

criticalcarereviews.com/latest-evidenc…

Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025
Fanny Chasseloup (@fannychasseloup) 's Twitter Profile Photo

Today, I find myself facing a frustrating situation that sheds light on those challenges, and I wanted to share it, hoping to make a difference for women in STEM. linkedin.com/posts/fanny-ch…

Lai Christopher (@laichristopher2) 's Twitter Profile Photo

Prone position is not only a matter of oxygenation 🫁 HD effects of prone position by Xavier Monnet🩸 ↗️cardiac preload and may ↗️CO ↘️PVR and ↘️RV afterload ⚠️ ↗️IAP w/ waterfall phenomenon Monitor IAP and CO in high risk patients of poorly tolerated PP ISICEM #ICU Critical Care

Prone position is not only a matter of oxygenation 🫁
HD effects of prone position by <a href="/Prof_XMonnet/">Xavier Monnet</a>🩸 
↗️cardiac preload and may ↗️CO
↘️PVR and ↘️RV afterload
⚠️ ↗️IAP w/ waterfall phenomenon

Monitor IAP and CO in high risk patients of poorly tolerated PP
<a href="/ISICEM/">ISICEM</a> #ICU <a href="/Crit_Care/">Critical Care</a>
Lai Christopher (@laichristopher2) 's Twitter Profile Photo

Awake prone position is possible and may improve patient’s prognosis ↘️ ☠️ 🕘 success driven by many factors, especially duration of awake PP >8h which might not be that easy to achieve. 🧘‍♀️ Comfort is also important: use bundles of care! @LuigiCamporota ISICEM Critical Care #ICU

Awake prone position is possible and may improve patient’s prognosis ↘️ ☠️ 
🕘 success driven by many factors, especially duration of awake PP &gt;8h which might not be that easy to achieve. 
🧘‍♀️ Comfort is also important: use bundles of care! 
@LuigiCamporota <a href="/ISICEM/">ISICEM</a> <a href="/Crit_Care/">Critical Care</a> #ICU
Lai Christopher (@laichristopher2) 's Twitter Profile Photo

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

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
<a href="/ISICEM/">ISICEM</a> <a href="/JAMANetwork/">JAMA Network</a> #ICU

🔗 10.1001/jama.2023.24491
Lai Christopher (@laichristopher2) 's Twitter Profile Photo

Liberal or restrictive approach of #fluid resuscitation in #ICU: OUTDATED! @DDeBacker Optimization and personalization 🤔Really need it? ⚖️ benefits/harms ⚠️ Sodium intake ↘️maintenance/dilution fluids #ISICEM25 ISICEM

Liberal or restrictive approach of #fluid resuscitation in #ICU: OUTDATED! @DDeBacker

Optimization and personalization 
🤔Really need it?
⚖️ benefits/harms
⚠️ Sodium intake
↘️maintenance/dilution fluids 
#ISICEM25 <a href="/ISICEM/">ISICEM</a>
Lai Christopher (@laichristopher2) 's Twitter Profile Photo

💨Weaning-induced pulmonary oedema: a key driver of weaning failure 🏥 13#ICU 🤕634 SBTs, 500 patients 12% all #SBT 36% of weaning failure More frequent w/ T-piece risk factors: COPD (OR 13.2) & cardiopathy (OR 3.97) 🔗 rdcu.be/egWBQ Critical Care Xavier Monnet Rui SHI

💨Weaning-induced pulmonary oedema: a key driver of weaning failure
🏥 13#ICU
🤕634 SBTs, 500 patients
12% all #SBT
36% of weaning failure
More frequent w/ T-piece
risk factors: COPD (OR 13.2) &amp; cardiopathy (OR 3.97)
🔗 rdcu.be/egWBQ
<a href="/Crit_Care/">Critical Care</a> <a href="/Prof_XMonnet/">Xavier Monnet</a> <a href="/shiruimaya/">Rui SHI</a>
Lai Christopher (@laichristopher2) 's Twitter Profile Photo

🚨 "Early norepinephrine in #septic shock: SRMA" Critical Care ✅↓D28 mortality ✅↓fluids ✅Faster MAP stabilization 🛡️Safe & effective 🔍Trial sequential analysis : more RCTs still needed to confirm Big thanks to my co-authors! Rui SHI Xavier Monnet 🔗rdcu.be/ek2Uz

🚨 "Early norepinephrine in #septic shock: SRMA" <a href="/Crit_Care/">Critical Care</a>
✅↓D28 mortality ✅↓fluids ✅Faster MAP stabilization 🛡️Safe &amp; effective 🔍Trial sequential analysis : more RCTs still needed to confirm
Big thanks to my co-authors! <a href="/shiruimaya/">Rui SHI</a> <a href="/Prof_XMonnet/">Xavier Monnet</a>
🔗rdcu.be/ek2Uz