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📊 Clevidipine for Perioperative Hypertension – A game-changer? 🔹 Ultra-short half-life 🔹 Precise BP control 🔹 Fewer BP fluctuations vs. traditional agents 📈 Key findings from a new systematic review (2,066 patients) fmed.2025.1562681 🔗 DOI: 10.3389 #Anesthesia #MedTwitter

San Raffaele Anesthesia and Intensive Care Fabrizio Monaco, MD Jacopo D’Andria Ursoleo, MD Viviana Agosta Here! frontiersin.org/articles/10.33…

🚨 NEW DEBATE ALERT! 🚨 PRO: Idarucizumab & andexanet alfa solve DOAC reversal dilemmas in emergencies! 🔗 Read the Full Article jcvaonline.com/article/S1053-… jcvaonline.com/article/S1053-…

Understanding the continuity equation for calculating the aortic valve orifice area (EOA) by #echofirst #VHD 🔘Law of Conservation of Mass🔘

🚨 Protected Noncardiac Surgery is emerging as a new paradigm to expand surgical eligibility in high-risk non cardiac patients. 🔁 Preemptive temporary mechanical circulatory support (tMCS), outcomes may improve. 🔗 doi.org/10.1053/j.jvca… #Anesthesia #Cardiology #tMCS #surgery

Navigating Left Ventricular Outflow Tract Obstruction (LVOTO) during Transcatheter Mitral Valve Replacement (#TMVR) just got clearer. 🩺💡 🔍 Key insights from our latest review: ✅ Predictors of LVOTO risk via CT/3D TEE ✅ Surgical bailout strategies jcvaonline.com/article/S1053-…

🩸ANH Trial Results at #CCR25!🩸 Acute normovolaemic haemodilution ➡️removing & later reinfusing a patient’s own blood in cardiac surgery 🧪 2,000 pts 🌍 21 sites in 11 countries 🎯 ⬇️transfusions 35%➡️28% ❓Gamechanger 📺 Free global livestream criticalcarereviews.com/meetings/CCR25

🚨 12 Major Critical Care Trials 🚨 🌟 Global experts 🗣️ Live discussion 📺 Join the free livestream of #CCR25 – where critical care meets cutting-edge evidence 💡 🌍 Streaming the latest trials & analysis you don't want to miss 📊🧪 🔗 criticalcarereviews.com/meetings/ccr25

What to consider when performing intraop TEE for the tricuspid valve 🥇put the AV at 09:00 o’clock 🕘 #echofirst Ritu Thamman MD Nicolas Merke 👉Your surgeon will ❤️ it! 🥈The surgeon ALWAYS 👀 TV from atrial aspect (through RA) NEVER from ventricular aspect ! 📺 TV SURGICAL VIEW 📺

Congratulations to my friend Domenico Pontillo for leading this project! Does length of CPB influence the renal effect of amino acids in cardiac surgery patients? Journal of Cardiothoracic and Vascular Anesthesia Jiapeng Huang

🎉 Milestone for the #LunaTrial: First 50 patients randomized across 3 centers - and we’re just getting started! 🚨 We’re looking for new centers to join the trial. 📩 Interested? DM us! Thanks to all the teams making this happen. Giovanni Landoni, MD Fabrizio Monaco, MD San Raffaele Anesthesia and Intensive Care

San Raffaele Anesthesia and Intensive Care Fabrizio Monaco, MD #landiolol as perioperative cardiac protection (and cardioplegia supplement) in 1500 #cardiacsurgery patients is someone around the world interested to join?

…+ important discussions about its clinical relevance and how to identify best our patients at risk for increased complication rates. This needs consideration in current guidelines 💡

PVL after surgical MVR. Mental gymnastics 🤸‍♂️ #echofirst Convert this 2D images to 3D using the 2D input from your eyes. Where is the PVL (A 1,2,3-P 1,2,3)? 1️⃣2️⃣3️⃣ Test your spatial orientation 🤔

🚨New in NEJM: In a multinational RCT with 2010 patients, Acute Normovolemic Hemodilution (ANH) during cardiac surgery did not reduce the need for red-cell transfusions. No safety concerns—but no clear benefit either. 🩸💉#CardiacSurgery #RCT #NEJM #ANH doi.org/10.1056/NEJMoa…

🚫💔 #NoBenefitFromRIPC Just out in Circulation: The PRINCE RCT (n=1213) shows Remote Ischemic Preconditioning does not reduce myocardial injury in high-risk noncardiac surgery. No clinical benefit. Minor harms. #RCT #PerioperativeMedicine #CardioTwitter doi.org/10.1161/CIRCUL…

📊 Statistically significant... but is it robust? P-values alone aren't enough. Consider: Fragility Index (FI) Confidence Intervals Bayesian methods, MCID, S-values Stronger stats for better clinical decisions. 🔍👩‍⚕️ 🔗 doi.org/10.1016 #Anesthesia #Stats

today with Fabrizio Monaco, MD Gianluca Paternoster Simona Silvetti we will call the last 20 italian #cardiacsurgery centers which are not yet participating to the #LUNAtrial keep your phone on or DM for the link to the investigator meeting for non Italians: we’ll look for you soon 😂