Alexandre Serafim

#PedsICU

Co-Chief Investigators Brenda O'Neill and Danny McAuley share the results of the #iRehab trial after presenting at #CCRdownunder

Livestream -> www.criticalcarereviews.com

@jama.com

Chief Investigator Michael Reade provides an overview of the #CLIP-II trial at #CCRdownunder and what it means for clinicians.

@jama.com

Chief Investigator Ary Serpa Neto shares an overview of the #ACTiVE trial after presenting the results at #CCRdownunder

@jama.com

The Down Syndrome Medical Interest Group no longer has a Twitter/X account, but we have moved to Bluesky ❤️

Could any lovely #paedsky #paediatrics folks give it some love?

#paedsky #pediatrics

It's @dsmig.bsky.social

Also @rcpch.bsky.social - give it a follow 😁

#ScienceUnderSiege

The decision by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention to downgrade its recommendations to protect infants from hepatitis B is a dangerous move that will harm children.

Click here to read AAP's full statement: bit.ly/3Y9ZQJT

anaphylaxis to rocuronium can be treated with sugammadex. this is simple and really neat.

anaphylaxis to sugammadex is more complicated:

😁 if rxn to sugammadex *alone* --> giving roc will make things BETTER

😫 if rxn to [sugammdex-roc] *complex* --> giving roc will make things WORSE

#EMIMCC

Disappeared to a Foreign Prison The Trump Administration is deporting people to countries they have no ties to, where many are being detained indefinitely or forcibly returned to the places they fled. Sarah Stillman reports.

I'm late to this powerful, detailed article, but it's well worth a read. What we're doing to these people is an atrocity. www.newyorker.com/magazine/202...

Interesting cohort (adult) study in Canada on the association between respiratory drive and outcome. Limited by the observational design, but well done… and supporting the Lung and Diaphragm protective ventilation concept.
#PedsICU
www.sciencedirect.com/science/arti...

As I spent more and more of my life under the care of doctors, nurses, and researchers striving to improve the lives of others, I watched as Bobby cut nearly a half billion dollars for research into mRNA vaccines, technology that could be used against certain cancers; slashed billions in funding from the National Institutes of Health, the world's largest sponsor of medical research; and threatened to oust the panel of medical experts charged with recommending preventive cancer screenings. Hundreds of N.I.H. grants and clinical trials were cancelled, affecting thousands of patients. I worried about funding for leukemia and bone-marrow research at Memorial Sloan Kettering. I worried about the trials that were my only shot at remission. Early in my illness, when I

Just an absolutely gutting essay by Tatiana Schlossberg, a writer, mother of two young children, and cousin of RFK Jr who is dying of leukemia.

www.newyorker.com/culture/the-...

A powerful study by Dr Luiz Almeida (now in Saskatoon, formerly at Edmonton) on long term outcomes for kids after major heart surgery as infants.

www.cjcpc.ca/article/S2772-8129(25)00001-6/fulltext

#PedsICU

The AAP and more than 40 organizations are alarmed that the CDC is promoting the outdated, disproven idea that vaccines cause autism. We’re calling on the CDC to return to its long history of promoting evidence-based information to protect Americans’ health. Read the full statement: bit.ly/3XILwry

Pediatrician here.
Misinformation and disinformation don't become facts just because the CDC posted them.
Numerous studies have refuted any link between vaccines and autism.
Zero studies have shown any link between vaccines and autism.
Real science matters.

reference for this image: https://www.sciencedirect.com/science/article/abs/pii/S2352556821001685

Single-center RCT finds benefit from sepsis resus that targets perfusion index (Pi)

Intervention group: fix macrohemodynamics, then target Pi >1.4

I think they're right

Pi is similar to cap refill, but continuously displayed number on monitor 😍

pubmed.ncbi.nlm.nih.gov/41033063/ #EMIMCC

Last night I dreamed I was attending in the ICU. A trainee was presenting tons of data to me. I asked, “but what did the patient say when you asked them why they came to the hospital?”

In the dream, the trainee had to go ask them because they hadn’t yet.

I usually dream about real stuff, and

#PedsICU

𝐀𝐂𝐓𝐢𝐕𝐄 𝐓𝐫𝐢𝐚𝐥 𝐑𝐞𝐬𝐮𝐥𝐭𝐬 𝐚𝐭 𝐂𝐂𝐑 𝐃𝐨𝐰𝐧 𝐔𝐧𝐝𝐞𝐫

➡️ Is automated closed-loop ventilation the future in ICU?

➡️ Expert analysis, big implications, live in Melbourne

➡️ Join us at CCR Down Under — don’t miss it!

criticalcarereviews.com/meetings/ccr...

🧵 #HearthWarriors 🫂strike boycott blackout protest
****** defend the🫂 ... defund the 🐷 *******

#TruthWarriors ❕ bsky.app/profile/ezra...

Today's Paper of the Day is:

Recent advances of precision immunotherapy in sepsis

https://criticalcarereviews.com/latest-evidence/paper-of-the-day

Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025

BMJ Medicine logo

📣 BMJ Medicine is now on Bluesky 📣

Follow them at @bmjmedicine.bsky.social

👇🏼👇🏼👇🏼👇🏼

Is #PedsICU next?

#PedsICU

Newborn whose mother was exposed to CMV during pregnancy

Coronal US of brain(above) shows large septated cysts in germinal matrix (germinolysis) bilaterally+multiple periventricular echogenic foci just lateral to anterior horns of lateral ventricles bilaterally...

#radiology #pediatrics #NICU

This new #RCT suggests IV or paravertebral #lidocaine reduces complications after VATS compared to remifentanil, potentially due to its anti-inflammatory properties. https://www.bjanaesthesia.org/article/S0007-0912(25)00452-0/fulltext

Xavier Monnet on AI and haemodynamics at Brazilian Critical Care Congress #PedsICU

🌍 Exciting news! The new WFPICCS website is live!

A new digital home for the global #PICU community – built to connect, learn & collaborate in advancing pediatric critical care.

👉 www.wfpiccs.org

#WFPICCS #PedsICU #CriticalCare #MedicalEducation #Research

Steroids in severe pneumonia

The Blue Journal thanks Lorenzo Zanetto, MD, for his contribution to the November issue

Targeting Treatable Traits across the Lifespan in Preterm-Born Individuals with Chronic Lung Disease of Prematurity

www.atsjournals.org/doi/full/10....