How to use PEEP-to-plateau curves to detect recruitment / derecruitment in ICU? Don’t miss this hot topic on the Blue Journal! This external validation study confirms the use the cut off value of the 100ml (or 1.4 ml/kg of PBD) of tidal hysteresis for the detection at the bedside of intra-tidal recruitment – a major determinant of […]
Don’t miss this review dedicated to non invasive respiratory monitoring – signed by Dr. Mongodi, Dr. Mojoli and Pr. Suarez-Sipmann – on the upcoming special issue dedicated to cardio-pulmonary monitoring of Current Opinion in Critical Care Find there all the details for everyday use in your clinical practice of lung ultrasound, tidal hysteresis, EIT, CO2 […]
Recently published on Critical Care – This multicenterperspective international study based in Novara, Pavia and Dijon shows how no improvement in lung aeration as measured by the lung ultrasound aeration score after 2 hours of non-invasive respiratory support is an independent predictor of need of escalation. Authors: Silvia Mongodi, Erminio Santangelo, Domenico Luca Grieco, Valeria Musella, Nello […]
Have a look to this brand new review to improve your use of pressure-volume curves to set PEEP in ICU patients – on Current Opinion in Critical Care In Pubmed https://pubmed.ncbi.nlm.nih.gov/38085871/ Setting positive end-expiratory pressure: using the pressure-volume curve Francesco Mojoli 1 2, Marco Pozzi 2, Eric Arisi 2 Abstract Purpose of review: To discuss the role of pressure-volume curve (PV curve) in […]
Infectious Diseases and Therapy volume 12, pages 1625–1640 (2023) Erika Asperges, Giuseppe Albi, Valentina Zuccaro, Margherita Sambo, Teresa C. Pieri, Matteo Calia, Marta Colaneri, Laura Maiocchi, Federica Melazzini, Angioletta Lasagna, Andrea Peri, Francesco Mojoli, Paolo Sacchi & Raffaele Bruno Abstract Introduction The hyperinflammation phase of severe SARS-CoV-2 is characterised by complete blood count […]
Int J Ment Health Syst. 2023 Jul 15;17(1):22. doi: 10.1186/s13033-023-00590-x. Silvia Mongodi, Giulia Salve, Marta Ravasi, Damiano Rizzi, Matteo Mangiagalli, Valeria Musella, Catherine Klersy, Luca Ansaloni, Francesco Mojoli Abstract Background: COVID-19 outbreak deeply impacted on mental health, with high rate of psychological distress in healthcare professionals, patients and general population. Current literature on trauma showed […]
Lung hysteresis in a decremental PEEP trial helps identifying tidal recruitment and optimise the setting of PEEP in a personalised mechanical ventilation. Full test on Critical Care here Abstract Background In ARDS, the PEEP level associated with the best respiratory system compliance is often selected; however, intra-tidal recruitment can increase compliance, falsely suggesting improvement in […]
In this retrospective case-control study, barotrauma was recorded in 1.00% of patients, affecting mainly patients with more severe COVID-19 disease. It was independently associated with mortality. Free full text here on Pulmonology Abstract Background The risk of barotrauma associated with different types of ventilatory support is unclear in COVID-19 patients. The primary aim of […]
Abstract This multicenter observational study included 171 COVID-19 adult patients hospitalized in the ICUs of nine hospitals in Lombardy (Northern Italy) from December, 1st 2021, to February, 9th 2022. During the study period, the Delta/Omicron variant ratio of cases decreased with a delay of two weeks in ICU patients compared to that in the community; […]
An insight from the Lung Safe study focused on mechanical ventilation in cardiogenic edema: higher airway pressure seems to be associated with mortality. Free full text here on the Journal of Intensive Care Abstract Background Patients with acute respiratory failure caused by cardiogenic pulmonary edema (CPE) may require mechanical ventilation that can cause further […]