Really looking forward to the next session on "Critical Illness: What, Who, Why and How to Treat"
World class, inspirational speakers, chaired by our magnificent Dr Michelle Ramsay and @DrIntensive
#BTSWinter
World class, inspirational speakers, chaired by our magnificent Dr Michelle Ramsay and @DrIntensive
#BTSWinter
Immunomodulation in #sepsis @msh_manu
Not all sepsis deaths "attributable" or "preventable"
Infection v sepsis
Dysregulatory immune responses
T-cell exhaustion: ≠ respond to antigen challenge
![Gesicht mit Thermometer 🤒](https://abs.twimg.com/emoji/v2/72x72/1f912.png)
risk bacterial inf & dormant inf reactivation
hosp LOS/death
#BTSWinter
![Gesicht mit Thermometer 🤒](https://abs.twimg.com/emoji/v2/72x72/1f912.png)
![Gesicht mit Thermometer 🤒](https://abs.twimg.com/emoji/v2/72x72/1f912.png)
![Gesicht mit Thermometer 🤒](https://abs.twimg.com/emoji/v2/72x72/1f912.png)
![Gesicht mit Thermometer 🤒](https://abs.twimg.com/emoji/v2/72x72/1f912.png)
![Gesicht mit Thermometer 🤒](https://abs.twimg.com/emoji/v2/72x72/1f912.png)
![Pfeil nach oben ⬆️](https://abs.twimg.com/emoji/v2/72x72/2b06.png)
![Pfeil nach oben ⬆️](https://abs.twimg.com/emoji/v2/72x72/2b06.png)
#BTSWinter
Pharmacotherapy for ARDS @charlot_summers
ARDS not a disease; heterogenous population
Need to ID mechanisms & targeted therapies
Hyper/o inflamm phenotypes? Mortality & treatment response differences
EMINENT-ARDS to ID and validate subtypes
#BTSWinter
![Tablette 💊](https://abs.twimg.com/emoji/v2/72x72/1f48a.png)
![Tablette 💊](https://abs.twimg.com/emoji/v2/72x72/1f48a.png)
![Tablette 💊](https://abs.twimg.com/emoji/v2/72x72/1f48a.png)
![Tablette 💊](https://abs.twimg.com/emoji/v2/72x72/1f48a.png)
#BTSWinter
Prof John Simpson defining ventilator-associated pneumonia
Clinical tools, CXR, diagnostic criteria limited utility
S.aureus most common (≠pseud)
Inappropriate ABx use
ETA in IMV likely high false
, CT req transfer & non specific, ?US
Future: BAL, omics?
#BTSWinter
![Lungs 🫁](https://abs.twimg.com/emoji/v2/72x72/1fac1.png)
![Lungs 🫁](https://abs.twimg.com/emoji/v2/72x72/1fac1.png)
![Lungs 🫁](https://abs.twimg.com/emoji/v2/72x72/1fac1.png)
![Lungs 🫁](https://abs.twimg.com/emoji/v2/72x72/1fac1.png)
![Fettes Pluszeichen ➕](https://abs.twimg.com/emoji/v2/72x72/2795.png)
![Lungs 🫁](https://abs.twimg.com/emoji/v2/72x72/1fac1.png)
#BTSWinter
As expected, fantastic, educational and accessible talks, great audience questions and chairing.
We
#ICU & #Respiratory clinical and academic collaborations, thanks to all ![Folded hands 🙏](https://abs.twimg.com/emoji/v2/72x72/1f64f.png)
#BTSWinter
We
![Blaues Herz 💙](https://abs.twimg.com/emoji/v2/72x72/1f499.png)
![Folded hands 🙏](https://abs.twimg.com/emoji/v2/72x72/1f64f.png)
#BTSWinter