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M Velia Antonini
@FOAMecmo
Perfusionist ECMO & NRP specialist 🫁🫘🫀 & 🖥️ POCUS 🪑Chair Normothermic Regional Perfusion EuroELSO WG 📱#SoMe Director @ELSOOrg/SoMe Editor @asaiojournal
Italy
Joined February 2011
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  • Pinned
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    M Velia Antonini
    @FOAMecmo
    Aug 13, 2024
    TA #NRP in cDCD heart donors using closed #ECMO circuit, modified to provide 🩸🌡️effective NRP despite prolonged fWIT 🫀LV venting 🫀 fast conversion to central configuration as needed ⭕️ shunt for recirculation 🫧 air management #FOAMcc @asaiojournal 🔓bit.ly/TANRPasaio
    15K
  • user avatar
    M Velia Antonini
    @FOAMecmo
    Apr 2, 2020
    How to ventilate #COVID19 pts? Dr Camporota @Luigi_ICM shared model to approach reflecting phase of disease during amazing @ESICM webinar! hints: L or H phenotype? (soon on @yourICM by @gattinon) #SARSCoV2 pneumonia is NOT #ARDS! #FOAMcc #SARSCoV2 #Coronavirus #COVIDFOAM
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    M Velia Antonini
    @FOAMecmo
    Nov 5, 2022
    Pathophysiology of fluid administration in #ICU ☔️ fluid challenge, bolus, infusion: does rate matter? 💧does type of fluid impact on outcome? ☔️ fluids response in acute circulatory failure: couple macro/micro hemodynamics #FOAMcc on @ICMexperimental 🗞️rdcu.be/cY0Vc
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    M Velia Antonini
    @FOAMecmo
    Mar 10, 2020
    #COVID19 dedicated @GiViTI_IRFMN @MarioNegriIRCCS video conference with intensivists from North of Italy sharing their initial experience with #Coronavirus #SARSCoV19 epidemics: LUS, proning, MV #ECMO... it's like a tsunami, you can't understand if not in #FOAMcc #FOAMed #FOAMus
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    M Velia Antonini
    @FOAMecmo
    Mar 9, 2020
    Managing critically ills #COVID19 pts? be prepared! be familiar with case definition, strict compliance with IPC @ESICM webinar by Prof @YaseenarabiYa with @Lennie333 Here my graphics, slideset & summary by @WhistlingDixie4 at bit.ly/2TOGybq #FOAMcc #FOAMed #Coronavirus
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    M Velia Antonini
    @FOAMecmo
    Dec 7, 2020
    MV is like recipe: same ingredients/different dosages may result in perfection vs disaster Low Vt does NOT guarantee lung protection: could be good starting point, but isn't THE solution, scale to lung size. Vt impacts survival (ARMA) only if really high/low @Luigi_ICM #LIVES2020
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    M Velia Antonini
    @FOAMecmo
    Mar 17, 2020
    Advices & informal algorithm by intensivists daily caring for pts w #SARSCoV2 in Milan, to stardardize approach optimizing outcome & resources consumption, & support HCPs dealing with severe #COVID19 resp failure by @Thom_Langer @Bottinik1 graphics @FOAMecmo #FOAMcc #COVIDFOAM
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    M Velia Antonini
    @FOAMecmo
    Dec 26, 2022
    How to assess systemic venous congestion with #POCUS?? Evaluation of 🖥 IVC 🖥 hepatic veins 🖥 portal vein 🖥 renal vessels technique, interpretation & pitfalls, and #VeXUS score Open access #FOAMcc #FOAMus @EchoSoliman 📖 bit.ly/3YS8Dzt
    35K
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    M Velia Antonini
    @FOAMecmo
    Oct 28, 2022
    🚑 Inside the mobile #ECMO truck of MN Mobile Resuscitation Consortium providing #ECPR in refractory #OHCA in Minneapolis, equipped to allow for echographic/fluoroscopy guided cannulation on the road @MMRCbeat @DYannopoulos #PraguECPR
    00:00
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    M Velia Antonini
    @FOAMecmo
    Feb 9, 2023
    Prone position for acute hypoxemic respiratory failure & #ARDS, a review: ➡️ physiologic features: ventilation & perfusion ➡️ clinical outcomes ➡️ awake prone positioning ➡️ practical considerations ➡️ lingering questions & future directions @accpchest 🖇️ bit.ly/3JXP97o
    22K
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    M Velia Antonini
    @FOAMecmo
    Nov 26, 2020
    Everything about fluids @Manu_Malbrain #IFAD2020 🔹7⃣Ds & fluid stewardship 🔹(fluids related) definitions 🔹4⃣questions 🔹4⃣indications 🔹4⃣phases & ROSE conceptual model 🔹fluids myths 🔹main references Graphic @FOAMecmo #FOAMcc Full talks available at bit.ly/IFAD2020video
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    M Velia Antonini
    @FOAMecmo
    Jul 31, 2021
    Vasopressors in shock ➡️norepi 1st choice in septic/vasodilatory shock after volume #resuscitation, may be followed by vasopressin/epi ➡️angiotensin II/dopamine limited indications ➡️may ⬇️contractility: inotropes may be added, dobuta>milrinone @yourICM rdcu.be/cqYDo
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    Intensive Care Medicine
    @yourICM
    Jul 31, 2021
    Vasopressors in critically ill pts with shock: ➡️summary of evidence & pivotal trials ➡️relevant pathophysiology of vasodilatory shock ➡️when & what vasopressor(s) to administer? agents & receptor/effect(s), dose, additional benefits ➡️monitoring ➡️weaning rdcu.be/cqYDo
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    M Velia Antonini
    @FOAMecmo
    Dec 1, 2020
    Ever experienced membrane lung failure on #ECMO?? 📌 mechanisms of ML (function &) dysfunction 📌 ML monitoring 📌 algorithmic approach to troubleshooting @Crit_Care #FOAMcc #FOAMecmo bit.ly/33xKa7i So proud being among authors *Hint: do NOT miss supplementary info!
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    M Velia Antonini
    @FOAMecmo
    Apr 19, 2024
    Serum lactate poorly specific for hypoperfusion, more often associated with impaired tissue O2 use. Levels affected by  ⬆️ increased anaerobic glycolysis & ⬆️ aerobic glycolysis production ⬇️ impaired mitochondrial function ⬇️ reduced hepatic clearance Potential harm may result
    user avatar
    Intensive Care Medicine
    @yourICM
    Apr 19, 2024
    Guiding resuscitation on serial lactate measurements? Not an accurate biomarker of hypoperfusion. However integration with clinical phenotyping + peripheral perfusion assessment could better individualize strategies 🔓rdcu.be/dFa9Y Refers to 🔓rdcu.be/dFcL4
    30K