Intensivist @Hopital_Bicetre @APHP
Paris, France
Joined May 2021
- Tweets104
- Following37
- Followers1.3K
- Likes127
Xavier Monnet retweeted
Dynamic indices of fluid responsiveness in @ICM
w/ @Prof_XMonnet @MichelleChew
💧Physiology of fluid responsiveness
📈Tests to predict fluid responsiveness
⚠️Clinical limits of these tests
Check for potential benefits before giving #fluids!
🔗rdcu.be/fnlTm #FOAM
Xavier Monnet retweeted
🔥SSC 2026 just released!
➡️ 129 statements
➡️ 23 regarding #Hemodynamic Management
➡️ 17 are new, revised or revisited
➡️ 8 changes in strenght of recommendations
👫 More individualized approach
💧 Fluids
💉 Vasopressors
🫀 Inotropes
🖥️ Monitoring
🔗 rdcu.be/e9wYT
Xavier Monnet retweeted
Which preload responsiveness test should I use?
Choosing the right preload responsiveness test is key in fluid resuscitation. #Hemodynamics #CriticalCare #FluidResuscitation @Prof_XMonnet @LaiChristopher2
Xavier Monnet retweeted
Which preload responsiveness test should I use? w/@Prof_XMonnet #ICU #Hemodynamics #French_hemo
Step-by-step approach
1️⃣ Intubated and spontaneous breathing?
2️⃣Which monitoring device?
3️⃣Limitations in interpretation?
journals.lww.com/hemodynamic…
Which preload responsiveness test should I use?
CCR Journal Watch - tracking the critical care literature daily
criticalcarereviews.com/late…
Xavier Monnet retweeted
🚨 "Early norepinephrine in #septic shock: SRMA" @Crit_Care
✅↓D28 mortality ✅↓fluids ✅Faster MAP stabilization 🛡️Safe & effective 🔍Trial sequential analysis : more RCTs still needed to confirm
Big thanks to my co-authors! @shiruimaya @Prof_XMonnet
🔗rdcu.be/ek2Uz
Xavier Monnet retweeted
💨Weaning-induced pulmonary oedema: a key driver of weaning failure
🏥 13#ICU
🤕634 SBTs, 500 patients
12% all #SBT
36% of weaning failure
More frequent w/ T-piece
risk factors: COPD (OR 13.2) & cardiopathy (OR 3.97)
🔗 rdcu.be/egWBQ
@Crit_Care @Prof_XMonnet @shiruimaya
Xavier Monnet retweeted
Liberal or restrictive approach of #fluid resuscitation in #ICU: OUTDATED! @DDeBacker
Optimization and personalization
🤔Really need it?
⚖️ benefits/harms
⚠️ Sodium intake
↘️maintenance/dilution fluids
#ISICEM25 @ISICEM
Xavier Monnet retweeted
Awake prone position is possible and may improve patient’s prognosis ↘️ ☠️
🕘 success driven by many factors, especially duration of awake PP >8h which might not be that easy to achieve.
🧘♀️ Comfort is also important: use bundles of care!
@LuigiCamporota @ISICEM @Crit_Care #ICU
Xavier Monnet retweeted
Should we abandon Prone Postion for patient under VV-#ECMO?
Insight of PRONECMO w/ @PrMatthieuSchmidt
Not for every patients but… 📋
✅no ultra-low Vt
✅bilateral posterior consolidation
✅non-COVID19 ards
✅trained teams
@ISICEM @JAMANetwork #ICU
🔗 10.1001/jama.2023.24491
Xavier Monnet retweeted
Prone position is not only a matter of oxygenation 🫁
HD effects of prone position by @Prof_XMonnet🩸
↗️cardiac preload and may ↗️CO
↘️PVR and ↘️RV afterload
⚠️ ↗️IAP w/ waterfall phenomenon
Monitor IAP and CO in high risk patients of poorly tolerated PP
@ISICEM #ICU @Crit_Care
Xavier Monnet retweeted
Today, I find myself facing a frustrating situation that sheds light on those challenges, and I wanted to share it, hoping to make a difference for women in STEM.
linkedin.com/posts/fanny-cha…
Xavier Monnet retweeted
Today's Paper of the Day is how I personalize fluid therapy in septic shock
criticalcarereviews.com/late…
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025
Xavier Monnet retweeted
N'oubliez pas le premier congrès dédié à la recherche translationnelle en soins critiques ! Il s'agit du « Symposium Scientifique de la SRLF » (S3), les 13 et 14 mars 2025, à Paris. L'événement est GRATUIT pour les internes adhérents à la SRLF. srlf.org/civicrm-event/656
@La_SRLF
Xavier Monnet retweeted
When to monitor w/ TPTD and PAC in #ICU? w/@Prof_XMonnet and @DDebacker in @annalsofintensive
🤕In most severe & complex patients
🫀To monitor precise CO
🖼️For a complete view of HD status
💊To guide treatment
🔗rdcu.be/d6wEn
N.B: I use it associated w/ echo😉
#FOAMed
Why do we use transpulmonary thermodilution and pulmonary artery catheter in severe shock patients?
CCR Journal Watch
criticalcarereviews.com/late…
Get the latest critical care literature every weekend via the CCR Newsletter - subscribe at criticalcarereviews.com/news…
Xavier Monnet retweeted
Why do we use transpulmonary thermodilution and pulmonary artery catheter in severe shock patients?
CCR Journal Watch
criticalcarereviews.com/late…
Get the latest critical care literature every weekend via the CCR Newsletter - subscribe at criticalcarereviews.com/news…
Xavier Monnet retweeted
Using the ventilator and heart-lung interactions to predict #fluid responsiveness 💧
🫁 PPV & SVV
🫁Vt challenge
🫁End-expiratory occlusion test
🫁PEEP-test
@yourICM @Prof_XMonnet @Manu_Malbrain
🔗rdcu.be/d3P6J
Xavier Monnet retweeted
Today's Paper of the Day is venous return and mean systemic filling pressure: physiology and clinical applications
criticalcarereviews.com/late…
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2024
Xavier Monnet retweeted
Ne manquez pas notre dernier webinaire sur les vasopresseurs dans le choc septique, demain à 19h !
En partenariat avec @ViatrisInc
Lien zoom : univ-lille-fr.zoom.us/j/9187…
Xavier Monnet retweeted
BALANCE trial in @NEJM
❓ATB duration for bloodstream infections
🏥74 hospitals, 7 countries
🤒3608 pts (55% #ICU)
🚫Excluding Staph inf
🚨7 days ‘Non-inferior’ to 14 days
🔜potential ↘️in antimicrobial resistance🦠, complications💉, cost💸
🔗nejm.org/doi/full/10.1056/NE…
Xavier Monnet retweeted
Multicentric study
205 MV patients with volume expansion
Detection of fluid-responsiveness 💧
✅↘️ in PCO2gap>2
✅↗️ in ScvO2>3
Good AUC with nice PPV but NPV
⛔️Baseline PCO2gap or ScvO2: bad predictors🗑️
🔗 rdcu.be/
@Crit_Care
#french-hemo #ICU #FOAMed
