MD, Intensivist, MMPH, PhD. Erasmus Universiteit Rotterdam @erasmusuni, U. of Pittsburgh @PittTweet, P Univ Catolica @ucatolica. Christian, husband and father.
Santiago, Chile
Joined March 2009
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Why do kidneys crumble while liver/gut shrug at the same CVP rise? 🔥Venous congestion = dynamic Starling resistor mechanism ("reverse waterfalls"). Time to rethink @ThinkingCC @ross_prager @edu_kattan @AndromedaShock rdcu.be/eRvcE
Nueva edición de ARS MEDICA disponible 📖
Vol. 51 Núm. 3 (2026) con 10 artículos de investigación, casos clínicos, editorial y más. Acceso abierto.
Lee el número completo aquí:
arsmedica.cl/index.php/MED/i…
#ArsMedica #Medicina #CienciasMédicas #AccesoAbierto @arsmedicaPUC @FacMedicinaUC @ucatolica_eng
Nos vemos el 18 y 19 de agosto! @ucatolica @InvestigacionUC @ucatolica_eng @UrgenciaUC @FacMedicinaUC @ShockAndromeda2 @edu_kattan
Hola amigos, envié esta idea a @Microsoft, espero la lean: Cuando escribimos documentos, todos recopilamos material temporal (ideas de WhatsApp, fragmentos de PDF, resultados de IA, párrafos alternativos, citas pendientes de inserción, enlaces, texto temporalmente eliminado del manuscrito, etc.). La mayoría quedan en un segundo archivo de Word abierto, en notas adhesivas o termina todo en el mismo documento (los destaco con colores). Caos. ¿Y si Word tuviera un espacio de trabajo específico para cada documento, que se abra con el archivo, pueda anclarse como panel lateral, guardarse con el documento, con funciones de arrastrar y soltar, invisible al imprimir o exportar el documento y nunca apareciera en Control de cambios o Comentarios? Esto limpiaría la escritura de contenido de forma drástica. ¿Qué opinan? @Microsoft365
Hi friends, I sent this idea to @Microsoft, hope they’ll read it: When writing docs we all collect temporary material (WhatsApp ideas, PDF snippets, AI output, alternative paragraphs, quotations awaiting insertion, links, text temporarily removed from the manuscript, etc.) Most stay in a 2nd Word file open, stickies, or end up dumping everything into the same document (I highlight them with diff colors). It’s messy. What if Word had a document-specific workspace belonging to each document, opens with the file, can be docked as a side panel, can be saved with it, w/drag-nd-drop features, invisible when printing or exporting the document and never appearing in Track Changes or Comments? It would clean up long-form writing dramatically. What do you think? @Microsoft365
Ricardo Castro retweeted
Just a first step on personalizing septic shock resuscitation! Without further emotional words thanks to all and also to JAMA for trusting and supporting us in the two ANDROMEDA trials so far!!
jamanetwork.com/channels/tri…
Ricardo Castro retweeted
Moments of pain and uncertainty trusting out good faith and motivation. On all the members of this amazing academic generated ANDROMEDA- Research Network with no funding but a tremendous heart! For this humble but strong positive signal after so many years of negative trials,
Ricardo Castro retweeted
In this moment of emotion and joy, I can only think on the hundreds of wonderful investigators, residents, nurses that worked so hard on completing the trial guided by spirit, conviction, with the dream of improving care. On pts and relatives who accepted to participate in
Ricardo Castro retweeted
El Estudio ANDROMEDA SHOCK-2 fue elegido como el Mejor Estudio Clínico de 2025 por el Editor de @JAMANetwork por su importancia (Choque Séptico, causa número 1 de muerte hospitalaria) e innovación (manejo por perfusión, resultado compuesto y jerárquico)
Si aún no lo has leído, qué esperas?
jamanetwork.com/journals/jam…
Ricardo Castro retweeted
Do you titrate norepinephrine by weight-based dosing (mcg/kg/min) Well, you might be underestimating the predicted mortality by >20% in obese patients with septic shock. Absolute dosing (mcg/min) would be more accurate. Check our latest manuscript out in @_Anesthesiology
Ricardo Castro retweeted
Webinar “Hantavirus Cardiopulmonary Syndrome: Lessons Learned from Chile”.
🗓️ Lunes 11 de Mayo 2026
⏰ 10:00 horas, (GMT-4)
Modalidad: Online, Gratuita.
Inscripciones: forms.gle/H6pJWVPm4j3MCdnq5
Critical Care Management of Hantavirus Cardiopulmonary Syndrome: Essential Reading from experts with extensive experience in the management of severe disease. sciencedirect.com/science/ar…
Ricardo Castro retweeted
Do you use norepinephrine with weight-based or absolute dosing strategies in septic shock pts? Does it really matter?
Check the results of our latest research published in @_Anesthesiology !
@DrMiguelIbarra1 @cjungMD @AndromedaShock @RCastro_L et al.!
journals.lww.com/anesthesiol…
Ricardo Castro retweeted
Our latest blog is out -
Faith, Evidence and the Stars:
The ANDROMEDA‑SHOCK‑2 Trial
criticalcarereviews.com/blog…
Ricardo Castro retweeted
Finally out!
4 years of hard work, building friendship, trust and creating an aweosome community with the ANDROMEDA family!!! Thanks @ESICM and @JAMA_current!!!
Among patients with early #SepticShock, a personalized hemodynamic resuscitation protocol targeting capillary refill time was superior to usual care for the primary composite outcome, primarily driven by a lower duration of vital support.
#LIVES2025 @ESICM
ja.ma/4hv22Vc
Our last writing. "What every intensivist should know about the biphasic kinetics of lactate in septic shock" sciencedirect.com/science/ar…
Estimados, les invito a revisar el último número de nuestra revista de ciencias médica "ARS Medica" arsmedica.cl/index.php/MED @ucatolica @FacMedicinaUC
