Will run for t-shirts. Likes machines that go bing. Views my own, RTs not endorsements. #RSMCritCare
London, UK
Joined June 2015
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Majuran retweeted
Central Venous Pressure Revisited: Physiology, Pitfalls, Misconceptions, and Modern Clinical Interpretation in Critical Care
CCR Journal Watch
criticalcarereviews.com/late…
Majuran retweeted
Troubleshooting Ionized Hypocalcemia in Patients on Continuous KRT with Regional Citrate Anticoagulation
CCR Journal Watch
criticalcarereviews.com/late…
Majuran retweeted
Myth: Sedatives (like benzos) are mostly helpful in calming delirium.
Fact: Sedatives often worsen delirium. Non-drug approaches (reorientation, hydration, mobility) are first-line treatments.
Majuran retweeted
Deepak Srivastava, MD, describes the scientific foundations of a phase 1–2 study of stem-cell–derived ventricular assist tissue transplanted onto the epicardial surface of failing human hearts.
Learn more about the science behind the study in the editorial “Remuscularizing the Failing Human Heart,” from @GladstoneInst and @ucsf: nej.md/4o0ViBS
ALT Diagram illustrating "Biologic Ventricular Assist Tissue (BioVAT)" from the editorial "Remuscularizing the Failing Human Heart" published in the New England Journal of Medicine. It includes three sections: A) Engineered Heart Muscle (EHM) production, B) Biologic Ventricular Assist Tissue (BioVAT), and C) Surgical Placement of BioVAT over Area of Cardiomyocyte Loss.
Majuran retweeted
A lot of haemodynamic confusion comes from one basic error: treating descriptions of the system as if they were causes.
Pressure gradients, preload, RAP, afterload, Starling... all are useful, but often misread.
This review tries to put them back together into a coherent framework.
doi.org/10.1111/anae.70238
Majuran retweeted
🫁 Awake #ECMO cannulation, with sedation and a natural airway, before intubation in children, to provide hemodynamic stability + gas exchange to mitigate the risk of cardiopulmonary arrest during induction of anesthesia and intubation? Feasible in in high risk pediatric patients with varied physiology and rationale for #ECLS before (or in lieu of) intubation, with appropriate preparation and expertise.
@asaiojournal
🖇️ bit.ly/4eXZY99
Majuran retweeted
Active preparation for surgery and involvement in postoperative recovery creates better outcomes for patients.
Our new patient leaflet and clinical resource explain how to support patients to actively prepare for surgery and postop recovery.
More info: shorturl.at/d7RVc
Majuran retweeted
1/Do radiologists sound like they are speaking a different language when they talk about MRI?
T1 shortening what? T2 prolongation who?
Here’s a translation w/an introductory thread to MRI.
Majuran retweeted
1/ V. Important 🧵 if you are CONSULANT in England. This week I used my FREE modeller to identify & correct an error in #AnnualAllowance for 24/25 which I suspect may be a common error. It will save me over £2,600 from my AA liability, buckle up & see if you are affected
Ps RT
Saving someone a Google!
pubmed.ncbi.nlm.nih.gov/3883…
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Majuran retweeted
A concise tweetorial about TheArticleOfTheMonth #STARSHIP highlighting the key points is below:
(STARSHIP Study on Cerebral Autoregulation in Severe Paediatric TBI 🧠)
1-What’s STARSHIP?
A prospective, multicentre study (10 UK PICUs, 2018-2024).
Majuran retweeted
2/2: LTTV - There is limited evidence for negative impact of respiratory alkalosis. We need to treat the patient's symptoms e.g. air hunger not just CO2. Always ask about the length, depth and frequency of the pressure support. Usual verbal analogue scales to assess breathless.
Majuran retweeted
Simultaneous measurements in children revealed overestimation of arterial saturation by pulse oximetry that was attributable to spectrophotometric measures of skin tone. Learn more: nej.md/4hyuZ1B
ALT Correspondence “This overestimation could lead to undertreatment of hypoxemia and contribute to racial inequities in outcomes.” "Pulse Oximetry and Skin Tone in Children" by J.R. Starnes et al.
Majuran retweeted
“Can’t do MRI due to pacemaker.”
Just a simple line, right?
Until it gets carried forward for weeks.
No questions.
No confirmation.
Just blind trust.
Finally, someone digs in and discovers the truth:
The pacemaker IS MRI-compatible.
But it’s too late.
Patient care has already been delayed.
This is your reminder:
Your notes are not just for you.
They shape decisions and can harm patients.
Document with precision because people may take what YOU write as as gospel-truth.
Majuran retweeted
Why all randomised controlled trials produce biased results
tandfonline.com/doi/epdf/10.…
Majuran retweeted
Remifentanil vs. dexmedetomidine for cardiac surgery patients with noninvasive ventilation intolerance: a multicenter randomized controlled trial tinyurl.com/4425xptm #icurehab #A2Fbundle
Majuran retweeted
Tranexamic Acid Neurotoxicity After Nebulization and BAL
What's the diagnosis? Read the full Novel Report in the October issue to learn more: hubs.la/Q02Wf39R0
#MedEd #MedTwitter
Majuran retweeted
A Code of Practice for the diagnosis and confirmation of death 2025 Update now out - ready for implementation from 1st January 2025. Thanks to @dalecgardiner and @AndrewElder for their leadership in getting this over the line
aomrc.org.uk/publication/202…
Majuran retweeted
In its clinical practice guideline @Assoc_Anaes recommends that it is usually appropriate to suspend a DNACPR recommendation during the peri-op period.
In contrast, only one-third of DNACPR recommendations are formally suspended pre-op.
buff.ly/4ehvafr
