Hans van Huellen @hvh86.bsky.social · 01/07/2025Hard lessons re cardiogenic shock at #SoA25 - refusal of ICU admission because of lack of organ support needs at that point always irks me. In a sick patient with multi organ dysfunction we clearly ought to intervene early to mitigate the need to organ support - are we too reactive as a specialty? 120
Reposted by Hans van HuellenJAMA @jama.com · 12/06/2025Conservative oxygen therapy with a target SpO2 of 90% did not reduce 90-day all-cause mortality compared to usual oxygen therapy in mechanically ventilated adult patients. #CCR25 @criticalcarereviews.com ja.ma/4kG5gWK 01616
Reposted by Hans van HuellenFinancial Times @financialtimes.com · 13/05/2025Donald Trump’s gargantuan self-dealing | Opinion www.ft.com/content/f1cf9453-8fc4-49…ft.comDonald Trump’s gargantuan self-dealing | OpinionFederal ethics rules now seem little more than decoration 2446
Reposted by Hans van Huellenjosh farkas 💊 @pulmcrit.bsky.social · 05/05/2025Everyone should ideally leave twitter and come to bluesky for several reasons. - Unify the discussion - Safe space for everyone (eg LGBTQ) - Stop supporting twitter (which is now a vehicle of misinformation & political manipulation) - Twitter is currently NSFW (eg frankly pornographic content) 2337
Hans van Huellen @hvh86.bsky.social · 18/04/2025Scary what’s going on in the US right now - but also clearly legally highly dubious? 000
Reposted by Hans van HuellenTim Norfolk @icmtim.bsky.social · 27/03/2025Time to dump my shares in Sedaconda! Inhaled Sevoflurane led to increased 90d mortality compared to propofol (52.9% v 44.3%) in pts with ARDS (Also median duration of NMB use of 5 days in both groups seems wild 🫤) jamanetwork.com/journals/jam... #MedSky #EMIMCCjamanetwork.comInhaled Sedation in Acute Respiratory Distress SyndromeThis clinical trial compares the efficacy of inhaled sevoflurane vs intravenous propofol for sedation in patients with acute respiratory distress syndrome. 3237
Hans van Huellen @hvh86.bsky.social · 10/02/2025Highly recommended for anyone with even a fleeting interest in cardiothoracic anaesthesia! 010
Reposted by Hans van Huellenjosh farkas 💊 @pulmcrit.bsky.social · 24/01/2025vasopressin challenge: this group evaluated 1U bolus of vasopressin to evaluate patient responsiveness I love this for a few reasons: [1] allows vaso to have rapid onset (rather than taking 30-60 min to build up) [2] we can get a sense of whether the vaso is helping 🧵 1/5 #EMIMCC 74213
Reposted by Hans van HuellenDave Jones @welshgasdoc.bsky.social · 23/01/2025Speaking about my own patch… Wales has the lowest number of ICU beds per head of population in the world - and you can’t do that in the community. These conversations shouldn’t be an either/or between primary and secondary care. It needs to be asking what are hospitals *for*? 2203
Reposted by Hans van HuellenFinancial Times @financialtimes.com · 11/01/2025The last days of Walter Benjamin www.ft.com/content/fe8d0d96-ccbf-44…ft.comThe last days of Walter BenjaminHounded by the Nazis, the great philosopher took his life in 1940, leaving several mysteries unanswered 0445
Hans van Huellen @hvh86.bsky.social · 11/01/2025Wrote a little piece for the @ficm.bsky.social Resident’s Eye Newsletter on our forays into tabletop simulation on the ICU - have a read! 040