Ryo Ueno

🧵 FRAILTY after surgery: Does it still matter in the ICU?

We studied 216,922 postop ICU patients across 🇦🇺 to find out.
Here’s what we learned 👇
#ICU #Frailty #PerioperativeCare #CriticalCare

What constitutes End-of-Life practice in Australia?

"Culture, ethics and clinical practicefor intensivists managing end of life care:an Australian perspective"

🆓🔓rdcu.be/e4NCe

Dexmed as primary sedatives:
- SPICE-III ➡️ No mortality benefit, ?merit in older MV patient
- 🆕A2B no difference in early extubation

Dexmed as an adjunct:
- DahLIA➡️early extubation in agitated MV pt
- DESIRE ➡️ no mortality benefit in septic pt on MV

1. Caregiver’s burden
2. Financial impact
3. Toileting function
4. Independent daily activity
5. Normal swallowing

🧑‍🔬A survey of healthy volunteers (>75yo) from Japan

💡Identified top 5 pt-centred outcomes post ICU discharge

🆕 letter at @yourICM
rdcu.be/emfHV

今後の日本のicu研究で大事になる研究。winratioにせよcomposite outcomeにせよ、patient centredなアウトカムとは実際問題何なのか知らないといけない、税金を使った研究なら尚更。