Luciano Gattinoni
@gattinon
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Emeritus,Milan University, gast @Professor UMG
Göttingen Deutschland
Joined December 2012
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Further remarks on COVID-19 pneumonia. Would you treat these two patients, with similar hypoxemia (both with PaO2/FiO2 < 100 mmHg) with the same high PEEP?
@yourICM
@Luigi_ICM
@BusanaMattia
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Little steps head
Management of COVID-19 Respiratory Distress | Critical Care Medicine | JAMA | JAMA Network
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Thank you Jordi, for having been here.
To me not a colleague but a friend.
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Great men live in memory.
Paolo will always live in ours for what he thought, discovered and taugh
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For lung mechanics appassionate, we created a web calculator that allows quick computation of Mechanical Power, Strain and so on..
Many thanks to the SMART staff that helped with the construction of the page.
Access is open!
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Spontaneous breathing, transpulmonary pressure and mathematical trickery | Annals of Intensive Care | Full Text
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@YukiKotani5
@nickmmark
@FOAMecmo
@iceman_ex
@Manu_Malbrain
@icmteaching
@eddyjoemd
@PulmCrit
@msiuba
@otavio_ranzani
@Paul_Wischmeyer
Next step will be: ARDS is when the doctor decide it is ARDS.
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Still wondering if COVID-19 ARDS is something else? Yes, if studied with a rigorous methodology.
Be careful translating protocols designed for typical ARDS, (primarily high PEEP) to a different, specific and rapidly evolving disease
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To the next year and the next challenges!
Thanks to everyone
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The complicated relationship between PEEP and mechanical power in ventilator-induced lung injury - YouTube
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@lberto_Medina
@yourICM
@Luigi_ICM
@BusanaMattia
@adrianhumphry
@ESPNIC_Society
@MireiaYllia
@Mart12373343
@Martin_Kneyber
@RobyKhemaniMD
Yes and I saw peep high as 25.every body should understand that when the lung is full of gas hypoxemia is only due to perfusion disregulation and high peep is just harmful #
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Specific Respiratory System Compliance in COVID-19 and Non-COVID-19 Acute Respiratory Distress Syndrome
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Who is still interested in physiology may find of some interest this paper based on EtCO2 to arterial PCO2 ratio.
@atscommunity
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For the few who may be interested in how some of the our progress actually occur.
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Ever needed an estimate of some complex variables during a ward in ICU? Here's a tool for smartphones:
1. Go to
2. Click on the box QUICK FORMULAS
3. Select "add to homepage"
4. Open the widget, turn your device horizontally, & enjoy the free calculator!
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ACID-BASE EQUILIBRIUM: TO REMEMBER YOU NEED TO UNDERSTAND...
at the SMART Meeting
EDUCATIONAL COURSES | May 28
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@NidaQadirMD
@farid__jalali
Before treatment you must understand the mechanism leading to what you want treat. In covid the disease progresses and what is good
@at
day one may be devastating few days after.First understand the underlying phisiopathology than treat
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What discriminates safe and injurious ventilation is VILI. Can it be differentiated from the natural course of ARDS? Some thoughts about it: “Ventilator induced lung injury: a case for a larger umbrella?”
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To whom it may concern: take a break from Covid and drink physiology 60-70th style
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Comment to an Editorial where we invite the authors to express with clarity the risks they are referring to and how their argument is furthering the cause of patients and clinicians.
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@jlvincen
I’m wondering if most of these studies are performed just to have a publication in a high rated journal, whose policy is just concentrated on big trials..Final results are confusion misinterpretation and expenses.without any progress of knowledge . Individualisation=Ippokrates
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From a meeting which ends, news ideas which begin...
Deutsches Smart Frankfurt: the unique meeting to share doubts and stimulate solutions,R&D between Industries and Intensive Care scientific Community.
Tanks to everybody
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"Only those who know they don't know are wise, not those who delude themselves that they know and thus ignore even their own ignorance." Soctrates 470 BC
It is not a course but an OCCASION to share ideas, doubts and uncertainties
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with Emilio Agostoni has disappeared one of the last giants of respiratory physiology which, even if more and more forgotten,remains an essential basis for a rational intensive care
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We're going to start off with a loud bang!
Don't forget to register for the next SMART meeting.
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Everyone knows the importance of measuring TRANSPULMONARY PRESSURE.
However, not everyone is familiar with the trend of esophageal pressure curves.
So that the meaning of the esophageal pressure curves is no longer a mystery, take part in the Simulation Session at the 35 Smart.
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@BurrLeanne
@efan75
@yourICM
@Luigi_ICM
@BusanaMattia
Perfectly right but common sense is not so common
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Excellent rev
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For italian friends and foreign friends who know italian.. COVID-19: l'essenziale in tre tempi
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Thank you,
@japplphysiol
, for recognizing our efforts & honoring our ideas with Paper of the Year 2021
#award
.
Well done
@BusanaMattia
!
Have a look at our paper:
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SMART starts tomorrow, COVID-19 and beyond. Click the link down below and have a look to the program! If you have no time, don't worry: the recordings are available till 21st March '21. 18 European credits (EACCME) granted.
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# ECCO2R physiology
@yourICM
Care Medicine Before clinical application, understanding physiology is mandatory ( or should be!).
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e-SMART live webinar: "VENTILATOR INDUCED LUNG INJURY (VILI): AN UPDATE”, scheduled next December 14th 2021 at 17:00 CET.
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Interactive Theoretical-Practical Course Acid Base Equilibrium: to Remember you Need to Understand…
#smartmeeting
Program & Registration ⤵️
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Dear colleagues and friends sixteen days to the E-Smart meeting: high level faculty and live discussions.
Take few minutes to have a look.
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@nickmmark
@AnnalsATS
@DrSamuelBrown
@MiscSusan
@rhsavel
@toddrice_ICU
@iwashyna
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@anicalaw
@phlegmfighter
@PulmCrit
@NidaQadirMD
@jwmdebacker
@seymoc
@PeterAttiaMD
@emcrit
@HederDeVries
@ZaidYounes9
@boilard_eric
@progdoctalk
ARDS is an invention of man, COVID Is a disease
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e-SMART Virtual Meeting 2020 online, till March, 21st. You can watch again in peace 226 lectures and pro/con debates, 33 tutorials, together with lunch sessions, meet the expert, simulation sessions and technical forums.
Get updated with top speakers.
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Here the first announcement for the new Smart Meeting
BE SMART, MEET SAFELY
Welcome to the
31° SMART - Virtual Meeting
November 13-15, 2020
Visit us on the web at
REGISTER NOW
reduced fees before September 25, 2020
UPLOAD YOUR ABSTRACT
deadline September 15, 2020
Restiamo connessi!
#esmart2020
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How to avoid too much or to little?
Don't forget to register for the next SMART meeting.
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If you understand it,you don’t forget it.
Two days acid base course in Torino.
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Within one week you’ll get the definitive Deutschland Smart program.
Not a congress ,not a meeting but a open round table for hot interaction between scientists, industries and users.
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@ZachJonesMD
The level of discussion is exceptionally low. Maybe what matter is not how you are called, but who you are
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To understand and treat the great acute syndromes without knowing the acid-base equilibrium is as to drive in a foggy night... open the light and come to the Smart Acid-Base Course: 07 Mai 2019 “ if you understand it, you remember it”
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One week to the Deutsches Smart, the highest level meeting on respiratory intensive care we ever organised, the only one in which the difference between faculty and audience is fully abolished: few minutes presentation and large discussion.Dubito ergo sum.
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Nella mia ingenuità pensavo che la penuria di vaccini fosse dovuta a difficoltà di produzione.Ora si scopre che gli stessi possono essere acquistati da intermediari. E nessuno dice niente!
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High (>3 L/min) vs low flow (0,4 L/min) extracorporeal support in direct / indirect experimental lung injury.
Surpises?
Free of charge, you may see it in the Blue.
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Don't miss today's last e-Smart 2021 open webinar!!
registration
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The secret to Change is to focus all energy not on fighting the Old, but on building the New.
Socrates, Athens 470 BC.
34 Smart Milan 24-26 May 2023
Last call to upload Abstracts 03 April 2023 (12 pm)
@Smart_Meeting_M
Program:
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The best way to win is to learn faster than others.
Today the challenge begins....
The best teams will compete in Milan on 25 and 25 May at the 34 SMART Meeting
# Simula Hub
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Respiratory critical care: for the past read the reviews,for the present look at the papers, for the future come to the Deutsches Smart..
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@RajuPangeni4
@yourICM
@Luigi_ICM
@BusanaMattia
No because
@the
mechanism is primarily different ;
Flow diversion in L and possibly some recruitment in H. In both cases po2 usually goes up
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BREAKING NEWS SMART 2023
Are you ready to become a Champion?
We are organizing a Champions League of advanced simulation reserved for teams of residents.
Go to for all information.
#highfidelity
#simulation
#simulahub
#SmartMi2023
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The Hunger Games are coming.
Don't miss the Final at the Smart Meeting: Siena, Parma, Turin, Bologna, all against all.
Next year we want to see Teams from all over Europe.
Special thanks for making this possible
#StartPromotion
:
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The kidney : King of homeostasis
at the 35 SMART Meeting in Milan
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Credo che il ministro Salvini abbia superato il limite. È dovere civile, a questo punto,opporre la forza della ragione a quella di una arrogante stupidità
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@NidaQadirMD
Ok if you are satisfied with 88 percent mortality go ahead as you like When the”evidence “will be published for many individuals will be to late.Stay well
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Ascoltando i nostri senatori pensavo a Caligola, che aveva nominato senatore un cavallo . Noi abbiamo eletto molti somari.
Incredibili le ovvietà ascoltate e la mancanza di senso del ridicolo.Draghi sembrava proveniente da un altro pianeta
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Call for abstract! Don't miss the opportunity to share your ideas. Deadline 20th, March 2022.
More info:
#SMART
#anesthesia
#ICU
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e-SMART 2021 is still not over!
don't forget to register for tomorrow's webinar.
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Friday 28 - The battle of Giants
You can still register for the eSmart 2021
On demand contents already available, Live sessions registrations will be uploaded June 1st.
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Per me che
#Draghi
rimanga non é un optional, ma una necessitá. E non solo per il nostro Paese.
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Deutsches Smart: out of the choir, against the current.
To enjoy and contribute to free thinking, mark on your calendar: second week on January 2020 in Frankfurt!
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Mi pare fosse Massim D’Azeglio a dire che ogni scelta crea un ingrato e 100 nemici.
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@DrMCecconi
Caro Maurizio, starei attento all’equazione basso impact = bassa qualità del lavoro. Recentemente bufale sono state pubblicate anche su New England e Lancet. Articoli realmente nuovi spesso urtano l’establishment. Aspettiamo e vedremo.
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Hot debate on COVID 19...
Join us now at Smart Meeting Amber 4 Room
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In the ON DEMAND section of e-SMART2021 you can now find the TUTORIALS and the BRICKS.
They will be available up until March 2022, don't forget to register at
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Deutsches Smart approaching: a unique open round table meeting for experts and passionates.
No more than 70 may join.
Hurry up and happy new year !!
Luciano Gattinoni
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Open the new year with a new approach to intensive medicine.
11-12 January a limited number of people will strongly interact challenging in depth the theory and the daily practice of mechanical ventilation.
To enter in the core of respiratory failure come in Frankfurt.
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Just for the Italians followers:
I cialtroni al governo del “cambiamento in peggio”tagliano le pensioni. Come se questa fosse una loro regalia e non il frutto di quarant’anni di contributi.E gli italiani votano Lega come se fosse diverso da 5 stelle...
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30 years ! SMART always present in ICU progress
FINAL CALL FOR REGISTRATION
MONDAY APRIL 22 at 12.00 pm
Hurry up!
#SMARTmi2019
Sing up:
Preliminary Program:
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La guerra che la
#Russia
sta portando avanti contro un vicino pacifico è illegale. Unisciti all'appello urgente per un nuovo processo stile Norimberga per
#Putin
e i suoi alleati per il crimine internazionale di
#aggressione
.
#StandWithUkraine
Firma e RT:
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Salvini I bullo, Di Maio il guappo, Conte il profeta., Il bullo mendica non processatemi per il bene degli italiani”, il guappo straparla, il profeta profetizza anno meraviglioso (per lui) Mi piacerebbe che “ irresponsabili idioti” fosse solo un insulto e non una tragica realtà
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