💬 Editorial: While capillary refill time shows promise for early #SepticShock management, integrating it into broader, multimodal resuscitation strategies remains key to improving outcomes. #LIVES2025 @esicm.bsky.social ja.ma/4hAs5u7

New RCT: Avoiding A-line in shock didn't affect mortality (trend towards *reduction*) & decreased line complications They avoided A-lines despite patients requiring pretty substantial doses of vasopressors Very #zentensivist Don't need to rush to an A-line www.nejm.org/doi/full/10.... #EMIMCC

Dutch intensivists now ⬇️

🚩In a 2.5-year national surveillance in the Netherlands, incidence of high neuraxial block requiring ventilatory support was low (1:12,758). 3 of 5 cases occurred after spinal anesthesia for #CesareanDelivery after epidural analgesia @iarsjournals.bsky.social journals.lww.com/anesthesia-a...