👀 Looking for new ways to better prognosticate in ARF? 🫁 Ever heard of CT findings: *️⃣ superimposed pressure, *️⃣ gas-to-tissue ratio? Rezoagli et al show us they can be helpful for spontaneously breathing patients, in #journal_CHESTCritCare: www.chestcc.org/article/S294... @accpchest.bsky.social

🤔 Ever wonder how intensivists prognosticate re: persistent critical illness? K Byrd & colleagues found 3️⃣ key themes… www.chestcc.org/article/S294... Welcome to 2️⃣0️⃣2️⃣6️⃣ with #journal_CHESTCritCare! @accpchest.bsky.social

🥂HAPPY NEW YEAR, from all of us at #journal_CHESTCritCare! 🎉🥳 And what better way to kick off 2026 than w an intriguing US case of ⭐️atrial septal aneurysm⭐️ by H Andrade et al? www.chestcc.org/article/S294... 😳 bonus: training to do a bubble study included! #OpenAccess @accpchest.bsky.social

☃️ Enjoy your end-of-year holidays with a gift 🎁 from #journal_CHESTCritCare… our December issue! www.chestcc.org/current ⭐️ 24 research papers ⭐️ 4 editorials ⭐️ 2 correspondence letters Thanks to our readers, authors, editorial team, & staff, for a great 2️⃣0️⃣2️⃣5️⃣! @accpchest.bsky.social

If you’re an ATS member, vote 🗳️ now for your next set of assembly leaders!! site.thoracic.org/membership/a... 🏁 deadline- Jan 30, 2026 @atscritcare.bsky.social

🤓 This editorial just out by R Hadler & R Aslakson makes the importance of Fehnel et al’s study clear: www.chestcc.org/article/S294... #journal_CHESTCritCare #OpenAccess @accpchest.bsky.social

👏 It’s here! Our 3rd #journal_CHESTCritCare ATLAS 🌎🌍 🤔 What is ATLAS, you ask? Learn at: www.chestcc.org/article/S294... 🎬 Ready to read this one, led by Whitney Kiker on ⭐️time-limited trials⭐️? ✔️ it out: www.chestcc.org/article/S294... @accpchest.bsky.social

👀 Looking for something to read between dinner & dessert? 🍗🥮🍁 ✔️ out 3 new pieces in #journal_CHESTCritCare… 1️⃣ Ed: www.chestcc.org/article/S294... 2️⃣ RL: www.chestcc.org/article/S294... 3️⃣ ATLAS: www.chestcc.org/article/S294... I’m thankful for our readers, authors, editors, & CHEST staff.

😵‍💫 Heterogeneity of treatment effect is sometimes unexpected… ✅ out A Khan et al’s work looking at how the following interact for sepsis patients: ✴️ balanced IVFs vs 0.9% saline & ✴️ liberal vs restrictive fluid rx www.chestcc.org/article/S294... #journal_CHESTCritCare @accpchest.bsky.social

🤷‍♀️ how can we study something we can’t even define⁉️ In #journal_CHESTCritCare, Jolink et al describe the many names we have for prolonged ARDS… www.chestcc.org/article/S294... …prolonged… …non-resolving… …late… … … @accpchest.bsky.social

🙄 Do intensivists ever agree on anything? Peter Nauka & colleagues 👀 at variability in how we approach respiratory support for ICU patients: www.chestcc.org/article/S294... 🫣 SPOILER ALERT: nope, we don’t agree Happy 👻🎃 from #journal_CHESTCritCare! @seymoc.bsky.social @accpchest.bsky.social

🤞 Ever wish we had a tool to accurately predict HFNC failure? 🛠️ J Taylor & colleagues look at ROX… www.chestcc.org/article/S294... ✳️ SPOILER ALERT ✳️ … it seems to “work” 😊 #journal_CHESTCritCare #OpenAccess @accpchest.bsky.social

☔️ It’s raining #journal_CHESTCritCare research! Out today, 🥉 studies to: *️⃣ eval processes to support surrogate decision makers *️⃣ assess use of lactate clearance in post-op ♥️ surgery *️⃣ compare exposure & outcomes across opioid drugs in ARF All at: chestcc.org @accpchest.bsky.social

It’s back! …#journal_CHESTCritCare’s A.T.L.A.S. 🗺️ @annajanas.bsky.social & colleagues from ⭐️Around The Land and Across Specialties⭐️ discuss how the “Oxy-PICU” trial impacts their care: www.chestcc.org/article/S294... To learn about the ATLAS series: www.chestcc.org/article/S294... #OpenAccess

Editorials bring studies into great focus 🔬 : ✔️ out a new one by A Khan & S Giovanni for Arita et Al’s recent pub: Ed: www.chestcc.org/article/S294... Art: www.chestcc.org/article/S294... #journal_CHESTCritCare #OpenAccess @accpchest.bsky.social

🏃‍♀️ I try so hard to keep up… …but sometimes it’s just too much! #journal_CHESTCritCare had 3 new pubs today & there’s something for everyone: 1️⃣ editorial (re iNO) 1️⃣ review (re AI) 1️⃣ study (re EOL care) ✅ them out… all #OpenAccess: www.chestcc.org @accpchest.bsky.social

🧩+🧩? …ever thought to add immunomodulators together? A Shorr & colleagues 👀 at vilobelimab added to others in COVID, just out in #journal_CHESTCritCare: www.chestcc.org/article/S294... Could this stacked approach have value in other viral pneumonia? @accpchest.bsky.social

I ❤️ numbers in the ICU… but what if they aren’t accurate? @mdspraider.bsky.social et al evaluated whether the airway pressures we see on ventilators 🟰 the tracheal P during iMV… ✴️ SPOILER ALERT ✴️ …nope! www.chestcc.org/article/S294... ✔️ it out in #journal_CHESTCritCare @accpchest.bsky.social

💰…🤕 Curious about the interplay of financial hardship & ICU patient outcomes❓ Just out in #journal_CHESTCritCare, Uyeda & colleagues look at: 1️⃣ risk factors of $ hardship & 2️⃣ association of hardship w outcomes: www.chestcc.org/article/S294... @accpchest.bsky.social

Association of Intensive Care Unit Patient-to-Clinician Ratios with Mortality across Two U.S. Health Systems @hbgmd.bsky.social @hwunsch.bsky.social @atscommunity.bsky.social #medsky 🔗 tinyurl.com/3b9u5ppv

🔴🔵🟢🟡 Editorials help give research studies more color… See what you think with Hadler & Kohn’s ⭐️editorial⭐️: Ed: www.chestcc.org/article/S294... Article: www.chestcc.org/article/S294... #journal_CHESTCritCare is all #OpenAccess! @accpchest.bsky.social

🩻 ARDS occurs in trauma… but what about spinal cord injury specifically? Just out in #journal_CHESTCritCare, Lozano & colleagues learn: ➡️ how often? ➡️ in whom? www.chestcc.org/article/S294... @accpchest.bsky.social

Is there a “just right” reintubation rate? 🐻 Arita et al explore the association of reintub rate w outcomes, just released in #journal_CHESTCritCare: www.chestcc.org/article/S294... I was surprised by their findings 😳 @accpchest.bsky.social

🎁 It’s here… & it’s bigger than ever… #journal_CHESTCritCare, vol 3, iss 3 is out! www.chestcc.org/current ✳️ 15 res articles ✳️ 1 review ✳️ 1 special feature ✳️ 1 US corner case series ✳️ 7 editorials ✳️ 3 letters It’s #OpenAccess, so what’s your excuse to not look? 👀 @accpchest.bsky.social

🤔 Ever wonder if our ICU families experience trauma? Esp those w a trauma history? D Ashana & colleagues 👀 at just that thru interviews w 26 family members, just out in #journal_CHESTCritCare: www.chestcc.org/article/S294... #OpenAccess @joannahart.bsky.social @accpchest.bsky.social

SpO2 👆 is better vs SaO2 🩸, bc it’s noninvasive… …but it must be accurate for all 🧒🏽👩🏼👨🏿… & it hasn’t been ☹️ Just out in #journal_CHESTCritCare, Travers et al report the pilot results of a prosp study w skin tone: www.chestcc.org/article/S294... @accpchest.bsky.social @andrewgoodwin.bsky.social

✔️ out Kelly Toth & Leanne Boehm’s editorial, just out today… Ed: www.chestcc.org/article/S294... Article: www.chestcc.org/article/S294... #journal_CHESTCritCare #OpenAccess @accpchest.bsky.social

💭 What’s the right steroid & dose for ARDS? 🩻 …dexamethasone, hydrocortisone, or methylprednisolone… 💉 Imai & colleagues perform a 🌟network meta-analysis🌟 in COVID & non-COVID patients, just out in #journal_CHESTCritCare: www.chestcc.org/article/S294... @accpchest.bsky.social

2/ 🔑 Risks: coagulopathy, longer ventilation, closed suction ⚠️ Ppeak ↑ but not clinically useful as many blocked tubes did not have this elevation! Full paper: www.chestcc.org/article/S294... @hbgmd.bsky.social @chriscarrollmd.com @accpchest.bsky.social

❓ Are you a lumper or a splitter… or a transporter? Flick & colleagues query whether sepsis survivor subtypes are 🚀transportable🚀 to ARDS survivors, just out in #journal_CHESTCritCare: www.chestcc.org/article/S294... @tvalley.bsky.social @iwashyna.bsky.social @accpchest.bsky.social

It’s a real gift 🎁, to be able to give a dying person a comfortable death… …but: What if we fail? What if they’re in pain/distress? 😩🫨 Just out in #journal_CHESTCritCare, Fehnel et al look at how often this happens: www.chestcc.org/article/S294... 👀, it’s #OpenAccess! @accpchest.bsky.social

🧐 Ever wonder what happens to the patients who don’t get a requested VV-ECMO cannulation? 🫁 Just out in #journal_CHESTCritCare, Dinh & colleagues show us… www.chestcc.org/article/S294... #OpenAccess @accpchest.bsky.social

Just how reliable are bedside sputum assessments anyway? 📄 Schuiteman et al in #journal_CHESTCritCare @accpchest.bsky.social www.chestcc.org/article/S294... 📍 10 ventilated pts, videos/photos shown to 383 ICU staff 📍 Gold standard = gram stain PMNs @hbgmd.bsky.social @chriscarrollmd.com #MedSky

From @hbgmd.bsky.social @hwunsch.bsky.social: Use of early PCR-based MRSA nasal swabs varied across US hospitals and increased over time from 2008-2021. Receiving care in a hospital with higher swab use was associated with shorter anti-MRSA antibiotic duration. doi.org/10.1017/ash....

❓ What does iNO do in the setting of COVID pneumonia? 🫁 Does it differ by respiratory support modality? T Ramaswamy & colleagues explore these ?s: www.chestcc.org/article/S294... #journal_CHESTCritCare is all #OpenAccess! @accpchest.bsky.social

Sometimes we need to consider unexpected tools 🛠️… Just out in #journal_CHESTCritCare, Auld & colleagues 👀 at cyproheptadine for COVID as part of the I-SPY platform 🕵️‍♂️: www.chestcc.org/article/S294... Learn about the adaptive platform trial infrastructure (#OpenAccess) @accpchest.bsky.social

🚑 Transferring MV ICU patients between hospitals can be necessary to get needed care… But how do they do❓ A Ludwig et al evaluate their outcomes vs non-transferred peers, out today in #journal_CHESTCritCare: www.chestcc.org/article/S294... It’s #OpenAccess, so ✔️ it out! @accpchest.bsky.social

💭 Remember when adult ECMO was so new we had no data to guide us? Times r changing! Just out in #journal_CHESTCritCare, Kazama et al outline a trial for AC targets in VA-ECMO: www.chestcc.org/article/S294... Not an ECMO guru? It’s still worth a 👀 to learn Win Ratios! @accpchest.bsky.social

📖 A Tale of Two Strategies: CVCs vs pIVs for vasopressor administration 💉 Just out in #journal_CHESTCritCare, Lara Groetzinger et al show us the impact of their peripheral VP policy in the MICU ⭐️vs other ICUs⭐️ at their site: www.chestcc.org/article/S294... @accpchest.bsky.social

🌍 Critical illness is a global phenomenon… But do our severity scores generalize to everyone? T Calhoun et al show us their predictive ability in Sub-Saharan Africa… www.chestcc.org/article/S294... #journal_CHESTCritCare #OpenAccess

There’s lots of heterogeneity of thought 🧠 re: whether to use paralytics in ARDS 🩻… Might this be bc of heterogeneity of treatment effect? A Duggal et al take a 👀 just out today in #journal_CHESTCritCare: www.chestcc.org/article/S294... @accpchest.bsky.social

Great new editorial out by Audrey De Jong & Samir Jaber for Vimal Bhardwaj et al’s study: Ed: www.chestcc.org/article/S294... Art: www.chestcc.org/article/S294... #journal_CHESTCritCare is always #OpenAccess! @accpchest.bsky.social

Both delirium 😵‍💫 & frailty 🚫💪 are important predictors of mortality in ICU patients… but do they interact to associate w harm? 👀 at A Subramaniam et al’s new study, just out in #journal_CHESTCritCare, to find out: www.chestcc.org/article/S294... @accpchest.bsky.social

👂 Have you heard of CGM? …it’s Continuous Glucose Monitoring & it’s coming to ICUs… Just out in #journal_CHESTCritCare, MN Rayan et al pilot a calibration process that may make CGM use in ICUs safe & effective: www.chestcc.org/article/S294... @accpchest.bsky.social

Caring for a multilingual ICU population requires our clinician workforce 🧑‍⚕️ & our tools 🛠️ to be multilingual… Just out in #journal_CHESTCritCare, AL Fuentes et al develop & evaluate such a tool to assess delirium in Spanish: www.chestcc.org/article/S294... @accpchest.bsky.social

😕 Are you confused by the current model of VILI (ie, ergotrauma, MP)? I was. And then I read V Modesto’s ⭐️amazing⭐️ editorial in #journal_CHESTCritCare… & I finally got it!💡 Ed: www.chestcc.org/article/S294... Art: www.chestcc.org/article/S294... #openaccess @accpchest.bsky.social

It makes me 😊 when #journal_CHESTCritCare readers & reviewers engage w us! Just out: ✳️ Jaitovich’s editorial re skeletal musc: Ed: www.chestcc.org/article/S294... Art: www.chestcc.org/article/S294... ✳️ Letters re Tylenol: Ltr: www.chestcc.org/article/S294... Resp: www.chestcc.org/article/

🤨 Does ICU family member race impact communication w them? Just out in #journal_CHESTCritCare, M Modes & colleagues explore diffs in ⚪️/⚫️ family members’ expression of emotion & resultant clinician 🥼 empathy: www.chestcc.org/article/S294... #OpenAccess as always! @accpchest.bsky.social

💧Which fluid to use in the ICU remains a ❓… The FISSH 🐠 trial will help figure out if it’s 0.9% saline or lactated ringers… check out the protocol for this ⭐️individual patient⭐️ RCT by @bramrochwerg.bsky.social et al just out in #journal_CHESTCritCare: www.chestcc.org/article/S294...

Wonder what barriers 🛑 & facilitators 🟢 ARF patients face post-hospital discharge? Jasmine Silvestri & colleagues use the “Timing it Right” 🕰️ framework to show us, just out in #journal_CHESTCritCare: www.chestcc.org/article/S294... @accpchest.bsky.social