🤨 Still wondering what to make of Helmet-CPAP? ⛑️ GC Gomes & colleagues consider its effectiveness for COVID ARF in a resource limited setting: www.chestcc.org/article/S294... Read all about it in #journal_CHESTCritCare; all #OpenAccess all the time! @accpchest.bsky.social

🍽️ Might early enteral nutrition improve organ 🫀🫁 recovery in the ICU? J Patel et al show some intriguing findings, just out in #journal_CHESTCritCare: www.chestcc.org/article/S294... #OpenAccess as always! @accpchest.bsky.social

🩸 Transfusions in the ICU - balancing benefits & harms is hard ⚖️ Guidelines were recently released in @journal_CHEST: journal.chestnet.org/article/S001... 📰 Out today, Soghier et al offer practical recs on using this guidance in a #journal_CHESTCritCare HIDI: www.chestcc.org/article/S294...

✅ We all say non-pharmacological treatments for ICU delirium are good… …but what about this one? S Janga & colleagues plan to study this novel device… 🤓 read their protocol just out in #journal_CHESTCritCare: www.chestcc.org/article/S294... @accpchest.bsky.social

👧 Ever wonder if disparities affect pediatric critical illness? C Myers & colleagues evaluate if census-tract Child Opportunity Index is associated w PICU use, out today in #journal_CHESTCritCare: www.chestcc.org/article/S294... #OpenAccess @accpchest.bsky.social

😖 Ever struggled to manage the vent after tracheobronchoplasty? 🫁 If so, learn “How I Do It” from Y Fraiha, B O’Gara, & colleagues, out today in #journal_CHESTCritCare: www.chestcc.org/article/S294... #OpenAccess as always!

🏁 A new milestone for #journal_CHESTCritCare! 5️⃣ pieces in 1 day! Do you care about: 🫁 resp muscles, - motor control - airway occl techniques 🫀 heart dysfunc in sepsis, 🫣 omission bias, 💪 longer term ECMO outcomes? Yes? Read at: www.chestcc.org/inpress @accpchest.bsky.social

🥼 We often ask what clinicians think about ICU guidelines… …but do we ask what patients & families think? 🧑‍🧑‍🧒‍🧒 Just out on #journal_CHESTCritCare, Bulova et al query Black surrogates re: shared decision making guidance: www.chestcc.org/article/S294... @accpchest.bsky.social

#journal_CHESTCritCare is getting an impact factor!!! 🎉🥳 📖 Read all about our indexation in the Web of Science Core Collection! www.chestnet.org/newsroom/pre... Thanks to our amazing authors ✍️, readers 👀, editors ✂️, and staff 👫!

Amazing things happen when 3️⃣2️⃣ ICU frailty experts get together! ✔️ out the new ✳️Special Feature✳️ in #journal_CHESTCritCare outlining their consensus on research priorities for the field: www.chestcc.org/article/S294... #OpenAccess @accpchest.bsky.social

🎯 The precise relationship between ARF, delirium, & long term morbidity has been confusing… 😵‍💫 Just out in #journal_CHESTCritCare, H Ferguson, A Sanjuan, et al help us better understand it 👍: www.chestcc.org/article/S294... #OpenAccess as always. @accpchest.bsky.social

ICU culture varies across units… & uptake of EBM varies… but are they related? 🤔 Out today in #journal_CHESTCritCare, @chadhoc.bsky.social & colleagues show us they may be… at least for lung protective vent: www.chestcc.org/article/S294... @accpchest.bsky.social @iwashyna.bsky.social

☹️ ICU clinicians are 👎 at predicting acute resp failure trajectories… 🫁 …but, as B Temte at el show us, ML can help identify 🔎 impending BPAP failure: www.chestcc.org/article/S294... @accpchest.bsky.social

😫 Working in ICUs can be hard… #journal_CHESTCritCare ⭐️HIDI⭐️ series to the rescue! 🛟 Out today, 2 new HIDIs: 1. How to discuss harm www.chestcc.org/article/S294... 2. How to avoid omission bias www.chestcc.org/article/S294... Thx, Molly Hayes, for editing this section! @accpchest.bsky.social

👍 QI research is best when it identifies an issue, designs a solution, & evals its implementation… Lee, Mangaoang, Duby, et al show us how it’s done in their study of the ⭐️sedation gap⭐️: 🌉: www.chestcc.org/article/S294... 🧠: www.chestcc.org/article/S294... #journal_CHESTCritCare

As intensivists rely more & more on advanced echo 🫀, we must ❓ how our interventions affect TTE metrics 📏… Just out in #journal_CHESTCritCare, M Lanspa et al eval how volume resus is associated w LV GLS & RVFWS: www.chestcc.org/article/S294... #OpenAccess @accpchest.bsky.social

I ♥️ a good editorial, don’t you? Out today, HyunBin You & Ji Won Shin give great insights on Amanda Moale’s study of communication w ICU surrogates: Ed: www.chestcc.org/article/S294... Art: www.chestcc.org/article/S294... ✔️ in them out in #journal_CHESTCritCare. @accpchest.bsky.social

⏳ Ever wonder if the 2023 change to CAS for lung transplantation affected ICU patients❓ R Asija, S Halpern, & colleagues evaluate: - transplant rate 🫁 - waitlist time ⏱️ - mortality 🪦 just out in #journal_CHESTCritCare: www.chestcc.org/article/S294... @accpchest.bsky.social

👀 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