Intensivist 🧡 || Anaesthesiologist || Research || Asso Editor IJCCM || #Linkedin @PrashantNasa || #fluidstewardship #IMV #Delphi
Wolverhampton, England
Joined May 2011
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Delighted to share joint guidelines @MoHFW_INDIA - @DghsIndia and @isccmnational
*Guidelines for ICU Admission and Discharge Criteria*
Under the leadership of Prof. @SheilaMyatra and guided by @rkmjs1
🧵 Please continue to know what all was covered...
Prashant Nasa retweeted
Only 4 Wave 2 tickets remain for IFAD 2026.
Join colleagues in Antwerp for focused learning on fluid management, hemodynamic monitoring and lung ultrasound—plus valuable exchange with an international medical community. 17.5 EACCME® credits applied for/available.
📍 ZAS Cadix, Antwerp, Belgium
📅 3–5 December 2026
Secure one of the final Wave 2 places now:
fluidacademy.org/ifad-2026-r…
#IFAD2026 #MedicalEducation #FluidManagement #CriticalCare #EACCME
Prashant Nasa retweeted
📊 #StatShotSaturdays by #IJCCM
⚡ Correlation ≠ Causation.
Know when to use Pearson, Spearman, Kendall Tau, or Point-Biserial correlation, and learn how to interpret r values from −1 to +1.
📚 Master one of the most important concepts in research.
#Correlation
Prashant Nasa retweeted
📊 #StatShotSaturdays #IJCCM
⚡ p-value tells if result is statistically significant.
🧠 Bayesian statistics tells if a treatment is likely to work.
📖 Read:
ijccm.org/doi/IJCCM/pdf/10.5…
@Drnasap @shultzie @TripathySwagata @tonny_veenith @a_serpaneto
Prashant Nasa retweeted
Looks like I've developed tunnel vision... Everything eventually leads back to Transcranial Doppler!
Prashant Nasa retweeted
Free webinar 👩💻👨💻
Breaking The Habit: Individualised IV fluid prescribing and stewardship, delivered by Turning the Tide in collaboration with the International Fluid Academy (IFA), and sponsored by Baxter.
🎙️ Speaker spotlight: Dr Justin Kirk-Bayley
Dr Justin Kirk-Bayley will be one of the featured speakers in our upcoming webinar on IV fluid prescribing and stewardship.
He is a Consultant Intensivist and Anaesthetist at Royal Surrey NHS Foundation Trust and a recognised expert in lung ultrasound and IV fluid management. He is also a council member of the Intensive Care Society and leads their work in lung ultrasound.
Dr Kirk-Bayley is actively involved in education through a UK charity focused on improving IV fluid practices and regularly presents at conferences and webinars.
Join his talk: What’s in a bag? Right drug, right patient, right time
📅 Date: Monday 6 July 2026
🕔 Time: 17:00 CET / 16:00 UK & Portugal
Register here:
us06web.zoom.us/webinar/regi…
Can ARDS subphenotyping be better understood as a spectrum rather than a binary classification?
link.springer.com/article/10…
We explore this question in our recent editorial and discuss why a continuous, probabilistic approach may better identify high-risk patients.
Prashant Nasa retweeted
🚨 What's inside the May 2026 issue of IJCCM?
From AI in critical care and sepsis prognostication to POCUS, ARDS, and ventilator weaning—
🎥 Watch the highlights from the Editor-in-chief
📖 ijccm.org/journal/IJCCM
@jigidivatia
“PaO₂/FiO₂ and SpO₂/FiO₂ ratios revisited: Useful, misleading, or both?” in the Journal of Intensive Medicine. A review exploring the strengths, pitfalls, and future of oxygenation metrics in ARDS and respiratory failure.
apac01.safelinks.protection.…
Prashant Nasa retweeted
Rethinking IV Fluids: From Tradition to Precision Medicine
Intravenous fluids remain one of the most frequently prescribed “drugs” in emergency and critical care medicine—yet our use of them is still largely tradition-driven rather than mechanism-based. This Special Issue of Life (MDPI) aims to change that by focusing on the core science that should guide truly personalized fluid therapy in critically ill and emergency department patients.
We are calling for original research, reviews, and perspectives that dig deep into the biology of fluid therapy, including:
Pathophysiological mechanisms: Endothelial dysfunction, vascular permeability, glycocalyx shedding, interstitial matrix changes, and the role of inflammation in fluid kinetics.
Biomarker discovery and validation: Novel markers of endothelial damage, fluid tolerance, tissue congestion, and their role in predicting benefit or harm.
Translational and integrative physiology: From bench to bedside—linking basic models of fluid homeostasis to human pathophysiology with advanced imaging and bioengineering tools.
Computational and “omics” approaches: Systems biology, pharmacodynamic modeling, genomics, and proteomics to phenotype fluid responsiveness and vulnerability to overload.
Cross-disciplinary insights: Contributions from bioengineering, biophysics, immunology, and pharmacology that offer new frameworks for understanding fluid dynamics in disease.
Our goal is to build a mechanism-based, biomarker-informed paradigm for IV fluid management, moving beyond “one-size-fits-all” resuscitation toward precision fluid stewardship in shock and critical illness.
🔗 Explore the Special Issue & submit your work:
mdpi.com/journal/life/specia…
👥 Members’ portal
Want to stay updated, discuss concepts, or get support around fluid stewardship and resuscitation? Visit our members’ portal:
fluidacademy.mn.co/
Prashant Nasa retweeted
Welcome to an enriching international webinar on ARDS featuring guideline authors and global experts in critical care.
ARDS: Evidence, Experience & Evolving Controversies
Bridging Guidelines and Real-World Care
Join us for an insightful evening discussing practical bedside management, evolving evidence, and current controversies in ARDS care.
🗓️ 11 May 2026
🕗 8:00 PM IST onwards
🔗 Zoom Link: us06web.zoom.us/j/8830049065…
🆔 Meeting ID: 883 0049 0653
🔑 Passcode: bharat
Looking forward to your participation in this engaging academic session.
Prashant Nasa retweeted
Awareness saves lives.
Prevention starts with each one of us. Stay informed, stay protected, and let’s build a healthier tomorrow together.
#Hantavirus #CriticalCare #PublicHealth #Awareness #ISCCM #StrongerTogether
🤖 Made with AI
Prashant Nasa retweeted
Dear friends and colleagues, I humbly seek your support, blessings, and good wishes in this journey. Your encouragement and trust mean a lot to me. 🙏 By ISCCM • For ISCCM • Of ISCCM
Prashant Nasa retweeted
📢 Recently Published Work – Now in Discussion
Gender Equality & Equity in ICU – International Delphi Consensus
Join us for a focused conversation with the authors as we take this important work forward into real-world critical care practice.
🌐 Critical Care Conversations – LIVE Webinar
🗓 04 May 2026
⏰ 7:00 PM IST onwards
Moderator:
Dr. Bharat G Jagiasi
Panelist:
Sheila Nainan Myatra | Karen E. A. Burns | Bjorn Weiss | Vijaya Patil | Sumit Ray
🔹 7:00 – 7:30 PM
Insights from the Delphi consensus
🔹 7:30 – 8:15 PM
Panel Discussion
An important discussion—not just about women, but about fairness, opportunity, and better critical care systems.
👉 Join here: us06web.zoom.us/j/8756353629…
Meeting ID: 875 6353 6295
Passcode: bharat
Do join and share
Prashant Nasa retweeted
💧 DKA resuscitation: Normal Saline vs Ringer’s Lactate, does it really matter?
For decades, 0.9% NaCl has been the default fluid in diabetic ketoacidosis.
But… is it still the best choice?
🧪 New randomized ICU data (2025-2026)
👉 88 patients with severe DKA
👉 Ringer’s Lactate (RL) vs Normal Saline (NS)
👉 Same insulin protocol
📊 Primary outcome: DKA resolution at 48h
➡️ No difference
• RL: 56.5%
• NS: 50%
(p = 0.66)
⚖️ So… clinically equivalent? Not exactly.
The physiology tells a different story 👇
🧠 What RL does better
Compared to NS:
✔️ Higher bicarbonate early
✔️ Better potassium levels
✔️ Lower chloride at 48h
➡️ Translation:
• Less hyperchloremic metabolic acidosis
• Lower risk of hypokalemia
• More physiologic acid-base recovery
⚠️ What NS still does
❗ Same DKA resolution speed
❗ Same ICU stay
❗ Same mortality
➡️ So endpoints look “equal”…
…but physiology is not.
🚨 Why this matters in real ICU practice
Hyperchloremia is not benign:
• Worsens metabolic acidosis
• Increases respiratory workload
• Promotes renal vasoconstriction
• Delays recovery
And hypokalemia?
• Arrhythmias
• Insulin resistance
• Delayed metabolic correction
🧬 Clinical interpretation
This is not about:
❌ “Which fluid resolves DKA faster?”
This is about:
➡️ Which fluid creates a better internal environment for recovery
🔥 Take-home message
👉 NS is acceptable
👉 RL is physiologically smarter
➡️ Especially in:
• Severe acidosis
• High chloride states
• Patients at risk of hypokalemia
📚 Trifi A. et al. (2025)
Medicina Intensiva
doi.org/10.1016/j.medin.2025…
ALT
Prashant Nasa retweeted
🚨 CritiTalk | New Episode Released!
Another high-yield, clinically relevant discussion from Dr. Bharat Jagiasi & Team ICU Pulse Xx, focused on practical ICU insights and real-world decision-making.
🎯 Simple concepts. Strong evidence. Direct bedside impact.
👉 Watch here: youtu.be/h_7AhQk1GLI?si=t2mK…�
🤖 Made with AI
Prashant Nasa retweeted
Critical Care Conversations – Live Webinar
Airway management doesn’t end with intubation—it evolves beyond it.
Join us for an insightful session on “Difficult Airway Management in Critical Care – Beyond the Algorithm”
🎤 Key Talk:
“Beyond Intubation: Airway Management in the Critically Ill”
by *Prof. Sheila Nainan Myatra*
Followed by an engaging panel discussion moderated by
*Dr Bharat G Jagiasi* with leading experts.
🗓 30th April 2026
⏰ 7:00 PM IST onwards
🔗 Join here: us06web.zoom.us/j/8655639694…
Webinar ID: 865 5639 6947
Passcode: bharat
Don’t miss this highly interactive discussion on one of the most critical challenges in ICU practice.
