Anesthesia and intensive care resident @SRAnesthesiaICU Graduated @MyUniSR

Milano
Joined January 2013
Think you know the SOFA score? Think again! 🧐 Our systematic review dives into its use as an endpoint in RCTs, uncovering the surprising variability in definitions, timing, and handling of missing data. It's time to take a fresh look at the SOFA score! #FOAMcc #FOAMed
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Marilena Marmiere, MD retweeted
A recurring theme at #CCR26: Common practice is not always evidence-based practice As highlighted by @a_serpaneto, sodium bicarbonate is widely used despite limited evidence. The #BIHCAtrial does not support its routine administration #CardiacArrest #Resuscitation
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Marilena Marmiere, MD retweeted
🧵 Sodium bicarbonate did not improve sustained return of spontaneous circulation, survival, or neurologic outcomes in adults with in-hospital cardiac arrest compared to placebo. #CCR26 @CritCareReviews ja.ma/4oqTNgA
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Marilena Marmiere, MD retweeted
Original Article: Conservative Oxygen for Unresponsive Patients after Cardiac Arrest (LOGICAL trial) nej.md/4x7TavY #CCR26 | @CritCareReviews
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Marilena Marmiere, MD retweeted
Presented at #CCR26: Among adults with septic shock, the use of restricted fluids and early vasopressors did not result in more days alive and out of the hospital through day 90 than the use of liberal fluids and later vasopressors. Full ARISE FLUIDS trial results: nej.md/3PVdwIp @CritCareReviews
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Marilena Marmiere, MD retweeted
Presented at #CCR26: Among critically ill adults with acute respiratory failure, neither carbocisteine nor hypertonic saline reduced the duration of mechanical ventilation, and each strategy was associated with harm. Full phase 3 MARCH trial results: nej.md/3PUyHdA @CritCareReviews
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Marilena Marmiere, MD retweeted
📊 Research Summary: High-dose intravenous #VitaminC did not improve mortality or organ function in adults with severe burns and may increase risk of adverse outcomes, supporting the removal of vitamin C from acute burn protocols. #CCR26 @CritCareReviews ja.ma/49RpV6Z
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Marilena Marmiere, MD retweeted
🚨 Just published in @NEJM and presented at #CCR26 The #LOGICALtrial (n=1,840) tested whether conservative vs liberal O2 therapy could improve 180-d neurological outcomes after cardiac arrest It did not!: 38.2% vs 39.7%; RR 0.97, 95%CI 0.87–1.09 #CardiacArrest #CriticalCare
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Marilena Marmiere, MD retweeted
🚨 Just published in @JAMA_current and presented at #CCR26. High-dose IV #vitaminC in severe burn injury: no benefit, possible harm! The trial was stopped early, with higher 28-day mortality in the vitamin C group (15.0% vs 7.6%). Biological plausibility is not enough!
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Marilena Marmiere, MD retweeted
Presented at #CCR26: Among patients who were unresponsive after cardiac arrest, conservative oxygen therapy did not increase 180-day survival with favorable function as compared with liberal oxygen therapy. Full LOGICAL trial results: nej.md/4x7TavY @CritCareReviews
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Marilena Marmiere, MD retweeted
5 studies from #ISICEM26 every intensivist should know 👇 🧬 Immune dysregulation in pneumonia & sepsis 💨 High-flow vs standard oxygen 🫁 ARF in immunocompromised patients 🩸 Prehospital whole blood in trauma 🏥 ICU restraint strategies @ISICEM
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Marilena Marmiere, MD retweeted
This article on #AMINOACIDS for prevention of #AKI is more important than our @NEJM Hundreds of centers which are implementing perioperative AA based on the #PROTECTIONtrial and European guidelines should limit the duraton of infusion of AA to<=48 h authors.elsevier.com/a/1mg9T…
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Marilena Marmiere, MD retweeted
🏥 San Raffaele lancia il corso per professionisti dedicato alla pre-abilitazione preoperatoria 📣 🏃‍♂️ Attività fisica e valutazione funzionale 🥗 Ottimizzazione nutrizionale 🧠 Preparazione psicologica e gestione dello stress 👉 per migliori outcome postoperatori 🎓 Per fisioterapisti, nutrizionisti, psicologi e medici. unisr.it/offerta-formativa/c…
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Marilena Marmiere, MD retweeted
🏣San Raffaele lancia il corso per professionisti dedicato alla pre-abilitazione preoperatoria 🏋️‍♀️🥗🧘‍♂️Ottimizzazione funzionale, nutrizionale e psicologica Rivolto a tutte le figure professionali del peri-operatorio @giovannilandoni @SRAnesthesiaICU unisr.it/offerta-formativa/c…
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Marilena Marmiere, MD retweeted
𝐒𝐞𝐫𝐢𝐨𝐮𝐬 𝐬𝐜𝐢𝐞𝐧𝐜𝐞. 𝐔𝐧𝐞𝐱𝐩𝐞𝐜𝐭𝐞𝐝 𝐟𝐨𝐫𝐦𝐚𝐭. The @ISICEM Critical Care Input — presented this time in a new way. Watch it now and enjoy. Credits @DrFDamico #ISICEMelearning @NEJM Full article nejm.org/doi/full/10.1056/NE…
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Marilena Marmiere, MD retweeted
Huge participation this morning at our Journal Club @SRAnesthesiaICU , focused on organ donation after 10 years of the eCPR program for refractory cardiac arrest. 👏 Thanks to @MarinaPieri5 and @MABonizzoni for the outstanding presentation and discussion!
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Marilena Marmiere, MD retweeted
Big crowd today for our monthly journal club at @SRAnesthesiaICU ✅Organ donation after #ECPR for out of hospital cardiac arrest 🫀 🧠 9.4% good neurological outcome 🫘19% solid organ donation #FOAMed #FOAMcc 🔗 pubmed.ncbi.nlm.nih.gov/3860… 🔗pubmed.ncbi.nlm.nih.gov/4040…
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Anestesia, Rianimazione, Terapia Intensiva e del Dolore è, ancora una volta, la specialità più scelta dai neolaureati in medicina. Nel 2025, ben 1174 posti assegnati al 1º scaglione: un record che conferma la centralità di una disciplina sempre più affascinante! #SSM2025 #SSM25
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Da settembre a dicembre, gli specializzandi IV-V anno di anestesia e rianimazione parteciperanno ad un corso di formazione clinico-assistenziale in simulazione nel processo donativo e trapiantologico, organizzato insieme al @CNTrapianti e @istsupsan.
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Marilena Marmiere, MD retweeted
#TARGETProtein trial al centro del nostro prossimo Journal Club! 📆 Domattina, mercoledì 18 giugno | ore 07:00 CEST 📣 Dose proteica aumentata vs. standard in Pazienti Critici - da poco presentato a #CCR25 e pubblicato su @JAMA_current DM per il link Microsoft Teams📹 🇮🇹
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