Lai Christopher (@LaiChristopher2) profile picture

MD, PhD. Critical Care Physician. Medical ICU, Bicêtre Hospital, AP-HP

Le Kremlin-Bicêtre, France
Joined October 2020
Photo by Lai Christopher (@LaiChristopher2)Photo by Lai Christopher (@LaiChristopher2)Photo by Lai Christopher (@LaiChristopher2)Photo by Lai Christopher (@LaiChristopher2)Photo by Lai Christopher (@LaiChristopher2)Photo by Lai Christopher (@LaiChristopher2)Photo by Lai Christopher (@LaiChristopher2)Photo by Lai Christopher (@LaiChristopher2)Photo by Lai Christopher (@LaiChristopher2)Photo by Lai Christopher (@LaiChristopher2)
Lai Christopher retweeted
Dynamic indices of fluid responsiveness in @ICM w/ @Prof_XMonnet @MichelleChew 💧Physiology of fluid responsiveness 📈Tests to predict fluid responsiveness ⚠️Clinical limits of these tests Check for potential benefits before giving #fluids! 🔗rdcu.be/fnlTm #FOAM
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Dynamic indices of fluid responsiveness in @ICM w/ @Prof_XMonnet @MichelleChew 💧Physiology of fluid responsiveness 📈Tests to predict fluid responsiveness ⚠️Clinical limits of these tests Check for potential benefits before giving #fluids! 🔗rdcu.be/fnlTm #FOAM
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From teaching model to physiology In this issue, @Prof_XMonnet highlights a paradigm shift by Sheldon Magder: Cardiac output is not simply preload-afterload-contractility, but the interaction betwen EDV, EES, and rejection threshold pressure. journals.lww.com/hemodynamic…
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🔥SSC 2026 just released! ➡️ 129 statements ➡️ 23 regarding #Hemodynamic Management ➡️ 17 are new, revised or revisited ➡️ 8 changes in strenght of recommendations 👫 More individualized approach 💧 Fluids 💉 Vasopressors 🫀 Inotropes 🖥️ Monitoring 🔗 rdcu.be/e9wYT
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Lai Christopher retweeted
JUST RELEASED! The 2026 Update of the Surviving #Sepsis Campaign Guidlines is now online! Permanent Free Access Adult: zurl.co/I7hBu Children: zurl.co/JKedS
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Which preload responsiveness test should I use? Choosing the right preload responsiveness test is key in fluid resuscitation. #Hemodynamics #CriticalCare #FluidResuscitation @Prof_XMonnet @LaiChristopher2
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Which preload responsiveness test should I use? w/@Prof_XMonnet #ICU #Hemodynamics #French_hemo Step-by-step approach 1️⃣ Intubated and spontaneous breathing? 2️⃣Which monitoring device? 3️⃣Limitations in interpretation? journals.lww.com/hemodynamic…
Which preload responsiveness test should I use? CCR Journal Watch - tracking the critical care literature daily criticalcarereviews.com/late…
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Which preload responsiveness test should I use? CCR Journal Watch - tracking the critical care literature daily criticalcarereviews.com/late…
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Lai Christopher retweeted
Bienvenus aux nouveaux internes de notre belle specialité MIR Rejoignez nos réseaux pour vous tenir au courant des cours, villes et cursus. 👉Insta : asso_anjmir 👉 Facebook : Anjmir 👉 X : jeunesMIR 👉 Site internet : anjmir.fr/
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Lai Christopher retweeted
Retrouvez notre webinaire de présentation de la MIR version 2025 sur YouTube ! 👉 youtu.be/YdcjzSHO81s?si=I1O0…
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🚨 "Early norepinephrine in #septic shock: SRMA" @Crit_Care ✅↓D28 mortality ✅↓fluids ✅Faster MAP stabilization 🛡️Safe & effective 🔍Trial sequential analysis : more RCTs still needed to confirm Big thanks to my co-authors! @shiruimaya @Prof_XMonnet 🔗rdcu.be/ek2Uz
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Lai Christopher retweeted
@ISICEM Critical Care Input: Incidence and risk factors of weaning-induced pulmonary oedema: results from a multicentre, observational study 🔗ccforum.biomedcentral.com/ar… #ISICEMelearning @Crit_Care @jlvincen
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💨Weaning-induced pulmonary oedema: a key driver of weaning failure 🏥 13#ICU 🤕634 SBTs, 500 patients 12% all #SBT 36% of weaning failure More frequent w/ T-piece risk factors: COPD (OR 13.2) & cardiopathy (OR 3.97) 🔗 rdcu.be/egWBQ @Crit_Care @Prof_XMonnet @shiruimaya
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Lai Christopher retweeted
The pros and cons of vasoconstriction in septic shock. 🔗 De Backer, et al. Intensive Care Med 50, 459–462 (2024). #FOAMed #FOAMcc
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Want to try a new way to assess for fluid responsiveness? Check out this PEEP-test! 🎩 tip to the authors. eddyjoemd.com/foamed/
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💉After multiple trials on Dexmedetomidine… #DEX Cruise Control: ✅ Part of multimodal sedation ✅ Sustained light sedation Yahya Shehabi at #ISICEM25
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VexUS score seems seducing and is a hot topic. But is it a game changer? There are still issues that need to be addressed. For sure we need to explore more and evaluate whether specific actions modifying #VexUS may improve prognosis. @ISICEM #ISICEM25 @Pr_PaulMayo
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Liberal or restrictive approach of #fluid resuscitation in #ICU: OUTDATED! @DDeBacker Optimization and personalization 🤔Really need it? ⚖️ benefits/harms ⚠️ Sodium intake ↘️maintenance/dilution fluids #ISICEM25 @ISICEM
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Should we abandon Prone Postion for patient under VV-#ECMO? Insight of PRONECMO w/ @PrMatthieuSchmidt Not for every patients but… 📋 ✅no ultra-low Vt ✅bilateral posterior consolidation ✅non-COVID19 ards ✅trained teams @ISICEM @JAMANetwork #ICU 🔗 10.1001/jama.2023.24491
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