Biostatistician Department of Anesthesia and Intensive Care of @SanRaffaeleMI

Milan,IT
Joined February 2024
🚨 Our fantastic #RCT just published in @NEJM! 🚨 🩸 Can Acute Normovolemic Hemodilution (ANH) reduce RBC #transfusion in cardiac surgery? 🫀 ❓ What were the results? Click to find out 👉 nejm.org/doi/full/10.1056/NE… #CardiacSurgery #NEJM #PerioperativeCare
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Acute normovolemic hemodilution in women undergoing cardiac surgery: less transfusion? No. Post hoc analysis of the ANH RCT, 405 women: - RBC transfusion 38.8% vs 44.6% (RR 0.87, 95% CI 0.69–1.10) - hypotension 16.0% vs 4.8% - ICU stay +21 h Would you still use ANH in women?
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After our ANHtrial in @NEJM we focused on blood transfusion in women #ANH vs usual care in #cardiacsurgery 🩸 RBC transfusion 38.8% vs 44.6% (NS) ⚠️ Hypotension 16.0% vs 4.8% 🏥 +21h ICU, +1.9 days hospital Caution with ANH in women. Now in @JAMASurgery doi.org/10.1001/jamasurg.202…
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🥇 Con oltre 1.000 preferenze, Anestesia e Rianimazione si conferma la disciplina più scelta in Italia! Ai neoimmatricolati auguriamo 5 anni di specialità ricchi di crescita, competenze e soddisfazioni. Benvenuti! 💚 #Anestesia #Rianimazione
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#CCR26 is over! 12 outstanding RCTs presented! 😍Save and share this figure to keep a concise overview of the key information! 🎨 Color coding reflects my personal overall interpretation: 🟢 Benefit ⚪ No difference 🔴 Harm Few practice-changing results but plenty to discuss!
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The #FISSHtrial has now been presented at #CCR26 In >1100 high-risk septic shock pts, Ringer’s Lactate did not reduce 30d mortality compared with saline (33.6% vs 33.0%) Interesting signal in patients with more severe #AKI! First major RCT without a simultaneous publication?
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🚨 Just published in @NEJM and presented at #CCR26. The #ARISEFLUIDStrial (n=1,000) found that early vasopressors with restricted fluids did not improve days alive and out of hospital at 90 days vs a more liberal fluid strategy! ⚠️ Less pulmonary edema, though (0.6% vs 5.0%)!
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🚨 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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Original Article: Daraxonrasib or Chemotherapy in Previously Treated Metastatic Pancreatic Cancer (phase 3 RASolute 302 trial) nej.md/4nWaxvM #ASCO26 | @ASCO
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Today I had the honor of participating as a speaker at the 37th SMART Congress. It was a great opportunity to discuss the new frontiers of acute kidney injury, including early diagnosis, precision medicine, and the potential role of emerging biomarkers. Ad maiora! 💙
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in milan, @LosiggioRosario is presenting on renal buomarkers @Smart_Meeting_M
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Dear Ozgun @OzgunOasiller , You had a beautiful mind, and you were only 30 years old. Last year, you spent weeks in our hospital as an ESAIC mentee from Ankara. In that short time, you left a mark on all of us. We miss you deeply.
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🚨 New publication alert using TriNetX real-world data 👥 >100,000 young adults with septic shock ⚖️ Propensity-matched cohort ♀️ Women aged 18–55 had lower 28-day mortality than men: RR 0.92 (95% CI 0.89–0.95) ⏳ After age 55, this difference disappeared 🔗doi.org/10.1016/j.jcrc.2026.… @JCriticalCare @giovannilandoni @alebelletti1 @SFresilli @RosaLabanca5 @mariottichia_ #TriNetX #RealWorldData #SepticShock #CriticalCare
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The #PROGRESStrial protocol is out: an ongoing multicenter RCT testing whether a prehabilitation program can reduce major postoperative complications and facilitate recovery in patients undergoing major oncological gastrointestinal surgery. 🏋️‍♂️ 🔗 pubmed.ncbi.nlm.nih.gov/4162…
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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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Today at #ITACTAIC2026 in Bologna, great insights on the “hub & spoke” model for cardiogenic shock, current evidence and future perspectives to build faster, more integrated, multidisciplinary networks 👏 @MarinaPieri5
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In this secondary analysis of the #PROTECTIONtrial, the renal protective effect of amino acid infusion after cardiac surgery was similar in diabetic and non-diabetic patients, supporting its use for all patients undergoing cardiac surgery. 🔗 pubmed.ncbi.nlm.nih.gov/4151…
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Domani verrà pubblicato su YouTube e Spotify il primo episodio di PodcAnest, un podcast sviluppato dal CPAR a cui ho collaborato Lo scopo di spiegare il mondo dell’Anestesia e Rianimazione ai non medici e agli studenti di medicina Il primo episodio parlerà di Donazioni d’organo
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In our meta-analysis including 34 trials and >5000 patients, ANH did not reduce the proportion of cardiac surgery patients who received allogeneic pRBC transfusions during the postoperative hospital stay 🩸 📎 @BJAJournals pubmed.ncbi.nlm.nih.gov/4155…
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🎉 Congratulations to the Xijing Hospital: top 2026 enrolling center in the #LUNAtrial! Thank you to the ACRC & the Cardiac Anesthesia Team for their outstanding work. Special recognition to Prof. Chong Lei, PI, for exceptional leadership in high-quality clinical research!
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