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The Thoughtful Intensivist

Rafael Olivé Leite

Insightful criticism of current critical care research

Platform
Substack
PricingOnly free issuesPublishesWeekly
Issues11SubscribersRead thethoughtfulintensivist.substack.c...

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Latest Issues

Recent posts by this newsletter. Browse the email archive.

Nonsense XP

I was at the 2022 Brazilian Intensive Care Congress, where thousands gather to renew their faith in commonplaces. All large events are the same faith revival exercise, including your national congress. However, in non-English speaking count...

a month ago
4
4

What’s the point of estimating fluid responsiveness?

> I REMEMBER1 a peculiar case I saw in an ICU rotation during the second year of my Internal Medicine residency in 1999. A patient had cardiac surgery and had mediastinitis. His sternum had been removed with some portions of his pericardium...

a month ago
7
6

Sepsis research is scary

Some expressions trigger anxiety when I am reading research in our beautiful and bewildering specialty. One is sepsis. Another is Bayesian. I never found both words combined. Now you think about combining both words with PERPETUAL. You can ...

2 months ago
8
0

Back to the past: REVISEing Stress Ulcer Prophylaxis

I was surprised and frustrated when I saw the recent pantoprazole RCT to prevent stress ulcers during mechanical ventilation. That was indeed a moment of mixed feelings.

2 months ago
9
3

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Authors

The writers behind this newsletter.

  • Rafael Olivé Leite

    Intensivist and professor of Medicine more

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