@calverre.bsky.social
CritCare & Anesthesiology
Interest in immunothrombosis, right ventricular function & congestion
Interest in immunothrombosis, right ventricular function & congestion
Reposted
ICU Circulation Secrets:
The phenomenon of "hemodynamic incoherence" is observed when microcirculatory dysfunction persists despite the restoration of macro-circulatory indices
In this case, MAP was 88 mmHg & cardiac index was 2.8 l/min/m2 on a small dose of norepinephrine
The phenomenon of "hemodynamic incoherence" is observed when microcirculatory dysfunction persists despite the restoration of macro-circulatory indices
In this case, MAP was 88 mmHg & cardiac index was 2.8 l/min/m2 on a small dose of norepinephrine
January 23, 2025 at 4:31 AM
ICU Circulation Secrets:
The phenomenon of "hemodynamic incoherence" is observed when microcirculatory dysfunction persists despite the restoration of macro-circulatory indices
In this case, MAP was 88 mmHg & cardiac index was 2.8 l/min/m2 on a small dose of norepinephrine
The phenomenon of "hemodynamic incoherence" is observed when microcirculatory dysfunction persists despite the restoration of macro-circulatory indices
In this case, MAP was 88 mmHg & cardiac index was 2.8 l/min/m2 on a small dose of norepinephrine
Reposted
ICU Studies - Return to the Classics:
It’s been ~25 yrs since the ARMA study showed that ventilation of ARDS patients with a lower tidal volume (Vt) results in ⬇️ mortality & ⬆️ the number of days without ventilator use. It’s also common belief that using volume-controlled (VC)
It’s been ~25 yrs since the ARMA study showed that ventilation of ARDS patients with a lower tidal volume (Vt) results in ⬇️ mortality & ⬆️ the number of days without ventilator use. It’s also common belief that using volume-controlled (VC)
January 9, 2025 at 6:59 PM
ICU Studies - Return to the Classics:
It’s been ~25 yrs since the ARMA study showed that ventilation of ARDS patients with a lower tidal volume (Vt) results in ⬇️ mortality & ⬆️ the number of days without ventilator use. It’s also common belief that using volume-controlled (VC)
It’s been ~25 yrs since the ARMA study showed that ventilation of ARDS patients with a lower tidal volume (Vt) results in ⬇️ mortality & ⬆️ the number of days without ventilator use. It’s also common belief that using volume-controlled (VC)
Reposted
Predicting clotting events in 49 of 53 people with Covid!
An immunosensor that rapidly detects 4 different protein biomarkers
science.org/doi/10.1126/...
An immunosensor that rapidly detects 4 different protein biomarkers
science.org/doi/10.1126/...
Rapid prediction of acute thrombosis via nanoengineered immunosensors with unsupervised clustering for multiple circulating biomarkers
A nanoengineered immunosensor uses machine learning to detect multiple biomarkers for rapid prediction of acute thrombosis.
science.org
December 11, 2024 at 7:45 PM
Predicting clotting events in 49 of 53 people with Covid!
An immunosensor that rapidly detects 4 different protein biomarkers
science.org/doi/10.1126/...
An immunosensor that rapidly detects 4 different protein biomarkers
science.org/doi/10.1126/...
Reposted
DDAVP 0.3-0.4 mcg/kg IV ↑ VWF & factor VIII release. VWF binds GPIIb-IIIa receptor on platelets, causing aggregation = antiplatelet reversal.
DDAVP ↑ platelet function in patients on antiplatelet like P2Y12i (PMIDs: 18068065,1434725,8330156)
#medsky #EMsky #pharmsky #HMsky
DDAVP ↑ platelet function in patients on antiplatelet like P2Y12i (PMIDs: 18068065,1434725,8330156)
#medsky #EMsky #pharmsky #HMsky
December 5, 2024 at 2:23 AM
Reposted
A sad day for critical care - and what a phenomenal legacy he has left us.
RIP Prof Gattinoni, a Giant ⚕️📟
www.esicm.org/obituary-luc...
RIP Prof Gattinoni, a Giant ⚕️📟
www.esicm.org/obituary-luc...
Obituary: Luciano Gattinoni - ESICM
In Memory of Professor Luciano Gattinoni
www.esicm.org
December 2, 2024 at 5:02 PM
A sad day for critical care - and what a phenomenal legacy he has left us.
RIP Prof Gattinoni, a Giant ⚕️📟
www.esicm.org/obituary-luc...
RIP Prof Gattinoni, a Giant ⚕️📟
www.esicm.org/obituary-luc...
Reposted
'we review the physiological basis of the VExUS assessment as a measure and marker of venous congestion from the organs’ standpoint and its role as part of the emerging concept of fluid tolerance' #pocus #pocusky #emimcc #cardiosky #vexus
theultrasoundjournal.springeropen.com/articles/10....
theultrasoundjournal.springeropen.com/articles/10....
VExUS: common misconceptions, clinical use and future directions - The Ultrasound Journal
There has been a significant interest in venous congestion in recent years, among which the VExUS score has been prominent, both in clinical practice and research efforts. We have noted some recurrent...
theultrasoundjournal.springeropen.com
November 26, 2024 at 6:27 PM
'we review the physiological basis of the VExUS assessment as a measure and marker of venous congestion from the organs’ standpoint and its role as part of the emerging concept of fluid tolerance' #pocus #pocusky #emimcc #cardiosky #vexus
theultrasoundjournal.springeropen.com/articles/10....
theultrasoundjournal.springeropen.com/articles/10....
Critical point
editorial from @bmj.com and paper: Poor staff retention is associated with higher patient mortality. Have said it before & I’ll say it again. If you don’t care for the carers, they cannot care for their patients.
www.bmj.com/content/387/...
www.bmj.com/content/387/...
November 25, 2024 at 12:12 PM
Critical point
Reposted
Decoding VExUS: a practical guide for excelling in point-of-care ultrasound assessment of venous congestion
CCR Journal Watch
criticalcarereviews.com/latest-evide...
Get the latest critical care literature every weekend via the CCR Newsletter - subscribe at criticalcarereviews.com/newsletters/...
CCR Journal Watch
criticalcarereviews.com/latest-evide...
Get the latest critical care literature every weekend via the CCR Newsletter - subscribe at criticalcarereviews.com/newsletters/...
November 20, 2024 at 9:10 PM
Decoding VExUS: a practical guide for excelling in point-of-care ultrasound assessment of venous congestion
CCR Journal Watch
criticalcarereviews.com/latest-evide...
Get the latest critical care literature every weekend via the CCR Newsletter - subscribe at criticalcarereviews.com/newsletters/...
CCR Journal Watch
criticalcarereviews.com/latest-evide...
Get the latest critical care literature every weekend via the CCR Newsletter - subscribe at criticalcarereviews.com/newsletters/...
Reposted
Rant #1: Salbutamol is poison...
Salbutamol is prescribed freely by trainees and frequently requested by nurses for "wheeze" on ICU and/or as a hangover from initial managment in ED.
It is not a benign drug though and more careful thought is required before prescription
#medsky #ansky #icusky
Salbutamol is prescribed freely by trainees and frequently requested by nurses for "wheeze" on ICU and/or as a hangover from initial managment in ED.
It is not a benign drug though and more careful thought is required before prescription
#medsky #ansky #icusky
Over the years I've developed a number of "rants" (aka teaching) that seem to resonate with trainees on #ICUsky ward round.
This pedogogical style might make educationalists wince but keeps me and (crucially) trainees, interested
Interested in any counter rants, refined rants or rant affirmation
This pedogogical style might make educationalists wince but keeps me and (crucially) trainees, interested
Interested in any counter rants, refined rants or rant affirmation
November 18, 2024 at 5:58 AM