Richard DiCasoli
banner
mdcasoli.bsky.social
Richard DiCasoli
@mdcasoli.bsky.social
ABIM Certified | Pulmonary Critical Care Fellow | FOAMEd

Follow me instagram for free open access medical education @mdicasoli
Nice. I hope you don’t mind if I talk about this on my channel also! Love your stuff
November 12, 2024 at 5:48 PM
5/5
SUP decisions should be made on a case-by-case basis, weighing the risks & benefits for each patient!
November 12, 2024 at 5:47 PM
4/5
These trials focused on mechanically ventilated patients. More research is needed to see if these findings apply to other ICU patients.
November 12, 2024 at 5:47 PM
3/5
While PPIs can reduce bleeding, there are concerns about side effects like C. difficile infection & pneumonia. More research is needed on this!
November 12, 2024 at 5:47 PM
2/5
What about PPIs vs. placebo for SUP? The REVISE & SUP-ICU Trials found PPIs reduced clinically important GI bleeding but didn't impact 90-day mortality.
November 12, 2024 at 5:46 PM
1/5
Stress ulcer prophylaxis (SUP) is common in the ICU. Should we use PPIs or H2RBs? 🤔 The PEPTIC Trial found no difference in mortality between the two.
#EMIMCC #medsky #critcaresky
November 12, 2024 at 5:46 PM
5/5
While FST is valuable for predicting AKI, it should be used cautiously in hypovolemic patients to avoid hypotension. Future studies may explore its use with other diuretics and later AKI stages. #Nephrology #AKI #FST #FOAMed #CriticalCare #CritCareSky #MedSky #AcuteMed
November 11, 2024 at 4:16 PM

4/5
The Furosemide Stress Test (FST) has proven effective in predicting AKI in children after cardiac surgery and in kidney transplant recipients, where it can predict delayed graft function. #AKI #KidneyTransplant #FST #FOAMed #CriticalCare #CritCareSky #MedSky #AcuteMed
November 11, 2024 at 4:16 PM
3/5
In AKI, the Furosemide Stress Test (FST) can guide RRT timing. Low urine output after FST suggests a high risk of AKI progression. Studies show FST outperforms some biomarkers in predicting severe AKI. #Nephrology #AKI #FST #FOAMed #CritCareSky #MedSky #AcuteMed
November 11, 2024 at 4:15 PM
2/5
Furosemide acts in the kidney’s loop of Henle, driving water reabsorption. In AKI, altered pharmacokinetics may lead to furosemide resistance, making it a useful tool to evaluate renal tubular function. #AKI #Furosemide #KidneyHealth #CriticalCare #FOAMed #CritCareSky #MedSky #AcuteMed
November 11, 2024 at 4:15 PM
The Furosemide Stress Test (FST) helps predict AKI progression and guides clinical decisions, like the timing of renal replacement therapy. By assessing urine output after FST, it indicates kidney function and potential AKI risk. #AKI #FST #Nephrology #FOAMed #CritCareSky #MedSky #AcuteMed
November 11, 2024 at 4:14 PM