CritCareDoc
@simplicissimu7.bsky.social
Consultant intensivist, ANAE & EM.
Dabbling in RegAnae & Pain Med.
My ICU is my castle.
Fluent in German.
Dabbling in RegAnae & Pain Med.
My ICU is my castle.
Fluent in German.
Ich bin bei Ihnen, was die Irritation gegenüber dem Hype angeht. Wir werden zu den NW noch sehr viel lernen in den nächsten Jahrzehnten.
November 9, 2025 at 10:19 PM
Ich bin bei Ihnen, was die Irritation gegenüber dem Hype angeht. Wir werden zu den NW noch sehr viel lernen in den nächsten Jahrzehnten.
Semaglutid oder Gesellschaft? 🧐
November 9, 2025 at 11:58 AM
Semaglutid oder Gesellschaft? 🧐
Semaglutid hat es schon jetzt in eine Menge Leitlinien hinein geschafft. Alles wird besser: Adipositas, Diabetes, RR, Herz, Niere, Kognition… Ozempic geht steil, aber aus Gründen.
November 8, 2025 at 9:58 PM
Semaglutid hat es schon jetzt in eine Menge Leitlinien hinein geschafft. Alles wird besser: Adipositas, Diabetes, RR, Herz, Niere, Kognition… Ozempic geht steil, aber aus Gründen.
Dem möchte ich in größter Gelassenheit widersprechen.
March 29, 2025 at 10:57 AM
Dem möchte ich in größter Gelassenheit widersprechen.
Das klingt nach Diabetes insipidus. Dafür gibt es in Europa ➡️ Desmopressin, ein weiteres ADH-Analogon mit etwas erhöhter Affinität zu V2-Rezeptoren. Fast gleiches Präparat, ganz andere Indikation.
Falls es darum geht: Endokrinologen sind Ansprechpartner. ✅
Falls es darum geht: Endokrinologen sind Ansprechpartner. ✅
January 8, 2025 at 3:03 PM
Das klingt nach Diabetes insipidus. Dafür gibt es in Europa ➡️ Desmopressin, ein weiteres ADH-Analogon mit etwas erhöhter Affinität zu V2-Rezeptoren. Fast gleiches Präparat, ganz andere Indikation.
Falls es darum geht: Endokrinologen sind Ansprechpartner. ✅
Falls es darum geht: Endokrinologen sind Ansprechpartner. ✅
Die Produkte auf dem europäischen Markt sind Empressin & Argipressin: beides = Vasopressin, gemäß SSC-Leitlinien indiziert im katecheolaminrefraktären septischen Schock.
Nach dem, was ich im Netz finde, ist Vasostrict nur der Handelsname der ersten FDA-zugelassenen synthetischen Version.
Nach dem, was ich im Netz finde, ist Vasostrict nur der Handelsname der ersten FDA-zugelassenen synthetischen Version.
January 8, 2025 at 2:05 PM
Die Produkte auf dem europäischen Markt sind Empressin & Argipressin: beides = Vasopressin, gemäß SSC-Leitlinien indiziert im katecheolaminrefraktären septischen Schock.
Nach dem, was ich im Netz finde, ist Vasostrict nur der Handelsname der ersten FDA-zugelassenen synthetischen Version.
Nach dem, was ich im Netz finde, ist Vasostrict nur der Handelsname der ersten FDA-zugelassenen synthetischen Version.
Reposted by CritCareDoc
Anaesthetics: Deadpool
has a healing factor like wolverine but without the aggro. In fact quite humourous despite being paired with ITU.
Loves Sudoku and coffee. Much better looking with their masks on
has a healing factor like wolverine but without the aggro. In fact quite humourous despite being paired with ITU.
Loves Sudoku and coffee. Much better looking with their masks on
a picture of deadpool and wolverine with the words deadpool & wolverine
Alt: a picture of deadpool and wolverine with the words deadpool & wolverine
media.tenor.com
November 15, 2024 at 7:48 AM
Anaesthetics: Deadpool
has a healing factor like wolverine but without the aggro. In fact quite humourous despite being paired with ITU.
Loves Sudoku and coffee. Much better looking with their masks on
has a healing factor like wolverine but without the aggro. In fact quite humourous despite being paired with ITU.
Loves Sudoku and coffee. Much better looking with their masks on
(You actually just solved an ancient riddle for me. For years I was wondering why the „normal“ infusion in American Crit Care studies is always obsolete NaCl, of all things.
Turns out you still use it as your standard drip. 🫣 I don’t envy you all the extra electrolyte work…)
Turns out you still use it as your standard drip. 🫣 I don’t envy you all the extra electrolyte work…)
a man in a captain america costume is standing in the snow .
ALT: a man in a captain america costume is standing in the snow .
media.tenor.com
November 15, 2024 at 5:06 AM
(You actually just solved an ancient riddle for me. For years I was wondering why the „normal“ infusion in American Crit Care studies is always obsolete NaCl, of all things.
Turns out you still use it as your standard drip. 🫣 I don’t envy you all the extra electrolyte work…)
Turns out you still use it as your standard drip. 🫣 I don’t envy you all the extra electrolyte work…)
And we have THAM… 🥲
November 15, 2024 at 4:46 AM
And we have THAM… 🥲
Oh! Ok.
I‘m SO sorry. (And I was shocked!)
European here. We don’t use NaCl at all. All our infusions are buffered. 😅
I‘m SO sorry. (And I was shocked!)
European here. We don’t use NaCl at all. All our infusions are buffered. 😅
November 15, 2024 at 4:45 AM
Oh! Ok.
I‘m SO sorry. (And I was shocked!)
European here. We don’t use NaCl at all. All our infusions are buffered. 😅
I‘m SO sorry. (And I was shocked!)
European here. We don’t use NaCl at all. All our infusions are buffered. 😅
November 15, 2024 at 4:43 AM
Oh! Ok.
I‘m SO sorry. (And I was shocked!)
European here. We don’t use NaCl at all. All our infusions are buffered. 😅
I‘m SO sorry. (And I was shocked!)
European here. We don’t use NaCl at all. All our infusions are buffered. 😅
It really doesn’t do that.
What you do is to help the intercellular acidosis enter the cells. Bicarbonate is CO2 in waiting.
PLEASE don’t give a buffer that transforms acid to CO2 in respiratory acidosis.
Read up on how this „buffer“ (it isn’t a buffer at all) actually works.
Consider THAM instead.
What you do is to help the intercellular acidosis enter the cells. Bicarbonate is CO2 in waiting.
PLEASE don’t give a buffer that transforms acid to CO2 in respiratory acidosis.
Read up on how this „buffer“ (it isn’t a buffer at all) actually works.
Consider THAM instead.
November 15, 2024 at 4:41 AM
It really doesn’t do that.
What you do is to help the intercellular acidosis enter the cells. Bicarbonate is CO2 in waiting.
PLEASE don’t give a buffer that transforms acid to CO2 in respiratory acidosis.
Read up on how this „buffer“ (it isn’t a buffer at all) actually works.
Consider THAM instead.
What you do is to help the intercellular acidosis enter the cells. Bicarbonate is CO2 in waiting.
PLEASE don’t give a buffer that transforms acid to CO2 in respiratory acidosis.
Read up on how this „buffer“ (it isn’t a buffer at all) actually works.
Consider THAM instead.
While I have nothing but respect for your obviously goodish intent - what on gods great earth do you expect the bicarbonate to do in a case of respiratory acidosis? 🤔
November 15, 2024 at 4:28 AM
While I have nothing but respect for your obviously goodish intent - what on gods great earth do you expect the bicarbonate to do in a case of respiratory acidosis? 🤔