Daniel Asher, MD

Husband, working father of dr4gons, Cardiac Anesthesiologist, PACU-tensivist, enemy of good enough, proud Jew. Views are mine, tweets/RT ≠ medical advice 🟠🟣

[Daniel Asher, MD @Debranny]

@TaylorRLent @wnbcdesk @jakejakeny Hi Taylor, I hope you’re ok.

[Daniel Asher, MD @Debranny]

My best days at work are guided by this principle.

[Gavin Preston, M.D. @GavinPrestonMD]

The secret of happiness is simple.
It lies in being of service to others.

[Mark Cuban @mcuban]

I want to share what I think about MDs. I love each and everyone that busted their ass, borrowed too much money, sacrificed more than we can ever quantify, in hopes of helping their patients. Medicine is an imprecise science. The uncertainties far outnumber the absolutes.

[Angela Johnson, M.D. @SP1Ntensivist]

Better pain control and decreased opioid requirement after CABG @UHAnesthesia @UHAnesCritCare @UHCTSurgery

[Adam Grant @AdamMGrant]

When you hold back feedback, you deprive people of the chance to learn from you.

If you’re afraid they'll be defensive, ask if they’re interested in your reactions.

If they say yes, they're opting in. If they say no, at least you've let them decide instead of choosing for them.

[Daniel Asher, MD @Debranny]

@AdamMGrant gives some solid advice about giving feedback. Easily applicable to all learners in #medicine.

[Adam Grant @AdamMGrant]

The basic principles of constructive feedback:

1. Before you give it, ask if they want to receive it.

2. Be clear that you believe in their potential and care about their success.

3. Be as candid as possible in what you say, and as thoughtful as possible in how you say it.

[Daniel Asher, MD @Debranny]

I made some very spicy food after making a #TraderJoes mediated error.

#lookalikesoundalike #lasa errors in #medicine can cause a #medicationerror the same way. #MedEd isn’t enough to prevent it. #FOAMed @pppforpatients #anesthesia #MedTwitter

https://t.co/86So2azO7w

[Avraham Z. Cooper, MD 🩺 @AvrahamCooperMD]

Perhaps my favorite medical video ever - tricuspid regurgitation so severe that it was visible in the arm!

Via @Hussainch @grepmeded

#MedTwitter

[Daniel Asher, MD @Debranny]

Measuring #rightventricle performance is best done with a combo of #echocardiography and a #pulmonaryarterycatheter. Great review by @KagiyamaNobu, but I like to use PAPI too. #Pulmonaryarterypulsatilityindex. Just remember, PA catheters can be dangerous and difficult to place

[Nobu Kagiyama@Heart doctor @KagiyamaNobu]

Slides for RV function
(my first movie upload)
#EuroEcho #RV #StrainImaging #SpeckleTracking #rightventricle #初めての動画

[Daniel Asher, MD @Debranny]

#Research: Vasopressor of choice for #rightventricle failure is primarily #norepinephrine.

I usually opt for #epinephrine for my #patient after #cardiopulmonarybypass and norepinephrine with #nitroglycerin for RV strain with #pulmonaryhypertension. #MedTwitter #FOAMed

[Daniel Asher, MD @Debranny]

#operatingroom education. #aorticstenosis #cardiacoutput #FOAMed @CWRUmsaprogram #MedTwitter

[Daniel Asher, MD @Debranny]

Acute failure of the #RightVentricle is can be caused by many factors. A #multimodal approach to #treatment can help save out #patients. This @JACCJournals review has some amazing #clinicalpearls #FOAMed #MedTwitter

https://t.co/d8cSEA8a3P

[Dan Wyler, M.D. @danieljwyler]

“If everyone is thinking alike, then somebody isn't thinking.”

George S. Patton.

Absolutely loving this conversation with
@SimonOrlob
@HansvanSchuppen @johannes_wittig @AirwayMxAcademy

[Daniel Asher, MD @Debranny]

Because the #rightvetricle is 60% thinner walled than the LV and about 1/6th the mass, it also uses about 1/6th the amount of the amount of #oxygen.

However, it is also there much more acutely sensitive to changes in #afterload

#MedTwitter #FOAMed #Cardiology

[Daniel Asher, MD @Debranny]

Solid review of measuring #rightventricular function

[Nobu Kagiyama@Heart doctor @KagiyamaNobu]

Slides for RV function
(my first movie upload)
#EuroEcho #RV #StrainImaging #SpeckleTracking #rightventricle #初めての動画

[Daniel Asher, MD @Debranny]

We were taught that #coronary #perfusion is only during #diastole, that's true for the #leftventricle.

The #rightventricle is always getting perfusion.

Perfusion pressure = Arterial pressure - target organ pressure

#FOAMed #anesthesia #Cardiology

[Daniel Asher, MD @Debranny]

#Cardiologists: Left ventricle function is always included on #echo report conclusions.
Right ventricular function is not.
Why are we so #leftventricle centric?
Search #pubmed results
RV: 26,101
LV: 44,879

This week, I'm focusing on the #rightventricle

#MedTwitter #FOAMed

[Dan Wyler, M.D. @danieljwyler]

How would you secure this airway? No fiberoptic available 😱

#MedTwitter
#anesthesiology
#difficultairway

[Daniel Asher, MD @Debranny]

@danieljwyler Mallampati 10,000

[Eiran Gorodeski, MD, MPH @EiranGorodeski]

The 'right' way to do a RHC. @RyanTedfordMD Self-described "hemodynamic nerd." Welcome to @UHhospitals!! #HeartFailureGRs @UHhospitals @CWRUSOM