Niklas Jonsson

ER-Doc and anaesthetist/intensivist, program director for the Anesthesia & Intensive care residency. PhD. Karolinska is where I work

[Jeremy Faust MD MS (ER physician) @jeremyfaust]

Omg

[Nick Mark MD @nickmmark]

A case everyone needs to know:

A man admitted for CHF exacerbation is normoxic on ambient air. POCUS shows bilateral pleural effusions.

He develops Afib w/ RVR (HR 150s). A med is given. Suddenly he develops hypoxemia (SpO2 84% on NC, 94% on NRB).

What med & what happened?
1/

[Rinaldo Bellomo @BellomoRinaldo]

If a patient is in ICU and needs renal replacement therapy, does it matter if they choose to use CRRT or IHD first?
For an answer have a look at this paper... https://t.co/mncNIUp81d

[Cliff Reid @cliffreid]

The police brought in a patient with bruising to the patella

Suspected felony

[Cliff Reid @cliffreid]

The classification of penetrating neck trauma location has three zones & I've always had trouble remembering whether it goes upwards or downwards from I-III

The way I remember it is that the top one that goes up to the ear is III because you can see a '3' in some people's ears

[Jakob Ratz Endler @JakobEndler]

Vad är du rädd för? Svara på en mini-enkät i ett fint projekt som min svägerska startat. Tar < 1 min. Tacksam för RT.

https://t.co/GK8nPyF03L

[Siri Leknes @sirileknes]

Great perspective on responsibility and senior authorship

[Josh Farkas MD 💊 @PulmCrit]

new study provides more evidence that hypothermia after cardiac arrest is dead and should not be resuscitated. 🧟‍♂️
(background reviewed here:
https://t.co/GZbpgHXWoD)

[Malin Fagerlund @FagerlundMalin]

One of the first #COVID19 thesis? Congratulations #SusanneRysz for a well deserved PhD; first #CardiacArrest and levosimendan and thereafter #COVID19🤩. #KarolinskaInstitutet #KarolinskaUniversityHospital #PMI

[Josh Farkas MD 💊 @PulmCrit]

UPenn study shows that vanc-piptazo ⬆️ *creatinine* but actually causes a trend towards ⬇️Cystatin C. this dissociation between Cr vs. renal biomarker implies that piptazo is a pseudonephrotoxin that ⬇️ Cr secretion, w/o hurting the kidney (1/2) @Miano81
https://t.co/Zta5bC7K1v

[Susie Dent @susie_dent]

A reminder of one of the most beautiful etymologies out there: the 'pupil' of the eye is named after the Latin 'pupilla', little doll' - because when we look into the eyes of another, we see a tiny, doll-like reflection of ourselves.

[Ignacio Monzón @ignaciomonzon]

This is my son's (6 y.o.) perspective on my job

[Josh Farkas MD 💊 @PulmCrit]

twitter is arguing again about airway meds, ultrasonography, and cerebral salt wasting. nature is healing.

ps- I think cerebral salt wasting is real, but it needs a better name (central aldo deficiency?). both AHA/ACC and NCS guidelines rec fludrocort https://t.co/Vg3YCJh0zB

[Niklas Jonsson @DoctorNikko]

Ny SK-kurs om organdonation på IVA med bl.a. @karinhildebran

[@stairs.se @stairspunktse]

Ny SK-kurs om organdonation inom intensivvården i höst! Mer info och länk till ansökan på https://t.co/h1HI85QrIf https://t.co/FEmCs8P6jM

[Shunichi Nakagawa @snakagawa_md]

When a patient requests to drink cold ice water before removing high-flow nasal cannula (to withdraw life support), that will be the last one in his life.

- Don't thicken it.
- Make sure he gets what he wants.
- Don't ask anybody. It won't take long. Go get it by yourself.

[Niklas Jonsson @DoctorNikko]

Interesting paper from Schønemann-Lund and colleagues!

[Martin Schønemann-Lund @MartinSchnemann]

Our paper on #endotheliopathy in acute respiratory failure is out in @Crit_Care. Full paper lives here: https://t.co/2Zvm6uyjRY #CritCare #ICU #openaccess

Short 🧵on the paper below:

[Johan Lundberg @SWICU_Rays]

I want to share a pre-print detailing findings in a prospective convenience sample of people suffering from dyspnea post-COVID.
The main findings are that we can detect lung perfusion disturbances by using MRI 4- 13 months after non-hospitalized SARS-CoV-2 infection.

[Siri Leknes @sirileknes]

This thread is 🔥🔥🔥

[Siri Leknes @sirileknes]

Your irregular reminder that scientific papers that include the term "the fact that" raise everyone's hackles

[@stairs.se @stairspunktse]

Here's a talk by Jessica Kåhlin about the fundamentals of oxygen sensing in the perioperative and intensive care setting. Enjoy! https://t.co/Yneq6rkFEv