Shandi Mar Basiri, MD, FPCP, FPCC, FPSCCM, FAsCC

To serve where the need is greatest. The first and only Cardiac Intensivist in Region 9.

[Shandi Mar Basiri, MD, FPCP, FPCC, FPSCCM, FAsCC @HeartCritCareMD]

@elonmusknews30 A

[Shandi Mar Basiri, MD, FPCP, FPCC, FPSCCM, FAsCC @HeartCritCareMD]

@phivolcs_dost Ramdam din po sa Albay

[Shandi Mar Basiri, MD, FPCP, FPCC, FPSCCM, FAsCC @HeartCritCareMD]

@phivolcs_dost Malakas and matagal din dito sa Legazpi, Albay

[Shandi Mar Basiri, MD, FPCP, FPCC, FPSCCM, FAsCC @HeartCritCareMD]

It was an honor to be the moderator for this session. pCO2 gap is one of the parameters I frequently use in my practice. Thank you Dr. Teboul for sharing your expertise with us.

[Fluid Academy @Fluid_Academy]

Jean Louis Teboul explaining the importance of pCO2 Gap at Philippines Heart Centre postgraduate course

If patient in shock and ScvO2 is high then don’t give fluids unless pCO2 gap is abnormal as an increase in CO will not improve tissue perfusion

[Shandi Mar Basiri, MD, FPCP, FPCC, FPSCCM, FAsCC @HeartCritCareMD]

@Lakers @DWS_Group Basiri 14

[Shandi Mar Basiri, MD, FPCP, FPCC, FPSCCM, FAsCC @HeartCritCareMD]

Life’s Essential 8

[Shandi Mar Basiri, MD, FPCP, FPCC, FPSCCM, FAsCC @HeartCritCareMD]

New Global Definition of ARDS

[Shandi Mar Basiri, MD, FPCP, FPCC, FPSCCM, FAsCC @HeartCritCareMD]

Gave a lecture on bradyarrhythmias to our famed colleagues earlier today and this poem came in handy.

[Shandi Mar Basiri, MD, FPCP, FPCC, FPSCCM, FAsCC @HeartCritCareMD]

Be curious, not judgmental - Walt Whitman

[Yousuf Hashmi @YousufMed]

Med student said that they thought Fast AF meant "fast as fuck" and were wondering why so many doctors were using it as a diagnosis 😩🤣

[Shandi Mar Basiri, MD, FPCP, FPCC, FPSCCM, FAsCC @HeartCritCareMD]

Now that we know the formulas we have to reconcile math with science.

BP = CO X SVR
CO = SV X HR

To ⬇️BP, we have to ⬇️CO &/or SVR.
To ⬇️CO we need to ⬇️SV &/or HR.
To ⬇️ SVR we need vasodilators.

Thus these meds work to ⬇️BP:

Beta blockers ⬇️HR
CCBs ⬇️ SVR by vasodilation

[Shandi Mar Basiri, MD, FPCP, FPCC, FPSCCM, FAsCC @HeartCritCareMD]

🫀 formulas you need to know by 🫀 part 4

Fick principle
CO = VO2 / CaO2-CvO2
VO2 = BSA X 125
CaO2 = Hgb x 1.36 x arterial O2 saturation
CvO2 = Hgb x 1.36 x venous O2 saturation

VO2 - oxygen consumption
CaO2 - arterial oxygen concentration
CvO2 - venous oxygen concentration

[Shandi Mar Basiri, MD, FPCP, FPCC, FPSCCM, FAsCC @HeartCritCareMD]

🫀 formulas you need to know by 🫀 part 1.

Blood pressure (BP) = CO x SVR
Systemic Vascular Resistance (SVR) = MAP - CVP / CO
Cardiac output (CO) = SV x heart rate
Mean arterial pressure (MAP) = SBP + (2 x DPB) / 3
Stroke Volume (SV) = EDV - ESV

[Shandi Mar Basiri, MD, FPCP, FPCC, FPSCCM, FAsCC @HeartCritCareMD]

🫀formulas you need to know by🫀part 3

Transpulmonary Gradient = MPAP - PWCP
Diastolic Pulmonary Gradient = DPAP - PCWP
Cardiac Power Output = CO x MAP / 451
Pulmonary Artery Pulsitility Index = SPAP - DPAP / CVP

SPAP & DPAP - Systolic and Diastolic Pulmonary Artery Pressure

[Shandi Mar Basiri, MD, FPCP, FPCC, FPSCCM, FAsCC @HeartCritCareMD]

According to Transfusion Requirements in Cardiac Surgery III (TRICS III) trial:

patients undergoing cardiac surgery who were at moderate-to-high risk for death, a restrictive strategy (<7.5 g/dL) regarding red-cell transfusion was noninferior to a liberal strategy (<9.5 g/dL).

[Shandi Mar Basiri, MD, FPCP, FPCC, FPSCCM, FAsCC @HeartCritCareMD]

@gdkookie @criiiiiiiiMD Proud CIM graduate here 🤓

[Shandi Mar Basiri, MD, FPCP, FPCC, FPSCCM, FAsCC @HeartCritCareMD]

The patient is hypotensive and you increased the dobutamine? Man you trippin. You have to know your hemodynamics bruh.

[ClutchPoints @ClutchPoints]

What is LeBron James telling Anthony Davis here, wrong answers only 🤭

[Shandi Mar Basiri, MD, FPCP, FPCC, FPSCCM, FAsCC @HeartCritCareMD]

@criiiiiiiiMD You will figure it out doc. Praying that you will get your dream job soon 😊 or maybe there is something better out there for you.

[Shandi Mar Basiri, MD, FPCP, FPCC, FPSCCM, FAsCC @HeartCritCareMD]

AI will never replace doctors but doctors who know how to use AI will replace those who don’t.