@ferrer_ricard@ESICM Multimodal management of refractory septic shock @MarcLeone8
- high NE dose, high lactate, PvaCO2 may guide therapy
Vasopressin
- less AF, good for the kidneys
- start early
Angiotensin 2
- high renin, RRT, & early initiation are key subgroups
#LIVES2023#FOAMCcc
Now @perkins_gd starts by reminding us that high-quality CPR is the main driver of good outcomes: deeper compressions are better, too slow or too fast compressions and pauses reduce outcomes
#LIVES2023
Here’s a critical care puzzle & illustrates some important cardiopulmonary physiology:
These two pictures were taken just an hour apart. What intervention was done in between that changed the respiratory pattern? (Red box)
Multiple choice & answers in the 🧵.
1/
ECMO is lifesaving but troubleshooting can be confusing. This ICU OnePager breaks it down by circuit, pump, oxygenator, & gas exchange problems. I'm excited to share part 2 in the @OnePagerICU#ECMO series (in collaboration w/ ECMO expert @JonahRubinMD) all about #troubleshooting
Check out this infographic I created after reading a pretty great review article published in JAMA over the Diagnosis and Treatment of Lower Extremity Venous Thromboembolism
JAMA. 2020;324(17):1765-1776. Doi:10.1001/jama.2020.17272
#twitteRx
After a hectic couple of weeks I finally got around to creating this potassium management one pager. Check out this quick review over hyperkalemia & hypokalemia. 🫀
🔑always assess patients meds to see if any may be the cause of the electrolyte abnormality
#twitteRx
Sometimes I'm asked which ICU 1️⃣📟 #OnePagers "go together."
Here are 4 of the most popular about #oxygenation: nasal O2 delivery & high flow nasal cannula (#HFNC), non-invasive positive pressure ventilation (#NIPPV), an overview of #ventilator modes, & fundamentals of #ECMO.
When a child is dying
And you say
I’m so sorry
And they say
Thank you so much
Thank you for trying
And you want say
Don’t thank me, please
Please don’t thank me
But they need to
And you need to know they know you tried
#PedsICU
Starving Children Don’t Cry https://t.co/HsIvqjh4X9
“A pandemic of a coronavirus has been followed by pandemics of hunger, disease and illiteracy” #PedsICU@sgdambrauskas@apsmunro
2020 has been a challenging year, so let's celebrate the ending with a @PedCritCareMed full of good cheer!
The last issue edited by @Pat_Kochanek features wide breadth of #PedsICU,including #COVID19, #sedation in #PedsCICU, #ARDS & #intubation safety!
https://t.co/1cCuphUYzr
Great pre-print paper by @lucasite_lab further describing immune mediators that influence the cascades that take place in #MISC. Very nice descriptions and explanations. #SARSCoV2#MedTwitter#pedsICU#pedscards
https://t.co/YF1sOuxWJ5…