Luai Zakaria

Cardiothoracic Anesthesiologist and Intensivist @ClevelandClinic | alum @BrighamAnes @UChiPritzker, @BUCollegeofENG

[NEJM @NEJM]

Cardiogenic shock is associated with high early mortality. Prompt revascularization in infarct-related cardiogenic shock improves outcomes, and mechanical circulatory support may reduce mortality in specific groups.

Read the Review Article “Cardiogenic Shock” by Holger Thiele, MD (@thiele_holger), and Christian Hassager, MD, from Heart Center Leipzig at Leipzig University, Leipzig Heart Science, Rigshospitalet, and the University of Copenhagen (@koebenhavns_uni): https://t.co/V9IfEFDaYw

[Dr. Miguel Ibarra-Estrada @DrMiguelIbarra1]

The ANDROMEDA-SHOCK-2 is finally released!! We found that a personalized resuscitation targeting capillary refill time through simple bedside hemodynamic tools was superior to usual care for the composite of mortality/vital support/hospital stay and for faster decrease in SOFA.

[Anesthesia&Analgesia @IARS_Journals]

Discover the editorial "Unraveling Insulin Resistance Mechanisms During Cardiopulmonary Bypass" by Drs. Zakaria, Cheruku, Skubas, and Kelava

Editorial discusses new study challenging our conventional understanding of insulin resistance in CPB

https://t.co/bTQLnQ90h4

[British Journal of Anaesthesia @BJAJournals]

#Frailty is associated with intraoperative hypotension and more significantly with post-induction blood pressure changes. #Prehabilitation, risk stratification, and intensive haemodynamic monitoring may help mitigate the risk

https://t.co/kg5HMPBeAW

[Luai Zakaria @LZakariaMD]

Excited to share our new study on hydroxocobalamin for vasoplegia in cardiac surgery! Reduced NEE over 24hrs, signaling a need for a robust prospective trial. @BJAJournals https://t.co/eCrKbFYVtD

[Ashish K. Khanna, MD,MS,FCCP,FCCM,FASA @KhannaAshishCCM]

What’s your choice for post CPB vasoplegia? Hydroxycobalamin reduced NEE requirements in the short term (24hr) but not thereafter. Who is going to compare this to Ang II in an RCT? https://t.co/Yn7icGH9cp… @BJAJournals @LZakariaMD #vasoplegia @ASALifeline

[Ashish K. Khanna, MD,MS,FCCP,FCCM,FASA @KhannaAshishCCM]

Frailty and intraoperative hypotension connect? Can we modify the risk? @ASALifeline @BJAJournals https://t.co/fxyBvM0I4o… @WakeAnesthesia @PittAnes @ClevelandClinic @HughHemmings

[Luai Zakaria @LZakariaMD]

@HElgharablyMD @CleClinicHVTI @CWRUSOM Congrats!

[William Frankel @williamcfrankel]

Excellent @ACCinTouch consensus statement on evaluation and management of CS with focus on early “Shock Team” activation, invasive hemodynamic assessment, tMCS https://t.co/SsS6c4Nsgi

[John Augoustides @AugoustidesJohn]

Guidelines for the Echocardiographic Assessment of the Right Heart in Adults and Special Considerations in Pulmonary Hypertension: Recommendations from the American Society of Echocardiography - Journal of the American Society of Echocardiography https://t.co/tf3nkOEXm2 #RVfocus

[Luai Zakaria @LZakariaMD]

Thanks to @KamGhadimiMD for an interesting talk!

[Chris Troianos @ChrisTroianos]

It was great to host ⁦@KamGhadimiMD⁩ here ⁦@ClevelandClinic⁩ for our Integrated Hospital-care Institute’s Visiting Professor Grand Rounds sponsored by the Department of Anesthesiology for a subject applicable to the specialists and disciplines within our Institute!

[Haytham Elgharably, MD, PhD, FACS @HElgharablyMD]

Single vs Double Lung Transplantation in Older Adults - CHEST. Propensity match of UNOS data (~10,000 patients). Single LTx remains a reasonable option with acceptable outcomes, with the consideration of long-term outcomes and estimated survival https://t.co/tzo251rRxo

[Steven Cohn, MD @preopconsult]

IT’S OUT FINALLY!
Will be posting my thoughts after reading through it.
ACC, AHA Release New Perioperative Guideline For Patients Undergoing Noncardiac Surgery - American College of Cardiology https://t.co/zpyvlRLZFu

[Luai Zakaria @LZakariaMD]

@MichaelMwachu @petervo88 @LHSCCanada @SchulichMedDent Congrats @petervo88! They are lucky to have you!

[Luai Zakaria @LZakariaMD]

@DasaniSerena @CGSNabzdykMD Congrats!

[Luai Zakaria @LZakariaMD]

@DineshKurian @ycc_md @ChumaAzoba Third! Definitely most satisfying, I had the same thoughts when I was in your shoes.

[American Society of Echocardiography @ASE360]

We've released a State-of-the-Art Review, "Perioperative Assessment of the Hemodynamic Ventriculoarterial Junction of the Aortic Root by Three-Dimensional Echocardiography!"

Read our @JournalASEcho article: https://t.co/kEesKU58ws

[Luai Zakaria @LZakariaMD]

@DannyMuehlschMD @Sergey_Karamnov @DasaniSerena @WomenInCTAnes @BrighamAnes @scahq @MassGenBrigham Congrats!

[Luai Zakaria @LZakariaMD]

@DanHarrisonMD Nice case Dan! Had a similar case in neuroicu. Pt also had dynamic LVOT obstruction. look for systolic anterior motion of mitral valve (SAM). Apical ballooning may be only part of the clinical picture. LVOT gradient with CW doppler (apical 5 chamber), SAM also has associated MR

[Luai Zakaria @LZakariaMD]

@olsonplanner 3.5 years on PSLF left after graduating

[Luai Zakaria @LZakariaMD]

@olsonplanner I thought SAVE had a cap on payments too? I’m graduating from anesthesiology this fall doing PSLF academic job. Wife is doc too (no loans). You’re saying I should switch to SAVE before this summer? I was previously REPAYE then SAVE last year