MILPulm

[Cardio Crit @CardioCrit]

New CardioCrit video! There might be another way to do pericardiocentesis — and it’s worth seeing. @KartikThinks @msenussiMD
Curious? 👇
https://t.co/yUuvkwX8Eh

[Lauren Westafer, DO MPH MS @LWestafer]

We recently published a study of nearly 300,000 patients hospitalized with acute PE and found a surprising rise in UFH use, discordant with guidelines. As a follow-up, we just published a qualitative study to find out....WHY? The results were interesting 🧵

[Aakash Tuli @AakashTuliMD]

🧵 A Cardiologist's Guide to Interpreting CPET
1️⃣ What is CPET?
A cardiopulmonary exercise test (CPET) evaluates how well the heart, lungs, and muscles work together during exercise. It's key for diagnosing unexplained dyspnea and assessing functional capacity. 🚴‍♂️🏃‍♀️

[M Velia Antonini @FOAMecmo]

Permissive hypercapnia in acute severe respiratory failure: should we target PaCO2, pH or both?? Safe thresholds in critically ill?
🩺mechanisms & management of hypercapnia requiring IMV
🫁 impact of hypercapnia on outcomes
🫁 🫀🧠significant physiological effects: RV & pulmonary circulation, brain & other organs
Hypercapnic acidemia during lung-protective MV may have significant consequences, and perhaps should not be a goal per se, but prompt early consideration of adjunctive therapies. Open access #FOAMcc
🔓 https://t.co/9XnMnu5TzW

[Cliff Reid @cliffreid]

When using a bougie to facilitate intubation it’s important to know how to direct it

Here’s a two minute video demonstrating two microskills that are worth knowing about

Essential Bougie Microskills You Need To Know
https://t.co/c5aNtD75o5

[Peter Sherren @PBSherren]

Refining our eCPR grab bag. Pack 1 and pack 2 layout. Down to a single dilator 16/26f for the arterial and venous cannulae respectively. @GSTT_ICU

[Eddy J. Gutierrez, MD @eddyjoemd]

Check out the new guidelines for corticosteroids in critically ill patients. 🎩 tip to the authors. I also knocked out a quick (<7 minute) podcast episode on the topic this morning.

https://t.co/4Ise540F2X

[IMCrit @IM_Crit_]

ICU Hemodynamics Tips - Swan-Ganz catheters:

This will not be a comprehensive thread. Just happened to place a couple of Swan-Ganz (SG) catheters this week, so it is a good time to emphasize few basic points/steps. I have made a mistake (more than once) in each one of them…

[NephroPOCUS @NephroP]

#POCUS guided subclavian vein cannulation: tips and tricks
🔗 https://t.co/uiekWVoOAt
#FOAMed #MedEd #FOAMcc

[Journal of Brown Hospital Medicine @BrownJHM]

Flail chest #MedX https://t.co/CMUGjSdUzD

[Nida Qadir, MD @NidaQadirMD]

🔥🔥🔥Hot off the press in @ATSBlueEditor - new ARDS guidelines🔥🔥🔥

What we addressed:

💊 Corticosteroids
🔃 VV-ECMO
💉 Neuromuscular blockade
🐥 PEEP +/- recruitment maneuvers

👀 Read on for the recs & how to best apply them to your patients 🧵

https://t.co/DSh6EFA9ds

[Bonita Anderson @BonitaEcho]

Distinction between pre- & post-capillary pulmonary hypertension is important for guiding therapy. Here are some echo clues to help distinguish between these levels of PH.
More info about ePLAR: Int J Cardiol. 2016 Jun 1;212:379-86. doi: 10.1016/j.ijcard.2016.03.035
#echofirst

[Aman Thind @Thind888]

As promised, here's a summary (?X-torial) from my talk at @accpchest this year.

[JAMA @JAMA_current]

Among hospitalized adults, the risk of acute kidney injury did not differ between cefepime and piperacillin-tazobactam, but neurological dysfunction was more common with cefepime. #IDWeek2023 https://t.co/5PbD8XuTLG

[Abhinav Agrawal, MD @Re_innervated]

Lung cancer surgery or SBRT for operable early stage NSCLC?

Protocol for the Phase III - Valor study by @DrewMoghanaki and team just published in @accpchest 's CHEST Pulmonary @journal_CHEST

@DrMCMiles @aggie07girl @udit_chaddha @CHESTOncology

https://t.co/P7Lp9uPb3m

[James Horowitz @jameshorowitzmd]

Thanks to @accpchest for the opportunity to present high risk #PE data from #FLAME 🔥 at #CHEST2023!

(Finally have a good reason to use that emoji!)

FT pts w significant decreased primary outcome and in-hospital mortality (1/3)

@RosovskyRachel @roblookstein

[IMCrit @IM_Crit_]

British Thoracic Society recently published a must-read Statement on pleural procedures. It is 26 pages long & is accompanied by 13 online supplementary appendices

[Ron Barbosa MD FACS @rbarbosa91]

🧵regarding the 'figure-of eight' suture and also the 'pursestring' suture.

We'll go over what they are for, some technical pointers, and errors that can be made while doing them.

(1/ )

[Julia R Coleman, MD MPH FACS @JuliaColemanMD]

@TSACO_AAST @elliotthaut Currently only put in chest tube but may start lavage in my own practice this year…https://t.co/3029fkXr8D