Ravi Patel, DO

🫁 Pulm/CCM. Previously @MUSChealth @PennStHershey. D(M)V native. Tweets are my own opinions/views.

[Josh Farkas MD 💊 @PulmCrit]

modern IV contrast dye for CT scans isn’t neprotoxic.

definitive imaging saves lives.

this is so simple but people & journals & textbooks keep on messing it up.

[Ravi Patel, DO @RaviPatelDO]

Music to my ears @LandsbergManual

[Ravi Patel, DO @RaviPatelDO]

Me (or any pulmonologist) vs hypersensitivity pneumonitis

[Nick Mark MD @nickmmark]

If you intubate you need to read the #PREOXI trial!
-n=1301 people requiring intubation in ED/ ICU were randomized to preoxygenation with oxygen mask vs non-invasive ventilation (NIV)
-NIV HALVED the risk of hypoxemia: 9 vs 18%
-NIV reduced mortality: 0.2% vs 1.1%

#CCR24
🧵
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[Ravi Patel, DO @RaviPatelDO]

Thanks for this gem @YasmeenButtMD @williamkellymd

https://t.co/5sE8gYeGye

[Ravi Patel, DO @RaviPatelDO]

Recommend using @VuMedi to new fellows. Even a 10 min lecture will answer your questions from a long clinical day or solidify what you learned.

https://t.co/6H3fogqcn5

[Avraham Z. Cooper, MD 🩺 @AvrahamCooperMD]

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Have you ever wondered how it's possible to survive with 1 lung?

We have 2 of them - you'd think that we need both. But it turns out humans can function fairly well with only a single lung.

And there's evidence that lungs can actually REGENERATE...

#tweetorial

[Gabriel Bosslet @gbosslet]

Terrific short piece by @rabob et al on the value of avoiding need-based language in the ICU around serious illness for those near the end of life

If you work in or near an ICU, you should read it

@IUPCCM @IUIntMed @IUMedPeds

https://t.co/77C5Vx96O2

[Ravi Patel, DO @RaviPatelDO]

@TejasNadig 🙌🏾

[CHEST @accpchest]

Original #LungCancer research evaluates the improvement over the last decade of diagnostic yield of guided #bronchoscopic techniques for peripheral lung lesions. Read the full original research in the June @journal_CHEST issue: https://t.co/xQ5KiVKv68
#MedEd #MedTwitter

[Ravi Patel, DO @RaviPatelDO]

Osmotic Demyelination Syndrome in Patients Hospitalized with Hyponatremia | NEJM Evidence https://t.co/ioPNduBScC

[Tommaso Scquizzato, MD @tscquizzato]

4 RCTs published in the last few hours you can’t miss if you work with critically ill patients:

#1 Fluids in septic shock
#2 Mobilisation and long-term cognitive impairment
#3 NIV for extubation of obese patients
#4 Nutrition before extubation

A thread 🧵👇

#FOAMcc #SCCM2023

[IMCrit @IM_Crit_]

According to this study (DOI: https://t.co/MAgrlUB95e), it will be only 2 beats/min slower in the P group:

[Ravi Patel, DO @RaviPatelDO]

@davidshoremd Though deciding on TPA is a challenge, I think about how tough it must be for neurologists who don’t necessarily have direct visualization of a clot to go ahead and administer it.

[Sara Nikravan, MD, FASE, FCCM @NikraDoc]

Look at this amazing Critical Care reading list CCM fellowship director Dr. Micah Long created @wiscanesthesia !! Wish I had this when I was a fellow but glad I have it now!! https://t.co/wMNTIVXTgV @SCCM_Anesth @SCCM @UWAnesthPainMed @basakcoruhUW @Jose_Diaz_Gomez @aartisarwal

[Ravi Patel, DO @RaviPatelDO]

Charleston after hours

[Ravi Patel, DO @RaviPatelDO]

@beeotaibi @Instacart 🥕 can come thru in the clutch

[CNN @CNN]

FDA gives emergency use authorization to Novavax's Covid-19 vaccine, which uses different technology than shots already available in US. https://t.co/v171vCiQdM

[Ravi Patel, DO @RaviPatelDO]

1 year into fellowship and I’m subconsciously packing ultrasound gel instead of my water bottle 🤦🏽‍♂️ #hocusPOCUS

[Pulm PEEPs @PulmPEEPs]

Our patient had an elevated VEGF-D level, a renal angiomyolipoma identified on CT abdomen and imaging with diffuse cystic lung disease confirming her diagnosis of LAM.
Make sure to check out the @OnePagerICU below on cystic lung disease as another great resource