Rodolpho Pedro

Intensive care physician focused on liver and guts ( is that a thing?), member of almost a professional soccer player (online version only)

[João Barretto @joaopbarretto]

projeção das chaves do João Fonseca nos próximos torneios:

Monte Carlo - Ayrton Senna

Madrid - Sérgio Ramos

Roma - Maximus Decimus Meridius

[Rodolpho Pedro @RodolphoPedro]

@tometcheverry Carlos
6-3
6-4
3-6
6-4

[American Journal of Transplantation @amjtransplant]

From our December issue, check out "Higher vs standard mean arterial pressure target in the immediate postoperative period of liver transplantation to prevent acute kidney injury: A randomized clinical trial (LIVER-PAM)," by Pedro et al
https://t.co/bDmg5PF5au
@rodolphopedro

[Rodolpho Pedro @RodolphoPedro]

@ebtapper @HEP_Journal In HPS severe cases, specially after tips or tx, you can try methylene blue ( NO inhibitor) to induce shunt vasoconstriction, or inhaled nitric Oxide to increase perfusion to good areas ! Small cohorts showing improvement of 10-12mmhg.

[Rodolpho Pedro @RodolphoPedro]

@CritCareReviews The criterion has changed few months ago

[Rodolpho Pedro @RodolphoPedro]

@giovannilandoni Same IMV free days ?

[Rodolpho Pedro @RodolphoPedro]

@ebtapper @JasmohanBajaj @AGA_CGH Was this venous or arterial ?

[Rodolpho Pedro @RodolphoPedro]

Um projeto que ajudamos a provocar. Acredito que dependendo da forma que for executado pode levar a um diagnóstico da nossa situação no sistema público e pavimentar um caminho de melhoria do sistema.

[Flávio Dino 🇧🇷 @FlavioDino]

Esse é um dos motivos que levou ao projeto de lei que apresentei hoje, criando um sistema nacional de avaliação dos hospitais, com metodologia, periodicidade e divulgação. A exemplo do que é feito pelo MEC no setor educacional.

[Rodolpho Pedro @RodolphoPedro]

Em um ano, 12% dos pacientes internados em UTI do HC em SP foram parar lá devido a erros hospitalares, aponta pesquisa | São Paulo | G1 https://t.co/bK5HkJOWHP

[NephroPOCUS @NephroP]

Evaluation of terlipressin-related patient outcomes in #hepatorenal syndrome-acute kidney injury using #POCUS
🔗 https://t.co/N9sEgU0NIb

[Rodolpho Pedro @RodolphoPedro]

- Among all ICU admissions in a tertiary LMIC hospital, 12.1% were related to an Adverse event (9.8% caused by an AE, 2.3% related but not directly caused by an AE)

- 70.9% of preventability rate, representing 8.6% of all ICU admissions
#FOAMcc #FOAMed

https://t.co/ZeuI52r8AX

[Rodolpho Pedro @RodolphoPedro]

@DogICUma If you drop a nuclear bomb on the earth, all that will be left are cockroaches and studies on hypothermia.

[Rodolpho Pedro @RodolphoPedro]

@ebtapper @JHepatology @JesusMBanales The CIN criteria is bizarre

Would you be surprised if a cirrhotic that has had a new event that needed Iv contrast develops AKI ?

It doesn’t care if it’s infection, surgery, vanco ?

This is basically three different severity cohorts.

[Rodolpho Pedro @RodolphoPedro]

@drkeithsiau Was she pregnant ? 🤰

[Rodolpho Pedro @RodolphoPedro]

@drkeithsiau Hepatopulmonary syndrome

[Rodolpho Pedro @RodolphoPedro]

@drkeithsiau Portal hypertension is not usually a cause of inferior limbs edema, since portal vein does not usually communicate with cava. I would search for cardiac insufficiency, nephrotic sd or shunt.

[Rodolpho Pedro @RodolphoPedro]

@Paul_Wischmeyer @DrKristaHaines @RD_Catherine @TomVargheseJr @WesElyMD @iceman_ex @chungk1031 @AlyssaRDN @Tweet_Nutrition @BDACriticalCare @LifeWithoutDiet but don’t you think that the observational design could find this result due to bias ? Sicker patients would receive diet later than “not-so-sick” patients. It’s a nice paper though!

[Rodolpho Pedro @RodolphoPedro]

@chungk1031 He died with normal electrolytes

[Rodolpho Pedro @RodolphoPedro]

@ebtapper @JasmohanBajaj Was it arterial ?

[Rodolpho Pedro @RodolphoPedro]

@PicturesFoIder The kind of meme that only USA can provide