Ari Ciment MD FCCP

Pulmonary/Critical Care fellowship director

[Ari Ciment MD FCCP @airciment]

🧵 10/10 — The rule nobody teaches.
If you’ve adjusted the vent twice in 30 minutes and the patient isn’t better:
🛑 Stop adjusting. Call your attending.
→ DPaw > 15 and rising? Find the cause — don’t just drop Vt
→ Auto-PEEP + hemodynamic instability? Disconnect

[Ari Ciment MD FCCP @airciment]

https://t.co/LXea1mjSXg

Top 10 ventilator pearls

[Ari Ciment MD FCCP @airciment]

🧵 9/10 — 5 dyssynchrony patterns:
📈 Flow starvation → concave sag in VC pressure plateau
📈 Double triggering
📈 Ineffective triggering → visible effort, no breath
📈 Auto-PEEP → expiratory flow never returns to zero
📈 Reverse triggering → notch below PEEP during expiratio

[Ari Ciment MD FCCP @airciment]

@RahmEmanuel israel has enough enemies to deal with and doesnt need peep who should be friends acting like enemies. would your great grandfather be proud of you today? making israels enemies stronger and israel weaker is a sad legacy for you. its never too late

[Ari Ciment MD FCCP @airciment]

@BrettSiegelNBA Best front office in league

[Ari Ciment MD FCCP @airciment]

@HornetsReddit Loved Melo and Bridges who were legit great but front office has amazing foresight and they legit care- more of a paradigmatic OKC approach! Smart!!!

[Ari Ciment MD FCCP @airciment]

@HornetsLead Must appreciate the front office; not sitting around but making moves to try to move up in the league; best front office! Lamelo was super fun to watch but defense needs to be mantra for a real winner

[Ari Ciment MD FCCP @airciment]

@ShamsCharania Overall nice trade for both… defensive culture arriving to CHA yay!

[Ari Ciment MD FCCP @airciment]

@HornetsReddit Once again, this is the best front office. You better believe it.
Perfect picks

[Ari Ciment MD FCCP @airciment]

@marklevinshow Tick tock… our safe haven in USA as fragile as soft boil eggs rolling on kitchentop; no bueno

[Ari Ciment MD FCCP @airciment]

@hasidic_1 agree; kol d'avid Rachmana Ltava Avid

[Ari Ciment MD FCCP @airciment]

@DavidM_Friedman Best thing i read all day. Trump is our hero; knows what he’s doing and most jews/Israelis really know that… no doubt best friend Israel ever had- תירגע ויהיה בסדר- he knows what hes doing