ALIFE

Amsterdam Leiden Intensive care Focused Echography, interested in: #POCUS #TTE #TOE #CriticalCareEcho #Echo. Tweeted by @cvelzokraemer

[Dr. Tuinman @TuinmanDr]

The question arose on this platform (@iceman_ex and @Acute_Pulmo_Med): what is the effect of the use of LUS on occurence of ARDS? Here is the answer: https://t.co/oHOFhTBc7j

[M Velia Antonini @FOAMecmo]

⏱️Conventional CPR in cardiac arrest only generates a fraction of CO... this is why it is called low flow time. Longer cCPR associated with worse outcome, also if for pts undergoing #ECPR: keeping <20' better, after 45' survival goes down, but we can push to up 60'. When switching from cCPT to ECPR, meaning when to start cannulating (NOT to start moving team)? How to decrease low flow time being on pump quickly?
🚑bringing #ECMO to patient? prehospital cannulation associated with significant resource use but avoid transport of pt with ongoing CPR
🚑bringing patient to nearest hospital meeting #ECMO team there?
🚑bringing patient to #ECMO center?
🏥cannulating in ED or cath lab?
Whatever environment you choose to cannulate, success of the program mostly depend on organized/trained EMS system, rapid identification of eligible patients, early activation of experienced #ECLS team, comfortable with cannulation location, no matter which this is!
M Hernandez-Morgan #ELSO2023

[M Velia Antonini @FOAMecmo]

Predicting LV distension on VA #ECMO? Proposal of formula which may be used to
🧮predict EDV change
🧮predict consequence of interventions impacting on pressure &amp; volume status on LV EDV/SV
🧮better anticipate need for LV venting
#FOAMcc @asaiojournal
🔓https://t.co/aX0MWQcRot

[M Velia Antonini @FOAMecmo]

#ECMO & #ECC02r domain, led by @dfmcauley, 2 PICO questions:
🩸in adults with severe #ARDS or #COVID19, does VV #ECLS vs conventional protective MV reduce mortality? change! strong recommendation, moderate level of evidence in favour
🩸in adults with severe ARDS, does ECC02r vs conventional protective MV reduce mortality? new recommendation against use outside RCTs (due to increased adverse events for ECCO2r in REST trial)
C Calfee #ESICMwebinar on new @ESICM ARDS guidelines, available #FOAMcc on @yourICM
🫁 https://t.co/J2IWlcmWvI

[Pierpaolo Di Nicolò @PierpaDiNick]

#POCUS
To measure #CVP noninvasively...
- connect pressure manometer (1) to ultrasound transducer (2)
- compress cephalic vein until collapse (fig B)
- intravasal venous pressure
on manometer (4) is equal to CVP !!💪

👇 https://t.co/761DuTv5pe
Forearm Compression Sonography

[NephroPOCUS @NephroP]

#POCUS guided central venous catheter placement (short axis): manipulation of the needle and confirmation of the tip in the vessel.
Click 'ALT' for figure description
Source https://t.co/yN9sCnKFxU
#MedEd #FOAMed #Nephpearls

[ATS Scholar @ATSScholar]

How I Teach: Ultrasound-guided Peripheral Venous Access

🔗 https://t.co/pe3ynyxR6b

[NephroPOCUS @NephroP]

A comparison of longitudinal and transverse approaches to #ultrasound guided axillary vein cannulation by experienced operators.
🔗https://t.co/fX8Yxbqf3U
#POCUS #MedEd #FOAMed

[Cardiac Trials @CardiacTrials]

Pulmonary Vein Doppler 📚📖

We can glean a surprising amount of information from the pulmonary vein flow alone.. don’t ignore the pulmonary veins 👇
#echofirst ♥️

[M Velia Antonini @FOAMecmo]

Apparently, not so much... Multistage #ECMO cannulas: first holes get it all? high drainage flow despite misplacement
ps go for #POCUS monitoring!! #echofirst
#FOAMcc on @yourICM
🔓 https://t.co/95NYrTiWnA
#EuroELSO2023

[Critical Care Reviews @CritCareReviews]

The Impact of Thoracic Ultrasound on Clinical Management of Critically Ill Patients (UltraMan)

➡️725 TUS - 111 operators - 534 pts
➡️TUS changed clinical impression in 48%
➡️Management change in 39%
➡️Difference in fluid balance

CCR Journal Watch
https://t.co/Sp06oA6IDG

[Eric Topol @EricTopol]

Just published @Nature
Impressive. A wearable patch that acquires continuous, real-time ultrasound images of the heart at rest, on the go, and during exercise (echocardiograms) with automated processing
https://t.co/LnXp1m7eHI

[NephroPOCUS @NephroP]

New hepatic #VExUS study: ⬆️in retrograde flow during 1st 24h following cardiac surgery is associated with +ve💧balance &amp; RV dysfunction.
Used VTI but essentially confirms the point that if u see more flow above-the-baseline, it's not good.🔗https://t.co/E3TQlD5sc4 #POCUS #FOAMcc

[Dan Kim @dan___kim]

New review article on #TEE in cardiac arrest by @FTeranMD and co in @CJCJournals

I particularly like the proposed arrest algorithm integrating TEE as well as the graphic demonstrating positioning of resus team members
#echo #POCUS #CardiacArrest

🔗https://t.co/rMGyGplqfr

[Artificial Organs @ArtifOrgans]

Temporary #PhrenicNerve stimulated patients: What is the role of #Ultrasound examination?👇
https://t.co/TBMUmks3Et
@CharlesUniPRG🇨🇿| @RoubikKarel #VIDD #Diaphragm #Review

[Ahmed Mohsen @drahmedmohsen85]

Simple, easy and practical way to differentiate between different types of shock. Apply pulsed wave Doppler in the LVOT,Trace the LVOT VTI,Then follow the algorithm.
For more tips, join CQs Medshr group
https://t.co/50feC91U7W
#echofirst
#CardioTwitter

[小谷祐樹 Yuki Kotani｜集中治療医 @YukiKotani5]

✅Wearable ultrasound hemodynamic monitoring: bio-adhesive ultrasound (BAUS)

A potential alternative for point-of-care ultrasound (#POCUS) in the future

🔗https://t.co/7NPdBF6jYY
#FOAMcc #MedTwitter

[WINFOCUS WORLD @WINFOCUS]

#WINFOCUS22 world #POCUS congress w/@TrEmatus sneak-peak of excellent lecture(re)s;
Dr.JonEmileKelly, ”Hemodynamics &amp; Wearable Ultrasound”,3DEC@9:40

https://t.co/88SuTRrjt0

[Eduardo R Argaiz @ArgaizR]

Fluid management in acute kidney injury: from evaluating fluid responsiveness towards assessment of fluid tolerance

I hope you guys like our Educational Review!

https://t.co/rOM6bMaQZZ

https://t.co/AS6yzIskAt