Dipanjan Chatterjee

Cardiac Anesthesia, Critical Care and ECMO

[Dipanjan Chatterjee @ecmocare]

❗Why do seemingly healthy people in their 30s, 40s, and 50s suddenly fall sick—or worse, suffer cardiac arrests?

💡 Can we predict & prevent such events? YES!

🔗 Read & share! [https://t.co/NV82GI3xM9]

#Health
#CardiacCare
#prevention

[Dipanjan Chatterjee @ecmocare]

Your golden years should be filled with health, happiness & purpose! ✨ Yet, many skip health checkups🤔 Truth is, early care = longer, better life! Read my latest article on making aging joyful & share your thoughts! 👇 #HealthyAging"https://t.co/wArv69FfFq via @LinkedIn

[Dipanjan Chatterjee @ecmocare]

Honored to be an invited faculty at two incredible events! Huge thanks to the organizers of the 1st Odisha TEE & TTE Workshop and EZCCCON 2024 for their meticulous planning & hospitality. Enriching to connect with inspiring faculty & delegates
#MedTwitter
#CriticalCare

[M Velia Antonini @FOAMecmo]

Cannulation configuration & limb ischemia-related complications on peripheral VA #ECMO in adults, @ELSOOrg Registry analysis on @CritCareMed
➡️ bilateral cannulation should be preferred approach if femoral cannulation
🖇️ https://t.co/Su6n57b5I0
📊 > 19K patients, about 12k undergoing unilateral femoral cannulation, 7K bilateral
📊 no risk reduction for overall limb ischemia related events requiring DPC after 6h for any of 2 groups
📉 lower compartment syndrome/fasciotomy + lower cannulation site bleeding, vessel repair in-hospital mortality in bilateral group (confirmed after matching)

[M Velia Antonini @FOAMecmo]

Management of short-term #MCS for cardiogenic shock in adults in cardiac #ICU, consensus by ACVC of @escardio @ESICM @EuroELSO & @EACTS
🔓Open #FOAMcc at https://t.co/PuCpYJ797x
🚦 indications
🫀 cannulation for VA #ECMO & implantation of axial flow pump
🖥️ monitoring
💉 pharmacological therapy
🫀 RV support & right/ left ventricular interaction
🫁 respiratory failure
🫘 renal failure &
🧠 neurological prognostication
⚙️ practical management of pVAD patient: what to expect...
during the first 24 hours
after first 24 hours & up 72 hours
after 72 hours
weaning
⚙️complications & troubleshooting

[Dipanjan Chatterjee @ecmocare]

#ESICM guidelines for management of #ARDS 2023

Patients with severe ARDS to be treated in an ECMO Center.
#ECMO strongly recommended for treatment

It is not an issue of believers and non believers any more. #ECMO IS THE TREATMENT for SEVERE #ARDS

[Intensive Care Medicine @yourICM]

#ARDS @ESICM guidelines
🫁 definition
🫁 phenotyping
🫁 #HFNO
🫁 CPAP/NIV
🫁 low tidal volume MV
🫁 PEEP & recruitment maneuvers
🫁 prone positioning
🫁 neuromuscular blocking agents
🫁 extracorporeal life support #ECMO #ECLS #ECCO2r
#FOAMcc on @yourICM
🖇️ https://t.co/xGtI2y0vZw

[John Augoustides @AugoustidesJohn]

Teamwork in Acute Heart Failure: The Role of the Cardiac Anesthesiologist - #HeartTeam23 https://t.co/7JWFJNmDiW

[Dipanjan Chatterjee @ecmocare]

“three seven rule”: pH <7 and lactate >7 was associated with <7% survival
VA-ECMO should be considered with caution in patients with pH <7

The next time you get such a patient, would you refrain from #ECLS ?

[ELSO @ELSOOrg]

Arterial pH at cannulation in VA #ECMO? Strong correlation between pH <7 & lactate >7 & reduced survival in this study. Survival possible even with extremely low pH, but rare: #ECLS should be considered with caution.
@asaiojournal
🖇️ https://t.co/gtxigQR7Qt

[Dipanjan Chatterjee @ecmocare]

Perioperative bleeding - we all have faced this nightmare many times. There is no magic bullet but a structured approach is the need of the hour

[Intensive Care Medicine @yourICM]

Coagulation & perioperative bleeding
🩸fibrinogen source/dose/time
🩸Ca++: just vs citrated blood products?
🩸PCCs/factor concentrates
🩸TXA
🩸plasma: volume or coagulation?
🩸PLTs as primary components
🩸RBCs not just DO2
🩸targeted coagulation support
🖇️ https://t.co/lv1i5GoHBg

[Dipanjan Chatterjee @ecmocare]

One more cardiac transplant recipient was discharged after postop recovery. We reiterate our continued strive for excellence in comprehensive management of heart failure, be it acute or end stage, there is hope for survival and better life.

[Dipanjan Chatterjee @ecmocare]

We are proud of our very efficient clinician and leaders of the #ECMO team
Your eternal vigilance, prompt management, and never giveup attitude has saved lives of many patients.

Writuparna Das
Shreejita Das
Diptasree Ray
Supabana Ghosh

#WomenInMedicine
#ECMO_Kolkata

[Dipanjan Chatterjee @ecmocare]

https://t.co/cB39ygn8jb

Post #ECMO Rehab of children
Wonderful to see how well the little ones cooperate and enjoy if the process is made playful.
Blessed to have such efficient physiotherapists in our reahab team

#ECMO_KOLKATA
#PedsECMO
#ECMO_REHAB

[Dipanjan Chatterjee @ecmocare]

Stay tuned for this very interesting but controversial topic.

[EuroELSO @EuroELSO]

VA #ECMO in septic shock: do NOT miss next EuroELSO webinar!
🗓️ March 29 16 CEST
🎙 speaker: N Bréchot
🎙 moderator: P Schellongowski
🖋 https://t.co/NT9CgdfAQh

Background: @asaiojournal ELSO guidelines for #ECLS circuit in adults & pediatric patients
📖 https://t.co/CiatIYm2uQ

[Dipanjan Chatterjee @ecmocare]

#SWACELSO2023
It's going to be very informative, insightful and a wonderful learning experience. Join for the brilliant interactive sessions.

[Dipanjan Chatterjee @ecmocare]

The festive season begins with celebrations amidst ongoing #ECPR and #ECMO
Its never a holiday for any ECMO unit
Credit goes to the #ICU_Nurses
for all these decorations
#ECMO_Kolkata

[Dipanjan Chatterjee @ecmocare]

Men and their Machines
Perfusion team of Medica, Kolkata
#ECMO Training cum & Simulation Workshop 2022
#ECMO_Kolkata
#ECMO_Medica

[Dipanjan Chatterjee @ecmocare]

@pkguru10 Wonderful experience @pkguru10
Thanks for sharing these beautiful pics from #Orissa
It was great meeting you at Bhubaneshwar #EZCCCON

[M Velia Antonini @FOAMecmo]

🫀 Mortality in pts with cardiogenic shock receiving VA #ECMO: severity of shock prior to cannulation appears strong predictor of mortality in this population, & could be used as risk stratification tool to refine prognostication for #ECLS recipients.
🖇️ https://t.co/7Ry8cg7xhm

[Dipanjan Chatterjee @ecmocare]

Always feels good to talk to an aspiring audience
HOW TO START AN ECMO PROGRAM AND IMPROVE QUALITY
Prep talk for the clinicians, nurses, administrators
At SQUARE HOSPITAL Dhaka Bangladesh
ICU team is fabulous
Hope to see them start the ECMO program soon

[Dipanjan Chatterjee @ecmocare]

@DYannopoulos Sounds very interesting