GOPALAKRISHNAN E

Pediatric intensivist
PICU fellow

[PediECMO @EcmoPedi]

Please join us for the next PediECMO webinar!

“Considering the switch? Answering your questions about Bivalirudin use in Pediatric #ECMO”

When: Jun 5, 2024 02:00 PM Eastern Time (US and Canada)

Register:
https://t.co/Vg6TyzeHgy 

#PedsICU #ECLS @ELSOOrg

[Jasmine Sethi @JasmineNephro]

🤞Prevent PD peritonitis

✅Flush before fill

🙂Avoid domestic pet 🐶
🤲Hygiene
❌Avoid 🛁bath/swim 🏊natural H2O

❌Avoid hypokalemia-HypoK➡️PD peritonitis

❌Avoid constipation🚽-transmural migration

💊ABx prophylaxis➡️dental/Gyne procedure

Dr Kanjanabuch #apcmispd2023

[Vanessa S. Lanziotti @VSLanziotti]

Great #review @Crit_Care exploring
physiology & evidence-based management of patients w/ #ARDS & refractory hypoxemia
🔹mechanical ventilation
🔹adjunctive therapies
🔹#ECMO

Tks 4 sharing @jfersar!
Worth read it for #PedsICU

#FOAMed #FOAMcc #SoMe4MV

https://t.co/fy2uKJYrxL

[Zaf @drzaf_pic]

Hydrogen has never sounded so exciting! This is defo interesting @MichaelaWaak @Dr_Hari_Krishna @BarneyUoB @DrSeanBarnes ….. getting H2 into the ecls circuit … this is exciting & impressive stuff @jvc2006 @DavidEl76548379 @BCH_HeartCenter @TexasChildrens @PCICS_Society #pcics22

[Satheesh Ponnarmeni @SatheeshPonnar]

Can both CRRT and Plasma exchange be done simultaneously with one machine in #PedsICU ??

Presented our poster on “Novel technique of CRRT pump driven tandem plasma exchange + CRRT connected in series using a custom made Plasma exchange circuit” at #CCNCLondon2023 #CRRT

[Jerin C Sekhar @drjerin1704]

Initiation of a CRRT program in a resource limited country is challenging but feasible.
Presentation by the PICU team, PGIMER, Chandigarh, India at the First Critical Care Nephrology Conference 2023.
#CCNCLondon2023 @CritCareNephPed @PPETS22

[Jayashree @mjshree1]

Episodes of critical illness and PICU experiences propagate a cascade of long term multidimensional physical and mental health consequences. As intensivists let us understand the "impact" of the care we provide from Dr L. Schlapbach. Do not forget to tune in on Wed, July 19 👇

[Critical Care @Crit_Care]

#CritCare #OpenAccess

In mechanically ventilated patients receiving volume expansion, the ΔScvO2 during the fluid challenge is a reliable indicator of fluid responsiveness.

Read the full article: https://t.co/n9PqmsIzPj

@jlvincen @ISICEM #FOAMed #FOAMcc

[M Velia Antonini @FOAMecmo]

📢 Join the @ELSOOrg WhatsApp Communities!!
💬 new #ECLS program
💬 adult cardiac
💬 adult respiratory
💬 ELSO coordinators
💬 ELSO platinum mentors
💬 neo/peds #ECMO
🔗 Join the one(s) of your interest at https://t.co/46ccQFX076

@GraemeMacLaren @stead_christine @asaiojournal @MooreElizabethA @TammypFriedrich @alexdfox @DrGilesPeek @drpetaalexander @EcmoNinja @JennaMillerKC

[Jan Hau @leejanhau]

Jayashree 🇮🇳 #apicc23 showing the heterogeneity of public health outcomes within #Asia

Something to consider when planning studies in the region

#pedsicu #pedscicu @PALISI_gh @WFPICCS @paccman_asia

[PACCMAN @paccman_asia]

Our new ExCo and Sci Committees! Congratulations to all!

@leejanhau @RujipatSamrans1 @ChinSeng_Gan @drarunbansal @Phuchp

[Mark Ramzy, DO, EMT-P @MRamzyDO]

🫁 ADVANCED THORACIC #POCUS 🫁

🅰️-Line: Physiologic reflection of pleural line
🅱️-Line: Vertical comet tail artifacts
🦓 Z-line: ill defined artifacts shorter in depth that look like B-lines but arent
🆎Lung profiles can help w/diagnoses

#FOAMed #MedEd @POCUS_Society @srrezaie

[Open PICU @OpenPicu]

Early adjunctive methylene blue in patients with septic shock: a #RCT

Link 👇🏼
https://t.co/691EwMlqqW…

#sepsis #septicshock #PedsICU #PICU #Shock

Thanks for sharing @PICJournalWatch

[ELSO @ELSOOrg]

#SWAACELSO2023 9th Annual International Conference of South and West Asia and South Africa ELSO Chapter ongoing in Ludhiana, India 🇮🇳 !!

[Christine Stead @stead_christine]

#ECMO can be effective in septic shock ⁦@GraemeMacLaren⁩; obesity can have good #ECMO outcomes - Dan Brodie; nice inaugural welcome from Matt Paden ⁦@Swaacelso⁩ 2023 by ⁦@ELSOOrg⁩ leadership.

[Ali Ferguson PICU PT @alifergly]

Thanks to the parents of our amazing little patient for allowing us to share her #picurehab today active cycling on VV ECMO 🤩 #PedsICU #earlymobility #picuphysio #picuteam @EmmaHaisz @MichaelaWaak @deblong_picu @JaneHarnischfeg @CreeMichele @CucchiMarta @SarahWright1970

[sidsdoc @sidsdoc]

Dr @TBunchman ; the man who inspired us all to critical care nephrology speaking on CKRT dosing in children! @pcrrticonic #pcrrtadvances #criticalcarenephrologyindia @IPNA_PedNeph @ASianPNA @IspnSocial @OpenPicu @rupeshrainamd @valerie_luyckx @javo_neyra @drshyambansal

[American Society of Pediatric Nephrology @ASPNeph]

Management of Acute Kidney Injury in Critically Ill Children https://t.co/XrqI7Rxdue #AKI #openaccess

[Dr. K. S. Gautham @Dr_KSGautham]

6. Know how to use profusion of data
7. Can function even with sleep deprivation
8. Available on nights, weekends, vacations
9. Familiarity with all organ systems, so can deal with wide range of specialties
10. Used to dealing with conflict and ethically challenging situations

[Dr. K. S. Gautham @Dr_KSGautham]

10 reasons why intensivists make good leaders in medicine:
1. Used to dealing with crises
2. Skilled at communicating bad news
3. Can balance grim reality of bad situation with maintaining optimism, hope
4. Used to working as a team
5. Know when to act quickly vs wait & watch