Grateful for the opportunity from @atiya_dhala to give a talk today on #PEEPtitration in #ARDS at the #ISAC2026@Methodistpccm
Here are the major take-home points:
We’ve been taught to fear #PEEP because of the RV.
But the real problem isn’t PEEP.
It’s the wrong PEEP.
🧵👇
ATS2026 wrapped! 🫁 @atscommunity
Portopulmonary HTN disparities, Pulmonary Sweet Syndrome,
Diode laser EBUS, and 3D-printed models for med ed.
But the people? That was the real treat.
Next stop… CHEST 2026!
#MedTwitter#PulmCrit#MedEd#ATS2026
New name for PCOS. The new name makes pathophysiological sense but, like all these name changes, will lead to more confusion than clarity. Some of us will use the old name and some the new. Notes over time will be inconsistent and confusing to providers. Patients will get lost in all the letters. I'm not sure this is a net positive change.
Wrapping up two incredible weeks on MICU @Methodistpccm 🏥 Grateful for an amazing team that made every long day worth it. Learned so much, laughed even more, and maybe spotted a 🦢 here and there. This one’s going in the memory book. 📸 #MedTwitter#MICU
@NephroP@jainPOCUSology@IM_Crit_ For IJ CVCs, they end up at the cavo-atrial junction. But when I do subclavians, I’ve had times where the catheter ended up going to the IJs or the other subclavian vein instead.
This allows me to have full confidence that the wire and catheter will 100% be in the right spot.
#POCUS pearl: confirm your wire during CVC placement by checking the IVC.
Especially useful for subclavian insertions when you don't get PVCs or you're worried the wire took a detour.
#FOAMed#PulmCrit
@NephroP@jainPOCUSology@IM_Crit_ Guess you could do it for both, but I was implying triple lumen CVCs.
With swans though, the introducer would be short enough so that I wouldn’t necessarily need to see where the wire ends up.
I wrote this in a moment I never would have chosen. A sudden pause that made me see my life clearly.
The meaning of our work is profound. This experience simply helped me see more clearly what matters most.
“Time is Finite” JAMA
https://t.co/IwkKdyeEWx
Grateful for the opportunity from @atiya_dhala to give a talk today on #PEEPtitration in #ARDS at the #ISAC2026@Methodistpccm
Here are the major take-home points:
We’ve been taught to fear #PEEP because of the RV.
But the real problem isn’t PEEP.
It’s the wrong PEEP.
🧵👇