Luther Napitululu

[Luther Napitululu @lutherpool]

Dependent on God’s Strength https://t.co/zaTq7oKH0m

[Luther Napitululu @lutherpool]

No answer is an answer, they said

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

Rebound pain after peripheral nerve block

Pre-emptive opioids were not shown to offer meaningful benefit and, based on current evidence, appear to be the least effective among the drugs evaluated.

@SinghNP_23

#anaesthesia #regionalanaesthesia #regionalanesthesia #MedTwitter

https://t.co/409AiHrTtd

[Luther Napitululu @lutherpool]

Aimed for sub-25, but not today

Check out my run on Strava: https://t.co/9LPPrjoX6F

[Luther Napitululu @lutherpool]

Progress is there

Check out my run on Strava: https://t.co/b25P1Si1W9

[Luther Napitululu @lutherpool]

It Was Me https://t.co/kAJ5vCM2dr

[Luther Napitululu @lutherpool]

Sub 60 🥳
Setelah analisa, kelemahan saya di aerobik base dan otot kaki kanan (post acl surgery) dan kekuatan vo2max + form lari udh bisa high speed. Target pelan2 tercapai, dan fokus latihan zona 2 dan strength training dibanyakin. Onto the next target

[Luther Napitululu @lutherpool]

@faiz_alf93 Tidak dong, penikmat momen ini aja

[Luther Napitululu @lutherpool]

It's not done, as Declan Rice said

[Hassan AFC @HassanGooner10]

HE SAID IT'S NOT DONE! ، HE SAID IT'S NOT DONE! ، DECLAN RICE, HE SAID IT'S NOT DONE! 👑

[Luther Napitululu @lutherpool]

first 15 km, I ran with a bit of knee pain and sometimes had to contract and release my quadriceps. It’s at least improved since yesterday. Keep going ltr

[Luther Napitululu @lutherpool]

Career can wait when your inner world is thriving. Time to reconnect

[Luther Napitululu @lutherpool]

Check out my run on Strava: https://t.co/Ot18u63w1J

[Luther Napitululu @lutherpool]

Deep Roots https://t.co/599S0E7EMN

[Updates in Medicine @medic_updates]

Peripheral vasopressors may be safer than we thought — only 1 major adverse event across 29,596 short PIV catheters in this meta-analysis of 49 studies.

[Dr. Chacón-Lozsán F .'. @franciscojlk]

🫁 Lung Ultrasound 2.0, From Art to Science

The new international consensus on lung ultrasound marks a clear transition:

👉 From qualitative interpretation
➡️ To standardized, reproducible, and quantitative medicine

⚠️ What is truly NEW in this update

🔴 1. Standardization is now mandatory, not optional

LUS is highly operator- and machine-dependent

👉 The same patient can generate different findings depending on settings

New recommendation:

• Always report probe, frequency, MI, depth, protocol
• Move toward reproducible imaging frameworks

🧠 2. B-lines are no longer “simple artifacts”

They are:

• Frequency-dependent
• Physically complex
• Linked to lung microstructure

👉 Counting B-lines is semi-quantitative at best

➡️ Future: quantitative ultrasound spectroscopy

🤖 3. AI enters LUS, but with caution

AI is emerging in:

• Image segmentation
• Severity scoring
• Pattern recognition

BUT:

👉 Strong warning against overinterpretation and poor methodology

Key requirement:

• Proper dataset splitting
• Standardized acquisition
• Clinical validation

⚙️ 4. Multidisciplinary shift

This is not just a clinical update

👉 Engineers + physicists are now part of the consensus

Why?

• Ultrasound physics matters
• Signal processing matters
• Image formation matters

➡️ LUS is now a true bioengineering field

📊 5. From subjective to objective metrics

Major gap identified:

• Pleural line abnormalities
• Subpleural consolidations
• Artifact interpretation

👉 Need for:

• Measurable parameters (mm, not “small/large”)
• Quantitative imaging endpoints

🛑 6. Safety is finally addressed

New concern:

👉 Potential pulmonary capillary hemorrhage (animal data)

Recommendation:

• Apply ALARA principle
• Monitor Mechanical Index (MI)
• Limit exposure time

➡️ LUS is safe, but not risk-free

📚 7. Education becomes a core pillar

Clear statement:

👉 LUS must be formally taught and standardized

Including:

• Medical curriculum integration
• Structured training
• Remote mentoring

🎯 Take-home message

Lung ultrasound is evolving from:

❌ Operator-dependent bedside tool
✅ Standardized, physics-driven, AI-supported diagnostic modality

⚖️ My reflection

We are entering a phase where:

👉 Understanding how ultrasound interacts with lung tissue
is as important as interpreting the image itself

This is where critical care, cardiology, and engineering finally meet

📖 Libertario D et al J Ultrasound Med 2023
doi:10.1002/jum.16088

#LungUltrasound #CriticalCare #POCUS #MedicalAI #ICU #Ultrasound #PrecisionMedicine #ACVC

[Luther Napitululu @lutherpool]

Faithful in Prayer https://t.co/bT0JgAecWk