Max Berrill

Interested in CT/CICU🫀👨‍🔬

[Max Berrill @max_berrill]

@RobertHermanMD @smithECGBlog @PendellM Any idea/ thoughts why it only considers it rarely?

[Max Berrill @max_berrill]

@WithAScalpel Great TA series of posts!

[Max Berrill @max_berrill]

@alex1708ander RU/RL pulm veins drain into LA but with deoxygenated blood. So a shunt/fistula between RPA or SVC and Right pulmonary veins? Previous right pneumonectomy without ligating the pulm veins?

[Max Berrill @max_berrill]

@CicUdevices Thanks for all the posts, long time reader, learn loads from your stuff!

[Max Berrill @max_berrill]

@CicUdevices So you need to unload the LV and/or reduce the ECMO flow?

[WithAScalpel - Fumiya Yoneyama, MD, PhD @WithAScalpel]

Right-to-Left Shunting #2: Representative Lesions

👉TOF/PA-VSD and tricuspid atresia cause cyanosis primarily through reduced pulmonary blood flow and systemic venous desaturation.
👉d-TGA creates parallel circulations; survival depends on adequate atrial, ductal, or ventricular mixing to deliver oxygenated blood systemically.
👉Single-ventricle physiology requires balanced Qp/Qs, where SVR–PVR interaction determines pulmonary flow, systemic output, and saturation.

[Max Berrill @max_berrill]

@WithAScalpel Thank you for all your amazing content, some of the best educational stuff out there!

[Max Berrill @max_berrill]

@The_Nanashi_O Did you get a chance to look at the images directly yourself? The acute symptoms, the hypoxia and the echo findings very much seem like a PE! Have you followed the pt up? Keen to know and thanks for sharing

[Max Berrill @max_berrill]

@Alan_Couzens Do think it is the total volume per session (eg 2 hour z1 Vs 30 mins z2) or the total volume per week (eg 8 hours z1 Vs 2 hours z2) that makes the biggest difference?

[Max Berrill @max_berrill]

@ThinkingCC @IM_Crit_ @Srivatsa34 This is cool. How do we access it? Thanks for sharing!

[Max Berrill @max_berrill]

@WithAScalpel All of your content is 11/10, thanks so much

[Yogesh Reddy @yreddyhf]

Echo DD guidelines are consensus based and require testing to determine clinical utility. In this multicenter study with gold standard dx, we show poor sensitivity and accuracy for resting and exercise echo criteria. @JACCJournals

https://t.co/x64Fl4Sh3X

[Max Berrill @max_berrill]

@sohrab1104 @DrRajeshG1 @DrRazi4 @CASivaram1 @argulian @Frances98392343 @ecgandrhythmRoe @alex1708ander @AbdulazizM2669 IVC leiomyosarcoma. DDx Renal cell carcinoma extending to RA

[V.L.Sorrell, MD (@CASEfromASE EIC) @VLSorrellImages]

#JADEL

Be sure to read the elegant report in CASE from the 1 & only team lead by Dr. Nishimura, @MayoClinic:

Echoes Beyond E & A:
Solving the Mystery of the 3rd wave
https://t.co/BS4wEyJId5

@CASEfromASE
#NowInScopus
@ASE360

[Max Berrill @max_berrill]

@argulian Out of interest - which vein along the Doppler alignment will have a systolic velocity towards the transducer at 1m/s do you think?

[Max Berrill @max_berrill]

@TSACO_AAST @drjohnm LAAC referral pathways?

[Max Berrill @max_berrill]

@WithAScalpel Your content is always amazing. Most educational things I read on twitter