José

Anestesiólogo… 🫁.🧠🫀. Anestesia en Cirugía Torácica… 🫁 🖥️

[CardiovascularCorner @TrackYourHeart]

What is VTI (Velocity Time Integral) in echocardiography?
VTI measures the distance a column of blood travels during systole through the LVOT. It’s a vital parameter to estimate stroke volume and cardiac output noninvasively.

How is VTI measured?
1️⃣ Obtain an apical 5-chamber view (5C).
2️⃣ Place PW Doppler just below the aortic valve (at LVOT).
3️⃣ Measure the area under the velocity curve during systole➡️ that’s the VTI (in cm).
Calculation of Stroke Volume (SV):
SV = VTI × LVOT area
LVOT area = π × (LVOT diameter/2)²
Requires accurate LVOT diameter from parasternal long-axis view.
Then,
Cardiac Output (CO) = SV × HR
♦️Normal LVOT VTI: ~18–22 cm (adults)
▶️A low VTI often means reduced stroke volume, requiring further hemodynamic assessment.

[Anesthesiology Journals @_Anesthesiology]

Images in #Anesthesiology - Airway Casts in a Toddler with Plastic Bronchitis: An Anesthetic Challenge 📷 https://t.co/SYZ4d0z92h

[Critical Care Reviews @CritCareReviews]

Today's Paper of the Day is:

Periprocedural myocardial infarction and injury

https://t.co/JKgcYjlUQ5

Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2026

[SMNyCT @SMNYCT]

La cirugía torácica mínimamente invasiva (VATS) ya es estándar: menos dolor, menor estancia hospitalaria y mejor recuperación.

El neumólogo es clave en la evaluación preoperatoria.

https://t.co/syjbYDJifB

#SMNyCT #Neumología #CirugíadeTórax #VATS

[British Journal of Anaesthesia @BJAJournals]

Don't miss this great new #BJAEd article from Kovac & Choksi on the prophylaxis and treatment of Postoperative Nausea and Vomiting: https://t.co/7VwFazUJj7

[SEDAR @sedar_es]

#CardioToVascSEDAR 🫁 En VATS, el ESPB se asocia a un menor consumo de opioides en PACU vs analgesia IV combinada; en toracotomía, la TEA sigue siendo superior.

📊 https://t.co/EfHkMzZY8e?

[British Journal of Anaesthesia @BJAJournals]

Flexible #bronchoscopy is the gold standard for tracheal #intubation in patients with difficult airways but sedation and GA frequently cause upper airway obstruction. High-flow nasal oxygenation can improve glottic view.
https://t.co/U3gQaswdPV

[Critical Care Reviews @CritCareReviews]

Rapid sequence intubation in high-risk patients: what clinicians and researchers must know – a narrative review

CCR Journal Watch 
https://t.co/Sp06oA6IDG

[José @pp_zolam]

Right-sided heart failure in acute respiratory distress syndrome https://t.co/o6RXDBgKUy

[Anesthesiology Journals @_Anesthesiology]

Infographic in #Anesthesiology - Two Paths, One Destination: Propofol vs. Volatile in Cancer Surgery 🎨 https://t.co/78WttHXTgK

[José @pp_zolam]

Effects of intraoperative higher vs lower positive end-expiratory pressure during one-lung ventilation for thoracic surgery on postoperative pulmonary complications (PROTHOR): a multicentre, international, randomised, controlled, phase 3 trial
https://t.co/uaCfI2pp2I

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

Incidence of peri-operative peripheral nerve injuries associated with general and regional anaesthesia: an observational study

#anaesthesia #regionalanaesthesia #regionalanesthesia

https://t.co/V7ieJKVIsu

[NYSORA @NYSORA]

Post-sternotomy pain limits breathing and recovery.

A new RCT shows that adding a rectus sheath block (RSB) to a parasternal block improves comfort and early respiratory function.

Access structured block guides in the NYSORA Nerve Blocks App.

https://t.co/u3jFeBewPN

[ATS Blue Journal @ATSBlueEditor]

The Upper Airway Microbiome in Bronchiectasis: Expanding the Landscape of Airway Dysbiosis
@atscommunity 

🔗 https://t.co/dlx2XIBuaH

[M Velia Antonini @FOAMecmo]

LEVOECMO RCT: early levosimendan to facilitate weaning from VA #ECMO in severe but potentially reversible cardiogenic shock
🔍 205 adults from 11 ICUs in France 🇫🇷
💉 levosimendan, 0.15 μg/kg/min, to be increased to 0.20 μg/kg/min after 2 h or placebo
⚖️ early levosimendan did not significantly shorten the time to successful weaning of #ECLS at day 30 (68.3% vs 68.3%); routine use not supported
⚖️ median run duration, mean #ICU LoS, 60-day mortality did not differ significantly, too
🫀ventricular arrhythmias more frequent with levosimendan
@JAMA_current
🔗https://t.co/6162b2Ay8G

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

What is the optimal intra-operative ketamine dose for reducing postoperative delirium risk?

0.25–0.34 mg/kg

#delirium #ketamine #anaesthesia #MedTwitter #pain

https://t.co/PX1wvkEy4s

[Critical Care Reviews @CritCareReviews]

Non-Invasive Positive Pressure Ventilation for Pre-Oxygenation of Critically Ill Patients Before Intubation 

CCR Journal Watch - tracking the critical care literature daily
https://t.co/Sp06oA6IDG

[José @pp_zolam]

Practices of Rapid Sequence Induction for Prevention of Aspiration—An International Declarative Survey https://t.co/6AnYogCI2N #mdpijcm vía @JCM_MDPI

[NephroPOCUS @NephroP]

Basic cardiac #POCUS views
#Nephpearls #FOAMed #FOAMcc

[José @pp_zolam]

Echocardiography in the Ventilated Patient: What the Clinician Has to Know https://t.co/UDWYMbKaPf #mdpijcm vía @JCM_MDPI