Albert Bui

🫘 PGY-6 @MCFNephFellows. Alum @CCF_PCCM, @MayoFL_IMRES, @ouhcom, @onupharmacy. Love CRRT, cardiorenal, POCUS, hemodynamics, pharmacotherapy

[Albert Bui @RagingRenals]

Grateful to be part of the family. @SCCM Congress Planning Comittee!

[Albert Bui @RagingRenals]

@SCCM Congress Planning Comittee Family!

[Komal Safdar @komal_safdar]

Great time at @UAB_CRRT. Learned a lot and excited to apply it in clinical practice. Thanks to Dr. Ashita Towlani, Dr. Javier Neyra, Haley Cagle, and others for organizing.

Favorite moments: hands-on learning, olympic games, and networking.

@DukeKidney @AleTomasiMD @luck_urine @RagingRenals @AungSittNaing @Sreyoshi910

[Critical Care Reviews @CritCareReviews]

Right ventricle and venous system: bridging physiology and clinical practice. A narrative review

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

[Mayo Clinic Florida Nephrology Fellowship @MCFNephFellows]

It is difficult to capture in words the appreciation and value of learning, training, and working with dedicated, humble and skilled doctors everyday at Mayo Clinic Florida. Impromptu nephrology-rheumatology table rounds on a complicated patient.

[JCriticalCare @JCriticalCare]

Multisystem hemodynamic effects of terlipressin in cirrhosis: A scoping review

https://t.co/m7f5KobIxk

[Albert Bui @RagingRenals]

So proud of my sister for matching at @MayoAnesthesia Florida! @MayoFL_IMRES @nathanhwaldron

[M Velia Antonini @FOAMecmo]

Clinical validation of pulmonary artery catheter for continuous thermodilution CO monitoring in VA #ECMO? 
🖥️ strong agreement between PAC and #POCUS CO, maintained across different flow settings (0.5, 2, 4 LPM); CO trends induced by EBF variations also demonstrated good agreement
🫀 continuous thermodilution safe, feasible, simple but accurate hemodynamic monitoring (particularly if #ultrasound challenging due to poor windows or arrhythmias), which can assist in decision-making for weaning.
🔓 https://t.co/MrkSNLp1W0

[Albert Bui @RagingRenals]

@msiuba Almost aspirated on water laughing at this one

[Dr. Hardik Patel 🩺💉 @hardik4u24]

🚨ECMO & AKI: A Deadly Combo🚨

Non-pulsatile flow & venous congestion—ECMO risks renal hypoperfusion, leading to AKI🫀🫘

Can we prevent it? Dive into this review👇

📖AKI in ECMO: Research Progress
🔗https://t.co/hQOJDOlxVZ

#Nephrology #ECMO #AKI #Cardiology #MedTwitter #NephX

[Giuseppe Galati @GiuseppeGalati_]

🔥 #IRONMAN trial : 1st study that show no risk of infection after IV ferrum in #HFrEF

✅ No death of hospitalizations due to infection

#HFUA

@EJHFEiC @MicheleEmdin @AndrewJSauer @JJheart_doc @gcfmd @ShelleyZieroth @JBauersachsMD @DrRajivsankar

https://t.co/2B86kM1Pdc

[JAMA @JAMA_current]

In critically ill adults with suspected sepsis, antibiotic regimens were safely reduced when guided by measurement of procalcitonin but not by C-reactive protein.

https://t.co/Y3NVgYZsLr

[Qasem Ahmed @QAlmulihi]

As emergency doctors, we fight for every life. But when we lose, our role shifts—to heal not just the body, but the broken hearts left behind

[Priya Alexander, MD @MPAlexanderMD]

Happy ❤️ day - unfiltered love from the kidneys!

[Eric Warm @CincyIM]

Our new paper explores how pass/fail grading has created a "shadow economy of effort," as medical students engage in extracurricular activities to compete for residency positions, often at the expense of clinical skill and well-being. @Midwest_MedPeds

https://t.co/yz5E4TYkbt

[Giacomo De Luca @jackdeliuc]

...🧵This is a thread about 8.4% sodium bicarbonate (aka bicarb amp) in critical care.

This the first part in a series of three about sodium bicarbonate 🧂in critical care:
🧐I will get in deep to complexities, benefits, risks and clinical implications of this (overused) drug.

[Adam Grant @AdamMGrant]

“I don’t know” is not an admission of ignorance. It’s an expression of intellectual humility.

“I was wrong” is not a confession of failure. It’s a display of intellectual integrity.

“I don’t understand” is not a sign of stupidity. It’s a catalyst for intellectual curiosity.

[Carl Kay, MD @CarlKayMD]

Hepatic Hydrothorax & Spontaneous Bacterial Empyema

▪️HH & SBE ➡️ poor prognosis
▪️No MELD exception points for HH/SBE
▪️HH often RIGHT-sided!
▪️HH Dx when serum:pleural albumin>1.1
▪️AVOID chest tube/pleurodesis for HH
▪️SBE when (+) Cx and >250 PMNs

🔗 https://t.co/arSxV7UMkd

[Brian Locke, MD MSCI @doc_BLocke]

I missed this when it came out: 2024 HHS/DKA guidelines:

No more "the gap has closed".

Following the anion gap is no longer recommended.

Instead, follow plasma ketones directly, venous pH, and/or bicarbonate.

[Mohan Sai Gudela, DM @drmohansai]

Veno-arterial PCO2 gap
Looks simple. But complicated. You need to consider a lot of factors in the interpretation. More importantly, it can be normal or high in sepsis.
Tip: Make sure you study the CO2 dissociation curve before attempting to understand this concept.
https://t.co/Ix0JUABviW