Nithin Karakala

[Nithin Karakala @runningbean26_2]

@AhmedArslanMD @VelezNephHepato @HrsHarmony MAP is an extremely factor. But my part of the discussion was volume management

[Nithin Karakala @runningbean26_2]

@swissnephro @VelezNephHepato Glad you share that view.

[Juan Carlos Q Velez @VelezNephHepato]

Large VA study from TN ⁦@VUMCKidney⁩ confirms our previous observation: APOL1 polym is associated with > risk of CoV-AKI ⁦@renalpathdoc⁩ ⁦@Tiff_Caza⁩ ⁦@TJ_Wickman⁩ ⁦@NephroRock⁩ @LuisMatute2016⁩ ⁦@OchsnerNephro⁩ #KidneyWk

[Nithin Karakala @runningbean26_2]

@ebtapper @VelezNephHepato @HrsHarmony We look at the IVC changes and also LVOT VTI which is a surrogate for CO

[Nithin Karakala @runningbean26_2]

@drobeirne @VelezNephHepato @HrsHarmony The goal would be to identify hemodynamics changes even before the clinical examination of tense abd. We saw IVC changes in patients with large as items even in the absence of tense abd. Tense abd could also be cause from SBP.

[Nithin Karakala @runningbean26_2]

@ebtapper @VelezNephHepato @HrsHarmony I use POCUS including PLR as my everyday examination tool in cirrhotic patients with AKI

[Nithin Karakala @runningbean26_2]

@ebtapper @VelezNephHepato @HrsHarmony We have collected PLR data in the study I showed but did not use it in decision making. Working on a protocol for a RCT with PLR included.

[Nithin Karakala @runningbean26_2]

@NephroGuy @VelezNephHepato @HrsHarmony Thank you

[Nithin Karakala @runningbean26_2]

@VelezNephHepato For us it is a tale of 2 hospitals. One hospital lower incidence of AKI, but the other hospital still a very high incidence of AKI. Wondering if incidence of AKI is related to age.

[Nithin Karakala @runningbean26_2]

@Nephro_Sparks The situation is bad, and the prediction is that it will get worse. The expected peak cases will be at the end of the month. Not sure how the state can handle it.
I my now begging my patients to get vaccinated.

[Matthew Sparks, MD @Nephro_Sparks]

The situation is my home state of Arkansas is devastating

[Nithin Karakala @runningbean26_2]

@PulmCrit I hope this just a joke, because nothing bad happens at a potassium of 4. Yes humans can’t survive at potassium level of 4 meq/dl which is 40 meq/l and the normal is 3.5 to 5 meq/l

[Juan Carlos Q Velez @VelezNephHepato]

@DrAliHosin I’m pretty sure that was triggered by a few surgical residents requesting anesthesia in an unprofessional manner. Unfortunately, it’s not an uncommon scenario during medicine-surgery inpatient interactions. Residents probably act under pressure and led by bad example. Fixable.

[Nithin Karakala @runningbean26_2]

@VelezNephHepato @UQMedicine @OchsnerNephro @CayetanoHeredia It is always exciting to add new things to your CV. But I am sure it felt great removing one word from your CV.

[Vipin Varghese @vipvargh]

Levophed definitely worked for HRS here.

Initially, worsening cr on octreotide, midodrine, and albumin. Baseline MAP 70 pushed to 85-90 with minimal levophed. Patient made 4L in the first 24 hrs and cr improved immediately.

Intervened early with great outcome!

[Nithin Karakala @runningbean26_2]

@KIDNEYcon great talk on MAP and flow by @criticalbeansmd

[Nithin Karakala @runningbean26_2]

@DavidJuurlink I am a physician and I got my vaccine. It is not only going to protect me, but I feel it is my responsibility as a healthcare provider to get the vaccine to protect my loved ones, and patients when heard immunity is achieved.

[David Juurlink @DavidJuurlink]

“Doctors and nurses are declining the vaccine” is exactly the message anti-vaxxers want you to hear.

Retweet if you’re a healthcare worker who’s already been vaccinated or is eagerly awaiting vaccination.

[Juan Carlos Q Velez @VelezNephHepato]

That’s it. MRA concept finally succeeds in proteinuric CKD #KidneyWk

[Kenar Jhaveri @kdjhaveri]

#kidneywk @VelezNephHepato on Terlipressin in HRS CONFIRM trial