Iโll be running the 2025 Chicago Marathon w/ none other than @MSharifpourMD (๐ซฐ๐ป) for the American Cancer Society (@AmericanCancer) and for my dad who is a pancreatic cancer survivor
Please consider supporting this cause and many thanks in advance โค๏ธ๐๐ป
https://t.co/Z0OlHPoviB
Couldnโt be there in person this year, but nevertheless, grateful to @scahq, @CGSNabzdykMD, and @BrighamAnes for giving me the opportunity to help our patients with the adjustable bioadheisve ultrasound (ABAUS)
Time to get to work!
**Shoutout to @JakobWollborn for the ๐ธ๐๐ป
Remember after you finish a race, comparison is the thief of joy. Some days you have it more than others. Your imperfect result is someone elseโs dream time. And vice versa. Thatโs why racing is cool. You never know what can happen until you line up.
Machine Learning for In-hospital Mortality Prediction in Critically Ill Patients With Acute Heart Failure: A Retrospective Analysis Based on the MIMIC-IV Database. #AI#machinelearning
https://t.co/OH70ypDIii
A common error in the ICU/ED we see: intubating patients on BIPAP after 4 hours (or even less!) that look comfortable JUST because their blood gas isn't improving.
Retweet if you have seen this practice yourself!
Check out my recorded discussion with @paulieac quoted below where we talk about this and MANY more NIV pearls (Paul is a NIV guru btw)
Instead:
1) Check to make sure a good mask seal --> if poor seal, your NIV isn't being delivered to pt.
2) Check your minute ventilation. Aim for ~0.1L/kg . So for an average person somewhere around 6-7LPM minute ventilation
3) Ensure appropriate indication (CHF/COPD over pneumonia)
4) Check your settings. For CHF, mean airway pressure more important (increase PEEP). For COPD, driving pressure more important (increase IPAP).
5) Make sure you are thinking about pulmonary toilet (e.g. breaks to cough, cough assist etc.)