@DrMarioJimenez1 This sounds great. I’m a little pgy2 IM resident planning to pursue nephro fellowship. I love nephrology because of the physiology and now love adding pocus for my hemodynamic assessments. How can I get involved more?
@VelezNephHepato Im a pgy2 IM RES planning for nephro fellowship. I constantly follow both yours and Dr. Koratala’s work. I would love to hear your thoughts on utilizing pocus hemodynamics to better tailor HRS therapy? As well as the concept of hepato-cardio-renal syndrome
@ThinkingCC@icmteaching Agreed. Thank you so much Dr. Rola. I hope you continue to post things like this so folks like me can learn and see how you think and make clinical decisions.
@ThinkingCC@icmteaching Add milirinone (we do not have levosimendan) or consider pure vasodilator such as nitro pending degree of renal dysfunction? While evaluating for interface 4 issues and/or dynamic lvot?
Giving away my resident status with “?s” Lol
@ThinkingCC@icmteaching Added inotrope (pp increased, diastolic pressure unchanged, perf on o2 sat decreaed)? Perhaps check cap refill and calculate arterial elastance. see if afterload still to great for CO, if so decrease vasopressor dose or switch inodiltor?
@RitikaTuliMD I really appreciate your posts. So is one favored in bradycardia/normal rhythm? Do you have a recommended equation for those with ventricularly paced rhythms as well?
Thank you
Zack