#criticalcare — Public Fediverse posts

The previous consensus on circulatory shock and hemodynamic monitoring was brilliant. I have a talk for the residents of our ICU which is almost entirely based on this paper.

https://link.springer.com/article/10.1007/s00134-014-3525-z

#Hemodynamics #Monitoring #CriticalCare #Shock #FOAMcc

Nice paper for the fans of #physiology of the mechanisms of #hypoxemia

https://annalsofintensivecare.springeropen.com/articles/10.1186/s13613-023-01202-0#Bib1

#AIC #CriticalCare #FOAMcc #Hemodynamics

#Albumin Should Be Remembered When Patients With #SepticShock Are Resuscitated

“Although no significant difference in 28-day mortality rate or 90-day mortality rate was observed between the use of albumin and #crystalloids, #colloids appeared to be more effective than crystalloids in stabilizing hemodynamic end points”

I couldn't agree more. Sometimes you have to find what to do at the moment. It is safe and may help.

https://journal.chestnet.org/article/S0012-3692(23)00654-2/fulltext

#FOAMcc #CHEST #CriticalCare #Sepsis #Hemodynamics

Nice work by Jon-Emile Kenny et. al emphasizing that a significant amount of fluid challenge in ED are ineffective to improve flow, therefore can’t have any positive effect at all.

https://jintensivecare.biomedcentral.com/articles/10.1186/s40560-023-00655-6

#JIntensiveCare #FOAMcc #CriticalCare #Physiology #Hemodynamics

I would have bet on cardiogenic pulmonary edema

#CriticalCare #Monitoring #Hemodynamics #HeartFailure #ARDS

A great reminder for all residents to read.

https://www.sciencedirect.com/science/article/pii/S0952818023000260

#CriticalCare #Hemodynamics #physiology #JClinAnesth #FAOMcc

Critical Care Transesophageal Echocardiography for the Resuscitation of Shock: An Important Diagnostic Skill for the Modern Intensivist

https://journal.chestnet.org/article/S0012-3692(22)03710-2/fulltext

#CriticalCare #POCUS #Hemodynamics

The story of PAC in CCM

https://pubmed.ncbi.nlm.nih.gov/36661446/

#Hemodynamics #Monitoring #Physiology #Shock #PAC #CriticalCare #CCM

A good idea and its validation.

Because LVOT area is related to body surface area:

echoVTI x HR x k = indexed CO

https://pubmed.ncbi.nlm.nih.gov/36496041/

#POCUS #CriticalCare #Echocardiography #Hemodynamics #CardiacOutput #PAC #SwanGanz

IMO we are discussing the choice of an inotrope when we don't even know if it is useful

https://pubmed.ncbi.nlm.nih.gov/36609077/

#CriticalCare #Physiology #Hemodynamics #Inotrope #Sepsis #Shock

Confusion between #AcuteCorePulmonale and #RightVentricularDysfunction is common in #ICU.

A very important reminder that anyone using #Echocardiography to assess #RightVentricularFunction in critically ill patients should read and share.

https://pubmed.ncbi.nlm.nih.gov/35737442/

#POCUS #CriticalCare #Hemodynamics #ThePeoplesVentricle #RightVentricle #RV #Anaesthesia #FOAMcc