Romain Barthélémy · @rombarthelemy
189 followers · 807 posts · Server critcare.social

Should Be Remembered When Patients With Are Resuscitated
“Although no significant difference in 28-day mortality rate or 90-day mortality rate was observed between the use of albumin and , 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.

journal.chestnet.org/article/S

#albumin #septicshock #crystalloids #colloids #foamcc #chest #CriticalCare #Sepsis #Hemodynamics

Last updated 2 years ago

Romain Barthélémy · @rombarthelemy
182 followers · 760 posts · Server critcare.social

But what strikes me most is that it is becoming more and more easy to track flow changes in patient.

In their work, they present a little wearable Doppler ultrasound.

There is now no reason to justify that every mL of fluid given to improve the patient hemodynamics’ isn’t monitored accurately and that clinicians still rely on poor or inappropriate surrogates (including HR, MAP, PP, PPV, urine output, etc.)

#jintensivecare #physiology #Hemodynamics #foamcc #Monitoring #CriticalCare

Last updated 2 years ago

Romain Barthélémy · @rombarthelemy
182 followers · 755 posts · Server critcare.social

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.

jintensivecare.biomedcentral.c

#jintensivecare #foamcc #CriticalCare #physiology #Hemodynamics

Last updated 2 years ago

Romain Barthélémy · @rombarthelemy
146 followers · 540 posts · Server critcare.social

I would have bet on cardiogenic pulmonary edema

#CriticalCare #Monitoring #Hemodynamics #heartfailure #ARDS

Last updated 2 years ago

Romain Barthélémy · @rombarthelemy
143 followers · 503 posts · Server critcare.social

@load_dependent very nice illustration of the powerful synergy of life-support AND monitoring

none of them alone can improve patients

#CriticalCare #Hemodynamics #physiology #foamcc

Last updated 2 years ago

Romain Barthélémy · @rombarthelemy
140 followers · 473 posts · Server critcare.social
Romain Barthélémy · @rombarthelemy
130 followers · 400 posts · Server critcare.social

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

journal.chestnet.org/article/S

#CriticalCare #POCUS #Hemodynamics

Last updated 3 years ago

Romain Barthélémy · @rombarthelemy
118 followers · 294 posts · Server critcare.social
Romain Barthélémy · @rombarthelemy
118 followers · 294 posts · Server critcare.social
Romain Barthélémy · @rombarthelemy
117 followers · 222 posts · Server critcare.social

A good idea and its validation.

Because LVOT area is related to body surface area:

echoVTI x HR x k = indexed CO

pubmed.ncbi.nlm.nih.gov/364960

#POCUS #CriticalCare #echocardiography #Hemodynamics #CardiacOutput #pac #SwanGanz

Last updated 3 years ago

Romain Barthélémy · @rombarthelemy
117 followers · 222 posts · Server critcare.social

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

pubmed.ncbi.nlm.nih.gov/366090

#CriticalCare #physiology #Hemodynamics #Inotrope #Sepsis #shock

Last updated 3 years ago

Romain Barthélémy · @rombarthelemy
85 followers · 125 posts · Server critcare.social
Romain Barthélémy · @rombarthelemy
85 followers · 125 posts · Server critcare.social
Romain Barthélémy · @rombarthelemy
85 followers · 125 posts · Server critcare.social
Romain Barthélémy · @rombarthelemy
85 followers · 125 posts · Server critcare.social
Romain Barthélémy · @rombarthelemy
85 followers · 125 posts · Server critcare.social
Romain Barthélémy · @rombarthelemy
85 followers · 125 posts · Server critcare.social
Timothy Ellender · @tjelle13
9 followers · 112 posts · Server med-mastodon.com

RT @JcmcSoMe@twitter.com

Can the carotid flow VTI be a surrogate of the LVOT VTI in critical pts?

link.springer.com/article/10.1

New study from 🇦🇷 @Issac80@twitter.com @vickyoteroc@twitter.com @Ariel2515Sosa@twitter.com @pablommerlomd@twitter.com @panchopocus@twitter.com out in the

❤️ RT, comment and follow us!

🐦🔗: twitter.com/JcmcSoMe/status/15

#jcmc #POCUS #intensivecare #Hemodynamics

Last updated 3 years ago

Rebecca Vanderpool · @rrvdpool
5 followers · 1 posts · Server med-mastodon.com

An . I am an Assistant Professor at The Ohio State University. A Biomedical Engineer that is interested in , and .

The Vanderpool Lab' focuses on novel markers of function using hemodynamics () and imaging in patients with . :heart_anatomical: :lung:

Enjoy the DALLE generated heart/lung picture.

#introduction #RightVentricle #Hemodynamics #rstats #physiology #rightventricular #rv #pvloops #CMR #PulmonaryHypertension

Last updated 3 years ago