Lars Mølgaard Saxhaug · @load_dependent
601 followers · 1262 posts · Server critcare.socialI have to say I miss the old #ASE #Echocardiography guideline app, but the #BSE app is a great replacement https://apps.apple.com/app/id468166426 #Cardiology
#ase #echocardiography #bse #cardiology
Lars Mølgaard Saxhaug · @load_dependent
590 followers · 1048 posts · Server critcare.social
A very interesting paper evaluating the effect of correcting low preload in critically ill patients, appropriately pointing out that global longitudinal strain alone cannot be used in this cohort to diagnose cardiac dysfunction. Preload induced change in GLS follows change in CI. https://annalsofintensivecare.springeropen.com/articles/10.1186/s13613-018-0376-8
#CriticalCare #CardiacDysfunction #GlobalLongitudinalStrain #echocardiography #POCUS
#CriticalCare #cardiacdysfunction #globallongitudinalstrain #echocardiography #POCUS
Zedu Ultrasound · @zedunow
229 followers · 595 posts · Server med-mastodon.com
Eye-tracking during simulation-based #echocardiography: a feasibility study
https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-023-04458-z
#echocardiography #ultrasound #POCUS #ultrasoundtraining
Lars Mølgaard Saxhaug · @load_dependent
573 followers · 895 posts · Server critcare.social@strain_rate here’s one study showing how LA reservoir strain decreases in normal subjects as preload is reduced during a tilt manoeuvre #echocardiography #echofirst #Physiology https://www.sciencedirect.com/science/article/pii/S0894731718304048
#echocardiography #echofirst #physiology
Lars Mølgaard Saxhaug · @load_dependent
573 followers · 861 posts · Server critcare.social
Reposting this fasctinating study here that I shared last year, on the effects on RAP and PCWP of rapid fluid loading (100-200ml/min 1L + 1L warm NS), in a first in healthy younger and older (>50yo) subjects. Striking results, with marked increases in pressures despite absence of heart failure. #echocardiography #cardiology #CriticalCare #Physiology https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.112.111302
#echocardiography #cardiology #CriticalCare #physiology
Romain Barthélémy · @rombarthelemy
117 followers · 222 posts · Server critcare.socialA 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
#POCUS #CriticalCare #echocardiography #Hemodynamics #CardiacOutput #pac #SwanGanz
Romain Barthélémy · @rombarthelemy
85 followers · 125 posts · Server critcare.socialConfusion 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
#AcuteCorePulmonale #RightVentricularDysfunction #icu #echocardiography #RightVentricularFunction #POCUS #CriticalCare #Hemodynamics #ThePeoplesVentricle #RightVentricle #rv #anaesthesia #foamcc
Romain Barthélémy · @rombarthelemy
85 followers · 125 posts · Server critcare.socialConfusion 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/36335955/
#POCUS #CriticalCare #Hemodynamics #ThePeoplesVentricle #RightVentricle #RV #Anaesthesia #FOAMcc
#AcuteCorePulmonale #RightVentricularDysfunction #icu #echocardiography #RightVentricularFunction #POCUS #CriticalCare #Hemodynamics #ThePeoplesVentricle #RightVentricle #rv #anaesthesia #foamcc
Romain Barthélémy · @rombarthelemy
85 followers · 125 posts · Server critcare.socialConfusion 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://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/ftr/10.1111/anae.15794
#POCUS #CriticalCare #Hemodynamics #ThePeoplesVentricle #RightVentricle #RV #Anaesthesia #FOAMcc
#AcuteCorePulmonale #RightVentricularDysfunction #icu #echocardiography #RightVentricularFunction #POCUS #CriticalCare #Hemodynamics #ThePeoplesVentricle #RightVentricle #rv #anaesthesia #foamcc
Romain Barthélémy · @rombarthelemy
85 followers · 125 posts · Server critcare.socialConfusion 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.
#POCUS #CriticalCare #Hemodynamics #ThePeoplesVentricle #RightVentricle #RV #Anaesthesia #FOAMcc
https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/ftr/10.1111/anae.15794
#AcuteCorePulmonale #RightVentricularDysfunction #icu #echocardiography #RightVentricularFunction #POCUS #CriticalCare #Hemodynamics #ThePeoplesVentricle #RightVentricle #rv #anaesthesia #foamcc
Romain Barthélémy · @rombarthelemy
85 followers · 125 posts · Server critcare.socialConfusion 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 disseminate.
#POCUS #CriticalCare #Hemodynamics #ThePeoplesVentricle #RightVentricle #RV #Anaesthesia #FOAMcc
https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/ftr/10.1111/anae.15794
#AcuteCorePulmonale #RightVentricularDysfunction #icu #echocardiography #RightVentricularFunction #POCUS #CriticalCare #Hemodynamics #ThePeoplesVentricle #RightVentricle #rv #anaesthesia #foamcc
Romain Barthélémy · @rombarthelemy
85 followers · 125 posts · Server critcare.socialConfusion 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 disseminate.
#POCUS #CriticalCare #Hemodynamics #Anaesthesia #FOAMcc
https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/ftr/10.1111/anae.15794
#AcuteCorePulmonale #RightVentricularDysfunction #icu #echocardiography #RightVentricularFunction #POCUS #CriticalCare #Hemodynamics #anaesthesia #foamcc
Romain Barthélémy · @rombarthelemy
82 followers · 118 posts · Server critcare.social
Association between the early use of #Echocardiography in #ICU and outcomes in the patients with respiratory and hemodynamic support
https://www.sciencedirect.com/science/article/pii/S0883944122001897
#echocardiography #icu #POCUS #CriticalCare
Lars Mølgaard Saxhaug · @load_dependent
476 followers · 453 posts · Server critcare.social
6th paper of my #adventarticles: E/E’ has fair correlation to LAP under certain conditions across populations, but how does it track within individual change in LAP? Poorly it seems in this study, and several others have shown E/E’ increasing in healthy hearts with preload reduction. https://www.ahajournals.org/doi/full/10.1161/CIRCIMAGING.110.960575 #echocardiography #critcareecho #physiology
#adventarticles #echocardiography #critcareecho #physiology
Lars Mølgaard Saxhaug · @load_dependent
463 followers · 406 posts · Server critcare.social1st day of #adventarticles, sharing some of my all time favourite papers:
"Ejection Fraction Revisited" from Robotham et al, THE paper to read on ejection fraction.
One of many key takeaways:
Hyperdynamic LV/supranormal EF is not a sign of low preload, on the contrary EF is relatively preload insensitive and if anything very low preload lowers EF.
https://pubs.asahq.org/anesthesiology/article/74/1/172/31892/Ejection-Fraction-Revisited #physiology #criticalcare #echocardiography
#adventarticles #physiology #CriticalCare #echocardiography
Lars Mølgaard Saxhaug · @load_dependent
438 followers · 286 posts · Server critcare.socialExcelent example illustrating that MAPSE, TAPSE and mitral/tricuspid annulus tissue doppler velocities aren’t representative and should not be trusted when apex is not stationary, a quite common finding not leat in RV dysfunction. #echocardiography https://twitter.com/argulian/status/1595125295904088064?s=46&t=FrtHdpb02j-3NH4Sj0Oq6A
Lars Mølgaard Saxhaug · @load_dependent
428 followers · 244 posts · Server critcare.social
Another trial of automated EF measurements, limits of agreement +- about 20% seems less than tolerable. Off course, always a question how much error there is in the reference standard too. #echocardiography #ai https://www.mdpi.com/2075-1729/12/9/1413/htm
Lars Mølgaard Saxhaug · @load_dependent
389 followers · 210 posts · Server critcare.social#introduction to new instance!
I'm an end stage #cardiology trainee working in Trondheim, Norway, finishing up a PhD in #POCUS in stroke care, aiming to subspecialise in #cardiaccriticalcare and #imaging. Obsessed with #criticalcare #echocardiography, fascinated by #physiology and #statistics, concerned about the future of our #publichealthcare system, #socialdeterminantsofhealth and #climatechange
Toots in English, Norwegian, Danish and French.
#introduction #cardiology #POCUS #cardiaccriticalcare #imaging #CriticalCare #echocardiography #physiology #statistics #publichealthcare #socialdeterminantsofhealth #climatechange
Lars Mølgaard Saxhaug · @load_dependent
381 followers · 205 posts · Server critcare.socialMPI aka Tei index is often described as an integrated index of systolic and diastolic function. In truth, this applies to pretty much any measure of cardiac function in #echocardiography. Diastole and systole are inextricably linked. #foamcc @echo@a.gup.pe
Lars Mølgaard Saxhaug · @load_dependent
381 followers · 205 posts · Server critcare.socialMPI aka Tei index is often described as an integrated index of systolic and diastolic function. In truth, this applies to pretty much any measure of cardiac function in #echocardiography. Diastole and systole are inextricably linked. #foamcc #echocardiography @echo@a.gup.pe