Amsterdam Leiden Intensive care Focused Echography, interested in: #POCUS #TTE #TOE #CriticalCareEcho #Echo. Tweeted by @cvelzokraemer
South Holland, The Netherlands
Joined February 2019
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ALIFE retweeted
The question arose on this platform (@iceman_ex and @Acute_Pulmo_Med): what is the effect of the use of LUS on occurence of ARDS? Here is the answer: journals.lww.com/ccmjournal/…
ALIFE retweeted
⏱️Conventional CPR in cardiac arrest only generates a fraction of CO... this is why it is called low flow time. Longer cCPR associated with worse outcome, also if for pts undergoing #ECPR: keeping <20' better, after 45' survival goes down, but we can push to up 60'. When switching from cCPT to ECPR, meaning when to start cannulating (NOT to start moving team)? How to decrease low flow time being on pump quickly?
🚑bringing #ECMO to patient? prehospital cannulation associated with significant resource use but avoid transport of pt with ongoing CPR
🚑bringing patient to nearest hospital meeting #ECMO team there?
🚑bringing patient to #ECMO center?
🏥cannulating in ED or cath lab?
Whatever environment you choose to cannulate, success of the program mostly depend on organized/trained EMS system, rapid identification of eligible patients, early activation of experienced #ECLS team, comfortable with cannulation location, no matter which this is!
M Hernandez-Morgan #ELSO2023
ALIFE retweeted
Predicting LV distension on VA #ECMO? Proposal of formula which may be used to
🧮predict EDV change
🧮predict consequence of interventions impacting on pressure & volume status on LV EDV/SV
🧮better anticipate need for LV venting
#FOAMcc @asaiojournal
🔓bit.ly/3sWgyzW
ALIFE retweeted
#ECMO & #ECC02r domain, led by @dfmcauley, 2 PICO questions:
🩸in adults with severe #ARDS or #COVID19, does VV #ECLS vs conventional protective MV reduce mortality? change! strong recommendation, moderate level of evidence in favour
🩸in adults with severe ARDS, does ECC02r vs conventional protective MV reduce mortality? new recommendation against use outside RCTs (due to increased adverse events for ECCO2r in REST trial)
C Calfee #ESICMwebinar on new @ESICM ARDS guidelines, available #FOAMcc on @yourICM
🫁 bit.ly/43J1OCe
2023 ESICM #ARDS guidelines, project initiated & defined by @ESICM leadership, 3 broad areas of investigation:
🔍review current definition + identify potential areas for improvement/refinement
📚 review current literature on phenotyping + identify important future directions
📑provide evidence-based expert recommendations for respiratory support
#ESICMwebinar
🏥 patients representatives involved #humanizeICU
ps paper available #FOAMcc on @yourICM
🫁 bit.ly/43J1OCe
ALIFE retweeted
#POCUS
To measure #CVP noninvasively...
- connect pressure manometer (1) to ultrasound transducer (2)
- compress cephalic vein until collapse (fig B)
- intravasal venous pressure
on manometer (4) is equal to CVP !!💪
👇 doi.org/10.1016/j.jacc.2007.…
Forearm Compression Sonography
ALIFE retweeted
#POCUS guided central venous catheter placement (short axis): manipulation of the needle and confirmation of the tip in the vessel.
Click 'ALT' for figure description
Source link.springer.com/article/10…
#MedEd #FOAMed #Nephpearls
ALT a When the needle is guided into the scan plane, b the first point of brightness to appear is the needle tip. c Next, the scan plane is moved slightly forward, which causes the point of brightness to disappear. d The needle is again advanced slowly into the scan plane, which causes a point of brightness to reappear. e Repeating this manipulation, needle gradually reaches the target vein. f When the needle tip touches anterior wall of the vein, it creates a small dimple, turning the vein into a heart shape. Pushing the needle into the vein with a snapping motion allows it to move a short distance so that it only penetrates the anterior wall. (Venous pressure is normally low; thus, if the needle is pressed slowly into the anterior wall and the tip reaches the posterior wall, it could penetrate the posterior wall as well) g Finally, anterior wall returns to its original shape, the shaft comes into view, and the tip can no longer be seen. h To see the tip, move the scan line forward.
ALIFE retweeted
How I Teach: Ultrasound-guided Peripheral Venous Access
🔗 https://nitter.gq/t.co/pe3ynyxR6b
ALIFE retweeted
A comparison of longitudinal and transverse approaches to #ultrasound guided axillary vein cannulation by experienced operators.
🔗cdn.amegroups.cn/journals/pb…
#POCUS #MedEd #FOAMed
ALIFE retweeted
Pulmonary Vein Doppler 📚📖
We can glean a surprising amount of information from the pulmonary vein flow alone.. don’t ignore the pulmonary veins 👇
#echofirst ♥️
ALIFE retweeted
Apparently, not so much... Multistage #ECMO cannulas: first holes get it all? high drainage flow despite misplacement
ps go for #POCUS monitoring!! #echofirst
#FOAMcc on @yourICM
🔓 rdcu.be/daRx3
#EuroELSO2023
ALIFE retweeted
The Impact of Thoracic Ultrasound on Clinical Management of Critically Ill Patients (UltraMan)
➡️725 TUS - 111 operators - 534 pts
➡️TUS changed clinical impression in 48%
➡️Management change in 39%
➡️Difference in fluid balance
CCR Journal Watch
criticalcarereviews.com/late…
ALIFE retweeted
Just published @Nature
Impressive. A wearable patch that acquires continuous, real-time ultrasound images of the heart at rest, on the go, and during exercise (echocardiograms) with automated processing
nature.com/articles/s41586-0…
ALIFE retweeted
New hepatic #VExUS study: ⬆️in retrograde flow during 1st 24h following cardiac surgery is associated with +ve💧balance & RV dysfunction.
Used VTI but essentially confirms the point that if u see more flow above-the-baseline, it's not good.🔗mdpi.com/2075-4418/12/12/317… #POCUS #FOAMcc
ALIFE retweeted
New review article on #TEE in cardiac arrest by @FTeranMD and co in @CJCJournals
I particularly like the proposed arrest algorithm integrating TEE as well as the graphic demonstrating positioning of resus team members
#echo #POCUS #CardiacArrest
🔗onlinecjc.ca/article/S0828-2…
ALIFE retweeted
Temporary #PhrenicNerve stimulated patients: What is the role of #Ultrasound examination?👇
bit.ly/3FdnPxR
@CharlesUniPRG🇨🇿| @RoubikKarel #VIDD #Diaphragm #Review
ALIFE retweeted
Simple, easy and practical way to differentiate between different types of shock. Apply pulsed wave Doppler in the LVOT,Trace the LVOT VTI,Then follow the algorithm.
For more tips, join CQs Medshr group
medshr.it/cardioquizzes
#echofirst
#CardioTwitter
ALIFE retweeted
✅Wearable ultrasound hemodynamic monitoring: bio-adhesive ultrasound (BAUS)
A potential alternative for point-of-care ultrasound (#POCUS) in the future
🔗rdcu.be/cYskD
#FOAMcc #MedTwitter
ALIFE retweeted
#WINFOCUS22 world #POCUS congress w/@TrEmatus sneak-peak of excellent lecture(re)s;
Dr.JonEmileKelly, ”Hemodynamics & Wearable Ultrasound”,3DEC@9:40
winfocusworldcongress.com/re…
ALIFE retweeted
Fluid management in acute kidney injury: from evaluating fluid responsiveness towards assessment of fluid tolerance
I hope you guys like our Educational Review!
doi.org/10.1093/ehjacc/zuac1…
drive.google.com/file/d/1Arb…
ALIFE retweeted
Awake-ECMO safe/feasible in a selected proportion of this patients with severe #COVID19 #ARDS, but could provide advantages outweighing potential risks. Factors associated with the successful outcome for this strategy still to be clarified @asaiojournal
📎 bit.ly/3qtfRKk
