💉 Norepinephrine dose & concentration reporting Homogenizing practice to provide safer/more efficient care
🔓 rdcu.be/dGaxN

💉On comment on NE dose reporting/compounding
🔓 rdcu.be/dGayF

💉Refer to editorial focusing on NE dosing
🔓 rdcu.be/dGazg

Muy feliz de haber participado en el VIII Simposio de Monitoreo Hemodinamico @monitoreohem en Querétaro, México.
¡Rodeado de grandes amigos, entretenidas conversaciones, y buenos momentos!!
Job 🇲🇽 Dr. Miguel Ibarra-Estrada Thierry Hernández-Gilsoul MD, MPH Orlando R. Pérez-Nieto COMECEQ A.C. Muchas gracias!

It’s finally here! In the largest global study so far, only 2% of professionals were able to identify all the patient-ventilator discordances. Ventilator waveform training is as effective as a long ICU work experience. #SEVARounds is my go-to. More interesting data in the paper.

Timely publication jie Dr. Miguel Ibarra-Estrada et al!

Survey of Ventilator Waveform Interpretation Among ICU Professionals rc.rcjournal.com/content/early/…

Norepinephrine is such a powerful vasopressor due to its effects on both cardiac output and SVR to increase the MAP. This image depicts how it affects the CO. 🎩 tip to the authors including Dr. Miguel Ibarra-Estrada and Christian Jung.

eddyjoemd.com/foamed/

🚀 Dive deeper into mechanical ventilation with #SEVAVentRounds ! Join us for enriching 30-min discussions.
LINK: protect-us.mimecast.com/s/eGBPCBBpkGiD…
Learn, discuss, and grow together!

CCF Pulmonary and Critical Care Fellows
Matt Siuba
Sameed M
Aman Thind
Society of Mechanical Ventilation
VentBusters
Dr. Miguel Ibarra-Estrada

🌬️ Mastering early cycle in pressure support on #SEVAVentRounds ! Learn about rise time & tackling peak flow challenges. A deep dive into enhancing patient-ventilator synchrony. 🏥🔍 📹 Watch now: youtu.be/YUkDytFGoj0?fe…
CCF Pulmonary and Critical Care Fellows Dr. Miguel Ibarra-Estrada Ariel J Garnero Silvio A. Ñamendys-Silva Matt Siuba

🚀 Dive deeper into mechanical ventilation with #SEVAVentRounds ! Join us for enriching 30-min discussions. 🌟
🗓️Today, 2 PM EST 🔗cmrccf.webex.com/cmrccf/j.php?M… 📚 Learn, discuss, and grow together! CCF Pulmonary and Critical Care Fellows Matt Siuba Sameed M Aman Thind Society of Mechanical Ventilation VentBusters Dr. Miguel Ibarra-Estrada

Save the Date!!!😎💪

Vasopressors? Focus on norepinephrine
💉pharmacological properties
💉current dosing strategies
Consensus of definitions needed (ie refractory shock or high-dose vasopressors) as equivalences between drugs (catecholaminergic/non) to facilitate comparisons
🔓rdcu.be/dBHs4

New article published in Intensive Care Medicine - Link: rdcu.be/dBGSF 📝 „Knowing the ropes of vasopressor dosing: a focus on norepinephrine“ - strategies♟️, targets 🎯, properties ⚖️. Great collaboration Dr. Miguel Ibarra-Estrada & #EKattan #shock #microcirculation M Velia Antonini Uniklinik Düsseldorf

Two interesting Editorials appeared today in Intensive Care Medicine (online first). All authors deeply involved in ANDROMEDA-SHOCK-2, a major ongoing septic shock RCT with already 1020 (of 1500) pts recruited worldwide😎. Several ideas discussed there💪😎

Such a honor to co-author in 'Knowing the ropes of vasopressor dosing: a focus on norepinephrine', within the new section 'ICU Toolbox' of Intensive Care Medicine Intensive Care Medicine, concise and insightful papers on the most relevant subjects in critical care.

link.springer.com/article/10.100…

Latest SEVA VentRouds: late cycling in PC-CSVs; we changed the exp threshold from 1 to 70%, see what happened. Does the peak at the end of the breath matter? We keep learning...
youtu.be/hQW46sUaVEQ?fe…

Sameed M Matt Siuba Dr. Miguel Ibarra-Estrada J. Martin Nunez silveira Society of Mechanical Ventilation Centre of Excellence in Mechanical Ventilation

Hot off the press! #SBT #mechanicalventilation

AARC Clinical Practice Guideline: Spontaneous Breathing Trials for Liberation From Adult Mechanical Ventilation rc.rcjournal.com/content/early/…

SEVA VentRounds today at 2 PM EST free link protect-us.mimecast.com/s/eGBPCBBpkGiD…

Dr. Miguel Ibarra-Estrada Mohammed Megri. MD CCF Pulmonary and Critical Care Fellows Pulm PEEPs VentBusters Matt Siuba Andrew Miller MSc RRT-ACCS RRT-NPS FAARC FCCM SCCMohio SCCM Respiratory Care Section American Association for Respiratory Care Ariel J Garnero MS in Respiratory Care at Texas State University Society of Mechanical Ventilation

'Auto P0.1'. This is how I perform blind assessments of the proficiency of our ICU residents at fine tuning support in patients on spontaneous (PC-CSVs), which is widely neglected. The immediate behavior of respiratory drive according to changing support levels is wonderful.

What mode is it? TAG? Load? What king of no ideal pt-vent interactions do you observe? Fede Gordo Doc Musician Dr. Miguel Ibarra-Estrada Eduardo Mireles-Cabodevila CCF Pulmonary and Critical Care Fellows Society of Mechanical Ventilation SCCM Respiratory Care Section Mohammed Megri. MD Aman Thind IMCrit Critical Concepts Sateesh chandra

🧐El monitoreo multimodal durante la ventilación mecánica nos permite abordar varios aspectos del impacto de la presión positiva sobre el sistema respiratorio.
🎥En el video del ejemplo, vemos la distribución del volumen ciclo a ciclo, la Peso y PTP.
¿Qué opinan?
#some4mv

A basic concept today for SEVA VentRounds today at 2 PM EST free link protect-us.mimecast.com/s/eGBPCBBpkGiD…

Dr. Miguel Ibarra-Estrada Mohammed Megri. MD CCF Pulmonary and Critical Care Fellows Pulm PEEPs VentBusters Matt Siuba Andrew Miller MSc RRT-ACCS RRT-NPS FAARC FCCM SCCMohio SCCM Respiratory Care Section American Association for Respiratory Care Ariel J Garnero MS in Respiratory Care at Texas State University Society of Mechanical Ventilation