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🩺 Hari (హరి 🇮🇳) Kalagara UVA Anesthesiology Samer Narouze,MD,PhD,MMM Mayo Clinic Department of Anesthesiology MCF Anesthesiology Residency Dr. Vishal Uppal MBBS, FRCA 🇨🇦🇮🇳🏴󠁧󠁢󠁳󠁣󠁴󠁿 David Provenzano, MD ASA® Michael Mazzeffi Priyanka Singla Bhavana Yalamuru Iyabo Muse, MD, FASA Melissa Byrne DO MPH FASA Brett Elmore, MD Nabil Elkassabany MD MBA MSCE UVA Regional ASRA Pain Medicine Mayo Clinic Pain Medicine Thank you so much Mayo Clinic Department of Anesthesiology ! It was such an honor to be invited to spend time with such faculty! Such an amazing talented group! I really appreciated it!

#POCUS What is this trace 👇🏿? What does it signify? How would you deal ? #VExUS ASRA Pain Medicine Govind Panda Nathan Waldron SCCM NephroPOCUS Eduardo R Argaiz Ross Prager Philippe Rola Matt Siuba korbinhaycockmd Curro Miralles Gokul Sagar Kiran Rikhraj Philip Jones Pablo Moreno Franco Jonny Wilkinson Segun Olusanya (He/Him) [email protected]

🩺 Hari (హరి 🇮🇳) Kalagara ASRA Pain Medicine Govind Panda Nathan Waldron SCCM NephroPOCUS Eduardo R Argaiz Ross Prager Philippe Rola Matt Siuba korbinhaycockmd Gokul Sagar Kiran Rikhraj Philip Jones Pablo Moreno Franco Jonny Wilkinson Segun Olusanya (He/Him) [email protected] POCUSmedicine POCUS 101 IM POCUS Focus Mohan Sai Gudela, MD Mourad H Senussi, MD, MS Yuriy Bronshteyn 🇺🇦 Stephen Haskins Marcus Peck Ashley Miller Robert Jones, DO Marked portal vein pulsatility (>50%) = suggestive of systemic venous congestion.Often due to elevated RA pressure (e.g. RV dysfunction or TR). → Consider fluid offloading → Optimize RV function if impaired But always start with clinical history — context is key.

"Fluid-induced harm in the hospital: look beyond volume and start considering sodium"(Van Regenmortel et al., Ann. Intensive Care, 2021). Let’s dive into a key piece that urges us to rethink fluid therapy beyond volume. doi.org/10.1186/s13613… #FluidManagement #ICU #POCUS 🧵👇

Join in 🇭🇰 to learn all about “Ultrasound” in Anesthesia & Pain Medicine ! ISSPS 2025 with Dr Manoj Kumar Karmakar ! 👉 aic.cuhk.edu.hk/issps2025/# November 6-8th, 2025. #regionalanesthesia #Pain #POCUS Ranjith K Sivakumar ASRA Pain Medicine ESRA | European Society of Regional Anaesthesia AORA India Samer Narouze,MD,PhD,MMM Eleni Moka

#FridayMotivation Nearly a decade ago…I visited Mayo Clinic as a visitor. That day I felt ambitious to make it as my future work place …made it ! Dream 😴 High…. Work hard relentlessly to succeed.. If I can do anyone can do !! 🙏 ASRA Pain Medicine Sree H Praveen Kolli Samer Narouze,MD,PhD,MMM

#POCUS 💥Check out …. 💦Demystifying #VExUS 💦 ! 👉 review.jove.com/t/68107/demyst… NephroPOCUS Yuriy Bronshteyn 🇺🇦 Duke University 🙏 ASRA Pain Medicine IAPN Eduardo R Argaiz Govind Panda Nathan Waldron Philip Jones Mourad H Senussi, MD, MS SCCM Society of Cardiovascular Anesthesiologists | SCA Archer Martin Pramod K Guru.MBBS,MD,DM,FASN Curro Miralles Chris Yap Stephen Haskins

Time for another lung tweetorial! A patient was intubated for pulmonary aspiration. No more secretions were obtained, but the patient was 'stuck' at 30% FiO₂ Here's the lung ultrasound of the right base (left was normal) What does it show?

Presenting: Our new SAMBA President, Dr. Alberto Ardon, from Mayo Clinic in Florida/FSA. #SAMBA25 Society for Ambulatory Anesthesia (SAMBA) MCF Anesthesiology Residency Florida Society of Anesthesiologists

Today I had the honor of starting my term as president of the Society for Ambulatory Anesthesia (SAMBA). I will work hard to ensure we work toward our goals and fulfill our mission of serving our members via our 5-year strategic plan, SAMBA 2030: Lead. Innovate. Together.

We are so grateful to have celebrated our 50th anniversary with over 1,000 of you at #ASRASPRING25! Today is the last day to claim CME credits and have them submitted to The American Board of Anesthesiology, so complete your evaluations by 11:59 pm ET! Cheers to 50 years! ➡️ youtu.be/l6dio8HltN8

#regionalanesthesia Join us NYSORA Anesthesia Summit 2025 to know the latest evidences, updates and controversies in #Anesthesiology ! 👉 nysora.com/anesthesia-sum… 🇧🇪 June 13-15, 2025. Prof Admir Hadzic Steve Coppens Jeff Gadsden Jerry Jones Athmaja Thottungal Samer Narouze,MD,PhD,MMM

#MayoAnes Mayo Clinic Very delightful to see Philip Jones talk about the future bright Vision & Mission of Mayo Clinic Department of Anesthesiology MCF Anesthesiology Residency Anesthesiology Department at our 1st staff meeting ! Golden days ahead 💪! Gianrico Farrugia Kent Thielen Ryan Chadha Archer Martin Nathan Waldron

🧵 How accurate is POCUS for shock diagnosis? A new systematic review & meta-analysis in Critical Care (2023) by Yoshida et al. breaks it down. Spoiler: not all shocks are created equal… 👇 ccforum.biomedcentral.com/articles/10.11…

Lovely article on VExUS by 🩺 Hari (హరి 🇮🇳) Kalagara NephroPOCUS 🙌 app-jove-com.bdigitaluss.remotexs.co/fr/t/68107/dem…

For recent updates and clinically relevant references on PVB 👇🏽 asra.com/news-publicati… ASRA Pain Medicine

An exclusive webinar featuring two world-renowned experts in (POCUS) Rosie Hogg 🩺 Hari (హరి 🇮🇳) Kalagara as they join us for an exciting session led by Francois Retief Whether you just starting POCUS or looking to take your skill to next level,join us &register: us02web.zoom.us/webinar/regist…

Some personal news🎉 I’ve been promoted to Professor at DalMedSchool , effective July 1, 2025! Deeply thankful to the mentors, colleagues & collaborators at Dalhousie University & around the world who’ve shaped this journey Thanks to DalAnesthesia for an incredible 10 years of support🙏

Dr. Vishal Uppal MBBS, FRCA 🇨🇦🇮🇳🏴󠁧󠁢󠁳󠁣󠁴󠁿 DalMedSchool Dalhousie University DalAnesthesia Dr.Dolores M McKeen 🇨🇦 🩺 Hari (హరి 🇮🇳) Kalagara Ed Mariano, MD, MAS, FASA, FASRA 🇺🇸🇵🇭 meg rosenblatt Raj Gupta, MD, FASRA Philip Jones Alan Macfarlane Steve Coppens Sara Amaral, MD, EDRA, DESAIC Congratulations Professor Uppal. Very well deserved! A prolific scholar, an outstanding clinician and overall an amazing person. Your leadership skills are inspiring. You lead with humility and grace !! Dr. Vishal Uppal MBBS, FRCA 🇨🇦🇮🇳🏴󠁧󠁢󠁳󠁣󠁴󠁿