Matt Siuba(@msiuba) 's Twitter Profileg
Matt Siuba

@msiuba

#Zentensivist & Critical Care APD @CCF_PCCM | #ThePeoplesVentricle🫀Advocate | PH/RV Hemodynamics in ARDS and Liver Disease | “Shoo-ba”

ID:14912281

linkhttps://zentensivist.com/ calendar_today26-05-2008 19:20:04

23,3K Tweets

16,8K Followers

1,1K Following

Philippe Rola(@ThinkingCC) 's Twitter Profile Photo

Exactly. A rising CVP (beyond 8-10) represents the beginning of RV limitation. The minimal increase in SV you may get beyond this will largely be offset by worsening microcirculatory flow. 1/2

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Paul Young(@DogICUma) 's Twitter Profile Photo

Having done a bunch of studies in this space, here is all we know about balanced crystalloids vs. saline in critical illness in one tweet:

If you have a traumatic brain injury give saline; otherwise give a balanced crystalloid.

The end.

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korbinhaycockmd(@khaycock2) 's Twitter Profile Photo

CharlyParCoeur nick pulmcrit Matt Siuba Rory Spiegel 𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 (he/him) 💊 Philippe Rola I try not to think of CVP in terms of preload. CVP & SV are the result of the interaction between the venous return & cardiac functions. If the RV is ⬇️, there will be a faster ⬆️ in CVP with a small ⬆️ in Pmsf & only little ⬆️ in CO. A MAP with a ⬆️CVP isn’t a good MAP.

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Shunichi Nakagawa(@snakagawa_md) 's Twitter Profile Photo

1/ Proud to announce that our “3-stage protocol” for GOC is out in Mayo Clinic Proceedings!!

I came up with this by synthesizing lessons/pedagogy I learned.

Former fellow, Dr. Emily Lu Mount Sinai GeriPal, worked with me to write it up.

mayoclinicproceedings.org/article/S0025-…

1/ Proud to announce that our “3-stage protocol” for GOC is out in @MayoProceedings!! I came up with this by synthesizing lessons/pedagogy I learned. Former fellow, Dr. Emily Lu @MSHSGeriPalCare, worked with me to write it up. mayoclinicproceedings.org/article/S0025-…
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korbinhaycockmd(@khaycock2) 's Twitter Profile Photo

Here my pal Phil is pointing out a problem in medical education. Much of the physiology taught in med school is obsolete, and is further translated at the bedside as irrational. The result is the belief: “despite everything we did for the patient, they still died” Pls do better.

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Zbigniew Putowski(@ZPutowski) 's Twitter Profile Photo

Does increasing the dose of norepinephrine (NE) or giving a bolus of fluids improve capillary refill time (CRT) in patients in septic shock? An interesting study was published in Critical Care few days ago. 🧵ccforum.biomedcentral.com/articles/10.11…

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Emily Moin(@eemoin) 's Twitter Profile Photo

Matt Siuba 'Great presentation. When you talked about the problem of shock, you said it's giving sepsis. Can you say more about that? How did you conclude that alternative etiologies of shock are cap?'

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Ari Moskowitz MD, MPH(@almoskow) 's Twitter Profile Photo

@ LaurentBrochard connecting resuscitation to respiratory physiology. Balance airway closure from compressions and lung volumes below FRC and overdistension from overly large volumes. Nick Mark MD Matt Siuba Michelle Ng Gong Montefiore Critical Care Medicine ATSfellows

@ LaurentBrochard connecting resuscitation to respiratory physiology. Balance airway closure from compressions and lung volumes below FRC and overdistension from overly large volumes. #ReSS23 @nickmmark @msiuba @MichelleNgGong @MontefioreCCM @ATSfellows
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Zbigniew Putowski(@ZPutowski) 's Twitter Profile Photo

1/24 Recently, I started reading a lot about vascular waterfall (VW) and its importance in cardiovascular physiology. It seemed confusing at first, but the more I read about it, the more it fascinated me. 🧵 about physiology!

1/24 Recently, I started reading a lot about vascular waterfall (VW) and its importance in cardiovascular physiology. It seemed confusing at first, but the more I read about it, the more it fascinated me. 🧵 about physiology!
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