Comparison of 6 handhelds by 35 #POCUS experts. Best image quality: Vscan Air for RUQ. Mindray for cardiac. Lumify for superficial. No handheld #1 but Vscan Air preferred. Top 5 features: image quality, ease of use, portability, probe size, battery life. rdcu.be/dVRmZ

(1/x) Treating patients who are fluid responsive with IV fluids is kind of like using a credit card 💳 It definitely works (in the short term), but be careful. The debt that accumulates eventually needs to be paid off. A 🧵 #medtwitter #foamed

This is your daily reminder to #POCUS the IVC in two planes! The short-axis view (found by rotating your probe 90 degrees) can be so helpful in those borderline cases. Example 1: is the long-axis IVC plethoric? Hard to tell, but it appears that way 🤔

(1/x) Shock is the next door neighbor to death. Here are 10 tips for managing your patient with shock. A 🧵 #medtwitter #foamed

American Society of Nephrology Convention at San Diego, CA, USA #ASN2024

#POCUS paper presented in #ASN2024 Convention.

#POCUS mini-fellowship with Dr. Philippe Rola at Santa Cabrini Hospital, Montreal, Canada. Grateful for the experience and learning! #POCUS #VEXUS #4interfaces

The lineup is super exciting this year, with a huge focus on hemodynamics and all things venous congestion 🩸(and of course, #POCUS!) The one and only Philippe Rola has put together an incredible lineup on the R side. The 4-quadrant interface paradigm that had been teased on

Out very very soon🙂 #vexus ping Rory Spiegel korbinhaycockmd André Denault William Beaubien-Souligny

Fantastic study confirming what we have been saying for years. Ignore venous congestion at your patient’s cost - not your own! Ping ⁦Rory Spiegel⁩ ⁦korbinhaycockmd⁩ ⁦Matt Siuba⁩ annalsofintensivecare.springeropen.com/articles/10.11…

1/ #POCUS exam of both the internal jugular vein (the POCUS JVP 🤩) and the IVC can be used to estimate central venous pressure ✅ ⁉️ BUT - what happens when these two scans are discordant?? 🫢 A quick #tweetorial 🧵on interpreting contradictory IVC and JVP results

“Swan-POCUS”. Echocardiographic estimation of haemodynamics and subsequent phenotypization of CS is feasible with good agreement with invasive evaluation. pubmed.ncbi.nlm.nih.gov/39012797/

Basic #POCUS workshop for the Filipino Nephrologists. Part of the Post-Graduate Course of the National Kidney and Transplant Institute (NKTI), Quezon City, Philippines. #POCUS

Air bubbles in the portal vein, also known as portal venous gas or pneumatosis portalis, can be a sign of a number of conditions, including: Mesenteric ischemia Ileus and obstruction Perforated peptic ulcer Inflammatory bowel disease (IBD) Necrotic colon cancer Intrabdominal

🙂Thrilled to share our latest review article, ‘How to Do VExUS’ in The Ultrasound Journal! theultrasoundjournal.springeropen.com/articles/10.11… Huge thanks 🙏to NephroPOCUS & Philippe Rola for invaluable guidance and Nicha A. for 🥇amazing animations. Grateful for this collaboration—onward! #POCUS #VExUS

53 year old male admitted due to shortness of breath. Known case of CKD but not yet on dialysis, with grade 3 bipedal edema. BUT, patient was still hooked to IV fluids (PNSS) at 40 cc per hr, but was given furosemide 40 mg tiv q8H?? This is NOT uncommon practice in my area.

A common phrase often shared with ICU interns is, “You have to swell to get well, and pee to get free.” While catchy, it doesn’t align with physiology. Fluid overload is harmful for critically ill patients and can be prevented through individualized fluid administration.

(6/x) Venous Congestion induced AKI 🫘💧 Everyone organ has a perfusion pressure. For the kidney, this can be approximated by MAP - CVP. When the MAP drops in the ICU, we defend it aggressively with vasopressors / fluids. When the CVP rises we... well often ignore it despite