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Eduardo R Argaiz
ArgaizR
AKI and #COVID19 68 yo PMH obesity, HTN, CAD w stent, OSA, T2DM ED w SOB + fever 39.9°C. Poor oral intakeRR 40, Sat 94% Room Air, BP 157/74
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Which of these patients has a more severe degree of venous congestion? #VExUS Thread about the Portal Vein (1/17) Video above shows IVC in short axis, long axis and
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Pt w COVID19 PNA. Talking but w refractory hypoxemia 88% on 15 L NRB. RR 22 HR 103. Intubation was planned. No good peripheral IV. I placed a #POCUS guided
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Management of COVID-19 Respiratory Distress @JAMA_current: 4 most noteworthy points with some thoughts (1/9):"Types L and H are the conceptual extremes of a spectrum that includes intermediate stages, in which
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#COVID19 Early vs delayed intubation. IMV has many known adverse effects and complications. Why would anyone want to intubate early? Two proposed reasons: 1) Prolonged hypoxemia might be harmful 2)
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After reading this by Dr Corey Hardin https://mailchi.mp/e10a89ac5988/tz4idnzryr-4388986?e=067eb3a1b5 I totally agree with @PulmCrit. “L-Type” proposal ignores years of research on ARDS pathopys. Alveolar instability should be recrutable! Early ARDS
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Case of mine: Young patient, O2sat
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