Session IV ft @ThinkingCC @aron_jonny @drhazemlashin
https://abs.twimg.com/emoji/v2/... draggable="false" alt="➡️" title="Pfeil nach rechts" aria-label="Emoji: Pfeil nach rechts"> Hemodynamics, RV and #VEXUS #covid19pocus
Early phase = predicted fluid responsive state
RV struggles at an early stage as result of hyperinflammatory lung condition - moderate dilation, increase in TRVmax, worsening RV strain pattern
RV thrombus in COVID19 - consider early TPA
But the LV is also susceptible to stress cardiomyopathy (adrenergic, metabolic, sepsis, high dose sedation). Look for RWMA
Don& #39;t forget the lungs as cause of obstructive shock
Bottom line - Echo is vital for diagnosis, treatment initiation and monitoring
Next up - RV failure in COVID19 @drhazemlashin
*hypoxia *pulmonary vasoconstriction *high PEEP *excess fluids or diuresis are the culprits
*hypoxia *pulmonary vasoconstriction *high PEEP *excess fluids or diuresis are the culprits
Look for acute cor pulmonale using FUSIC techniques http://bit.ly/3eQihuI ">https://bit.ly/3eQihuI&q...
Here& #39;s how....
Who is assessing RV systolic function? https://annalsofintensivecare.springeropen.com/articles/10.1186/s13613-020-0636-2">https://annalsofintensivecare.springeropen.com/articles/...
OK - last leg is @ThinkingCC with #VExUS - quick review
https://abs.twimg.com/emoji/v2/... draggable="false" alt="⬇️" title="Pfeil nach unten" aria-label="Emoji: Pfeil nach unten"> https://theultrasoundjournal.springeropen.com/articles/10.1186/s13089-020-00163-w">https://theultrasoundjournal.springeropen.com/articles/...
My #VEXUS resources
https://abs.twimg.com/emoji/v2/... draggable="false" alt="➡️" title="Pfeil nach rechts" aria-label="Emoji: Pfeil nach rechts"> https://www.acep.org/how-we-serve/sections/emergency-ultrasound/news/june-2020/venous-doppler-and-iv-fluid-administration/">https://www.acep.org/how-we-se...
These guys also
https://abs.twimg.com/emoji/v2/... draggable="false" alt="➡️" title="Pfeil nach rechts" aria-label="Emoji: Pfeil nach rechts"> @iceman_ex @Wilkinsonjonny #more-23104">https://criticalcarenorthampton.com/vexus-score/ #more-23104">https://criticalcarenorthampton.com/vexus-sco...
Could delirium result from venous congestion? https://pubmed.ncbi.nlm.nih.gov/31395469/ ">https://pubmed.ncbi.nlm.nih.gov/31395469/...
This is how @ThinkingCC does it https://thinkingcriticalcare.com/2020/02/28/a-vexus-mini-tutorial-foamed-pocus/">https://thinkingcriticalcare.com/2020/02/2... #covid19pocus
#VExUS and AKI in COVID19 @khaycock2 #covid19pocus https://thinkingcriticalcare.com/2020/06/25/bedside-physiology-in-septic-aki-with-korbin-haycock-foamed-foamcc/amp/?__twitter_impression=true">https://thinkingcriticalcare.com/2020/06/2...
https://threadreaderapp.com/thread/1276898413045526530.html">https://threadreaderapp.com/thread/12... #covid19pocus