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
Look for acute cor pulmonale using FUSIC techniques http://bit.ly/3eQihuI ">https://bit.ly/3eQihuI&q...
Here& #39;s how....
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...
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