Discover and read the best of Twitter Threads about #MICU
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🫁 Physics of lung US 🫁
#lungultrasound
#ICU #CriticalCare #IntensiveCare #IntensiveCarecommunity #FOAM #JCardenas_MD #MICU #CICU @JCardenas_MD
#lungultrasound
#ICU #CriticalCare #IntensiveCare #IntensiveCarecommunity #FOAM #JCardenas_MD #MICU #CICU @JCardenas_MD
1️⃣(Left) Ultrasound waves reflected at the pleural line creating A-line reverberation artifacts.🫁
#lungultrasound
#ICU #CriticalCare #IntensiveCare #IntensiveCarecommunity #FOAM #JCardenas_MD #MICU #CICU @JCardenas_MD
#lungultrasound
#ICU #CriticalCare #IntensiveCare #IntensiveCarecommunity #FOAM #JCardenas_MD #MICU #CICU @JCardenas_MD
2️⃣(Center) As the interstitium thickens, the artifact pattern changes, with B-line artifacts obliterating A-lines. B-lines are hyperechoic vertical artifacts arising from the pleural line extending to the bottom of the field of view. 🫁
#lungultrasound
#lungultrasound
Floating the big yellow bird today. (#swanganz #SCG #PAC). Always remember to “lift it, flick it, flush it” and watch the results on the monitor before you set it a sail to make sure you’re on the right channel and you’re scale is correct. #zentensivist @doc_BLocke
Irony is I get flask for not doing bronchs where I rarely find anything and I get flak for doing Swans where, as in this case, I often find useful things
To elaborate on “lift it flick it flush it” just in case it’s not obvious: b/f you float the swan, check it’s response on the monitor: lift it (the tip) 10 cm & see if baseline rises accordingly on the monitor; flick the tip to see if you get deflections; then flush it to see if
THREAD
Recently in our #MICU, I took pics of the oxygen sats of patients on oxygen supplementation.
What is the optimal oxygen supplementation strategy for a clinically stable patient in the ICU?
Follow me down this #tweetorial rabbit hole. #medtwitter #pulmcc #AIMW19
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Recently in our #MICU, I took pics of the oxygen sats of patients on oxygen supplementation.
What is the optimal oxygen supplementation strategy for a clinically stable patient in the ICU?
Follow me down this #tweetorial rabbit hole. #medtwitter #pulmcc #AIMW19
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Given that population health improvements often come from small benefits in large populations, and the fact that #oxygen is one of the most commonly prescribed interventions in the #ICU, there is potential for benefit if we can correctly titrate our oxygen titration.
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I’m going to refer to hypoxia and hyperoxia in this #medthread, and I’d like to (somewhat arbitrarily) define these terms. I’ll call hypoxia anything below 90% and hyperoxia anything above 96%. This is based upon some of the literature I will discuss.
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