Very thankful to my fellows for the kind recognition. Teaching engaged learners is a privilege.

@argaiz.bsky.social teaches POCUS applications of AKI in people and the challenging interplay between volume status and perfusion #vetnephhc

The 2025 Renal Week conference starts next week! Im so excited Drs @melhoenig.bsky.social, @argaiz.bsky.social @nephrotox.bsky.social, Shawn Sarin, and Makoto Kuro-O (who discovered klotho!) will be speaking alongside some amazing vets! Hope to see you there! Renalweek2025.org #vetneph

Jan BAKKER at #ISICEM25
Congestion coexisting w/ fluid responsiveness
With some @argaiz.bsky.social inside

Still time left to join our 2-day #pocus program @ SW Nephrology conference in Phoenix 3/20-3/21 @NKFArizona!

swnephrologyconference.org
$125 discount for trainees!

Guaranteed surfeit of hemodynamic assessment!

Featuring:
@argaiz.bsky.social
@asakhuja.bsky.social
@michaelturk6.bsky.social

Unlocking the Potential of VExUS in Assessing Venous Congestion: The Art of Doing It Right Abstract. Background: Congestion, marked by elevated cardiac filling pressures and their repercussions, is a contributing factor to morbidity and mortality in heart failure and critical illness. Relyi...

Very good read

karger.com/crm/article/...

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Time for another #POCUS pitfalls thread: the infamous IVC 🤩

I have MANY thoughts on the IVC 💭

When I first started teaching POCUS, I actually disliked the IVC because it was often poorly done or incorrectly interpreted ❌

I have now come to love the IVC, BUT you have to do it right!

#emimcc

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I love love LOVE scanning the heart 😍, but when it comes to bang for your buck for ultrasound novices, lung ultrasound is such a winner 🏆

It's time for another #POCUS basics #skeetorial 🧵

Let's talk about common pitfalls in #LungUltrasound and how to correct these ✔️

#emimcc

There’s few things more satisfying in medicine than diuresing someone 7 liters in a day and seeing their creatinine improve.

Breaking maladaptive positive feedback loops - chef’s kiss.

Today we have more evidence that #VExUS (and not RAP) might be the optimal tool for studying congestive organ injury!

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IRF after diuretics means these patients had congestive nephropathy!

The study shows that right heart catheterization is not useful to diagnose this condition. Only echocardiographic markers of RV and RA dilation, Tricuspid regurgitation and IVC size were associated with this phenotype!

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Honored to lecture at the Hemodynamic Monitoring and Tissue Perfusion Course in 🇨🇱

As I was preparing the lecture, I ran into this beautiful paper detailing the hemodynamic characteristics of heart failure patients with improving renal function (IRF) after diuresis:

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Back to the basics today: let's talk about common pitfalls in obtaining cardiac #POCUS images ❤️

Here are some very common image acquisition errors in basic views, as well as the simple moves to correct them ✅

🧵

#emimcc #POCUSky #echosky #MedSky

Nice!

X 2 about portal vein 🤣

Also, not imposible to have Normal S wave IMO. Atrial relaxation also plays an important role in S wave generation. So if RA is compliant enough, it could generate enough antegrade flow.

My thoughts on this back in 2021

I have been saying this for years. I don’t really use HVD as part of venous congestion assessment.

My practice as a Nephrologist involves a lot of HFpEF with normal RV filling pattern. HVD is always normal (unless severe secondary TR).

Portal Vein does give useful info

Hepatic vein Doppler in critically ill patients: a reflection of central venous pressure or right ventricular systolic function? - BMC Anesthesiology Background To explore whether hepatic vein systolic filling fraction (SFF) is associated with central venous pressure (CVP) and right ventricular (RV) systolic function in critically ill patients. Met...

Interesting study looking at something I’ve been wondering. When looking at S vs D wave in hepatic flow, as part of #VEXUS, does a dominant D reflect high RAP/CVP or rather reduced RV systolic function (which in turn increases RAP) ?

bmcanesthesiol.biomedcentral.com/articles/10....

H&R2025 – The Hospitalist & The Resuscitationist, Montreal, May 21-24, 2025. #HR25 – REGISTRATION is OPEN !!! A few words about it… HR2025 is about putting it all together. We’ve been talking about the venous side for a long time and it has been fantastic seeing how much it has taken off – at l…

Migrated over from the other place 🐣 to check out these blue skies 🦋

In the meantime - registration for the Hospitalist and the Resuscitationist #HR25 is open!! May 22-23 in Montreal 🇨🇦

There’s no better gathering of hemodynamic and physiology enthusiasts 🩺

thinkingcriticalcare.com/2024/06/05/h...

pubmed.ncbi.nlm.nih.gov/38061346/

And 👇

One published in CardioRenal medicine. Another presented as oral abstract this ASN 2024 in San Diego.

Will get the links

Working on talk about #VEXUS score for upcoming #ultrasound course of Swiss Society of Nephrology.
Still no interventional trials looking at patient outcomes by using venous Doppler assessment.
Or did I miss something @argaiz.bsky.social ?
#POCUS