This should be the death of Impella outside of severe cardiogenic shock.
High probability it increases mortality. #cardiosky #cccsky
Check out the @accintouch.bsky.social #ACC26 hands on learning #vaECMO #mcs this morning with me and my #CCC colleagues. Some fun, challenging cases to troubleshoot! #ACCcriticalcare #criticalcarecardiology #medsky #cccsky #cardiosky #cardiology
Excited for #ACC26 in #NewOrleans! Lots of #ACCcriticalcare activity to participate in, especially the #criticalcarecardiology simulation sessions on #mcs #vaECMO #shock @accintouch.bsky.social #cccsky #medsky #cardiosky
Can we please stop referring to lactate as a perfusion marker? It’s no more so and no better than blood pressure. #emimcc #cccsky
One point that isn't mentioned here but too often forgotten when noradrenaline seemingly isn't working:
Are you actually using a representative blood pressure? Not so rare that a better (more central or better line) fixes the problem. Look at the whole patient, not just a number!
#emimcc #cccsky
Excited for #ACC26! A few days of learning, sharing ideas, and connecting with #ACCcriticalcare friends & colleagues.
Debating #shock phenotypes and #MCS strategies over coffee & beignets.
See you in #NewOrleans!
@accintouch.bsky.social @escardio.bsky.social #CardioSky #MedSky #cccsky
Can't wrap my head around how this is even possible! TAVI in mechanical valves. #cardiosky #cccsky
academic.oup.com/eurheartj/ad...
What is worse, digital ischemia or atrial fibrillation? #emimcc #cccsky link.springer.com/article/10.1...
To write a "state-of-the-art review" of diastolic dysfunction in acute and critical illness with an emphasis on SGLT2-inhibition and not mention the DEFENDER trial is quite something. #cardisky #emimcc #cccsky www.jacc.org/doi/10.1016/...
Truth
#echosky #cccsky #cardiosky
Excellent review of CVP measurement. #emimcc #cccsky #cardiosky www.sciencedirect.com/science/arti...
Honored and excited to serve as a member of the @accintouch.bsky.social Competency Management Committee. Looking forward to collaborating with colleagues to advance standards, education, and excellence in patient care. #CardioSky #CCCSky #MedSky #Cardiology #ACC #CriticalCare
Levosimendan is quite often seen as a "safe" inodilator with respect to ventricular arrhythmias. I don't think it is, and this trial in my view supports that. Also, drugs with very long half lives are generally not a good idea in the critically ill #cardiosky #emimcc #cccsky
New results from DanGer Shock ,shows it's those with the lower systolic pressure (the sicker patients) that benefit from Impella. #emimcc #cardiosky #cccsky jamanetwork.com/journals/jam...
I’m reading up on the risk of increased intrapulmonary shunting and hypoxia posed by nitroprusside, and thinking, should this not also apply to other vasodilators like nitroglycerine and milrinone? Can only see it described for nitroprusside #emimcc #cccsky