Manoj Wickramasinghe @manoj-w.bsky.social
@Manoj_Wickram
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Anaesthetic trainee. Wannabe Intensivist. #POCUS. #FUSIC #FAMUS @ORACLE_Educ
Leeds, England
Joined February 2020
Echo is one of the more skilled ultrasound exams you can do. Having learnt it and now teaching it, I see the same mistakes being made over and over again. I have put together thread on beginner mistakes in echo. #tweetorial #POCUS #FUSIC #askpocus
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Thrilled to announce Leeds Advanced Critical Care Echocardiography (LACE) 2026 8th - 10th September Endorsed by ICS for FUSIC HD, AoA for fTOE, ESICM for EDEC and by British Society of Echocardiography Join our excellent faculty for an epic three days of haemodynamics
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1️⃣We talk endlessly about “capillary leak” – but most of what we say about it is wrong. Here’s what actually drives fluid movement across the microcirculation – and why Starling’s model needed an upgrade. A 🧵👇
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(1/x) Normotensive shock is common yet often missed because there are actually multiple phenotypes to consider👇
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Severe AR on echo: Holodiastolic flow reversal in abdominal aorta & arch, PHT <200 ms. A textbook example!
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Always beware of foreshortening — what looks normal may not be real
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🧵 Part 2 — The Venous Return Curve 1️⃣ Last time, we fixed the cardiac function curve. Now let’s look at the other half of the story — venous return — and how the circulation really feeds the heart. #FOAMed #MedX #physiology
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Today's Paper of the Day is: Multimodal and autoregulation monitoring in the neurointensive care unit https://t.co/JKgcYjlUQ5 Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025
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SonoUK 2025 is a satellite event at @BMUS_Ultrasound ASM in Harrogate. A fantastic line up of talks and speakers followed by hands on workshops. Suitable for all levels of #POCUS users. Wednesday 10th December 2025 Crown Plaza Hotel Harrogate To sign up👉 https://t.co/9FyzZwWb6T
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Not your everyday cause of pericardial effusion/tamponade‼️⚠️ See thread for answer/source article. #POCUS #FOAMed #echofirst
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#POCUS quiz of the day: What is the estimated right atrial pressure in this spontaneously breathing patient based on the subxiphoid scan 👇? The scale is on the right side of the image, and the patient is not in respiratory distress. POLL below. #Nephpearls #FOAMed
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1/ Anaesthetic challenge. Patient turns up at a district general hospital for urgent (cancer) surgery. 2 months earlier TTE showed this pericardial effusion considered to be neoplastic in origin. Colchicine and steroids had been prescribed. A repeat echo the day before surgery
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1/ Diving into Local Anaesthetic Systemic Toxicity (LAST) ☠️A rare but serious complication from LA use in procedures like nerve blocks. 🐭🦴We'll cover incidence in humans & animals, how toxic doses are determined, safe volumes from our chart & relevance to ortho surgery in
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62 y old male with previous anterosepal MI. What is your likely diagnosis?⬇️ See poll
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Pinned: Cardiovascular Physiology Hub Discovering physiology together: untangling the concepts most often misunderstood at the bedside. Foundations – Starling’s law as servo-control https://t.co/dYJMFYH2nk – Cardiac output & Anderson’s model https://t.co/1yPzedaTtZ – Preload
1/ Most people think the heart drives circulation. But what if that’s backwards? Anderson’s model flips the whole idea of cardiac output on its head — and it changes how you think about fluid, flow, and failure. 🧵👇 #physiology #FOAMed #MedTwitter #criticalCare #cardiacOutput
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1/ SVR looks precise: (MAP – RAP)/CO. But this neat number hides traps. It’s not “afterload,” it’s not pure “tone,” and sometimes it’s not even valid. A thread on why systemic vascular resistance misleads — and when it still helps. 🧵 #MedX
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From the archives - Left atrial pressure with Manoj Wickramasinghe @manoj_wickram
https://t.co/r5c8uRY7AS
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