What stage CKD does IRV Doppler become unreliable? Or at what point would you not trust it?. #VExUS.@NephroP @MynephCC @ThinkingCC.

RT @icmteaching: Fluids - what's the harm? via @YouTube. @Turningthe_Tide @ICUbreeno @MarciaMcDougall @Wilkinsonjon….

RT @ArgaizR: 🧵Complex #Hemodynamics in ESRD:. Middle age pt ➡️ 🏥 for syncope. HPI: Low BP during HD sessions. Does not achieve dry weight.….

RT @ArgaizR: VExUS workshop @ III Hemodynamic Monitoring and Tissue Perfusion International Course. Free YouTube Full Access! #FOAMed . htt….

RT @ArgaizR: A brief dissertation on the impact of right atrial pressure on preload vs organ venous congestion 🧵. You are asked to evaluate….

RT @NephroP: Great illustration, thanks for sharing. #POCUS learners, beware of the anatomic variants in the RA including prominent eustach….

RT @ArgaizR: #AKIConsultSeries Middle-aged male ➡️🏥 for painful knee and fever. Now in shock 🚨. 📂Chart review: PMH EtOH Cirrhosis, right kn….

RT @NephroP: Sometimes, it just takes <1 minute to do #VExUS.Don't believe me? Look at this 👇- dilated IVC, alternating red-blue pattern in….

RT @ArgaizR: If you want to learn how to #VExUS, this is the best twittorial you’ll find!.

RT @ThinkingCC: It was a pleasure collaborating with Eduardo, @RCastro_L @curromir and @AndromedaShock blending our ideas and the growing l….

RT @load_dependent: It’s amazing how often drugs with questionable nephrotoxic properties like ACEi and contrast are used very carefully or….

RT @y_interna: Interesante estudio prospectivo publicado este mes en Critical Care Medicine. En presencia de condensación RX la combinación….

RT @MDBeni: @dmtecc @ArgaizR @NephroP @khaycock2 @load_dependent @msenussiMD @iceman_ex @EduPOCUS @Thind888 @msiuba Of course, together wit….

RT @ArgaizR: Where is this Doppler Waveform from? and, What can it tell us about left heart function? 🧵 1/6

RT @NephroP: @Manoj_Wickram @Wilkinsonjonny @kyliebaker888 @iceman_ex @icmteaching @TaotePOCUS @RJonesSonoEM @DRsonosRD @coreultrasound Thi….

#VExUS @NephroP @ArgaizR @ThinkingCC @katiewiskar @khaycock2 @load_dependent @icmteaching @MDBeni @IM_Crit_ @EmergencyEcho

#VExUS is not always so clear cut. but this time:

RT @Ivan_Echocardio: Air gap sign: loss of cardiac image during systole in PNEUMOPERICARDIUM.#echofirst #cardiotwitter #FoCUS #POCUS https:….

If not, what situations do the PVR calculations actually help with?. Overall takeaway from this case for me was tachycardia =/= give fluids even for someone with previously normal echo. @NephroP @khaycock2 @ThinkingCC @Pocus101 @ArgaizR @IM_Crit_ @IMPOCUSFocus @Crit_Care.

VExUS was limited (should have optimized w/ ekg leads, scale and sweep speed) but there appears to be S wave reversal and >50% pulsatility for VExUS 3. Then for fun I calculated PVR = (TRpg+8mmHg)/RVOT vti = 4.45 WU. Does increased PVR add anything to our assessment/management?