Paco Dardón
@PacoDardon
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Internist & intensivist made @incmnszmx | Interested in critical care, hemodynamics, MV and #POCUS. Also fan of literature, music, films and life curiosities 🔍
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Joined August 2013
— So, your grampa's lungs are severely injured, we're not achieving our targets with the ventilator and it seems we'll have to connect him to an ECMO machine. – OMG, that sounds dangerous! Are there any other options? – Well...
RECTAL OXYGEN ADMINISTRATION Japanese scientists just tested a wild idea — intrarectal oxygen administration! 27 volunteers received rectal doses of perfluorodecalin, a liquid that carries oxygen with high efficiency.
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CVP trace. Amy thoughts without any other information?
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🧵 "What really determines tissue perfusion?" – and why most explanations get it wrong. Let’s sort out MAP, CVP, CCP, autoregulation, vasopressors, and the flow that actually reaches your organs. 👇
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a NAVA catheter in place, to monitor the diaphragm's electrical activity (Eadi), while another mode is being used. What is going on? What mode do you think it is being used? @DrMiguelIbarra1 @emireles_c @CCF_PCCM @MegriMohammed @DrSateeshPCCM @critconcepts @IM_Crit_ @SaudiRTs
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Important pushback on the Anderson/Guyton model: is pressure really a driver, or just a consequence of volume and compliance? A quick thread to unpack the physiology (and clinical relevance) 🧵👇
@icmteaching @ICS_updates @Wilkinsonjonny @iceman_ex @ThinkingCC @khaycock2 @msiuba It is interesting to recognize that this is not the only model attempting to explain our major uncertainties regarding venous return. It is useful to begin by revisiting the fundamental relationship between flow and volume: V(t) = ∫Q(t) dt and Q(t)=dV(t) / dt However,
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Vesícula en porcelana La calcificación de la pared vesicular produce una línea semilunar hiperecogénica que produce una densa sombra acústica posterior. @JMMR83 @ABCDEcografia @PacoDardon @EchoTech_4 @EcosemfyC @TaotePOCUS
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POCUS glotis. Cuerdas vocales. @ABCDEcografia @JMMR83 @curromir @y_interna @PacoDardon @NephroP @Pocus_PR @OrlandoRPN
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This might be a simple way to (dramatically) improve outcomes in patients awaiting thrombectomy (mechanical clot removal) for ischaemic stroke in a large artery Put the head of the bed at 0°:
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Top 5 advances in medicine this week (🧵) 1. A drug that beats chemotherapy in a subset of lung cancers Small cell lung cancer is usually treated with chemotherapy, but resistance is common, and side-effects can be severe Tarlatamab is a bispecific antibody: it recruits T
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2025 and 30 mL/ kg is still a thing...
The very 1st line of a recent @BJAJournals states: 'In early critical illness, intravascular volume depletion secondary to capillary leak is common & requires aggressive fluid resuscitation to improve cardiac output & tissue perfusion' Why are we still propagating these myths? 🧵
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1/10 A 70-year-old man presents with dyspnea. What do you notice when you first meet him? This finding should generate a hypothesis, which we will circle back to eventually.
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Veo que las Universidades del Bienestar ya empiezan a tener egresados en medicina, ¡enhorabuena!
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Seen it many times. Totally real.
We had an unusual phenomenon in the ICU today. An elderly 👩🦳 who was stuporous for the past week, suddenly woke up and started obeying commands and talking after being administered her last rites. Her blood parameters which had been improving, took a turn for the worse and her Hb
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LV Torsion: A Powerful Marker of Systolic Function Definition Left ventricular (LV) torsion (or twist) refers to the wringing motion of the heart during systole, apical counterclockwise rotation vs basal clockwise rotation. It results from the unique helical arrangement of
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Lung point. @Dr_Bahmani @JMMR83 @OrlandoRPN @ABCDEcografia @curromir @Pocus_PR @NephroP @PacoDardon @y_interna @TaotePOCUS
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No DM in Critical Care. We're always underrated 😢
You’ve got to hand it to India. Homeopathy starts DM degrees in super specialties in India. Can our collective IQ go any lower than zero ? I think not. There are zillions of superstitious ignorant desperate patients in India just waiting for this kind of horseshit to be
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Can a patient be fluid responsive and venously congested at the same time? Yes — and this changes everything. Our recent study shows how bedside ultrasound can reveal what clinical signs often miss. Let’s break it down: #POCUS #VExUS #CriticalCare 🧵
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Disnea, hipoxemia, fiebre. Pocus 🫁 @ABCDEcografia @JMMR83 @curromir @OrlandoRPN @jorgezzb @PierpaDiNick @EM_RESUS @PacoDardon @PleuralPOCUS @The_Nanashi_O
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MAPSE generates a constant % of SV. MAPSE is sex independent, and near near body size independent. MAPSE correlates with SV and EF. GLS (numerical) decreases with increasing body size, and is higher in women. GLS correlates with EF, but not with SV, so GLS based GMW is not valid.
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