Sauradeep Sarkar
@SarkarSauradeep
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PCCM attending @Whg_hospital |Via @WVUPCCMFellows | IM & Geriatrics trained via @SinaiBmoreIMRes & @Upstategeri |@kmc_manipal alum
Pittsburgh, PA
Joined December 2019
ICU Stories: While walking around the ICU at the beginning of your night shift, you notice that the respiratory therapist increased the FiO2 from 90 to 100% in a mechanically ventilated patient. Bedside monitor shows O2 sat 90%. You decide to read a bit more about the patient:
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ICU Night Shifts - Ventilator graphs: Live coverage - 65 yo, respiratory failure, intubated 3 ds ago. First thing I saw on the ventilator screen:
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For all you intubators out there, I'm going to describe two useful bougie microskills 1/9
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Our recent study on Azithromycin vs Doxycycline for atypical coverage in CAP @SarahHadique
https://t.co/46SyXOW8it
pubmed.ncbi.nlm.nih.gov
MICU patients with severe CAP who received doxycycline versus azithromycin in addition to β-lactam treatment showed no significant differences in outcomes. These data offer support for inclusion of...
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Proud moment!🇮🇳
Chandrayaan-3's triumph mirrors the aspirations and capabilities of 140 crore Indians. To new horizons and beyond! Proud moment for 🇮🇳.
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Check out our cool case on green pleural effusion! https://t.co/a0cnT7UgVJ
ccjm.org
Chills, night sweats, palpitations, and a 5-lb weight loss, preceded by 6 months of progressive dyspnea, fatigue, and reduced exercise tolerance. What is the diagnosis?
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Thank you @DrSharma_WVU for the wonderful teaching session today! Excited for the next 3 years !
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Our attempt at understanding the role of Vit D in ICU patients. https://t.co/Fc4uKVxnZv
pubmed.ncbi.nlm.nih.gov
Randomized controlled trials (RCTs) have reported conflicting outcomes with the use of vitamin D in critically ill patients. With reporting of newer RCTs, we conducted this updated meta-analysis....
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Our new manuscript on MAP goals in ICU patients. https://t.co/juJNco1fLk
pubmed.ncbi.nlm.nih.gov
In critically ill patients, a higher MAP goal of > 70 mm Hg was associated with a similar risk of mortality, duration of mechanical ventilation, and ICU length of stay when compared with a standard...
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ICU stories (new & short): A female pt w severe COPD was intubated for resp distress & admitted to the ICU just an hour before I got there. On acv/80%/peep 5. BP 82/55, HR 90. I went to see her first given low BP. Lung POCUS: bil B-lines (RU+RL field+LU lung field):
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Presented our Met-analysis of RCTs looking at Vasopressin and Steroid combination in IHCA at #ATS2022 @atscommunity Read our abstract here: https://t.co/SrzrBceOsx
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Sinai residents had a great time @ACPinternists competing in the Doctors Dilemma competition as well as presenting their research posters. @SinaiChiefs @AcpMaryland #IM2022 @NasirAlhamdan @ahlaanwasahlan @SarkarSauradeep
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ICU pearls: I don't know who has to hear this but if a patient with a chest tube connected to Pleur-evac develops resp distress, the first thing to do is not to start bagging him, not even auscultate him (and definitely not search for US). Make sure that the tube is not clamped.
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ICU stories: Elderly pt w PMHx of "heart dz" presented to ED after an episode of fall. Found to be weak, hypotensive & in rapid A fib. An erythematous LLE prompted a Doppler US that was (-) for DVT. Labs: wbc 9k, lac 4.1, creat 2.8, K 5.8. Chest XR/CT: R infiltrate & effusion:
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Super cool example of clubbing regression after lung cancer treatment ⬇️ https://t.co/mTiDj7NoXq
#MedTwitter
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