SrivatsaNagachandan
@Srivatsa34
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Critical Care Doctor | Educator & Lifelong Learner | Tweets ≠ Medical Advice | Interests: Hemodynamics, Ultrasound, Fluids, Ventilation, ECMO, ID.
Eranakulam, Kanayannur
Joined June 2017
Follow up to last two tweetorial on #EEG .
Let’s get back to EEG tutorial. In the previous #EEG #tweetorial -chapter -1 & 2a we learned about the #EEGbasic -about how EEG waves are generated,captured and displayed on monitor with basics about EEG interpretation. Today will focus on EEG interpretation chapter 2b -cont.
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This is Epic 🧨🔥,sepsis phenotypes based on ECHO and clinical context.
(6/x) Upgrade 5: Stop thinking of septic shock as distributive shock!. Classically, we are taught that septic shock is a 'warm shock' with vasoplegia. This is true in some cases, however, pts. with septic shock can have any phenotype of shock and this can be dynamic. 1.
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🧾🔚 Conclusion 🩺✅. 📍 Mechanical Power integrates all relevant forces involved in ventilator-induced damage 💥.📍 High MP is consistently associated with worse outcomes, but causality needs more robust evidence 📉.📍 Dynamic MP is a feasible bedside surrogate and may support.
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Today’s Daily Dose ☕️:Critical care 🥼🩺. 🫁⚙️ Understanding Ventilator-Induced Lung Injury (VILI): The Role of Mechanical Power ⚠️📊. 🧠✍️ Intro: Why This Review Matters 🏥🫁.Mechanical ventilation is a critical intervention for patients in respiratory failure 🛌🫁. Yet, it
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🌟 Author of the Month – July 2025 🌟 for the Nephrocritical care blog .🖋️ Dr. Tapas Kumar Sahoo @tapasdr123 . We’re proud to spotlight Dr. Tapas Kumar Sahoo as our Author of the Month—a trailblazer in Nephrocritical Care whose clarity of thought, bedside wisdom, and commitment
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💯Agreee with u . 🧠 Dialy-Trauma isn’t just about clearance. It’s about what we don’t replace, what we don’t see, and what we don’t question. 👨⚕️ Let’s Dive into this neglected territory of RRT this week with Dr. Tapas Kumar Sahoo—a pioneer in Nephrocritical Care thinking.
Much awaited blog by @tapasdr123 🙌 .What say @Srivatsa34 ?.
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RT @OrlandoRPN: Y espero que no se les ocurra poner un Catéter Central para un choque hemorrágico….
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1000% Agreed ,most common misconception circulating around. Flat IVC ➡️ give Fluids .Round IVC ➡️ No fluids . Reality 👓📖🤓 🚮 Entirely diffrent and it depends 😜😬. One of mine: It’s not gospel, but it grounds me 👉 A plump IVC isn’t a fluid ban, and a flat IVC isn’t a fluid.
@HoosierPocus A flat IVC is not an indication for IVF.
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The challenges of using ultrasound to measure the trachea: a brief report.#pocus #airway @BioMedCentral .
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Needs to be repeated again and again,Golden words 🔑. 🫡.“That’s why it’s a mistake to “fill the heart to improve function.”.Distending the ventricle in search of better output often worsens failure (increases wall stress, oxygen demand, ventricular interdependency).You're
15. 🛑 That’s why it’s a mistake to “fill the heart to improve function.”.Distending the ventricle in search of better output often worsens failure (increases wall stress, oxygen demand, ventricular interdependency).You're stretching a failing system - not supporting a healthy.
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Is trying to remember toxic encephalopathy patterns making you toxic?. Don't become encephalopathic!. Let me help you detox on the toxic/metabolic encephalopathy patterns on MRI. Here is the cheat sheet of all the encephalopathy patterns you NEED to know & how to remember them!
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Epi vs Norepi in Post cardiac arrest.
🚑 EMS clinicians: Post-ROSC patient + hypotension?. What’s your go-to pressor?. Push-dose epi? Levo drip? Slug 'em with another code-dose epi? I've seen it all!. Let's break down what this article says about pressor choice 🧵. #FOAMed #EmergencyMedicine #EMS #CardiacArrest
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After a heart attack, people with liver disease are amongst the least likely to receive guideline directed therapies . Sad. Spread the word: statins are ok in liver disease
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#CIN.
Mehran Risk Score for CIN.Developed to predict the likelihood of CIN after PCI, this score adds up key clinical risk factors:.Risk Factors & Points:.🔹Hypotension: 5.🔹IABP use: 5.🔹CHF: 5.🔹Age >75: 4.🔹Anemia: 3.🔹Diabetes: 3.🔹Contrast Volume: 1 per 100 cc.🔹SCr >1.5 mg/dL or
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🧭 The Bottom Line:. 🫁 ➕ 🔧 High Driving Pressure.⬇️.🔥 Inflammation + Hemodynamic Alteration.⬇️.🧠 Late AKI and Higher Mortality. ➡️ Keep ΔP <15 cmH₂O — not just for lungs, but to guard your patient’s kidneys 🩺💧.Ventilator settings can ripple beyond the alveoli. Let’s treat.
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🩺 Today’s Daily Dose☕️: Critical Care🥼🩺 — July 4, 2025. 📌 Topic: Driving Pressure and Risk of AKI in ARDS — The Overlooked Link.⸻.🔍 Introduction:. ARDS 🫁 and AKI 🩸 are frequent, deadly companions in the ICU. This large secondary analysis from Critical Care Medicine (2025)
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RT @ASE360: 🫀NEW GUIDELINE🫀.Read our newest #ASEGuideline, "Recommendations for the Evaluation of Left Ventricular Diastolic Function by Ec….
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Historical definitions of #heartfailure .From Sir Thomas Lewis (Diseases of the.Heart, 1933) ➡️ Universal Definition of HF (HFSA / HFA-ESC / Japanese HFS, 2021).#cardiotwitter
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🧠📚 Conclusion: A New Era of Evidence-Driven Airway Management 🚨💉. A robust body of randomized evidence now guides many aspects of emergency tracheal intubation. Preoxygenation with NIV, VL, and the use of a stylet improve success and safety. Yet, gaps remain — particularly.
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