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Manal Alasnag

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3 Feb, 4 tweets, 5 min read

@SCCM

#WomenInMedicine
#WomenInCriticalCare
#WomenInPedsICU
@SCCM #CCC50

Challenges, hurdles, and lost opportunities but substantial contributions nonetheless

Thank you to the many many special nurses that have lead, supported, cared and better changed my career

Contributions to literature in 2020
#WomenInPharmacy

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More from @manalalasnag

Manal Alasnag

@manalalasnag

3 Feb

@SCCM

𝙏𝙃𝙀 𝙈𝙐𝘾𝙃 𝙁𝙊𝙍𝙂𝙊𝙏𝙏𝙀𝙉 𝙍𝙑

1/5
Dif Approaches to Optimizing PEEP

PEEP and RV Function
Clifford Greyson @SCCM #CCC50

#PedsICU #PedsCICU #PedsCards

2/5

▫️Frank-Starling law is more reflective of LV physiology
▫️ RV normally unstressed at end diastole
▫️ RV maladapts to volume overload overtime
▫️ Distorted RV balloons impedes LV
▫️ RV perfusion occurs during ventricular systole
▫️ Vicious cycle 🔄 of RV dysfunction

3/5

RV afterload affected by
▫️PVR
▫️Pul vascular compliance
▫️LAP

all compromised with excessive PEEP

Read 5 tweets

Manal Alasnag

@manalalasnag

2 Aug 20

@ACCinTouch

1/9 🅲🅰🆂🅴-🅱🅰🆂🅴🅳 🆃🆄🆃🅾🆁🅸🅰🅻 4
MECHANICAL CIRCULATORY SUPPORT

@ACCinTouch @agtruesdell @ErikOsborn77 @mirvatalasnag #ACCIC #PedsCICU #PedsCards

🔹Background
🔹#PedsICU #ECMO Case
🔹Adult ECMO + #Impella Case
🔹Upcoming Webinar

2/9 EARLY RUNS OF #COVID19 PATIENTS ON #ECMO

Initial discouraging reports from 🇨🇳
Warning of igniting immune storm esp in patients with high IL-6

Nationwide centralization in 🇯🇵 to improve research & quality of evidence
🔹Time to ECMO
🔹Lung compliance
🔹Biomarkers

@AlhazzaniW

3/9 GUIDANCE DOCUMENTS

Surviving Sepsis Guidelines
🔹VV ECMO for refractory hypoxemia despite optimizing ventilation rescue therapies & proning
🔹Intensive Care Med May 2020
doi:10.1007/s00134-020-06022-5
@AlhazzaniW

FDA Enforcement Policy expanded availability of devices

Read 9 tweets

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