Live-tweeting #PardonTheInterruption with @davidschulman
1. Will Bender
2. Bennett Deboisblanc
3. Ronald Goldenberg
Some punches are being thrown already ..
Somehow we brought up national chocolate cupcake day, whut? :-p
#CHEST2021
1. Will Bender
2. Bennett Deboisblanc
3. Ronald Goldenberg
Some punches are being thrown already ..
Somehow we brought up national chocolate cupcake day, whut? :-p
#CHEST2021
Topic: Role of Remdesivir for COVID-19:
WB: No data to support, even @WHO doesn't support it.
BD: Cost for quality low. Mortality benefit from best MA shows mortality benefit.
RG: No way, we don't do that up north! Maybe there is dec LOS, hell no on mortality.
#CHEST2021
WB: No data to support, even @WHO doesn't support it.
BD: Cost for quality low. Mortality benefit from best MA shows mortality benefit.
RG: No way, we don't do that up north! Maybe there is dec LOS, hell no on mortality.
#CHEST2021
What if pt already on Remdesivir prior to coming to ICU:
WB & RG: We continue
BD: Why, why, why? You don't want to start it, but want to hold on to it?
#CHEST2021
WB & RG: We continue
BD: Why, why, why? You don't want to start it, but want to hold on to it?
#CHEST2021
Topic: Most practical/reliable way to ass intravasc volume in ICU
BD: No known way of measuring vol, we measure vol responsiveness, and who knows what to do
RG: Get rid of this fanciness, just go examine bed side
#CHEST2021
BD: No known way of measuring vol, we measure vol responsiveness, and who knows what to do
RG: Get rid of this fanciness, just go examine bed side
#CHEST2021
WB: "I don't know where my attending was when I was a fellow, but I was the one doing the examining" WB agrees with RG.
BD: Invoking Ivor Douglas's trial on leg raising, "
.@ChrisCarrollMD is in the house!
#CHEST2021
BD: Invoking Ivor Douglas's trial on leg raising, "
.@ChrisCarrollMD is in the house!
#CHEST2021
Topic: Is contrast-induced nephropathy a real thing?
RG: YES. Cr going up can't just be ignored. CIN is a thing, but it is overblown
WB: NOT even a thing. Described with high osmotic load contrasts, plus Cr rise likely reflection of the sickness. "Turf and throw away"
#CHEST2021
RG: YES. Cr going up can't just be ignored. CIN is a thing, but it is overblown
WB: NOT even a thing. Described with high osmotic load contrasts, plus Cr rise likely reflection of the sickness. "Turf and throw away"
#CHEST2021
Topic: Are we using TOO much fluid in sepsis
WB: 30 cc/kg blindly is just leading to overload-related complications. Invokes the recently released SS guidelines, makes a push for early pressors
RG: Mortality goes up with every liter of fluid.
#CHEST2021
WB: 30 cc/kg blindly is just leading to overload-related complications. Invokes the recently released SS guidelines, makes a push for early pressors
RG: Mortality goes up with every liter of fluid.
#CHEST2021
Topic: Role of empiric abx in ill COVID-19 patients
BD: If you make it to the ICU, you have 20% chance of positive Biofire/culture, so YES
RG: There is a price to pay for empiric abx, we breed resistance, most people don't have guts to stop abx even after 2 - 3 days!
#CHEST2021
BD: If you make it to the ICU, you have 20% chance of positive Biofire/culture, so YES
RG: There is a price to pay for empiric abx, we breed resistance, most people don't have guts to stop abx even after 2 - 3 days!
#CHEST2021
Topic: What's the role of anesthesia in the ICU
RG: Most trained and experienced person should do it.
WB: Intensivist knows the patient in completion. It's us
#CHEST2021
RG: Most trained and experienced person should do it.
WB: Intensivist knows the patient in completion. It's us
#CHEST2021
• • •
Missing some Tweet in this thread? You can try to
force a refresh
