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Oct 24 • 6 tweets • 5 min read
TBI SAH - diagnosis and management #LIVES2022
Pathophysiology of t-SAH and grading system #LIVES2022
Here we go - recommend use of #neuro #pocus to help guide management of t-SAH @chiara_robba @aartisarwal @ManniWaraich
So in summary - the treatment of T-SAH
Clinical studies do not support the use of nimodipine

#LIVES2022
An #openaccess review of t-SAH
Traumatic Subarachnoid Hemorrhage: A Scoping Review
#LIVES2022
ncbi.nlm.nih.gov/pmc/articles/P…
Reach out to the authors and their work on neurotrauma

#LIVES2022

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More from @avkwong

Adrian Wong Profile picture
Oct 24
So MAP targetting ..... a panel discussion
#LIVES2022
The discussion is around personalising MAP to the patient - 60, 65, 70 #LIVES2022

But should we be discussing perfusion pressure instead?

@Manu_Malbrain
Great point from the panel - whats downstream pressure to use when calculating the perfusion pressure - at organ level, CVP, abdominal pressure, microcirculation?? #LIVES2022
Read 7 tweets
Adrian Wong Profile picture
Oct 24
An unusual subject area for me this am... extubation in #nicu #lives2022
The ENIO study -
link.springer.com/article/10.100…
So this is an international, multicentre study #LIVES2022 #ENIO
Overall high rate of extubation failure at day 5 #ENIO #LIVES2022
Read 7 tweets
Adrian Wong Profile picture
Apr 8, 2021
Afternoon learning #esicmtv
Revisiting some basic physiology on vasoactive drugs...

Vasopressor and Inotrope Therapy in Cardiac Critical Care
journals.sagepub.com/doi/abs/10.117…
Outcomes Associated With Norepinephrine Use Among Cardiac Intensive Care Unit Patients With Severe Shock

journals.lww.com/shockjournal/A…
Read 14 tweets
Adrian Wong Profile picture
Dec 7, 2020
Armed with a fish finger sandwich, its time for the lunchtime symposiums.

All cats are still gray in the dark: how to select and use inodilators in the ICU and acute cardiac care unit for the best efficacy and safety - an imaginative title

#LIVES2020
👓👓👓 #LIVES2020
During my training, I worked in hospitals which were essentially dobutamine-centric. Now its levosimendan and milrinone #LIVES2020
Read 7 tweets
Adrian Wong Profile picture
Dec 7, 2020
Armed with coffee, Im at the case-based fundamental sessions. Discussing real cases and management strategies.

Would you do what the experts would do?

#LIVES2020
The classic case vignette of a septic patient being resuscitated - the audience is split between 30mls/kg of fluids or start a vasopressor. #LIVES2020

i suspect @Manu_Malbrain @khaycock2 et al have a view on the 30mls/kg option.
I like the fact that you can send your questions in on the platfrom. It can be intimidating to be handed a mic in a large room - I do anyway #LIVES2020
Read 7 tweets
Adrian Wong Profile picture
Dec 6, 2020
Is the PCO2 gap a surrogate for assessing microcirculation? #LIVES2020
Perennially, it’s a technique that I would like to have more experience with.

lives2020.e-lives.org/session/pco2-g…
Can venous-to-arterial carbon dioxide differences reflect microcirculatory alterations in patients with septic shock? #LIVES2020
ncbi.nlm.nih.gov/pmc/articles/P…
Venous-to-arterial carbon dioxide difference in the resuscitation of patients with severe sepsis and septic shock: A systematic review #LIVES2020
pubmed.ncbi.nlm.nih.gov/28522141/
Read 5 tweets

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