Sam Brusca Profile picture
Critical care | Cardiology | Alum @OslerResidency & @NIHCritCare | current @UCSF_CVFellows | Opinions are my own
Mar 22, 2020 11 tweets 3 min read
Tweetorial of heart-lung interactions in the setting of mechanical ventilation (MCV) from @cardionerds episode 20. cardionerds.com/episodes/covid…

These concepts will apply to critically ill COVID-19 patients that are developing concurrent respiratory and cardiac failure.

1/10 In patients with significant respiratory distress and concurrent LV dysfunction, intubation and MCV can stabilize hemodynamics. Significant increased work of breathing is associated with large pleural pressure swings, which increase both LV and RV afterload.

2/10