Anaesthesiologist. Intensivist. Neurocritical Care enthusiast.
Jan 18 • 10 tweets • 6 min read
Welcome to the 15th post of #scanuary.
It's a month-long marathon of daily tweetorials about #POCUS and its utility in our clinical practice.
Today we're going to discuss the utility of TCCD in the management of Traumatic Brain Injury.
If you find the post useful, please like & retweet.
TCCD - Capturing the bleed in the TBI
- Non contrast CT Brain is the imaging modality of choice to evaluate traumatic brain injury. CT angiography is an add on modality in case of suspicion of blunt cerebrovascular injury.
- TCCD can be used as an adjunct to look at certain injuries (EDH, SDH, ICH, contusion) at certain locations (Frontotemporal area, base of the brain) through B-mode imaging.
- A normal parenchymal appearance on TCCD does not rule TBI
PS: you can see an EDH, EDH with contusion and SDH in the clips below
Jan 16 • 9 tweets • 6 min read
Welcome to the 14th post of #scanuary.
It's a month-long marathon of daily tweetorials about #POCUS and its utility in our clinical practice.
Today we're going to discuss assessment of assessment of stroke using TCCD.
If you find the post useful, please like & retweet.
@salmannaeem217
@gokpocus
Utility of TCCD in Stroke
•Large vessel occlusion can be identified in an appropriate clinical scenario
•Assessment of collaterals
•Efficiency of Thrombolysis can be checked - TIBI Criteria, COGIF score
•Surveillance for complications due to Thrombolysis
•Work up for cryptogenic stroke (R->L shunt)
•Supplemented by carotid doppler and ECHO
Jan 6 • 14 tweets • 13 min read
Welcome to the 6th post of #scanuary.
It's a month-long marathon of daily tweetorials about #POCUS and its uses.
I hope you found our posts useful.
Today we're going to discuss Venous Excess Ultrasound (VExUS).
If you find the post useful, please like & retweet.
The other side of coin - Fluid excess
•Fluid overload is associated with pooled mortality especially after Day 3 of ICU stay (adjusted relative risk [aRR]– 8.83)
•In patients with acute kidney failure and in surgical patients, fluid overload was associated with mortality (aRR AKI 1.99, aRR post-surgery 6.17)
•The risk of mortality increased by a factor of 1.19 (95% CI, 1.11–1.28) per liter increase in positive fluid balance. doi.org/10.1097/CCM.00…
Sep 27, 2022 • 15 tweets • 4 min read
Anesthesiology is versatile. Its scope goes from neonates to geriatric patients and is ubiquitous. OR, ICU, Pain OPD, ED, endoscopy, cath lab, MRI suite, & so on! We study a lot of topics in depth to be able to give our best. Here are my go-to books/resources: #MedTwitter
This tweet is not an endorsement & is intended to share the resources/books which helped me to understand Anesthesia better. 1. Standard books: Miller's Anesthesia, Clinical Anesthesia by Paul G Barash. 2. Physiology & Pharmacology: West's Respiratory Physiology,