Vascular Interventional Specialist @SLU_VIR | Surgery but #WithoutAScalpel, a BestKeptSecret in Medicine | Dad to 👸👸🫅|Tweets my own
Jun 18 • 7 tweets • 3 min read
❌ "ChatGPT can't replace doctors—it thinks a prostate is a nose."
✅ Meanwhile, I gave it a real trauma CT (anonymized):
👉 It graded the liver injury
👉 Identified active bleeding
👉 Suggested embolization
👉 Outlined IR management
Management of post‐TIPS refractory Hepatic Encephalopathy (HE)
🟢 Definition
🟡 Prevention
🔵 Medical Rx
🔴 Endovascular approach
1/
🟢 HE maybe:
Covert: Minimal or West haven Gr 1
Overt: West Haven Gr 2-4 which maybe episodic, recurrent (bouts within 6 mo) or persistent ( behavioral changes present with intermittent overt HE)
"Intraprocedural Superior Hypogastric Nerve Block (#SNHB) is safe, effective, significantly reduces pain, need for opioids and allows same-day discharge #UFE"
Thread 👇 1/ YOU CAN DO IT! 🤜 🤛
#SNHB technique: Technical success 87% , which included operators who were not initially experienced with this procedure.
Nov 18, 2019 • 15 tweets • 6 min read
"What is the best Venous Access Device for my patient?"