Ultrasound guided subclavian/axillary vein cannulation 🧵
✅Why subclavian?
✅Why ultrasound guided?
✅How to do it?
Why axillary/ subclavian access is superior in ICU:
✅Lower risk of CVC related infections
✅Lower rate of thrombosis
✅Logistics for future lines
60 yo patient with infective exacerbation of COPD.
Acute deterioration, high peak pressures, desaturation and hypotension.
This is ETCO2 after initial management. What are yours thoughts? @msiuba@khaycock2@ThinkingCC@nickmmark@PulmCrit
It all started with suctioning from ETT that triggered severe bronchospasm. Called to peri arrested and patient being bagged.Switched to PCV low RR long expiration RR 6 with initially high PC. Bolus propofol ,started on nebs, ketaminie, Mg.
Jul 27, 2022 • 22 tweets • 10 min read
Evolution of IVC ultrasound in ICU 🧐 @BMUS_Ultrasound@avkwong
After initial resuscitation and stabilization patients can be quite fluid overloaded
ICU is a usually place of fluid de-resuscitation
Jun 29, 2022 • 14 tweets • 4 min read
Czas na 🦇Neuro-USG 🤔 #SOA2022
Coraz szersze wskazania