Intensivist, husband, dad. IM, CC and Neurocrit boarded. NBE CC echo. CICU & POCUS director. Opinions=me.
Sep 2, 2022 • 9 tweets • 5 min read
60 y/o ♂️ w/ ischemic heart disease & severe biventricular dysfunction. Aborted VT/VF 3x ICD shocks. Initial shock & multiorgan failure. Na 124, Cr 1.5, AST 679, ALT 765, Tbili 2.6. Una < 5mmol/L. TTE unchanged from baseline. #POCUS#vexus
What do you think is his central venous pressures based on the the IVC evaluation. Patient spontaneously breathing?