Excited to announce our second Hemodynamics, Congestion, and Perfusion (HCP) rounds on June 6th at 4pm EST (Toronto) focusing on all things perfusion 🩸Registration link 👇

Eduardo R Argaiz and I are joined by Mr. Perfusion himself Dr. Glenn Hernandez (@AndromedaShock 2 PI) to discuss

Great article by PG Guinot! Fascinating issue that is growing and growing! The venous side!

An increase in DO2 is meaningless if what you did to a give the increase in DO2 results uncoupling of DO2 to perfusion of the capillaries at large. It’s called a shunt, no matter where in the circuit it occurs. Philippe Rola Ross Prager Rory Spiegel ANDROMEDA-SHOCK Ashley Miller

Steven Simpson Philippe Rola Ashley Miller Max Hockstein nick pulmcrit Segun Olusanya (He/Him) [email protected] IMCrit Matt Siuba Eduardo R Argaiz Tim Norfolk But does IVF increase DO2 if % ⬇️ in CaO2 > % ⬆️ CO? Is the problem even DO2/VO2 mismatch—or is it microcirculatory mal-perfusion induced by the quest to increase DO2 by us? The 2nd question needs some careful consideration & investigation I believe. The first is just logic

🫧🌊Analysis of the hepatic vein Doppler waveform change, a simpler ultrasound-based assessment, during a dynamic test such as PLR could be useful in predicting preload responsiveness
🔓Read more about it here: t.ly/3WYIq

Can hepatic vein Doppler velocities predict preload responsiveness during a PLR maneuver? icm-experimental.springeropen.com/articles/10.11…
Happy to share this aweosome collaborative effort!
Eduardo R Argaiz Philippe Rola ANDROMEDA-SHOCK Adrian Wong Ricardo Castro Facultad Medicina UC
Intensive Care Medicine Experimental (ICMx)

Andromeda Shock 2 We have recruited 39 locally for Andromeda VEXUS! Total is 244 so far!!

Amazing first monthly Hemodynamics, Congestion, and Perfusion rounds with my friend Eduardo R Argaiz!

Next rounds is June 6th, 2024 at 4pm (EST Montreal) discussing all things perfusion with ANDROMEDA-SHOCK Webinar invite to be posted in coming days.

My top 5 take homes today from

1/9
“Low versus High Blood Pressure Targets in Critically Ill and Surgical Patients”

🧨 The meta-analysis that redefines how we interpret blood pressure

⁉️ What are the reasons behind this paradigm shift from 'higher is better'?

pubmed.ncbi.nlm.nih.gov/38656245/

Pedro Gomes MD ANDROMEDA-SHOCK emcrit.org/wp-content/upl…

Welcome Eduardo Kattan to X. Eduardo is an incredible intensivist, human, and researcher. Helping run the Andromeda-Shock2 study.

Hello #MedTwitter ! Just getting started on this community! Super excited to be here!

ANDROMEDA-SHOCK Philippe Rola Ross Prager Dr. Miguel Ibarra-Estrada Adrian Wong

But by far the most beautiful aspect of Felipe’s paper is that it confirms one of the scenarios suggested in the seminal paper of “The emerging concept of Fluid Tolerance”

Great comment of Antoine Vieillard Baron, Phillipe Vignon et al on the recent paper on Coexistence of Fluid Responsiveness and Fluid Tolerance! An open field for debate with potential relevant clinical implications! Free access

Its been a while in the making but I am really excited to partner with my good friend Eduardo R Argaiz to produce the first (of many!) Hemodynamics, Congestion, and Perfusion (HCP) rounds where we explore these topics with leaders in the field.

When: May 3rd at 12pm EST (Toronto).

Guiding resuscitation on serial lactate measurements? Not an accurate biomarker of hypoperfusion. However integration with clinical phenotyping + peripheral perfusion assessment could better individualize strategies
🔓rdcu.be/dFa9Y

Refers to
🔓rdcu.be/dFcL4

Exito rotundo del #CongresoSEDAR2024 con récord de inscritos, ¡1.700! Salas llenas, compañeros muy jóvenes y con mucho entusiasmo, gran representación institucional… Muy agradecido a todos lo que lo han hecho posible. SEDAR

#orgullodeseranestesista

Response of capillary refill time to fluid challenge and vasopressor test

34 septic shock patients
These interventions shortened CRT in the overall population, but much heterogeneity was observed, especially in how CRT responded to elevating MAP.

🔓annalsofintensivecare.springeropen.com/articles/10.11…