Matt Siuba

@msiuba

🌛Intensivist | Severe resp failure (esp ARDS) | | Shock | | ICU procedures | Biostats📚|

Cleveland, OH
Vrijeme pridruživanja: svibanj 2008.

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  1. Prikvačeni tweet
    14. lis 2017.

    Early Goal-Directed Palliation* *trademark pending

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  2. proslijedio/la je Tweet
    prije 6 sati
    Odgovor korisnicima i sljedećem broju korisnika:
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  3. proslijedio/la je Tweet
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  4. prije 9 sati

    What’s going on here? Hint: part dyssynchrony, part ventilator peculiarity

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  5. prije 22 sata

    CVP used as a safety measure in one of my favorite trials!

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  6. proslijedio/la je Tweet
    3. velj

    What could be causing the spontaneous echo contrast at the junction of the right renal vein in the IVC? Mystery. The follow up clip in a little while will give more clues.

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  7. 3. velj

    there's a package in that has color palletes from all the Wes Anderson movies... so this is my new default. Here's a sample from Life Aquatic. More on color palletes in R here:

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  8. 3. velj

    I like this paradigm, what do you think? Of course I've stopped giving fluids *way* before this happens based on my tendencies. "CVP is a stopping rule, not a target of fluid resuscitation"

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  9. proslijedio/la je Tweet
    3. velj
    Odgovor korisnicima i sljedećem broju korisnika:
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  10. proslijedio/la je Tweet
    2. velj

    How do I make people understand that meetings are for discussing ideas rather than presenting new information? The information needed to discuss, process ideas etc should be sent out before a meeting. Else you’re wasting everyone’s time.

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  11. proslijedio/la je Tweet
    2. velj
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  12. 2. velj

    A day left to answer... so far 2/3 of you are interested in placing the patient back on the FS curve and/or decongesting organs despite vasopressors 🤓

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  13. proslijedio/la je Tweet
    31. sij

    Twitter poll below: Pt with small perforated duodenal ulcer. Just arrived at ED. BP 69/38 MABP 48. Lactate 3.8. pH 7.32. (CT scan shows a small fluid collection adjacent to duodenum)

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  14. proslijedio/la je Tweet
    2. velj

    Joe you always make me 😂 and Matt I will round with you in the ICU anytime😊

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  15. proslijedio/la je Tweet
    2. velj

    Many think that Rapid Response Teams (RRT) are controversial. Why do you think studies vary in the outcomes? pls discuss!

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  16. proslijedio/la je Tweet
    1. velj
    Odgovor korisniku/ci

    That’s a health system failure. I have not had such an experience in two decades...actually, almost all codes I see nowadays are in E-ICU...smaller health systems not catching up yet. care (BOTH recognition & treatment of shock/resp failure AND EGDP) = ❌CPR.

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  17. 1. velj
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  18. 1. velj

    This has been a really interesting sub-thread of the original pigtail v thora debate. is clearly an expert here and this info changes the way I think about this process...

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  19. proslijedio/la je Tweet
    27. sij

    sepsis/ARDS patient treated woth crystalloid.. developed congestive nephropathy... multi-organ failure resolved with diuresis (combined diuresis loop/thiazide despite being on norepinephrine 😛) by

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  20. 1. velj

    Time for a poll. I would diurese (or ultrafiltrate) a patient on pressors (moderate dose) if I feel they are hypervolemic.

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  21. proslijedio/la je Tweet
    1. velj
    Odgovor korisnicima i sljedećem broju korisnika:

    My approach to mod-large effusions in ICU in general, by proportion. Most I don’t drain, instead approach Most I drain are suspicious, so pigtail. If I might save you from intubating with hx of CHF or hepatic hydrothorax, esp with diaphragm inversion, thora.

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