NEPALESECRITGUY @nepcritguy

@IM_Crit_ There's a common practice of finding ways to optimise the NIV fitting and allaying patient's claustrophobic nature while the tachypnea goes a bit well tolerated by the physician's urgency perspective. Even with leak rate of 50 is too high to cause more damage than good!

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NEPALESECRITGUY @nepcritguy

a year ago

@Sports_Fan7 Looks like pneumomediastinum to me!!

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NEPALESECRITGUY @nepcritguy

a year ago

@FilipeAmado1 Any recent emerging evidences that Dexmed if used in septic shock does increase catecholamine responsiveness and dose of Vasopressor requirement is less in contrast to what would be expected normally if it's hemodynamics response is considered.

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NEPALESECRITGUY @nepcritguy

a year ago

@FilipeAmado1 @ISICEM Should have mentioned on AVIOSS trial update and how it could change practice...The evolving evidence (or rather practice) of using vasopressin esp in transplant donor candidates can be extrapolated for increasing vasopressin role in future.

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NEPALESECRITGUY @nepcritguy

a year ago

@AltarasRona @armyemdoc Many a times the ergonomics is not a priority in ER esp in such chaotic emergencies!

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NEPALESECRITGUY @nepcritguy

a year ago

@1min_IDconsult @TakaMatsuo_ID Does the dose of Valcyclovir or Ganciclovir given changes in these two groups of patients?

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NEPALESECRITGUY @nepcritguy

a year ago

@thomaswoodcock @ThinkingCC @IM_Crit_ @khaycock2 Would in that case interstitial leakage of albumin cause the interstitial space acting a depot for frusemide and hence causing a prolonged effect of the diuresis. Something akin to the interstitium acting like a compartment model in pharmacokinetics?

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NEPALESECRITGUY @nepcritguy

a year ago

@MCFACRC @anirbanb_007 @ClevelandClinic @AbhiDuggalMD Could we have the recorded link to this by any chance?

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NEPALESECRITGUY @nepcritguy

a year ago

@thomaswoodcock @IM_Crit_ Some do claim that albumin improves delivery of frusemide to the loops as they bind to albumin?

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NEPALESECRITGUY @nepcritguy

a year ago

@ThinkingCC @IM_Crit_ Can you explain this in terms of role of endothelial glycocalyx or modified Starling's equation?

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NEPALESECRITGUY @nepcritguy

a year ago

@prepacespodcast Tetracyclines...esp Doxy and Mini?

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NEPALESECRITGUY @nepcritguy

a year ago

@drsthanus Rest 6 pages sir?

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NEPALESECRITGUY @nepcritguy

a year ago

@critconcepts I think what they meant was pursuing "anion gap closure" might be misleading as it would distract away from NAGMA like in hyperchloremic acidosis. So going for specific values of Bicarbonate, pH and Ketone seems logical for me.

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NEPALESECRITGUY @nepcritguy

a year ago

...and the reference lines of scientific papers serve as their little tombstones, marking that we are grateful to them for their sacrifice... Alex Yartsev (Deranged Physiology)

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NEPALESECRITGUY @nepcritguy

a year ago

...Suffice to say any copyright infringement here would be unintentional and I recognize that all of my content is the product of somebody else's research, imagination, labour, love and suffering. A thousand million laboratory mice perished in the making of our health science...