Challenging Dogma

Jul 17, 20228 min read

Valvular Hemodynamics and Medical Management

Learning how to medically manage valvular disorders is an important part of working in a Cardiac ICU.

Jul 22, 20216 min read

Why do we give fluids in resuscitation? Part 2: Oncotic Pressure

Albumin makes up 75% of the oncotic pressure in the intravascular space.

Jul 6, 20216 min read

Cirrhotic Shock: Should we consider a 5th type of shock?

Understanding the different types of shock helps with providing the right resuscitation for the patient. Is the patient distributive? IV...

2,554 views1 comment

May 31, 20218 min read

Right Heart Failure: Understanding the hemodynamics - Part 2: Contractility

Right ventricular contractility is defined as the performance of the ventricle at a given filling volume and systolic pressure.

May 15, 20216 min read

Transpulmonary Pressure: Time to individualize the ventilator.

Transpulmonary pressure = Alveolar pressure (Palv) – Pleural pressure (Ppl)

Apr 21, 20215 min read

Driving Pressure: Should we move on from ARDSNet?

What if I said the idea of 6mL/kg tidal volumes should be abandoned and has led to a huge misunderstanding of what is best for patients?

1,371 views1 comment

Mar 22, 20218 min read

Renal venous congestion: Renal failure and Hemodynamics

If a patient is hypervolemic and developing an AKI, it is usually due to volume overload and renal venous congestion.

Feb 21, 202111 min read

Have we failed at medical education? Part 1: rediscovering physiology.

As many people will tell you, ideas and philosophies in medicine often go through swings. Things will be in style for years, and then...

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