Husband, working father of dr4gons, Cardiac Anesthesiologist, PACU-tensivist, enemy of good enough, proud Jew. Views are mine, tweets/RT ≠ medical advice 🟠🟣
Joined May 2014
- Tweets73
- Following187
- Followers100
- Likes156
Daniel Asher, MD retweeted
I want to share what I think about MDs. I love each and everyone that busted their ass, borrowed too much money, sacrificed more than we can ever quantify, in hopes of helping their patients. Medicine is an imprecise science. The uncertainties far outnumber the absolutes.
Daniel Asher, MD retweeted
Better pain control and decreased opioid requirement after CABG @UHAnesthesia @UHAnesCritCare @UHCTSurgery
After totally endoscopic coronary artery bypass surgery, intrathecal morphine produced significant postoperative #analgesia and decreased #opioid consumption. Read the article: ow.ly/gRs050LTFyO
Daniel Asher, MD retweeted
When you hold back feedback, you deprive people of the chance to learn from you.
If you’re afraid they'll be defensive, ask if they’re interested in your reactions.
If they say yes, they're opting in. If they say no, at least you've let them decide instead of choosing for them.
I made some very spicy food after making a #TraderJoes mediated error.
#lookalikesoundalike #lasa errors in #medicine can cause a #medicationerror the same way. #MedEd isn’t enough to prevent it. #FOAMed @pppforpatients #anesthesia #MedTwitter
link.springer.com/article/10…
Daniel Asher, MD retweeted
Perhaps my favorite medical video ever - tricuspid regurgitation so severe that it was visible in the arm!
Via @Hussainch @grepmeded
#MedTwitter
Measuring #rightventricle performance is best done with a combo of #echocardiography and a #pulmonaryarterycatheter. Great review by @KagiyamaNobu, but I like to use PAPI too. #Pulmonaryarterypulsatilityindex. Just remember, PA catheters can be dangerous and difficult to place
Slides for RV function
(my first movie upload)
#EuroEcho #RV #StrainImaging #SpeckleTracking #rightventricle #初めての動画
#Research: Vasopressor of choice for #rightventricle failure is primarily #norepinephrine.
I usually opt for #epinephrine for my #patient after #cardiopulmonarybypass and norepinephrine with #nitroglycerin for RV strain with #pulmonaryhypertension. #MedTwitter #FOAMed
Acute failure of the #RightVentricle is can be caused by many factors. A #multimodal approach to #treatment can help save out #patients. This @JACCJournals review has some amazing #clinicalpearls #FOAMed #MedTwitter
tinyurl.com/MedSurg-TXT-RV-F…
Daniel Asher, MD retweeted
“If everyone is thinking alike, then somebody isn't thinking.”
George S. Patton.
Absolutely loving this conversation with
@SimonOrlob
@HansvanSchuppen @johannes_wittig @AirwayMxAcademy
☑️Did you know that bag mask ventilation is effective for oxygenation in >90% of patients as basic airway management technique to keep them alive? Why don’t we train general public 2learn the technique? @jducanto @NaveenEipe @NightShiftMD @EM_RESUS @DGlaucomflecken #bagmask4life
Because the #rightvetricle is 60% thinner walled than the LV and about 1/6th the mass, it also uses about 1/6th the amount of the amount of #oxygen.
However, it is also there much more acutely sensitive to changes in #afterload
#MedTwitter #FOAMed #Cardiology
Solid review of measuring #rightventricular function
Slides for RV function
(my first movie upload)
#EuroEcho #RV #StrainImaging #SpeckleTracking #rightventricle #初めての動画
We were taught that #coronary #perfusion is only during #diastole, that's true for the #leftventricle.
The #rightventricle is always getting perfusion.
Perfusion pressure = Arterial pressure - target organ pressure
#FOAMed #anesthesia #Cardiology
#Cardiologists: Left ventricle function is always included on #echo report conclusions.
Right ventricular function is not.
Why are we so #leftventricle centric?
Search #pubmed results
RV: 26,101
LV: 44,879
This week, I'm focusing on the #rightventricle
#MedTwitter #FOAMed
ALT Sure, RVSP is there, but WHY NOT THE RV FUNCTION?
Daniel Asher, MD retweeted
How would you secure this airway? No fiberoptic available 😱
#MedTwitter
#anesthesiology
#difficultairway
Daniel Asher, MD retweeted
The 'right' way to do a RHC. @RyanTedfordMD Self-described "hemodynamic nerd." Welcome to @UHhospitals!! #HeartFailureGRs @UHhospitals @CWRUSOM
Words of wisdom to live by in medicine. #residentsarethefuture
A #patient presented with #thrombus in transit. #2d & #3d #echo showed a tadpole-like structure stuck in the intra atrial septum. 🧵 #FOAMed #MedTwitter #echofirst
The #patient underwent #surgical removal after careful consideration. What #medical options are there? journal.chestnet.org/article….
The #surgeon maximized access to the #thrombus in order to prevent it from tearing and having to perform #ventricular exploration. This allowed the thrombus to be removed in one piece.
