Cardiologist // Intensivist // @CedarsSinai - trained
Joined August 2017
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- Following445
- Followers168
- Likes1.6K
FerCherno retweeted
Aspirin, cardiovascular events, and major bleeding in older adults: extended follow-up of the ASPREE trial: @ESC_Journals
🥸Aspirin for primary prevention for older pts = MACE!
👇👇👇👇
FerCherno retweeted
Heart Failure Medical Therapy Prior to Mitral Transcatheter Edge-to-Edge Repair: The STS/ACC Transcatheter Valve Therapy Registry academic.oup.com/eurheartj/a… – at Shorewood Hills, WI
FerCherno retweeted
Vasopressors and #inotropes are frequently used in #IntensiveCare units. With a special focus on recent studies, this article summarises the key messages in the management of patients requiring inotropes and #vasopressors.
Read the full article iii.hm/icu22023belletti
FerCherno retweeted
🧠 Here recent neuro-narrative reviews… 🔓 #FOAMcc on @yourICM
📖 EEG in #ICU for acute BI rdcu.be/dj1PO
📖 Managing moderate/severe TBI rdcu.be/cN2rq
📖 Hypoxic–ischaemic BI after CA rdcu.be/dh3Gd
📖 The brain in #PedsICU rdcu.be/cLS1v
FerCherno retweeted
Ten current papers for the curious general cardiologist, including ticagrelor monotherapy post PCI, MRA use in cardiac amyloid, asystole post shock from wearable defibs & ⬇️in mortality using telemonitoring in HF
Sources: @ESC_Journals, @JACCJournals, @JAMACardio
1/n
FerCherno retweeted
Our Impella emegrency algorithm and supporting data has been published in @BrJCardiol to guide frontline teams in resuscitation of these patients @VPanoulas @Alex_Rosenberg
@DrWaqasAkhtar @sofia_pinto23 @1krissytine @agnieszkazych11
bjcardio.co.uk/2023/08/mecha… – at Harefield, London
FerCherno retweeted
🚨Bookmark this🌟SPECTACULAR🌟illustrative review of HIT!
@CukerMD & @jori_may created a fantastic visual guide outlining the diagnosis & management.
It is clear & concise & perfect for sharing! #AnticoagStewardship #TwitteRx @AnticoagForum
@RPTHjournal
rpthjournal.org/action/showP…
FerCherno retweeted
1/3 Most of our time in the Harefield ICU is spent finding the optimum balance in our patients’ blood pressure and flow to facilitate perfusion and improve organ function. We manipulate physiology mainly through use of fluids, inotropes, vasopressors, or MCS. – at Hounslow, London
FerCherno retweeted
Today we honor Cleveland Clinic heart surgeon René Favaloro on what would have been his 100th birthday.
Dr. Favaloro introduced coronary artery bypass surgery into clinical practice.
It's a procedure that has saved countless lives since.
FerCherno retweeted
#0/7 Thanks @purviparwani for robust discussion on diastology which means "Dilation".
I was asked to present my approach to Diastolic Function assessment at @ase360 " Just Relax: Diastolic Dysfunction" session. Let me share again and explain the 7 points that I emphasized.
Stuck in echo lab today but loving Dr. @JaeKOh2 talk on diastology! Thank you @ASE360 for live stream!
1. E prime is the most important parameter
2. Systolic dysfunction doesn’t always mean diastolic dysfunction
2. Not all the diastolic parameters are required
3. Variability in interpretation by age
4. Don’t look at the clinical history or 2D echo features
#Echofirst #ASE2023 #ASE23
FerCherno retweeted
remember: PaCO2 > etCO2
targeting etCO2 30-35 will generally put the paCO2 into the 35-50 range (safe)
so, the safety of hypercapnia supports the safety of etCO2 monitoring
don't phlebotomize patients to fine-tune something that doesn't matter (2/2)
emcrit.org/ibcc/co2/
FerCherno retweeted
#TAMEtrial just published!
🩸 Does mild hypercapnia (50-55 mmHg) vs normocapnia (35-45 mmHg) improve outcomes in OHCAs admitted to the ICU?
🧠 Good neuro outcome at 6 mo:
43.5% (hypercapnia) vs 44.6% (normocapnia)
🔗 @NEJM nejm.org/doi/full/10.1056/NE…
#CCR23 #ResusTwitter #FOAMcc
FerCherno retweeted
Narrative review on fluids in sepsis
From resuscitation to evacuation
From EGDT to #CLOVERStrial
From fluid responsiveness to fluid intolerance
All the essence is compacted in this paper!
Fluid therapy in sepsis is really interesting😊
🔗jamanetwork.com/journals/jam…
#FOAMcc
FerCherno retweeted
slow correction of hypernatremia in older adults is not evidence-based. the authors discuss this in the text of the article, but unfortunately not in their algorithm. for patients >>40 years old, target 6-11/day is too conservative IMHO.
emcrit.org/ibcc/hypernatremi…
FerCherno retweeted
everyone with acute, severe hypoxemia & bilateral lung infiltrates now has ARDS 🙄
we’re converting a trashcan diagnosis into a gigantic dumpster bin.
studies on this increasingly heterogenious group of patients will struggle to find any useful therapies. – at Burlington, VT
New ARDS definition🫁
What's new👇
1⃣HFNO ≥30 L/m
2⃣SpO2/FiO2 ≤315 & SpO2 ≤97
3⃣Ultrasound diagnosis of bilateral opacities
4⃣Consideration for resource-limited settings
But it's hard to know the consensus process from one-page abstract🤔
🔗atsjournals.org/doi/abs/10.1…
#FOAMcc
FerCherno retweeted
The 13th International Conference on Acute Cardiac Care will be held in Tel Aviv on 10-11 July, 2023.
The program is delivered by the best senior cardiologists in the world and in Israel.
lnkd.in/dQCiG8Qf
#CardioTwitter
FerCherno retweeted
This, in my opinion, is still one of THE most important concepts to understand. It can make a world of difference.
FerCherno retweeted
The @SCC_CCS Position Statement for “Neuroprognostication in the Post Cardiac Arrest Patient” has been published 👉 onlinecjc.ca/article/S0828-2… A practical guide of recommendations using the GRADE system to enhance in-hospital care of the post-cardiac arrest patient follows: 1/10
FerCherno retweeted
Preliminary program now online… looking forward for this exciting meeting acutecardiaccare-gtgl.com/pr…
