Francisco Soto, MD, MS, MBA
Pulm/CritCare | Division Chief | Pulm Vascular Dz | Right🫀Cath Connoisseur |🫀🫁 #Hemodynamics | CritCareEcho | #POCUS | My Opinions
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“The wedge.” The holy grail of RHC and hemodynamics Hate it or love it, major decisions are made based on it Whether you: • Perform the procedure yourself • Review someone else’...
1/11 #PAC 101 (The Catheter) A cath lab pt just arrived in your ICU with a pulmonary artery catheter (#PAC) in place. Your bedside nurse (limited #PAC experience) asks you to wa...
1/10 Avoiding a PA catheter #PAC nightmare! (bookmark this) Evening rounds in ICU. Pt with #PAC in place. “Wedge” 25 mmHg 2d ago. Great diuresis since. Last 8h urine output is...
[1] #Hemodynamics Tweetorial #2 Heart failure pt in ICU is -3.5L after 2d of aggressive diuresis. On day 3, urine output is ⬇️and BUN/Cr is ⬆️ You personally wedge #PAC at bedsid...
[1] A "wandering" PA catheter A pt with acute on chronic HFrEF (decline d/t acute ant wall MI) was admitted to ICU overnight. Cath lab #hemodynamics: PA 50/27/mean 35, Wedge 27....