6a5a6ed541594d5075e87079-mp3

19:51 5 & Kefluniañ 9 Pennadoù 612 reizhennoù
Eilad leun Klask an holl re

& Kefluniañ

Pennadoù

  1. 0:00
    Pennad 1: The guidelines say is you're supposed to use multimodal risk, and we do have a reveal -echo scoring now that's available that we can use that to maybe quantify the severity of the echo. 137s · Speaker 1

    The guidelines say is you're supposed to use multimodal risk, and we do have a reveal -echo scoring now that's available that we can use that to maybe quantify the severity of the echo. Although we all can just look at it and say, RV's sick…

  2. 2:17
    Pennad 2: Yeah, and that was this patient. 67s · Speaker 4

    Yeah, and that was this patient. He was talking about, you know, she was going into palpitation. And then she had an episode of AFIT, and like, okay, now we have a problem. I don't care if she scores five. Because current criteria has revea…

  3. 3:24
    Pennad 3: And they didn't follow up on a regular basis. 93s · Speaker 2

    And they didn't follow up on a regular basis. Maybe. I don't know. But that makes sense. Kind of a little bit tangential, but for our critical care colleagues, you know, so when you see acute RV dysfunction, in pH patients specifically or n…

  4. 5:00
    Pennad 4: We don't look a lot at the BNP. 75s · Speaker 5

    We don't look a lot at the BNP. I've been fooled many times with the BNP. I've seen normal BNPs in severe RV. TAPSI, I really don't care what the TAPSI score is when it comes to ECHO. changes, especially if the TR -JET is not very accuratel…

  5. 6:16
    Pennad 5: I mean, following the coupling is a great way. 79s · Speaker 4

    I mean, following the coupling is a great way. And so we don't just look at TAP -C in isolation. We look at the upload with TAP -C and see how those numbers, that ratio changes over time. A lot of times for our ECMO folks. There's now the n…

  6. 7:35
    Pennad 6: all you probably have a swan end so that's an effect your taps scores uh two the weaning of uh of ecmo on on a ph patient is really challenging Having just a two or three minute weaning or a clam trial isn't really significant. 118s · Speaker 5

    all you probably have a swan end so that's an effect your taps scores uh two the weaning of uh of ecmo on on a ph patient is really challenging Having just a two or three minute weaning or a clam trial isn't really significant. So in these …

  7. 9:34
    Pennad 7: So PROTECT meaning like a PA? 300s · Speaker 4

    So PROTECT meaning like a PA? A PA catheter with basically an RV support. And at the same time, some argue that with the high pressures in the pulmonary vasculature and pushing all the blood towards that. Pulmonary hemorrhage. Exactly, exac…

  8. 14:34
    Pennad 8: honestly. 300s · Speaker 4

    honestly. We do a lot of exercise. But we send them out. We send them out because I know a guy who has the right equipment and the right way to do it. Okay. But if we can do them at Joe's, that would be like... If you guys tell me how many …

  9. 19:34
    Pennad 9: IP receptor agonist inhaled prostacyclines, IV sub -q prostacyclines, and orals. 14s · Speaker 1

    IP receptor agonist inhaled prostacyclines, IV sub -q prostacyclines, and orals. Obviously, I think everyone who's prescribed all four of these pretty much know the patient burden in terms of what's ideal and what's not and when it's indica…