Doppler tell us when to remove fluids in the ICU.
Discontinuous IRVF = 4× higher success in deresuscitation, with 87% S.
VExUS 2–3 is Sp but not S.
IRVF = a real-time marker of readiness, not long-term outcomes.
#POCUS #Ultrasound #CriticalCare #IRVF #VExUS #FluidManagement #ICU #MedSci

I made a little Megamix for the By A Bar Riddim. #soca #stlucia www.youtube.com/watch?v=irVF...

救急外来における急性心不全（AHF）4表現型（ADHF・APO・IRVF・CS）の臨床特性と長期予後を実臨床データで比較した研究。ESC2021ガイドラインに基づく表現型分類を用い、各群の特性と転帰の違いを検討した。救急現場での表現型別リスク層別化に向けた実証的根拠を提供する。

#医療AI #心不全AI #ClinicalAI

https://pubmed.ncbi.nlm.nih.gov/42681602/

IVC and JVP will always be very abnormal.

Portal vein can be pulsatile due to cirrhosis alone, so is likely not reliable.

Weight and urine output, for various reasons, were not reliable in this patient.

IRVF (unsurprisingly) not accessible.

IRVF is biphasic (so perhaps not such bad congestion this time)

Final clip - IRVF much improved (still mildly pulsatile), Cr back at baseline

BUT! IRVF still monophasic, although visual RVSI is improved.

Diuresis continued.

I originally posted this as a reply to someone saying that Trump, bored with Greenland and Minnesota, was returning to aggression against Canada. That is why Canadian has so many exclamations. bsky.app/profile/irvf...

fosc gptd hque irvf jswg ktxh luyi mvzj nwak oxbl pycm qzdn raeo sbfp tcgq udhr veis wfjt xgku yhlv zimw ajnx bkoy clpz dmqa enrb foscraps