Meinolf Ebbers (@Myn0lf) profile picture

Meinolf Ebbers

@Myn0lf

Cardiac anesthesia @ @dhzcharite

Joined November 2024
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Teaching case/decision making 👉 M. 69 yo with severe AS scheduled for SAVR 📍preop TTE 📍intraop TEE (pre-CPB) 📍no pt’s informed consent about MV surgery Intraop TEE done by a fellow How would you proceed #echofirst @iamritu @NMerke @CASivaram1 @DrRajeshG1 @OungSavly
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Do you know #echofirst what is HeartMate6? HeartMate3 + HeartMate3 = HeartMate6 (a total artificial heart, TAH) jacc.org/doi/10.1016/j.jacca…
Image from Alexander Mladenow MD (@alex1708ander)
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Fused BAV (RCC - NCC Phenotype) 20-30% #echofirst 👉BAV-associated aortopathy 👉 Flow Jet right posterior to distal arch = this is type 3 tubular/arch aortopathy 👉 To unveil the mechanism of AR 3DE-based 2DE images are decisive (not the 3D image itself)
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Another hint…try the opposite - convert 3D into 2D = how the 3D image corresponds to the 2D images #echofirst
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Convert 2D into 3D 🤔 #echofirst 👉 intraop TEE immediately after removal of the aortic cross clamp 👉 patient undergoing MVR & AVR for NVE 👉 locate the jet on the 3D image (clocking) 👉 nature of the jet (washing, para or intravalvular)? 3D Color Doppler to come @Myn0lf 🌟
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ahajournals.org/doi/10.1161/… Gaps and Knowledge in the Contemporary Management of Acute Right Ventricular Failure
Gaps and Knowledge in the Contemporary Management of Acute Right Ventricular Failure | Circulation:...

Gaps and Knowledge in the Contemporary Management of Acute Right Ventricular Failure | Circulation:...

Acute right ventricular failure (ARVF) is commonly seen in the intensive care unit and constitutes a significant clinical challenge, with associated high in-hospital mortality. Recently, the treatm...

ahajournals.org
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Meinolf Ebbers retweeted
M Velia Antonini (@FOAMecmo) profile picture
M Velia Antonini
@FOAMecmo2 Dec 2024
🗃️From @yourICM archives... The concept of baby lung 🫁 from 1970s to middle 1980s 🍼 🫁middle 1980s: baby lung concept 🧽 from baby to sponge lung 🫁 baby lung at end-inspiration 🥅 protective lung strategy: changing goals ⚠️ VILI #FOAMcc #ICMilestones 🔓rdcu.be/dyyCj
Image from M Velia Antonini (@FOAMecmo)
Intensive Care Medicine (@yourICM) profile pictureIntensive Care Medicine@yourICM2 Dec 2024
◾️In memory of Prof L Gattinoni, towering figure in ICM, profoundly shaping understanding of #ARDS & #ECMO. The “father" of prone position revolutionized MV with a pioneering "baby lung” concept. His legacy will guide/inspire for generations to come. 🔗esicm.org/obituary-luciano-g…
Image from Intensive Care Medicine (@yourICM)
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Ein ganz Großer ist gegangen! ☹️
Intensive Care Medicine (@yourICM) profile pictureIntensive Care Medicine@yourICM2 Dec 2024
◾️In memory of Prof L Gattinoni, towering figure in ICM, profoundly shaping understanding of #ARDS & #ECMO. The “father" of prone position revolutionized MV with a pioneering "baby lung” concept. His legacy will guide/inspire for generations to come. 🔗esicm.org/obituary-luciano-g…
Image from Intensive Care Medicine (@yourICM)
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