Kitae (Tye) Chang

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Kitae (Tye) Chang

Kitae (Tye) Chang

@tyechang

@BrighamAnes ICU/Cardiac 🫀🫁 Fellow | @EmoryAnesthesia @RWJMS & 〽️ Wolverine | 🇰🇷 🇺🇸 roots | Resuscitation, MCS, AI/ML, and 🏃🏻

Boston, MA Beigetreten Nisan 2010
1.3K Folgt2.4K Follower
Kitae (Tye) Chang retweetet
ECMONinja
ECMONinja@EcmoNinja·
M Velia Antonini@FOAMecmo

#ECMO in adults with congenital heart disease? Despite high mortality can be lifesaving when used judiciously!  🫀because of complex anatomy, prior interventions, unique physiologic adaptations, ACHD patients often require highly individualized management strategies + should ideally be managed in specialized centers 🗝️ key challenges, complicating cannulation & perfusion goals/management, include: altered vascular access, residual shunts, circulatory configurations like Fontan physiology or systemic right ventricles after atrial switch, and cyanotic heart disease 🖇️ bit.ly/4narwIT

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Milad Sharifpour, MD
Milad Sharifpour, MD@MSharifpourMD·
Me: I’m gonna have some coffee White sweatshirt: “we”* are going to have some coffee 🤦🏻‍♂️
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Andrew Cho
Andrew Cho@choandrew716·
My mentor/PI Dr.@YangGuMD and our team just had an article published on ECPella anticoagulation strategies in @JCVAonline! authors.elsevier.com/c/1l0YZ3lSIP-n…
Andrew Jones@andrew_s_jones_

Comparative Analysis of Thrombosis in ECPella Patients Between Bivalirudin versus Heparin Anticoagulation Strategies. Another awesome paper from superstar @choandrew716! A challenging complication in a complex population! Lots of questions remain authors.elsevier.com/c/1l0YZ3lSIP-n…

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Kitae (Tye) Chang
Kitae (Tye) Chang@tyechang·
Couldn’t be there in person this year, but nevertheless, grateful to @scahq, @CGSNabzdykMD, and @BrighamAnes for giving me the opportunity to help our patients with the adjustable bioadheisve ultrasound (ABAUS) Time to get to work! **Shoutout to @JakobWollborn for the 📸🙏🏻
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Kitae (Tye) Chang retweetet
Kitae (Tye) Chang retweetet
Stephanie Bruce
Stephanie Bruce@Steph_Rothstein·
Remember after you finish a race, comparison is the thief of joy. Some days you have it more than others. Your imperfect result is someone else’s dream time. And vice versa. That’s why racing is cool. You never know what can happen until you line up.
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Kitae (Tye) Chang retweetet
Kitae (Tye) Chang retweetet
Ross Prager
Ross Prager@ross_prager·
A common error in the ICU/ED we see: intubating patients on BIPAP after 4 hours (or even less!) that look comfortable JUST because their blood gas isn't improving. Retweet if you have seen this practice yourself! Check out my recorded discussion with @paulieac quoted below where we talk about this and MANY more NIV pearls (Paul is a NIV guru btw) Instead: 1) Check to make sure a good mask seal --> if poor seal, your NIV isn't being delivered to pt. 2) Check your minute ventilation. Aim for ~0.1L/kg . So for an average person somewhere around 6-7LPM minute ventilation 3) Ensure appropriate indication (CHF/COPD over pneumonia) 4) Check your settings. For CHF, mean airway pressure more important (increase PEEP). For COPD, driving pressure more important (increase IPAP). 5) Make sure you are thinking about pulmonary toilet (e.g. breaks to cough, cough assist etc.)
Ross Prager tweet media
Ross Prager@ross_prager

Our discussion on NIV with @paulieac is starting at 11am EST March 27th. That's today in 30 minutes! Come hang out for 30-60min as we discuss NIV pearls and pitfalls. Reply to this post with any specific questions you want us to discuss x.com/i/spaces/1LyGB…

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