David Bowton,MD

@HOGTOWN_DOC @WakeForestCCM So very well deserved, Casey.

@gretchemaben Mountain biking in Moab and Dead Horse point and hiking in Arches.

Alright, I’m planning an adventure trip next month in Colorado for my 40th. Give me your best activity recommendations - Let’s make this aging meat suit work for it! 🚴🏻‍♀️ 🐎 🥾 ⛷️ 🪂

Already planning for #chest2023! Please submit ideas for sessions, especially with novel educational formats. Submissions are due by Dec 2. A great opportunity to shape this exciting meeting in Hawaii. @CHESTPulmCardio @accpchest

For all CHEST 2022 attendees with an interest in Pulmonary Vascular Disease and/or Cardiovascular Disease come join us at our Network meeting and presentation today at 11:15!! Dr. Soto will be discussing pitfalls in the diagnosis of pulmonary hypertension in the cath lab.

@redraiderpulmcc @accpchest @sqsimp Smile, Victor!

More #CHEST2022 friends! Thank you @accpchest and @sqsimp

That’s @GenevaTatem

Come join us tomorrow for our session on Airway Management in Severe Hypoxemia featuring @niven_alex @JBradyScott @geneva tater @chest2022

@IowaPSTP @UIowaPCCM @KDoerschug @allisonwynes @niven_alex @roloMD @uihealthcare @IntMedatIowa Thanks, Dr. Stoltz, it was a real pleasure.

@davidschulman As long as you didn’t rue ordering the Rueben.

Today #CHESTinNYC featured a ton of walking and lunch at a high-end diner. Food was great, but the spelling was terrible. #JusticeforReuben

@virenkaul Food comes very close to being the universal love language.

This is why I love India 🇮🇳.. YOU ARE GOING TO BE FED, NO OPTION! And if you are visiting 4 homes a day like Mrs. K and I do when we visit parents, you better bring all the digestive pills cuz the food is so so good. Food is our love language!!

@ogi_gajic @KhannaAshishCCM While important, is focusing on MAP the wrong variable-rather isn’t adequacy of perfusion (cap refill, urine output, lactate, tissue oxygenation) what’s important though much harder to ascertain.

@KhannaAshishCCM Check these two as a counter argument outside OR and after “golden hours” in the ICU: pubmed.ncbi.nlm.nih.gov/32049269/ pubmed.ncbi.nlm.nih.gov/17924093/

#zentensivist question. Frequent cuff BP is painful. How do you monitor BP in awake patient requiring stable lower dose vasopressors (<0.15 mcg/kg NE),including through peripheral IV and outside #ICU. Of course, ECG and SpO2 are continuously monitored. #MedTwitter #FOAMed #FOAMcc

@OncIDPharmd The conclusions are opposite to the results of their primary outcome. Further, given the early termination and low enrollment the potential for significant harm: excess mortality in addition to increased recurrence cannot be accurately assessed

1/ We just published our full @Cochrane_ACE systematic review and meta-analysis of videolaryngoscopy versus direct laryngoscopy for adults undergoing tracheal intubation. The full review is here, but first - some of our key takeaways 👇 cochranelibrary.com/cdsr/doi/10.10…

@Singh011Jaspal @aartisarwal @nikhilpatelmd @ChristaSwisher @WesElyMD @jcjackson68 @JER_CCNS @drdangayach @virenkaul I like that troublemaker is a brainstem function-most central to your survival 🤣

The front of my son’s handmade birthday card to me ❤️. “Terrible ideas” is right 😂 but I am a bit skeptical of the anatomy & physiology🧐. Need Neuro help. @aartisarwal @nikhilpatelmd @ChristaSwisher @WesElyMD @jcjackson68 @JER_CCNS @drdangayach @virenkaul

@Singh011Jaspal While the sense of most of us is that Covid is associated with thrombotic events, the true comparative risk and longer term outcomes remain unclear. Interesting that the ACTIV4B trial was stopped early for futility due to low incidence of events. doi.org/10.1001/jama.2…

Are we still calling this “mild COVID”? Fully vaccinated, with mild cold symptoms, with dyspnea (consent documented). #MedTwitter

Interesting observational study examining impact of early respiratory support in Covid-19 patients. Not randomized, but was propensity matched and larger than many similar studies. Worse outcomes with NIPPV versus high flow, or early IMV (PSILI?). ncbi.nlm.nih.gov/pmc/articles/P…

@DanckersMD @accpchest @CHESTCritCare Thanks Mauricio. So satisfying to observe your well-deserved successes within the CHEST community.

Now, it is Bowton Time! @DavidBowton sharing their thoughts on recent neuro critical care updates at @accpchest #CHEST2021 @CHESTCritCare #CHESTTrainees

@virenkaul @ChrisCarrollMD @accpchest @Chaeface @Singh011Jaspal @JBradyScott @CHESTCritCare @GallodeMoraesMD @drdangayach @gretchemaben Viren is the infographic king. Superb summaries of evidence.

We discussed MV in patients critically ill w/ neuro injury as well as in patients with HF. Here are some learning points. Discussions about to go live, can't wait. #CHEST2021 #CHESTMechVent

@virenkaul @Chaeface @JohnGaillardMD @accpchest Great session on airway management in special populations