Vladimir Stoyanov

559 posts

Vladimir Stoyanov banner
Vladimir Stoyanov

Vladimir Stoyanov

@nephrospot

Nephrologist. Interventional profile. Fluids are not only drinks. Protecting kidneys keep safe hearts and brains. Tweets=personal viewpoints.

🇧🇬..🇪🇸..🇮🇪.. Katılım Kasım 2018
527 Takip Edilen259 Takipçiler
Vladimir Stoyanov
Vladimir Stoyanov@nephrospot·
@DublinAirport Extremely poor communication with no indications where to wait, and no personnel in place to provide information. Speed it up folks.
English
0
0
8
2.3K
Dublin Airport
Dublin Airport@DublinAirport·
Passenger Update ℹ️
Dublin Airport tweet media
English
19
12
135
47.1K
Novak Djokovic
Novak Djokovic@DjokerNole·
Thought I’d leave this here for all the sports injury “experts” out there.
Novak Djokovic tweet media
English
7.7K
9.5K
119.3K
18.8M
Vladimir Stoyanov retweetledi
KDIGO
KDIGO@goKDIGO·
The KDIGO 2024 Clinical Practice Guideline for the Management of IgA Nephropathy (IgAN) and IgA Vasculitis (IgAV) is available for public review through Monday, September 30. You can download the public review draft and share comments via the feedback survey on the KDIGO #IgAN/#IgAV Guideline website: kdigo.co/IgAN-IgAV-Guid… This update to the IgAN chapter from the KDIGO 2021 Glomerular Diseases Guideline takes into consideration evidence from randomized controlled trials published through April 2023. Based on the feedback received during this open comment period, a final revised version will be prepared for publication. We thank you in advance for your time and insights.
KDIGO tweet media
English
3
158
406
53.2K
Carol Traynor 🇮🇪
Carol Traynor 🇮🇪@caroltrayn·
Dr Mark Denton-10 years of percutaneous PD catheter placement. Not only has he placed 264 PD catheters, he has also taught other nephrologists, who are now starting their own programs nationally @BeaumontTranspl @Beaumont_Dublin
Carol Traynor 🇮🇪 tweet media
English
2
5
30
1.2K
Robert Shahverdyan, MD
Robert Shahverdyan, MD@robshahverdyan·
Vascular Access folks (especially the #endoAVF planer and creator peeps): what do you anticipate when you see this during your mapping and planing an endoAVF? Or would you rather go with a #Gracz?
Robert Shahverdyan, MD tweet media
English
1
0
9
378
Vladimir Stoyanov retweetledi
Juan Jesus Carrero
Juan Jesus Carrero@jjcarrero1·
Finally!
KDIGO@goKDIGO

KDIGO is pleased to announce the publication of the 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease (CKD). Read the news release: kdigo.co/CKD-Guideline-… Download the guideline: kdigo.co/2024-CKD-Guide… Read the guideline in Kidney International: kdigo.co/CKD-Guideline-… The KDIGO 2024 CKD Guideline was co-chaired by @adeeralevin and @KidneysRU. The Executive Summary will be published in the April 2024 issue of @Kidney_Int. “We are thrilled to publish this eagerly anticipated update, which comes during a transformative period in nephrology, offering new hope for people living with kidney disease," said Dr. Levin. “Recent advancements in GFR evaluation, risk prediction, and the arrival of novel treatments are poised to enhance CKD prognosis and management. We also hope the guideline’s emphasis on multidisciplinary teamwork, patient engagement, and a holistic, evidence-based approach to care will help catalyze positive change, resulting in more coordinated CKD care management worldwide. By integrating the latest evidence and expert consensus, we aim to empower healthcare professionals, and patients with actionable recommendations to optimize patient outcomes and enhance quality of life.” “As Co-Chairs, we would like to recognize the outstanding efforts of the Guideline Work Group and extend our thanks to the Evidence Review Team from Johns Hopkins, without whom this guideline would not have been possible," said Dr. Stevens. "The Work Group was diverse, multinational, highly experienced, and exceptionally committed, and we are grateful for their contributions to both this guideline and to global nephrology.”

English
3
12
60
3.1K
Vladimir Stoyanov retweetledi
Juan Carlos Q Velez
Juan Carlos Q Velez@VelezNephHepato·
1/n SIADH is the FSGS of electrolyte disorders. Why? because it represents a pattern of disorder of water regulation (⬆️uOsm, ⬆️uNa) that can be triggered by different mechanisms of disease, like FSGS is a pattern of injury that can be the result of various glomerular hits.
GIF
English
7
94
223
27.3K
Robert Shahverdyan, MD
Robert Shahverdyan, MD@robshahverdyan·
How can anyone predict maturation of an #AVF? If you do, please let me know how. Here is an example of a 4 weeks old Gracz AVF created with 2.3x3.1 mm AV anastomosis. Better than simply matured. #vascularaccesscenter #hamburg
Robert Shahverdyan, MD tweet mediaRobert Shahverdyan, MD tweet mediaRobert Shahverdyan, MD tweet mediaRobert Shahverdyan, MD tweet media
English
1
1
11
1.3K
Robert Shahverdyan, MD
Robert Shahverdyan, MD@robshahverdyan·
Apparently, it became routine to byte of a dialysis catheter 🤦🏻‍♂️ - both in 🇩🇪 and 🇺🇸🫣. 4 months old catheter suddenly „broke off“. What do you do now? 😉😝
Robert Shahverdyan, MD tweet media
Monnie Wasse, MD, MPH@wasse_m

ESRD pt referred for a ‘missing cap” in a RIJ tunneled dialysis CVC. The CVC has been in for FOUR years and the art hub has been exchanged twice. No CRBSI’s. Do you recommend: • Exchanging the catheter for a new one OR… •Repairing the extension/luer-lock

English
2
0
5
1.8K
Eduardo R Argaiz
Eduardo R Argaiz@ArgaizR·
Remove volume only Lets asume significant volume overload (10% bw) in a 80 kg male Normal TBW is for him is 48 L (80 * 0.6) ECF is 16 L (48/3). Intravascular volume (IVV) is 1/4 of ECF so 4 L Assuming volume overload came from crystalloid. Then the ⬆️ 8 L (10% BW) would be ECF. So ECF is now 24 and IVV 6 L (also assume no capillary leak syndrome). A Hb of 6.8 gr/dl in 6 L of volume gives you a total Hb of 408 grams Now lets diurese. A third assumption: Lets assume that you achieve iso-natric decongestion (Ultrafiltration or combined diuretics) and achive fluid balance of -5 L. Only ECF will decrease from 24 to 19 L. Now IVV is 4.7 L (19/4). With a total Hb content of 408 gr, your new concentration will be (408g/47dl) = 8.6 gr/dl Of course, too many assumptions. But the increase in Hb is quite significant, so I would favor intense diuresis or UF!
English
6
9
50
6.1K
Matt Siuba
Matt Siuba@msiuba·
You have a patient with objective evidence of volume overload who has acute on chronic anemia without bleeding. Imagine hemoglobin drifts from 7.3 to 6.7. Hemodynamics unchanged, What do you think should be prioritized?
English
13
6
23
22.3K
Vladimir Stoyanov
Vladimir Stoyanov@nephrospot·
Nurse: Doc, can you see the #AVF of this patient? It bruised spontaneously the day after his last #dialysis session… Me: What about the bulging pulsating mass next to the anastomosis? Nurse: It was not there last Friday…
Vladimir Stoyanov tweet media
English
4
11
44
13.4K
Robert Shahverdyan, MD
Robert Shahverdyan, MD@robshahverdyan·
Salvaging a for 1,5 years occluded 3 years old upper arm #AVG (abandoned 1,5 years ago and replaced for a subclavian TDC 🙈 - later replaced to jugular). Step 1: get the outflow, Step 2: get the inflow, Step 3: clean the graft. #vascularaccesscenter #hamburg #ESKD #AVG
Robert Shahverdyan, MD tweet mediaRobert Shahverdyan, MD tweet mediaRobert Shahverdyan, MD tweet mediaRobert Shahverdyan, MD tweet media
English
3
0
14
944
Vladimir Stoyanov
Vladimir Stoyanov@nephrospot·
OK, call the Vascular Surgeon, please and let’s see if we can use the fistula today despite the hight RI
Vladimir Stoyanov tweet media
English
1
0
0
1.2K