Philippe Rola

Last few days for early bird! Join us in Montreal next september! #HR26 Nothing quite like it... thinkingcriticalcare.com/2026/01/16/fou…

Le ministre libéral François-Philippe Champagne affirme s'être récusé du projet de TGV en septembre 2025. Un projet de 90 milliards $ dont sa conjointe est la vice-présidente. Pourtant, il en a fait la promotion lors d'un témoignage au Sénat six mois plus tard. Dans le budget qu'il a lui-même présenté, on ne retrouve aucune trace de sa récusation et il a aussi voté en faveur du TGV à la Chambre des communes. La version du ministre Champagne ne tient pas la route. 90 milliards $ sont en jeu. Vous devez dire la vérité, monsieur le ministre.

@jonkay @Robert_Deragon Shameful

It increasingly looks like Canada will be (literally) the last place on the planet where parents who think their kid was “born in the wrong body” can come to get the child sterilized, drugged, & surgically disfigured to conform to their cultish beliefs nationalpost.com/opinion/canada…

@vaszochios @Asiritrauma1 @douglas @drhaty @yourICM They also tend to have a stronger RV at baseline ;-)

🚨Right ventricular-protective ventilation in ARDS: thinking beyond lung protection @Douglas Slobod @drhaty @yourICM link.springer.com/article/10.100…

Nope. We didn’t think it was enough. Wt-based approach never made sense. Only DP makes sense. We believe strategy should involve minimizing it and getting back to FRC! @EMNerd_ @DoctorDaxon @khaycock2 @DrMiguelIbarra1

@max_berrill @IM_Crit_ @Srivatsa34 The Praxis project is coming soon. The AI coaches will be free, we are building quite an educational community. I had intended to launch last week, but the coaches still need a little more fine-tuning so I am anticipating launching on May 1.

@ThinkingCC @IM_Crit_ @Srivatsa34 This is cool. How do we access it? Thanks for sharing!

Right ventricular (RV) involvement complicates >30% of acute inferior STEMIs, though hemodynamically significant RV infarction occurs in ~10–15% of cases. The classic teaching is that when a patient w inferior STEMI becomes hypotensive & has clear🫁on physical exam, the treatment

It is terrifying that 33% gave fluid to a struggling RV with an underfilled LV. Terrifying.

@dravukati Yup also an option to help dbp, but as you know this won’t help the RV directly so may combine w inotropy. Of course as was pointed out cath has to r/o occlusion.

Sir even a basic mechancial support like IABP would be most helpful in this scenario. Rv shock is treated first with revascularisation and second heamodynamic support. Normally lv coronary supply is dependant on diastolic drive but rv coronary can fill with systolic drive also so augmenting output and bp without too much stress on rv is crucial.

@MusstduD @wkcmd Yes that is certainly an option

@wkcmd @ThinkingCC Sometimes when you consider Dobutamin+Norepi the answer might be Epi- even if you don’t want tachycardia and you don’t want to increase O2 consumption of the myocardium. It might still be the answer- low low low continuous dose

@ImagenCardiaca Yes, of course I understand not many are using it yet, but I always find it odd when authors refer to something that is already well established in the literature as a measure of coupling as being something novel…

Querido @thinkingCC : is grounded in physiological principles described in the 1970s–90s (e.g., the work of Karel H. Sunagawa), but its real emergence is recent: over the last decade—and especially in the past 2 years—it has been incorporated into clinical cardiology through echocardiography. In this sense, we consider it “new”: new in our daily practice.

Acoplamiento ventriculoarterial derecho. Un nuevo parámetro en el estudio de la función del ventrículo derecho 📘 buff.ly/2xGCI37 ◀️ Repaso de la Trukipedia publicada en RETICweb

@Shirley70210319 @JCM_MDPI Understanding the importance of balance between forward flow and congestion is key.

#mdpijcm #ResearchPaper Sharing Title: The VTI-VeXUS Index in Septic Shock: An Exploratory Proof-of-Concept Observational Study of a Novel Hemodynamic Parameter Citations: 4 📌link: mdpi.com/2077-0383/14/1… ✍by Dr. Ross Prager et al @ThinkingCC @JCM_MDPI

@YubSedhai @pjcotera

@YubSedhai @pjcotera Agree.

Come join us in FL this summer to learn about critical care hepatology Virtual option available too with discounted rates for trainees Agenda and signup link in 🧵

@pjcotera @YubSedhai Totally agree that has to be the first thing that needs to be ruled out, but I was going with the aim of the question that seemed to be about haemodynamic management.

@ThinkingCC @YubSedhai If suspicion is acute stent thrombosis wouldnt dobutamine in an hypoxic RV just increase RV O2 consumption and increase infarction size? No real right answer IMO. Would rush back to cath.

@MynephCC Absolutely! I’ve been burned by this so many times, very frustrating. A quick super pubic peek with any probe should be automatic in any patient with a Foley catheter, especially one who is intubated and sedated, and cannot complain!

Confirmation of Foley catheter placement is essential in patients with gross hematuria, especially prior CBI. While initial urine return may suggest correct placement, POCUS in this case demonstrated a persistently distended bladder with a large clot no Foley's in the bladder.

@ImagenCardiaca el titulo, no?

@ThinkingCC Y quien dice que sea nuevo

Just putting a feeler out there...Anyone up for #VExUSinMilan (Italy) next november? (did I mention participants will get to meet @khaycock2 in the flesh?)

@YubSedhai oh yes absolutely different animals!

@ThinkingCC I fully understand the concept, I was just highlighting the fact that are failure in setting of proximal RCA MI, and acute and chronic RV systolic dysfunction on a background of chronic pulmonary hypertension are two different physiological constructs!!

RAPID ECPR: Revolutionizing Accelerated Percutaneous Initiation and Deployment of ECPR: single center process and outcomes - Journal of Cardiothoracic and Vascular Anesthesia jcvaonline.com/article/S1053-…. Excited to finally share this data, really proud of the incredible Mayo team!