Intensivist at UCSF Fresno. Resuscitationist. Sonophile. #ICUphysiology #Hemodynamics #ECLS #AirwayTwitter #RespiratoryMechanics #ECG #VentRounds
Fresno, CA
Joined September 2019
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Archiving my #MedTwitter ramblings in a single thread for easy reference:
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I) Respiratory mechanics lecture series
A series of video lectures on respiratory mechanics.
xitter.cf/Thind888/status/147307…
**Respiratory mechanics lecture series**
Lecture 1: Pressures of the respiratory system - Part 1 of 2
Physiology nerds:
I will be periodically uploading a series of lectures I've been giving on respiratory mechanics to @CCF_PCCM fellows. The first lecture is split in two parts.
Aman Thind retweeted
Now at #CHEST2025, tomorrow Oct 20 participating at 11:00 AM — Caring for the Critically Ill Patient With Morbid Obesity. Join us!
@msiuba @CCF_PCCM @Thind888 @GallodeMoraesMD @gretchemaben @RaedDweikMD @KapoorA_CC
Aman Thind retweeted
🚨 New Publication Alert! 🚨
🔥 Groundbreaking Insights & Critical Questions in Early Cardiogenic Shock Management! 🚀
For my network of Intensivists, Cardiologists and Cardiac Surgeons, I'm very pleased to share our latest publication in Critical Care: "Association between mean
Aman Thind retweeted
The latest SEVA VentRounds. We must get to doing the 2 holds to ensure we fully assess the patient-ventilator interaction.
youtu.be/dixpoEOhFaA
@CCF_PCCM @OfVentilation @ventilacionmeca @DrMiguelIbarra1 @msiuba @chatterJ5 @aarc_tweets @ArielG_RRT @Thind888 @DocMusician
Aman Thind retweeted
Today SEVA Vent Rounds at 2 PM EST.
NEW LINK cmrccf.webex.com/wbxmjs/join…
@CCF_PCCM @_MSAMEED @Thind888 @chatterJ5 @UCRCriticalCare @McGovernPulmCC @Sherry2517 @aarc_tweets @OfVentilation @we_vent @DrMiguelIbarra1 @DocMusician @PacoDardon @msiuba @ArielG_RRT
Aman Thind retweeted
SEVA program on mechanical ventilation registration now open ! Here are the dates for 2025. Join us in our path to getting better.
clevelandclinicmeded.com/liv…
@CCF_PCCM @ClevelandClinic @medpedshosp @msiuba @OfVentilation @_MSAMEED @RaedDweikMD @ArielG_RRT @chatterJ5 @Thind888
Aman Thind retweeted
ICU Studies - Return to the Classics:
It’s been ~25 yrs since the ARMA study showed that ventilation of ARDS patients w a lower tidal volume (Vt) results in ⬇️ mortality & ⬆️ the number of days without ventilator use. It’s also common belief that using volume-controlled (VC)
Aman Thind retweeted
Gattinoni’s legacy?
🫁personalizing #ARDS management through approach integrating physiology, biology, imaging, cutting-edge trial design/analysis
🔗 bit.ly/41UN9FM
💡Refers to study suggesting oxygenation impairment fails to predict VILI risk
🔓 rdcu.be/d4ApC
Aman Thind retweeted
EMCrit 390 - Hyperangulated Video Laryngoscopy Tips, Tricks, & Mastery.
HatTip to @NicholasChrimes & @gaspasser
Jam packed with clinically actionable guidance and opinions.
emcrit.org/390
This is quite esoteric but I’m glad someone else is also nerding out on it!
There is another approach to estimating pulm capillary pressure described by Teboul et al
They did so by wedging the PA catheter distally balloon deflated. Figure explains why👇
xitter.cf/thind888/status/135385…
Aman Thind retweeted
ICU Physiology Secrets - Return to Basics Edition:
If you are placing Swan-Ganz (SG) catheters or you like reading/interpreting their waveforms, this is for you:
You walk in a patient’s room exactly when your fellow intensivist tries to “wedge” a newly placed SG catheter:
Aman Thind retweeted
ICU Hemodynamic Secrets:
Did you ever manage a patient where you were convinced that there was a patent foramen ovale (eg in a case of cryptogenic shock or unexplained hypoxemia) but the bubble study did not reveal a R-to-L shunt?
I came across this study 👇
Aman Thind retweeted
ICU Physiology Secrets (for nerds):
An important effect of LV dysfunction (LVD) is pulmonary edema due to ⬆️ in pulmonary venous pressure (PVP), presumably as a direct hemodynamic consequence of LVD. This was a computer-based analysis of cardiovascular hemodynamics:
Aman Thind retweeted
Increible experiencia venir a @SimulacioVH primer curso SEVA en Europa. Con @JordiBaneras y @carlosalviar !! Gran experiencia y equipo, siempre aprendemos !
@ClevelandClinic @CCF_PCCM @msiuba @UCRCriticalCare @chatterJ5 @OfVentilation @Vent_Busters @respresource @Thind888
Aman Thind retweeted
1/ Hi 👋 #medtwitter #neurotwitter #neurocritcare #FOAMed #meded I am here to present you a very scary case, one that you should find terrifying - just in time for #Halloween 👻🧹 Note: case adjusted for teaching purposes
Aman Thind retweeted
Time for answers! 🤓
1) This parasternal long-axis cardiac view shows significant RV dilation (though we can’t see the full RV in this view, we can certainly appreciate that it is not normal). This is confirmed in subsequent views; along with reduced RV function.
We also see an anechoic space posterior to the LV, which tracks anterior to the descending thoracic aorta (DTA). This is a pericardial effusion.
It's almost Hallowe'en 🎃, so time for some terrifying #POCUS images 👻🧙♀️😱
1) What pathology do you see in these views?
2) What clinical scenario might have caused this?
3) How would you manage this patient if they were stable? If they were crashing?
(More clips below)
Aman Thind retweeted
5 more episodes SEVA VentRounds youtube.com/playlist?list=PL…
Leaks, failed trigger, expiratory effort and other cool stuff...
@CCF_PCCM @YalePCCSM @JHUPCCMFellows @UCRCriticalCare @UCLAPCCM @UChicagoPCCM @msiuba @_MSAMEED @MegriMohammed @Thind888 @vic_puente @DrMiguelIbarra1