@BrighamAnes ICU/Cardiac 🫀🫁 Fellow | @EmoryAnesthesia @RWJMS & 〽️ Wolverine | 🇰🇷 🇺🇸 roots | Resuscitation, MCS, AI/ML, and 🏃🏻
Boston, MA
Joined April 2010
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I’ll be running the 2025 Chicago Marathon w/ none other than @MSharifpourMD (🫰🏻) for the American Cancer Society (@AmericanCancer) and for my dad who is a pancreatic cancer survivor
Please consider supporting this cause and many thanks in advance ❤️🙏🏻
main.acsevents.org/goto/kita…
Kitae (Tye) Chang retweeted
#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
Kitae (Tye) Chang retweeted
Hospitals Acquired By Private Equity Firms: Increased Postoperative Mortality For Common Inpatient Surgeries
@DiazAdrian10 @jdimick1 @Health_Affairs @UMichCHOP
healthaffairs.org/doi/abs/10…
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 📸🙏🏻
Kitae (Tye) Chang retweeted
Our #Lp(a) JAMA Insights article is out!
ja.ma/3GnbYlc
Dr Florian Kronenberg and I summarize the latest on Lp(a) testing and management
@KronenbergLab
@atherosociety
@society_eas
@fhpatienteurope
High lipoprotein(a) levels, defined as 50 mg/dL or greater, are associated with increased rates of atherosclerotic cardiovascular disease events and all-cause mortality. This JAMA Insights discusses lipoprotein(a).
ja.ma/3GnbYlc
Kitae (Tye) Chang retweeted
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.
Kitae (Tye) Chang retweeted
Excited for this opportunity!
Congrats to our new Anesthesia & Analgesia Editorial Fellows: Drs. Emara, Gioscia-Ryan, Naylor, Tochie Noutakdie, and Rangasamy! #Anesthesiology #MedicalFellowship @IARS_Journals @openanesthesia More: ow.ly/X9b350Vz5lj
Kitae (Tye) Chang retweeted
Machine Learning for In-hospital Mortality Prediction in Critically Ill Patients With Acute Heart Failure: A Retrospective Analysis Based on the MIMIC-IV Database. #AI #machinelearning
jcvaonline.com/article/S1053…
Kitae (Tye) Chang retweeted
Privileged to contribute to @ISHBP article on "Harnessing demographic diversity in hypertension research and trials" ish-world.com/documents/ISH%…
Many ongoing efforts incl. @ourhealthstudy @nih_nhlbi MOSAAIC @AllofUsResearch @mchonig's @AHAScience Pressure Check study @MGHHeartHealth
Read the latest issue of Hypertension News - out today!
In this issue:
✅ Patient education
✅ Renal denervation
✅ Childhood hypertension
✅ New outcome studies in BP lowering
✅ The need for diversity in hypertension research
✅ And more
Read today: ish-world.com/ish-hypertensi…
Kitae (Tye) Chang retweeted
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.)
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
teapaw.org/i/spaces/1LyGBWYByPnJN
Kitae (Tye) Chang retweeted
New from #ACC25: Dr. Nuccia Morici & colleagues report the results of ALTSHOCK-2, finding that early implantation of IABP does *not* reduce 60-day mortality in #heartfailure-related cardiogenic shock
#JACC 🧵 (1/4)
I’m getting old enough where I recognize more authors of papers I stumble upon 🤓
Won’t be ordering CACs any time soon in the CVICU, but great work @AlexanderZheut1 !
Measurement of coronary artery calcium (CAC) score among adults without ASCVD and of intermediate risk, as well as borderline risk in certain cases, can help refine risk stratification when a clinical decision is uncertain.
ja.ma/4in0ADy
Kitae (Tye) Chang retweeted
🔥 Prothrombin Complex Concentrate vs Frozen Plasma for Coagulopathic Bleeding in Cardiac Surgery: The FARES-II Multicenter Randomized Clinical Trial | Bleeding and Transfusion | @JAMA | @JAMANetwork | #ACC25 🫀 jamanetwork.com/journals/jam…
Kitae (Tye) Chang retweeted
#Delirium is not just altered behaviour.
It is a manifestation of acute encephalopathy - measurable with EEG changes & altered biomarkers.
🔥🔥 Congrats @charles_nyman
Kitae (Tye) Chang retweeted
Hyperoxia (elevated PaO₂) in VA-ECMO patients is linked to increased mortality, but this association may reflect poor native cardiac function rather than causation. #VAECMO jcvaonline.com/article/S1053…
The most high yield slides (for me) from @amt_md GR about 2024 AHA/ACC Periop Guidelines @BrighamAnes!
1. We should care more about diastology when thinking about perioperative
2. Heart failure is worse than CAD
Kitae (Tye) Chang retweeted
How do you measure cardiac output in your practice? This paper tackles what we need to know - Fick, thermodilution, pressure waveform analysis, pulse contour analysis, aortic Doppler, bioimpedance, and echocardiography. 🎩 tip to the authors.
eddyjoemd.com/foamed
Kitae (Tye) Chang retweeted
Do the IV fluids we provide to our critically ill patients trash the glycocalyx? This systematic review tackles this issue as we always try to balance benefit and harm. Another example where less could be more. 🎩 tip to the authors!
eddyjoemd.com/foamed/
