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Rishi Kumar, MD | RK.MD
@rishikumarmd
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Cardiac Anesthesiologist · CVICU Intensivist · EchoTools iOS App Programmer · #POCUS/TEE · #FOAMed · Techie · https://t.co/4qJFGfsOA8
Houston, TX
Joined August 2008
Made this free perioperative/ICU reference sheet a while ago. Click the link to download/share! Hopefully many of you all find it helpful! #foamed #criticalcare #anesthesia #icu
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@MariaSheikhMD @KalagaraHari @Siva6faces @dr_melissabyrne @shaskinsMD @JanBoublikMDPhD Haven’t upgraded from the iQ+. Been playing more with 3D TTE! ☺️
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@HoosierPocus @NephroP @ross_prager @IUPCCM Love the same view to look at PA catheters from an IJ/subclavian approach. You see the distal port... and then the catheter about 40 cm back... in the same view! 🤓
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Pulm. velocity accel time (PVAT) estimates the severity of PA pressure elevation when TR jets are difficult to analyze. PVAT = time from flow onset to peak velocity. PWD at the PV in this PSAX #TTE shows a PVAT ~ 150 ms (normal is > 130 ms). #echofirst #medtwitter
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@KimanthiGicovi Appreciate the kind words! It’s been something I’ve been working on since my fellowship days.
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Happy New Year to all! #MedTwitter, what things do you all do at the beginning of every year? Here are a few things I do: - Subscription renewals - Backdoor Roth IRA contribution - Look for competitive rates on utilities
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The transhepatic (TH) IVC view (phased array in RUQUS, tilt beam cranio-posteriorly, pan around). Poor agreement in measurements b/w TH and SC IVC views, and outside of extremes, IVC measurements don't guide my clinical practice in the CVICU. #echofirst #medtwitter #pocus
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@docpav11 Excellent point - my caption length was too long to explain that this was during a thoracentesis (about a liter had already been removed) with some residual effusion (in the video) still present.
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@dickandtinasson I expect humility and work ethic from trainees. If they’re willing to work hard, I’m motivated to teach. If they rather be doing something else, they can go home. Hard to graduate when you haven’t completed required rotations. Fortunately, haven’t had this issue.
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