Eddy J. Gutierrez, MD @eddyjoemd

Intensivist. Author of The Vasopressor & Inotrope Handbook. Saving Lives Podcast Host. eddyjoemd.com Florida, USA Joined January 2015

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Eddy J. Gutierrez, MD @eddyjoemd

6 hours ago

A variety of cells are invited to the party in critically ill patients. Unfortunately, not all behave as they should. Some party too hard and trash the place. This paper tackles the innate immune response in critically ill patients. 🎩 tip to the authors. eddyjoemd.com/foamed

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Eddy J. Gutierrez, MD @eddyjoemd

a day ago

Using the eyeball test when performing bedside POCUS for heart failure can be helpful, but taking our skills up a notch can prove to be worthwhile for our patients. Here are some key points to consider. 🎩 tip to the authors. eddyjoemd.com/foamed

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Eddy J. Gutierrez, MD @eddyjoemd

2 days ago

I would like to poll the audience to gauge the prevalence of indirect calorimetry in the real world, as I don't have access to this technology. I've been reading about it for years, and the data suggest that benefits exist. 🎩 tip to the authors. eddyjoemd.com/foamed/

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Eddy J. Gutierrez, MD @eddyjoemd

3 days ago

Delirium is amongst the most frustrating things our patients and their families experience in their ICU stay. This table could prove helpful in demonstrating to them why their behavior is as it is. 🎩 tip to the authors. eddyjoemd.com/foamed

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Eddy J. Gutierrez, MD @eddyjoemd

4 days ago

The 20th monthly Saving Lives Newsletter has just been sent out. Here's the link to view it and consider subscribing. mailchi.mp/9c77787867a2/e…

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Eddy J. Gutierrez, MD @eddyjoemd

4 days ago

If we are going to keep giving empiric antibiotics at the current rate, we might as well do it properly. The biomarkers are not yet where they need to be. This paper discusses antimicrobial management in sepsis. 🎩 tip to the authors. eddyjoemd.com/foamed

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Eddy J. Gutierrez, MD @eddyjoemd

5 days ago

It is safe to assume that days spent with us in the ICU are among the worst days in the lives of our patients and their families. Coping with the rollercoaster of emotions is no easy task, especially when there's no recovery. 🎩 tip to the authors. eddyjoemd.com/foamed

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Eddy J. Gutierrez, MD @eddyjoemd

6 days ago

Numerous patients are transferred to our ICU for management of the pericardial effusions. Patients ask me about the etiology of the effusion. I print this out and hand it to them. Kidding, of course. 🎩 tip to the authors. eddyjoemd.com/foamed

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Eddy J. Gutierrez, MD @eddyjoemd

a week ago

As we advance in our expertise in managing critically ill patients, we must question some long-standing practices. In this case, the MAP target of >65 mmHg is an oversimplification that overlooks others. 🎩 tip to the authors. eddyjoemd.com/foamed

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Eddy J. Gutierrez, MD @eddyjoemd

a week ago

Once the acute myocardial infarction-related cardiogenic shock starts knocking out other organs, mortality skyrockets. This is why it's imperative to restore function and perfusion as early as possible. 🎩 tip to the authors, including @SarasVallabhMD , eddyjoemd.com/foamed

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Eddy J. Gutierrez, MD @eddyjoemd

a week ago

Your patient has severe aortic stenosis. We bring our structural heart and CT surgery buddies on board to help decide whether they'd benefit from a SAVR or TAVR. Here are some insights as to how they decide which is better for them. 🎩 tip to the authors. eddyjoemd.com/foamed

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Eddy J. Gutierrez, MD @eddyjoemd

a week ago

With every decision we make while caring for ICU patients, we weigh the risks and benefits. Providing platelets to patients is no exception. This paper breaks down what we need to know about this process in 10 elegant points. 🎩 tip to the authors. eddyjoemd.com/foamed

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Eddy J. Gutierrez, MD @eddyjoemd

2 weeks ago

When patients go into ARDS, their right ventricle often takes a nap in the process. Here's why it often turns into a deleterious spiral, compromising other organs in its slumber. 🎩 tip to the authors. eddyjoemd.com/foamed

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Eddy J. Gutierrez, MD @eddyjoemd

2 weeks ago

The management of ascites in patients with cirrhosis can get tricky. When they're hospitalized, whether in the wards or the ICU, striking a balance is a delicate one. This article details an algorithm for this. 🎩 tip to the authors. eddyjoemd.com/foamed

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Eddy J. Gutierrez, MD @eddyjoemd

2 weeks ago

Depending on the etiology, different LFT patterns exist in patients who are suffering from acute liver failure. This table addresses some, and this paper breaks down the picture. 🎩 tip to the authors. eddyjoemd.com/foamed

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Eddy J. Gutierrez, MD @eddyjoemd

2 weeks ago

Are you using 0.9% NaCl or balanced salt solutions such as Lactated Ringer's or Plasmalyte to resuscitate your patients with DKA? This paper suggests that we should be using the latter. 🎩 tip to the authors. eddyjoemd.com/foamed

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Eddy J. Gutierrez, MD @eddyjoemd

2 weeks ago

There might be a new vasopressor coming to town: Centhaquine. I'm looking forward to the research that will add it to our armamentarium. I hope to include it in the second edition of The Vasopressor & Inotrope Handbook. 🎩 tip to the author. eddyjoemd.com/foamed

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Eddy J. Gutierrez, MD @eddyjoemd

2 weeks ago

There are numerous pharmacological options to manage patients with an acute pulmonary embolism. This paper explores each of these and the data supporting them. Said data gets spare pretty quickly. 🎩 tip to the authors. eddyjoemd.com/foamed