Robin Cherian @drrobinCCM

Cardiologist, Cardiac Intensivist, Clinician first, views personal Singapore Joined August 2009

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285
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400

Ashley Miller @icmteaching

a month ago

1/21 Acid–base interpretation often feels like a maze. But there’s a simple way to make sense of it at the bedside. It starts with pH, strong ions, and base excess.

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IMCrit @IM_Crit_

2 months ago

(Basic) ICU Hemodynamic “Secrets” - Part1: I know you know them, but let’s remind ourselves of some basic hemodynamic "secrets":

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1/ Shock is complex. But our tools are often simplistic. This paper proposes a new model: 🩸 Four circulatory interfaces that must stay coupled to maintain perfusion. Uncouple any one — and shock worsens. #Shock #MedX #FOAMcc Here’s the framework. 🔗 doi.org/10.3390/jpm150…

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Ashley Miller @icmteaching

3 months ago

🧵 Starling’s Law: Misunderstood, Misapplied, and Still Misleading 1 🚨 “Starling’s Law explains how the heart increases cardiac output.” You’ve probably heard this a thousand times. But it’s wrong. Or at least - very incomplete. Let’s fix it. Because this matters - for heart…

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NEJM @NEJM

2 years ago

Presented today at #ACC24: In the DanGer Shock trial involving patients with STEMI and cardiogenic shock, mortality at 6 months was lower with mechanical circulatory support with a microaxial flow pump than with standard care alone. Full trial results: nej.md/3xyXU3t

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Vanessa Blumer, MD, FACC, FHFSA @vbluml

2 years ago

To PAC or not to PAC❓ 🔥 PAC ass/w ⬇️ in-hospital mortality in HF-CS, esp if within 6hrs of admission ‼️ @manreetkanwar @NavinKapur4 @ShashankSinhaMD @BurkhoffMd @ReshadGaranMD @Abraham_Jacob @robmentz @dranulala onlinejcf.com/article/S1071-… cardiogenicshocksummit.org for more ❤️‍🔥

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Nicolas Merke @NMerke

2 years ago

short how to do video on how to do #echofirst 3D with TEE looking at tricuspid valve @FGraziani_Grace @dr_benoy_n_shah Enjoy. C you soon in Berlin

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Mark Belkin @MarkBelkinMD

3 years ago

@rachkataria @Nikhil15 @docbhardwaj @JTThibs @JACCJournals @ersied727 @KevinShahMD @md_viviana @bhtrachtenberg @EiranGorodeski @justinvadermd @AndrewJSauer @IRajapreyar @RyanTedfordMD @JonathanDavisHF @JJheart_doc @gmac78 @shwinner @ShelleyZieroth @hvanspall @SumeetMitter @MarkDLC_MD @noshreza @LuiseHolzhauser And this one: @tremartyn @rcstarling @JCardFail onlinejcf.com/article/S1071-…

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Tee Joo YEO @TJ_Yeo

4 years ago

A day in the life of ⁦⁦@drttinglow⁩ who makes multitasking look so easy 💪🏻 Thanks for flying the #NUHCS flag high-we are lucky to have you as a great doctor, amazing colleague & honest friend! #wic #womeninmedicine #internationalwomensday #iwd2022 fb.watch/bxAOlr08i0/?mi…

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Robin Cherian @drrobinCCM

4 years ago

Pleased to share our letter @TheLancetRheum arguing that severe COVID-19 is a virus-independent immunothrombotic process. thelancet.com/journals/lanrh… describe

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Robin Cherian @drrobinCCM

4 years ago

Pleased to share our letter in @LancetRespirMed. We propose that pulmonary infarction (in COVID-19 and other pulmonary vaso-occlusive disorders) occurs primarily due to congestion and oxidative stress rather than due to hypoxia. thelancet.com/journals/lanre… @NUHS

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David Lee, MD @DaveLeeERMD

4 years ago

Our study explaining the pathophysiology of acute COVID has been published by ERJ, the flagship scientific journal of the European Respiratory Society @ERSpublications. Here, we describe how severe COVID-19 is NOT a viral pneumonia, but a post-viral autoimmune attack of the lung.

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Robin Cherian @drrobinCCM

4 years ago

Therapeutic anticoagulation increases survival to hospital discharge in non-critically ill COVID.

Ryan Zarychanski @RZarychanski

4 years ago

Therapeutic anticoagulation increases survival to hospital discharge in non-critically ill COVID.

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Jason S Knight @jasonsknight

5 years ago

🕸️👀 Endothelial dysfunction and immunothrombosis as key pathogenic mechanisms in COVID-19 nature.com/articles/s4157…

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Robin Cherian @drrobinCCM

5 years ago

Antiphospholipid syndrome and COVID-19 thrombosis: connecting the dots. Sharing our review article published in @RheumJnl doi.org/10.1093/rap/rk… @RheumatologyUK @jasonsknight @YogenKanthi

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Cameron Kyle-Sidell, MD @cameronks

5 years ago

@iceman_ex Really think it’s that confusing?? The so called “pneumonia” is an immunothrombotic endothelial activated process. That is the injury. Once severe, much injury has occurred, now dealing with much of the downstream effects. @drrobinCCM @farid__jalali

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Professor Beverley Hunt OBE (also on BlueSky) @bhwords

5 years ago

Have reviewed a lot of papers on clots in severe COVID-19 in last weeks & most ignored immunothrombosis as cause of segmental/subsegmental changes on CTPA & counted them as “PE” It’s time to for all to acknowledge this phenomenon & move on!

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David Hanlon @drdhanlon

5 years ago

Nice graphic from Breathlessness occurs late, and is not reliable indicator of deterioration until severe illness. Makes symptom-based assessment unreliable. Identifying Desaturation on exertion early permits intervention & may avoid ITU & ARDS

Robin Cherian @drrobinCCM

5 years ago

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Robin Cherian @drrobinCCM

5 years ago

Plsd to share this paper in @PulmCirc doi.org/10.1177%2F2045… calling for a change in approach to clinical risk stratification in COVID-19. Clinicopathological discordance in COVID-19 due to vaso-occlusive physiology ➡️ ‘Pneumonia model’ unsafe. Pre-ICU care critical.

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ice9 @__ice9

5 years ago

More evidence consistent with the view that extrapulmonary organ damage in moderate to severe COVID-19 is largely vascular/thrombotic rather than viral/cytopathic. onlinelibrary.wiley.com/doi/10.1111/ij… From @DrBrandon55 (🔒) and colleagues.