Lars Mølgaard Saxhaug

load-dependent.eurosky.social

18 October 2026 01:04

Definitely agree. Every trial on diuretic strategies in heart failures show increased creatinine. I don't think we should care about that.

Lars Mølgaard Saxhaug

load-dependent.eurosky.social

18 October 2026 01:04

I think most septic patients do fine without an echo, but "septic" patients do not, and without an echo it's hard to know who is who.

Lars Mølgaard Saxhaug

load-dependent.eurosky.social

17 October 2026 18:06

All vasopressin and dobutamine trials should look at EF, CI/CO and heart rate. No use in adding dobutamine to an already overstimulated heart, likely detrimental to add vasopressin to any heart that isn’t hyperdynamic.

Lars Mølgaard Saxhaug

load-dependent.eurosky.social

17 October 2026 18:05

We do have evidence that response to vasopressin varies depending on EF, and that makes perfect sense. All these trials on differing hemodynamic supportive therapies that do not consider the hemodynamic phenotype are entirely wasted.

Steven Ilko 🏥 🚁💨

zentensivistilko.bsky.social

17 October 2026 18:05

I treat flowtrack like I treat a lactic acid... Sometimes useful, oftentimes too limited by confounding to be helpful. In my practice area I see similar rates of people throwing both these tests/monitors at patients without coming to the bedside to observe the physiology themselves.