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Valvular Hemodynamics and Medical Management
Learning how to medically manage valvular disorders is an important part of working in a Cardiac ICU.
Michael Ritchie
Jul 17, 20228 min read
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Why do we give fluids in resuscitation? Part 2: Oncotic Pressure
Albumin makes up 75% of the oncotic pressure in the intravascular space.
Michael Ritchie
Jul 22, 20216 min read
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Cirrhotic Shock: Should we consider a 5th type of shock?
Understanding the different types of shock helps with providing the right resuscitation for the patient. Is the patient distributive? IV...
Michael Ritchie
Jul 6, 20216 min read
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Right Heart Failure: Understanding the hemodynamics - Part 2: Contractility
Right ventricular contractility is defined as the performance of the ventricle at a given filling volume and systolic pressure.
Michael Ritchie
May 31, 20218 min read
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Transpulmonary Pressure: Time to individualize the ventilator.
Transpulmonary pressure = Alveolar pressure (Palv) – Pleural pressure (Ppl)
Michael Ritchie
May 15, 20216 min read
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Driving Pressure: Should we move on from ARDSNet?
What if I said the idea of 6mL/kg tidal volumes should be abandoned and has led to a huge misunderstanding of what is best for patients?
Michael Ritchie
Apr 21, 20215 min read
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Renal venous congestion: Renal failure and Hemodynamics
If a patient is hypervolemic and developing an AKI, it is usually due to volume overload and renal venous congestion.
Michael Ritchie
Mar 22, 20218 min read
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Have we failed at medical education? Part 1: rediscovering physiology.
As many people will tell you, ideas and philosophies in medicine often go through swings. Things will be in style for years, and then...
Michael Ritchie
Feb 21, 202111 min read
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