Intensive Care Physician - Department of Critical Care Medicine @UCalgaryMed. Delivering ABCs on a daily basis. Father. Husband. @Canucks fan in the 403. #ECLS
Calgary, Alberta
Joined October 2018
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Ken Parhar retweeted
Our new AJRCCM State-of-the-Art Review explores mechanisms of benefit and provides a framework for matching ECLS modes to patient physiology across respiratory, cardiac and cardiorespiratory failure.
Huge thanks to all co-authors and endorsing societies. @glenfield_aicu
#ECLS in adult critically ill pts, modes & mechanisms of benefit in different pathophysiological states:
🫁 respiratory: bridge to lung recovery + mitigating RV injury in in #ARDS, BTR in life-threatening airflow limitation, BT lung #transplantation + post-Tx recovery
🫀 cardiac #ECMO: bridge to myocardial recovery, bridge to heart or lung Tx + post-Tx recovery, #ECPR
🫀🫁 cardiorespiratory: bridge to lung + myocardial recovery in ARDS, BT LTx and post-Tx recovery
🩺 bridging mechanisms & clinical heterogeneity
🚧 limitations of ECLS
Beyond simple gas exchange/circulatory support, ECLS stabilizes cardiorespiratory function and preserves end-organ perfusion serving as a bridge to recovery or definitive therapy. However, relative contribution of these mechanisms remains incompletely defined across clinical contexts and configurations.
@ATSBlueEditor
🖇️ bit.ly/3Sk7D8m
Ken Parhar retweeted
Many of our colleagues will be speaking @WCICC2025 Vancouver Sept 16-19, showcasing Calgary’s expertise in areas of critical care. If you’re attending be sure to listen to talks from: Jessica Jenkins, @JAKrommMD, Andreas Kramer, @kissel_katie, Amanda Roze des Ordons, @KenParhar
Ken Parhar retweeted
World Congress Speaker Spotlight! Sonny Dhanai, Ken Parhar and Emily Taylor will be speaking at the 17th World Congress of Intensive and Critical Care!
@KenParhar
Early Bird Extended to Midnight tonight!
wcicc2025.com/registration
#CCCS #WFICC #CSRT #CACCN
Ken Parhar retweeted
Methods for determining optimal positive end-expiratory pressure in patients undergoing invasive mechanical ventilation: a scoping review - Canadian Journal of Anesthesia #Anesthesia #Anesthesiology buff.ly/3ZnTmIH
Ken Parhar retweeted
Methods for determining optimal positive end-expiratory pressure in patients undergoing invasive mechanical ventilation: a scoping review - Canadian Journal of Anesthesia
#CJA #Anesthesia #Anesthesiology buff.ly/3ZnTmIH
Ken Parhar retweeted
Error 8/10: Equating low ejection fraction in sick patients with cardiogenic shock.
This is a common mistake.
For example, a patient has shock and POCUS shows depressed LV function. This must be cardiogenic shock then! Not so fast...
Remember, patients with cardiomyopathy (acute or chronic) can have low, normal, or high stroke volume. They can also have low, normal, or high filling pressures.
In these patients, using a VTI (or some other estimate of stroke volume) and then an estimate of filling pressures (B-lines, E/e', or VEXUS for right side) is super valuable.
Interested in learning more about how to set optimal or best PEEP? See our latest scoping review led by our recent ICU fellow Dr Stefan Edginton. rdcu.be/d1SSP @StelfoxTom @drseanbagshaw @dan_niven @SolversonKevin @CJA_Journal #PEEP #optimalPEEP #ICU
Ken Parhar retweeted
Ryan Kesler on fans chanting his name last night : "I will never forget that, the way the fans have treated me after everything that happened. I was talking with the wife about that this morning about that, I would love to retire as a Canuck, my heart is in this city."
Ken Parhar retweeted
A must-read! Understanding ventilator-induced lung injury: The role of mechanical power
sciencedirect.com/science/ar…
Ken Parhar retweeted
Beautiful paper and work! Tip to the authors! Stephan von Düring et all , @efan75
sciencedirect.com/science/ar…
Ken Parhar retweeted
Excited to share our new review on mechanical power in mechanical ventilation! Could this metric help reduce ventilator-induced lung injury? Read more in JCC: sciencedirect.com/science/ar…
@StephanVonDu @KenParhar NeillAdhikari @martin_urner JosephKim @laveenamunshi @KuanLiu2 @efan75
Ken Parhar retweeted
Here’s the best video of this medical emergency I’ve ever seen
What’s the diagnosis?
Ken Parhar retweeted
1/7: This year, let's fully understand the concepts of fluid responsiveness, fluid tolerance, venous congestion, dynamic fluid intolerance, and perfusion.
This is crucial for all providers as dedicated RCTs (1500 pts!) (@AndromedaShock 2) will help inform how to integrate these into practice.
A 🧵
Here's our recent paper for a deeper dive right off the bat. tinyurl.com/47pdbzzp
#medtwitter #foamed #foamcc #meded #medicine #evidencebasedmedicine
