Talk of the town

The new RCoA/ICS guidelines on intubating the critically unwell adult

RCOA intubation guidelines



Recent ICM trials/studies (and a few MAs) – updated 28/01/18

  1. Adjunctive glucocorticoid therapy in patients with septic shock (Jan 18)
  2. SR and MA of Procalcitonin-Guidance Versus Usual Care for Antimicrobial Management in Critically Ill Patients (Jan 18)

  3. Pooled analysis of higher versus lower blood pressure targets for vasopressor therapy septicand vasodilatory shock. (Jan 18)
  4. Corticosteroids for pneumonia – Cochrane review (and link to PSI calculator) (Dec 17)

  5. Timing of renal replacement therapy and long-term risk of chronic kidney disease and death in intensive care patients with AKI (Dec)

  6. Normal saline versus a balanced crystalloid for goal-directed perioperative fluid therapy in major abdominal surgery: RCT. (Dec)

  7. Severity of Hypoxemia and Effect of High-Frequency Oscillatory Ventilation in Acute Respiratory Distress Syndrome. (Sept)
  8. The impact of frailty on intensive care unit outcomes: a systematic review and meta-analysis. (August)

  9. The impact of disability in survivors of critical illness. (August)

OLDER articles

Recent Open Access content (FOAMcc) selection – updated 28/1/18

Recent guidelines (Updated 28/1/18)

Updated 31/12/17

Severe traumatic brain injury reguidelined

Guidelines for the management of severe traumatic brain injury Brain trauma foundation: 4th edition, 2016   This is a brief summary and some of the wording is changed for brevity, hopefully without too much loss of accuracy. Although not explicitly stated on the guidelines, ‘Severe brain injury’ is generally defined as a brain injury resulting …

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Sepsis 3: rise of the SOFA

Sepsis remains a syndrome without a validated criterion or standard diagnostic test but increasingly comprehensive data sets are making it easier to test validity of  potential criteria. The current instalment of this work in progress has refined the definition of sepsis in light of recent analyses and opinion. Sepsis is life-threatening organ dysfunction caused by a dysregulated …

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