The WELPICUS study group have used an interesting approach (using the Likert scale to assess a number of statements) to try to gain international consensus (from more than 30 countries) on what matters in end of life care in the ICU. Autonomy and decision making There was considerable support for respecting advanced directives (AD), …
Over the last couple of years, 4 US critical care societies put together a literature-scouring taskforce as part of the Choosing Wisely campaign. After a lengthy process they came up with 5 cost-effective, tradition-questioning recommendations: 1. Do not order diagnostic tests at regular intervals (such as every day), but rather in …
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Know your phases and master fluid management
November 22, 2014
The ADQI renal authority turns its attention to fluid strategy in ADQI III’s BJA article. Choose the right fluid balance target for the stage of critical illness: Rescue – first few minutes; generous fluid boluses to treat shock. Obviously, not all patients require this phase. Optimization – few hours; assessment of …
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