Colloids best in hypovolaemic shock?

  • January 22, 2014


colloids

The CRISTAL study, out last month shows a potential mortality benefit for colloids in hypovolaemic shock. Will you stop your ban on fluids?

Transfusion in upper GI haemorrhage

  • January 21, 2014

GI haem2What Hb do you target in severe acute upper GI haemorrhage?

A recent NEJM study suggests using a target of 7 may not just be safe, but saves lives.

Not worth it?

  • January 21, 2014

5 ways to waste your time and money on ICU (according to SCCM, ATS, ACCP & AACN)

Visit the ‘Choosing wisely’ initiative website for some mythbusting.

 

Don’t order diagnostic tests at regular intervals, such as every day; rather, order them in response to specific clinical questions.
Don’t transfuse red blood cells in hemodynamically stable, nonbleeding ICU patients with a hemoglobin concentration greater than 7 mg/dL.
Don’t use parenteral nutrition in adequately nourished critically ill patients in the first 7 days of an ICU stay.
Don’t deeply sedate mechanically ventilated patients without a specific indication and without daily attempts to lighten sedation.
Don’t continue life support for patients at high risk for death or severely impaired functional recovery without offering patients and their families care focused entirely on comfort

NICE guidelines on intravenous fluid therapy

  • January 21, 2014

 

Are you NICE-compliant with your fluid prescribing? Or do you take the new guidelines with a pinch of salt?

NICE fluid

New NICE guidelines (or GIFTAHo!) on fluid therapy in a question and answer format (and the accompanying algorithms).

Core standards UK

  • January 12, 2014

ics iconThe ICS has issued its core standards document. How does your unit measure up? How will you use the document to improve service?

 

Physiology Box

  • January 6, 2014

Brush up on the basics or get to grip with the detail. A selection of papers and resources about physiology.

2013 Hit Parade papers

  • December 30, 2013

Any others need adding to this list of major papers from this year?

Have a look here!

TTM

  • December 25, 2013

Hypothermia after out of hospital arrests. Nearly 1000 patients with ‘presumed cardiac’ cause of arrest. No better outcome with a target of 33 versus 36 degrees. Should we just aim to avoid pyrexia?

http://www.ncbi.nlm.nih.gov/pubmed/24237006