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A blog on anaesthesia, intensive care and emergency medicine. In-hospital and outside. Mostly focusing on the critically ill patient. Written by two Scandinavian senior anaesthetic registrars.
This is our way of keeping log of articles and interesting things we come across in our work and on the internet. Should any of you out there stumble across this blog and find it useful then all the better.
Please leave comments or questions if you have any. The best way to keep learning is to keep the conversation going.
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Monthly Archives: March 2012
A TED talk by epidemiologist Ben Goldacre, who hasn’t been taking his Ritalin lately. He’s quite entertaining, and during the second half of the talk, he also gets quite serious. Have a look.
We were in the ICU working on a intubated septic patient and had just managed to stabilize his hemodynamics. Then one of the nurses noticed how the tidal volumes on the ventilator were decreasing. Blood pressure and sats dropped gently … Continue reading
How common are apnoea and bronchospasms when using ketamine? In 2008 Annals of Emergency Medicine published a huge meta-analysis of airway and respiratory adverse events in paediatric ketamine sedation. They identified more than 30 studies and ended up with a … Continue reading
While looking for references for a talk on ketamine, I found a study on emergence phenomena. One aspect of emergence phenomena is the state of emotional distress, the nightmare or simply the bad trip that sedated patients risk being trapped … Continue reading
Lactate is a very important marker in critical care. It’s very useful as a measure in trauma patients, septic patients and other critical care patients, high values indicating inadequate oxygen delivery to tissue. This is also naturally occuring in healthy … Continue reading
The Difficult Airway Society are taking extubations seriously. They recently issued extubation guidelines. One of the advanced methods for extubation they mention is the Bailey Manoeuvre. While not exactly news, it is something I will consider incorporating into my own anaesthetic … Continue reading
Just a quickie. A study compares paracetamol plasma concentrations after intravenous and oral administration. Day-care surgery patients were randomised into receiving 1g Paracetamol either orally 30 mins before anaesthesia or intravenously 1 minute before anestesia.
Extra Corporeal Membrane Oxygenation or ECMO is more and more referred to as Extra Corporeal Life Support or ECLS, due to it being used more and more as a V-A system, supporting the circulation as well as the respiration. There … Continue reading