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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: April 2012
RFDSdoc recently put this article in his twitter feed – ´Orotracheal intubation in darkness using night vision goggles.´ A study that proves how laryngoscopy and intubation is possible with NVGs. Being a notorious war-nerd, it is a concept that geeks me out … Continue reading
The last five or so years there has been a shift in airway management in cardiac arrest. Endotracheal intubation in CPR used to be the gold standard, but recently supraglottic airway devices (SAD) have been gaining ground. SADs can be … Continue reading
For the initial management of large pneumothoraces there is wide variations in clinical practice. Some sites use large ‘surgical’ chest tubes (CT) while others use smaller-bore catheters with a trend towards less invasive management. According to a study in American … Continue reading
Dental injuries are responsible for the majority of malpractice claims against anaesthetists. In order to get around that, I am more and more inclined to use video laryngoscopes or fibre optics, when intubating patients with really bad teeth. A small study … Continue reading
Since 2005 guidelines have made statements on CPR compression depth. Those first recommendations recommended a compression depth of 3,8 to 5 cm. In 2010 the recommended depth was increased to >5 cm. This was based on mostly animal data and, … Continue reading
A Chinese research group has developed a single crystal ultrasound transducer and put it on the end of a stylet fitting inside a standard epidural needle. The ultrasound probe will let you visualise where the tip of the needle is … Continue reading
In a previous post we discussed the robotic Kepler intubation system. We thought it was a cool concept, but didn’t really believe anyone would put it to use on human subjects any time soon. Well, they already did. In BJA … Continue reading
Weird case report in Int J Emerg Med. Apparently people use cayenne pills for weight-loss. (Me, I maintain navy-seal fitness, so I wouldn’t know). One of the active components in cayenne pepper pills is Capsaicin, a substance that increases energy expenditure … Continue reading
The IMMEDIATE-trial is out. A randomised, blinded and controlled study testing early infusion of intravenous glucose-insulin-potassium(GIK) on patients with acute coronary syndromes (ACS). The theory is that a GIK-infusion will reduce the frequency with which ACS progresses to myocardial infarction … Continue reading