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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: June 2012
A study in Anesthesia Analgesia 2012 describes how to visually estimate Systolic Pressure Variability (SPV) without relying on automated calculations of a monitoring system. How does a visual estimate compare to values calculated by the PICCO? Can we ‘manually’ estimate … Continue reading
There was a discussion I had the other day where intranasal remifentanil came up. It turned out they meant sufentanil. But it got me curious, and a PubMed search did of course turn out a study where remifentanil has been … Continue reading
A recent study in Resuscitation explores end tidal CO2 measurements in cardiac arrest patients. The authors try to identify what impact various factors have on the numbers you see on your screens. They discuss what implications this could have for … Continue reading
In Anesthesiology june 2012 there is a case report describing a rare complication after tracheostomy. It describes the creation of an obstructing mucosal flap as sequele after a percutaneous dilatational tracheostomy. As long as the patient was cannulated the flap … Continue reading
Most of us tend to underdose our patients with paracetamol (acetaminophen) and NSAIDs, and then just top up the opioids afterwards. Both non-opioid drug classes have a huge safety window, especially for short term treatment. With no present contraindications, I … Continue reading
From the Danish duo Wullfmorgenthaler. Being Danish, they’re not always SFW. And often just bizarre and weird. But sometimes very funnny. This one helps me get through my obstetric night shifts, with their commotio cerebri regimen pager calls (i.e., about … Continue reading
We love this guy. Dr Gordon Giesbrecht. Professor at the university of Manitoba. He studies human physiology and our responses to extreme environments. He has done some groundbreaking work in cold-stress physiology and prehospital care in hypothermia. He is one … Continue reading
Isolated rib fractures in healthy young patients is most of the time no big deal. In other, more vulnerable, patients they can be lethal or significantly contribute to morbidity. A study in J Trauma dec 2011 suggests continuous intercostal nerve … Continue reading