Category Archives: Anesthesia

STEWART’S ACID TRIP

Acid-base calculations. The ones that make my head hurt. Every time I read up on it, I seem to almost grasp it and get a deeper understanding – which slips away slightly after a week or two. And a few … Continue reading

Posted in Anesthesia, Emergency Medicine, Intensive Care | 2 Comments

PROVHILO – IT’S INDIVIDUAL

New RCT on intraoperative ventilation strategies is out: PROVHILO. Low tidal volume ventilation (LTVV) has been settled as the way to go, but what about PEEP and recruitment maneuvers? Wouldn’t high PEEP and regular lung recruitment make sense in patients … Continue reading

Posted in Anesthesia | 2 Comments

NOT SO IMPRESSIVE CICV MANAGEMENT

The outcomes from a Canadian questionnaire study of anaesthetists preferences in difficult airway management is disappointing. When faced with establishing an airway in cannot-intubate-cannot-ventilate scenarios, the majority would go for  seldinger- or needle-techniques ie one of the ready-made kits.

Posted in Airway management, Anesthesia, Emergency Medicine | 2 Comments

QUOTE OF THE MONTH

“Damage control resus can help avoid damage control surgery” – Karim Brohi, smaccGOLD.

Posted in Anesthesia, Emergency Medicine, Trauma | 1 Comment

CODE BROWN: EMERGENCY SURGICAL AIRWAY REVISITED

I lost my cric virginity to a man on a beach in Australia. The story told here. After this, I’ve been looking into making crics simpler and safer. Talking to colleagues, reading articles, practicing on cadavers and animals – not … Continue reading

Posted in Anesthesia, Emergency Medicine | 6 Comments

CSF TESTING TESTING

If you’re doing a spinal tap or a spinal anaesthesia, and you’re not 100% sure if you’ve got CSF, one quick tip for checking is using yellow chlorhexidine, coloured by phenol red. If the fluid from your needle changes the … Continue reading

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LONG TERM CRICS ARE SAFE

Cricothyroidotomy is the go-to option for emergency surgical airway at the end of a can’t intubate, can’t ventilate scenario. It feels like an extreme measure in a pressing situation, and we’ve also been loaded with the impressions that crics are … Continue reading

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BEST OF 2013

Another year comes to an end. So here’s a selection of posts from 2013. Not sure if it’s the best of ScanCrit 2013, but these are some of the posts that’s gotten the most clicks and discussion, and some we … Continue reading

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IMPROVE YOUR VENTILATION

The IMPROVE group’s trial on Intraoperative Low-Tidal-Volume Ventilation in Abdominal Surgery published in NEJM are supporting lung protective ventilation (LPV). Just as was found in the JAMA 2012 meta-analysis. The IMPROVE trial emphasises that it’s not just low tidal volumes, … Continue reading

Posted in Anesthesia | 4 Comments

ULTRASOUND AND TUBE POSITION

A study in critical ultrasound journal demonstrates how tracheal ultrasound is almost as good as end-tidal CO2 monitoring for verifying ET-tube position. 

Posted in Airway management, Anesthesia, Emergency Medicine, Prehospital Medicine | 6 Comments