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.
- #myoffice http://t.co/HuqcmXPirT 2 days ago
- ...or just go #FOAMed http://t.co/FLJeONZRac 1 week ago
- My brain is fried #post-ICU-nightshift-brain-meltdown 2 weeks ago
- "My name is Lucas": TEE video shows Lucas CPR in action scancrit.com/2013/05/01/luc… 2 weeks ago
- Crystalloids are lousy volume expanders. We know that. And here's a bit of proof. scancrit.com/2013/04/18/rin… 3 weeks ago
- Helping Babies Breathe - saving newborns in low resource settings with basic intervention scancrit.com/2013/04/25/hel… 3 weeks ago
- #deathbypowerpoint :-P 1 month ago
- Espresso machine in my office adds life quality http://t.co/rxBHjSgsTg 1 month ago
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Category Archives: Anesthesia
With colloids being miscredited by Cochrane and synthetic colloids being hammered by RCTs, it might seem we’re left with crystalloids. So how good is our standard crystalloid, Ringer’s Lactate, at volume replacing a volume depleted patient? This study withdrew blood … Continue reading
This is a well known, but fairly novel use of ultrasound. Certainly not standard in any place I’ve worked. But ultrasound for epidurals and spinals seems to be in vogue. Here’s a meta-analysis on ultrasound for spinal and epidural access. … Continue reading
A small study in Crit Care Med reminds me how it is really hard to anticipate the effects of systemic vasoconstrictors. Norepinephrine/noradrenaline is more likely to reduce cardiac output than maintain it.
So, in our latest Code Brown, I wrote on a crashing trauma patient. Scott Weingart made a comment where he also noted that transfer between OR and angio might come to an end with RAPTOR like operating theatres. RAPTOR is … Continue reading
Monitoring sedated patients without airway devices in place is often based on the time machine, the pulse oximeter, showing you what the patient’s oxygen saturation in the lungs were 30 seconds ago. Also, it doesn’t tell you if the patient … Continue reading
Even if you don’t have ARDS or risk factors for ARDS, a lung protective ventilation strategy seems to be good for your patients according to a recent meta-analysis published in JAMA.
Oxygen toxicity has been getting a lot of attention the last couple of years. The evidence of how high FiO2 is harmful for patients who are critically ill is somewhat solid and has to some extent changed resus guidelines. An article … Continue reading
Bleeding down in hemoglobin is a kind of limbo dance for the patient involved. How low can you go? Here’s a case report on a trauma patient with a hemoglobin of 0,7 g/dL(!) yielding a hematocrit of 2.2%(!). O neg … Continue reading
We had a young man with cardiac arrest brought in to our hospital. He had been alternating between VF and spontaneous circulation during resuscitation. As an emergency rescue attempt enroute, he had received thrombolytics. At arrival in our hospital, he … Continue reading
Our teaching and guidelines emphasise using tachycardia as a marker of hypovolemic shock. A paeds study in Anesthesia & Analgesia reminds us how that is far from always the case. The study makes me even more suspicious of the classic … Continue reading