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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 turned consultants.
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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Category Archives: Cardiology
ECMO for cardiac arrest, E-CPR, has been shown several times to increase survival more than any other intervention we have available. Here’s yet another retrospective study to support the findings in previous trials (links at end of post). Survival with … Continue reading
There are a few magic lo-tech treatments about. There’s the precordial thump, but there’s also the self administered cough CPR. Documented in several case series from the cath labs of the 70s and 80s, coughing every 1-3 seconds was shown … Continue reading
We’ve been waiting for the AVOID study, since we mentioned it a few years ago in another post on the harm of excessive oxygen. AVOID (Air Versus Oxygen in Myocardial Infarction). Now, it’s out. As expected, it shows that unnecessary … Continue reading
If you make a study on interventions on dead people, you don’t expect much. Well, the Alfred in Melbourne did such a study – and got a resurrection rate of over 50%! Their intervention group was people in refractory cardiac … Continue reading
A paper in AJEM describes a way to quickly assess left ventricular function that I wasn’t too familiar with. By measuring the distance between the anterior mitral valve and interventricular septum we can roughly assess the heart’s ejection fraction.
It’s not news but I recommend you read Paul E Marik’s review of the Pulmonary Artery Catheter (PAC) from Annals of Intensive Care 2013. Basically he tears the whole thing apart, writes an obituary and suggest we make it a … Continue reading
A Danish study in Resuscitation sheds more light on the link between fever and mortality in post-ROSC patients. It is interesting as it fits nicely with the recently published, and highly controversial, study in NEJM that suggested hypothermia isn’t working … Continue reading
A recent study published in New England Journal of Medicine has created a splash in EM social media. While it acknowledges that temperature control is important, it also suggests therapeutic cooling of cardiac arrest survivors does not work.
Cardiac anaesthesia can be boring as hell. On the upside, there is no better way to get a true understanding of cardiac physiology than directly observing, actually seeing, what the heart does. This is what VF, cardioversion and sinus rythm … Continue reading