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 4 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… 3 weeks ago
- Crystalloids are lousy volume expanders. We know that. And here's a bit of proof. scancrit.com/2013/04/18/rin… 4 weeks ago
- Helping Babies Breathe - saving newborns in low resource settings with basic intervention scancrit.com/2013/04/25/hel… 4 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: Intensive Care
The average intensive care patient spends 40% of her/his ICU time being weaned from the ventilator. Reduced weaning times means freeing up an enormous amount of floor-space, manpower and resources. Two important causes for prolonged weaning are over-hydration and excessive … Continue reading
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 one I got from a colleague of mine at a Scandinavian hospital, and it’s a scary reminder of the dangers of central cannulations. Placement of a large dialysis catheter went wrong – very wrong.
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.
A meta-analysis in Anesthesiology confirms how central line cannulation is a lot safer when guided by ultrasound. Does that mean we don’t need blind landmark techniques?
B-type or Brain Natiuretic Peptide (BNP) is secreted by the heart ventricles in response to excessive stretching of the heart. It’s physiologic actions is to decrease vascular resistance and increase natiuresis, thereby off-loading the strained heart ventricle. Recently BNP is finding … Continue reading
AJEM recently published a meta-analysis of the evidence supporting making blood volume assessments in hypovolemic patients based on the ultrasound diameter of the inferior vena cava. Five studies met the authors’ selection criteria.
A study in Intensive Care Med reminds me of how arterial blood pressure is a crappy substitute for proper invasive monitoring or echo when treating hypovolemic sepsis patients.
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.