Category Archives: Uncategorized

THE DOPPLER EFFECT

We are both incredibly busy at the moment but will hopefully soon be back with posts and replies to comments.

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TRANSESOPHAGEAL ECHO HELPS PLACE EPIDURAL CATHETER

It seems ultrasound really can be used for anything. Epidurals in small children are hard to place, and have to be done while the child is anaesthetised. So it’s hard to say if you placed the catheter correctly for subsequent … Continue reading

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QUOTE OF THE MONTH

“The evidence is clear: when an Emergency Surgical Airway is required, it is not the procedure that kills the patients, but delaying or not doing it is what causes harm.” – Dr Cook & Dr MacDougall-Davis, Complications and failure of … Continue reading

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RBCS IN CAPILLARIES

Fascinating video on youtube reminding us of what our job is really about. Delivering RBCs, preferably with oxygen, to tissues.

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US MAGNETIC FIELD NEEDLE GUIDE

At the Norwegian national convention for anaesthesia and intensive care, I saw this very interesting prototype from the Ezono ultrasound company. It uses magnetic field interference to track the position of a standard metal needle. So you get needle guides … Continue reading

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ΔK

A study in Anesthesia & Analgesia reminds us of why intubating some intensive care patients with succinylcholine can be a bad idea. It demonstrates how the potentially harmful potassium efflux and transient hyperkalemia we get after administering Succinylcholine increases in … Continue reading

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ECMO AS BRIDGE TO LUNG TRANSPLANT

We have looked into this issue before, with several succesful case reports and case series being reported. Fuehner et al who has previously released case series, have now compared 26 awake ECMO bridgings to lung transplant (LTx) to historical controls … Continue reading

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FOAMed WORKS – THE IST-3 INCIDENT

FOAMed – Free Open-Access Medical Education – as coined by Mike Cadogan, has been the recent label put on the medical blogging world’s posting and discussing of medical topics online. Do a #FOAMed search on Twitter, and you’ll get a … Continue reading

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SUPRACLAVICULAR CENTRAL LINE

The forgotten access gets a revival thanks to ultrasound, which offers good control with in-plane cannulation. You might find this gets you the best view on kids.

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…AAAND WE’RE BACK

We’re back. The last post before the move turned out to be a bit too optimistic. But after a lot of major minor problems during our ISP and server switch, we’re finally up and running on our new servers. We’ve … Continue reading

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