Noradrenaline vs Dopamine in Shock
Another nail in dopamine’s coffin? In a blinded randomised controlled trial in shocked patients1, there was no difference in mortality […]
All Updates, ICU, Resus
All Updates, Kids, Resus
Cricoid pressure squashes kids' airways
A bronchoscopic study of anaesthetised infants and children receiving cricoid pressure revealed the procedure to distort the airway or occlude […]
All Updates, Resus
A novel jaw thrust device
A novel jaw thrust device (JTD) was tested against oropharyngeal and nasopharyngeal airways in anaesthetised patients. The JTD enabled effective […]
Acute Med, All Updates, Resus
Take bloods before giving Lipid Rescue
Intralipid therapy is recommended for local anaesthetic toxicity and in some overdoses. After large doses of Intralipid, the results of […]
All Updates, Kids, Resus, Ultrasound
Best position for RIJV cannulation in kids
In a study of anaesthetised infants and children, the right internal jugular vein as assessed by ultrasonography was measured with […]
All Updates, Guidelines, Ultrasound
Minimising risks of suprapubic catheter insertion
The UK National Health Service’s National Patient Safety Agency published a report entitled Minimising risks of suprapubic catheter insertion ‘, […]
All Updates, Guidelines, Ultrasound
Insertion of chest drains
The UK National Health Service’s National Patient Safety Agency published a report entitled ‘Risks of chest drain insertion’, reporting 12 […]
All Updates, Kids
Therapeutic hypothermia for newborns
In three randomised controlled trials encompassing 767 infants with hypoxic-ischaemic encephalopathy, induced moderate hypothermia for 72 hours significantly reduced the […]
Guidelines
Cyanide antidote
I gave some hydroxycobalamin today for suspected cyanide poisoning. This reminded me to take another look at the College of […]
All Updates, ICU, Resus
Supraclavicular approach to subclavian vein
A series of subclavian vein catheterisations is described in patients using the supraclavicular approach, with a high success rate and […]