Dobutamine for severe heart failure – more harm than good?
A systematic review and meta-analysis of randomised controlled trials showed dobutamine is not associated with improved mortality in heart failure […]
Acute Med, All Updates, ICU, Resus
ICU
Stuff relevant to patients on ICU
All Updates, Guidelines, ICU, Resus
Colloid volume therapy for critically ill patients
The European Society of Intensive Care Medicine has produced a consensus statement on colloid volume therapy for critically ill patients, […]
All Updates, Guidelines, ICU, Kids, Resus
Severe Traumatic Brain Injury in Children
The Brain Trauma Foundation has released updated guidelines on traumatic brain injury in children. Most of the recommendations are Grade […]
Acute Med, All Updates, ICU, Resus, Ultrasound
Posterior pericardiocentesis
Dr Emanuele Catena and colleagues report a case of an adult male who presented 7 days post cardiac surgery with […]
All Updates, ICU, Resus
Airway lessons relearned
A UK study examined all out-of-operating room intubations over a one month period in nine hospitals1. Patients whose indication for […]
Acute Med, All Updates, ICU, Resus
β-2 agonists could worsen ARDS outcome
A previous study (BALTI-1) suggested β-2 agonists may help in ARDS by reducing extravascular lung water. A randomised trial in […]
All Updates, ICU, PHARM, Resus, Trauma
FIRST: Fluids in Resuscitation of Severe Trauma
This is the first randomized, controlled, double-blind study comparing crystalloids with isotonic colloids in trauma. 0.9% saline was compared with […]
All Updates, ICU, Resus
Adjacent haemofiltration catheters can remove CVC drugs
An important consideration when siting your lines in your critical care patients who require renal replacement therapy… Dual-lumen haemodiafiltration catheters […]
Acute Med, All Updates, ICU, Resus
Vasopressin – what it does and doesn't do
The current Surviving Sepsis campaign guidelines recommend that vasopressin should not be administered as the initial vasopressor in septic shock, […]
All Updates, ICU, Kids, PHARM, Resus
A big brain saves a little one
Something I’ve been teaching for years – but never actually done – has been described in a case report from […]