Do all comatose patients need intubation?
In non-trauma patients, do you base your decision to intubate patients with decreased conscious level on the GCS? These guys […]
All Updates, ICU, Resus
ICU
Stuff relevant to patients on ICU
All Updates, ICU, Ultrasound
Oblique view for IJV cannulation
Simple really. Using the transverse view the needle tip can be hard to visualise. In the longitudinal view you don’t […]
All Updates, ICU, Resus
EGDT sepsis bundle challenged
An article in American Journal of Emergency Medicine by two intensivists challenges the science behind Rivers’ early goal-directed therapy (EGDT) […]
Guidelines, ICU
Preventing AKI on the ICU
A multinational European working group produced the following evidence-based recommendations for preventing acute kidney injury (AKI). Read the full guideline […]
All Updates, ICU, Resus
Bad news for etomidate from CORTICUS
In an a priori substudy of the CORTICUS multi-centre, randomised, double-blind, placebo-controlled trial of hydrocortisone in septic shock, the use […]
All Updates, ICU
Low PPV can still be fluid responsive
Pulse pressure variation with respiration (PPV) predicts fluid responsiveness in mechanically ventilated patients. Because this is due to transmission of […]
All Updates, ICU
No sedation for patients receiving mechanical ventilation
Danish intensivists demonstrate that just bolusing morphine without sedatives results in fewer days on a ventilator and a shortened ICU […]
All Updates, ICU
Procalcitonin reduced antibiotic use
In a multicentre study in France, adult patients expected to stay in the intensive care unit for more than 3 […]
All Updates, ICU
Prone Ventilation for ARDS
A multicentre randomised controlled trial of 342 adult patients with moderate to severe ARDS assessed the effect of prone ventilation […]
All Updates, ICU, Resus
Higher PEEP in ARDS
The current mortality of 35% associated with acute lung injury (ALI) is roughly three times higher than that associated with […]