Cis-atracurium for ARDS
The ACURASYS study of atracurium vs placebo in ARDS: three ml rapid intravenous infusion of 15 mg of cis-atracurium besylate […]
All Updates, ICU
critical care
All Updates, PHARM
In-flight cooling after out-of-hospital cardiac arrest
Aeromedical retrieval specialists in Scotland developed a simple, cheap, effective in-flight cooling protocol using intravenous (IV) cold Hartmann’s solution and […]
Acute Med, All Updates, ICU, PHARM, Resus
Pre-hospital cooling post arrest
An Australian randomised controlled trial assessed the effect of pre-hospital cooling (using 2 litres ice cold Hartmann’s) of post-cardiac arrest […]
All Updates, ICU, PHARM, Resus, Trauma
Give all sick patients oestrogen?
A thought provoking article in Critical Care Medicine outlines basic science, animal, and human studies that suggest oestrogen may have […]
All Updates, ICU
ABCDE of ICU cognitive outcomes
Applying best evidence using simple easily remembered tools appeals to my small and busy brain. A system of minimising the […]
Acute Med, All Updates, Guidelines, ICU, Resus
Delirium guidelines
The UK’s National Institute for Health and Clinical Excellence (NICE) has produced guidelines on delirium. Delirium (sometimes called ‘acute confusional […]
All Updates, ICU
T-piece SBT harder work
24 difficult to wean patients underwent three spontaneous breathing trials in random order, with PA catheter monitoring in place. T-piece […]
All Updates, ICU
Dexmedetomidine meta-analysis
Results from 24 studies on dexmedetomidine were assessed in a meta-analysis to determine the effect on ICU length of stay. […]
All Updates, ICU, Resus
Femoral SvO2 not so useful
Bloods sampled from both femoral vein and SVC-sited catheters in critically ill patients showed good correlation in lactate levels but […]
All Updates, ICU, Resus
ALI / ARDS strategies
A CME article in Critical Care Medicine summarises the literature on ARDS (including its limitations) and provides evidence based recommendations […]