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
critical care
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 […]
All Updates, Kids, Resus
Difficult mask ventilation
A comprehensive review of difficult mask ventilation (DMV) reports that the incidence of DMV varies widely (from 0.08% to 15%) […]
Acute Med, All Updates, ICU, Resus
Lactate clearance goal in sepsis
Previous work in severe sepsis/septic shock patients has shown that a decrease in lactate concentration by at least 10% during […]
All Updates, ICU, Resus
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, PHARM, Resus
Etomidate versus ketamine for rapid sequence intubation
Finally a well designed blinded randomised controlled trial on this subject. 0.3 mg/kg etomidate was compared with 2mg/kg ketamine for […]
Acute Med, Resus
Guidelines for D.I.C.
2009 Guideline for the Diagnosis and Managment of Disseminated Inravascular Coagulation DIC guideline available here Other useful guidelines from the […]
Acute Med, All Updates, ICU, Kids, PHARM, Resus, Trauma
Ad hoc resus teams less effective
During simulated cardiac arrest resuscitations, a comparision was made between those run by teams that had had time to form […]