Understanding Elevated Lactate
I find clinicians are quick to consider sepsis and hypoperfusion/ischaemia as causes of a raised lactate, but slow to include […]
Acute Med, All Updates, ICU, Kids, Resus, Video
sepsis
Acute Med, All Updates, Guidelines, ICU, Resus
ARISE study: EGDT no better than standard care
The second of three major trials assessing early goal directed therapy (EGDT) in sepsis – the Australasian ARISE Trial – […]
Acute Med, All Updates, ICU, Resus
Blood pressure target in septic shock
A study comparing mean arterial pressure (MAP) targets of 80 to 85 mm Hg (high-target group) with 65 to 70 […]
Acute Med, All Updates, Guidelines, ICU, Resus
No Benefit From Early Goal Directed Therapy
The first of three major trials assessing early goal directed therapy (EGDT) in sepsis – the American ProCESS Trial – […]
Acute Med, All Updates, ICU, Resus
Sepsis research – let's get some answers
There’s so much debate on which components of Early Goal Directed Therapy in sepsis really make a difference. The good […]
Acute Med, All Updates, ICU, Resus
Beta blockers potentially beneficial in septic shock
Counterintuitive as it sounds, this is pretty cool. I blogged about these guys before when they published their findings on […]
Acute Med, All Updates, ICU, Resus
Beta blockade in sepsis
What do septic patients need if they remain shocked after fluid resuscitation? Catecholamines right? Let’s stimulate some adrenoceptors and support […]
All Updates, Kids, PHARM, Resus
Identifying the febrile kid who's too tachypnoeic
Body temperature raises heart rate and respiratory rate in kids, potentially affecting our interpretation of these clinical signs. Dutch investigators […]
Acute Med, All Updates, Guidelines, ICU, Kids, PHARM, Resus
New Sepsis Guidelines
The latest update of the Surviving Sepsis Campaign Guidelines has been released. There’s too much interesting stuff to easily summarise, […]
Acute Med, All Updates, ICU, Resus
Decatecholaminization in septic shock
A subset of patients from the 2008 Vasopressin and Septic Shock Trial (VASST) trial had invasive haemodynamic monitoring measurements from […]