Some causes of a raised lactate
A high serum lactate does not necessarily mean a bad prognosis: it all depends on the cause. I made this […]
All Updates, ICU, Kids, Resus
sepsis
All Updates, ICU, Resus
ScvO2 in sepsis: high is bad too
ScvO2 values are obtained by measuring the oxygen saturation in venous blood returning to the heart, and reflect the balance […]
All Updates, Kids
Bulging fontanelle in febrile infants
In a study of febrile infants with a bulging fontanelle, only one out of 153 infants had bacterial meningitis. Other diagnoses […]
All Updates, ICU
Steroids and insulin in septic shock – more data
In a multicentre RCT of patients with septic shock who were receiving steroids (hydrocortisone) for the septic shock, intensive insulin […]
All Updates, Guidelines, ICU, Resus
Surviving Sepsis Campaign guideline adherence and mortality
Data from 15,022 subjects at 165 sites at which the Surviving Sepsis Campaign (SSC) 6 hour and 24 hour care guideline […]
All Updates, ICU, Resus
Effect on noradrenaline on tissue oxygen delivery
Some persist in thinking and teaching that the ‘vasopressor’ noradrenaline (norepinephrine) increases mean arterial pressure (MAP) simply by increasing systemic […]
All Updates, ICU
Ventilator-associated tracheobronchitis
Ventilator associated pneumonia (VAP) is a well recognised complication of ICU care, but colonisation and infection further up the respiratory […]