See this article Slideshare .ppt presentation on IAH Interesting! Worth a look and I for one had no idea it had to be done at end expiration! The diagrams below demonstrate the physio-pathological effects of raised IAP.
What do we know... The AKI-EPI study, found an incidence of AKI in 57 % of the 1800 included patients. Severity was associated with adverse patient and kidney outcome at hospital discharge [1]. Analysis of a large cohort (32,045) confirmed a high prevalence (74.5 %) and further illustrated that both AKI severity, duration and the criteria used... Continue Reading →
So we awaited the results of the proMISe Trial with baited breath and we have seen the results of ARISE / proCESS. The news from this was expected to perhaps be different, would the wheel be re-invented....or not?! The answer was unsurprising in the end. EGDT does not appear to alter overall 90 day mortality. What did the previous 2... Continue Reading →
This interesting article highlights the fact we MAY be obsessing with cranking up the MAP in order to get patients to produce more urine. see here Here, researchers use the R.I.A.D (renal interlobular artery doppler), to guide fluid therapy. What is interesting for me is that they state that often, fluid boluses associated with increased... Continue Reading →
A controversy that still exists is whether or whether not to perform a routine CXR post UN-COMPLICATED per Trache. It is my practice not to, IF the procedure was straightforward (Done under direct bronchoscope guidance). Granted, if there are issues like difficulty gaining access to the trachea with multiple passes, desaturation or difficulty ventilating during,... Continue Reading →
