BNP elevated – what now!??

Your patient is sitting in front of you about to undergo major surgery. You get a 'sniff', that they may have heart failure in their background history and you want reassurance that they are safe to undergo the procedure. Then, you see the BNP level in the blood profile, it's elevated....what now?!! What is BNP?... Continue Reading →

Push them to the (VO2)Max! #FOAMed #FOAMcc

Cardio Pulmonary Exercise Testing (CPEX/CPET) Does your centre have one? We are lucky enough to say we do, and we find the test a very useful discriminator as to whether patients can physiologically 'cope' with the operation ahead of them (normally major surgery). This is relevant to ICU, as there will often be a request... Continue Reading →

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