A study carried out in an academic county hospital in the US examined the associations between volume overload on ICU discharge, mobility limitation and discharge to a healthcare facility amongst survivors of septic shock. Septic shock is commonplace in critical care and indeed, its incidence is on the increase. With this however, we are seeing... Continue Reading →
Intro I am always asked by vigilant ITU trainees of all grades, 'should we give some albumin here; what do you think?'. In answer, my response is normally...no, it has no mortality benefit at all. But am I being harsh? Physiology for dummies! So albumin: Maintains the oncotic pressure (+ plasma volume) in blood vessels... Continue Reading →
This is an excellent animation from the CEC and can be found within the right menu bar under LINKS WORTH CLICKING ON. Underlies the work Ron Daniels and his team are doing in the UK. Click here as well to see it..... More to come.....
A recent editorial discusses the thorny issue of fluid resuscitation. Notably, there is still no consensus about the major aspects of fluid resuscitation. It's the usual rigmarole we face....no clarity about when to start and stop fluids, how to guide them or even how much to give. The bulk of the research has been focused on comparing... Continue Reading →
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 →
