IV Fluid Guidance – don’t drown in confusion!

IV fluid policy Written by: Dr Jonny Wilkinson– Consultant in ITU and Anaesthesia and NICE IV Fluid Lead Dr Lisa Yates – Clinical Fellow in ITU Additions from Dr Ashley Miller (@icmteaching).   Legal pre-amble! I would like to point out to everyone before we go any further on here, that the IV fluid guideline discussed... Continue Reading →

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Albumin..do we, don’t we?!

  What does it do?! Albumin has loads of physiological effects: Regulating colloid osmotic pressure Binding and transporting drugs and hormones in the blood Antioxidant properties Nitric oxide modulation Maintenance of microvascular integrity Buffering Particularly relevant in critically ill patients. We also know that low serum albumin levels, commonly found in the critically ill, may... Continue Reading →

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