IV Fluid Guidance – don’t drown in confusion!

IV fluid policy Written by: Dr Jonny Wilkinsonโ€“ Consultant in ITU and Anaesthesia and NICE IV Fluid Lead Dr Lisa Yates โ€“ 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 below... Continue Reading →

Want Safer IV Fluid Provision? Read this! #FOAMed #FOAMcc #POCUS

There is a lot to say, but I've tried to be as concise as possible. Having just met with our medical director this afternoon to discuss this, it is a red hot topic. He certainly had absolutely no opposition towards anything I was discussing with him...an engaging session, from which we are going to ensure... Continue Reading →

Fluid Therapy Part 2 – Fluids Beyond Resuscitation! #FOAMed #FOAMcc #POCUS

Before we go any further with this post, please do join us for this amazing meeting: Programme Register here Submit your Abstract here   Abstract It is imperative to acknowledge that there are four main indications for fluid therapy. The United Kingdomโ€™s National Institute for Health and Care Excellence (NICE) recently provided a complete set... Continue Reading →

ENVOL study – is there a marker for positive fluid balance? #FOAMed

    WHATS IT ABOUT? The maintenance of optimal blood volume without the development of a positive fluid balance is something we are all striving to achieve for our critically ill patients. Sick patients become 'leaky' and we continue to fill them with fluids, chasing a worsening situation as they seem hypovolaemic. They get: Large... Continue Reading →

Volume Overload: Prevalence, Risk Factors, and Functional Outcome in Survivors of Septic Shock #FOAMed

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 →

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