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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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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 Kingdom’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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