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 →
Glycaemic control in Critical Care In the ICU world we obsess and quite rightly, on physiology and correcting what is deranged. There is a vast abundance and ever accumulating bank of research out there focussing on the gold standard...morbidity and mortality and how we can reduce it. As a result we have looked at, to... Continue Reading →
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 →
Click here to read more, courtesy of critical care. Basically We know that hypothermia leads to poor outcomes, perhaps not in cardiac arrest situations where neuroprotection is the key, granted and perhaps a few other exceptional circumstances. There is evidence that it leads to worse outcome in sepsis which is interesting. There have been many... Continue Reading →
Here's a link to an interesting paper from Oz on paracetamol usage in crit care! Food for thought.......á la statins... What was it looking for Did paracetamol influence outcome of ICU patients? Primary outcome, in-hospital mortality and secondary outcome, ICU mortality. Type Multicenter, retrospective observational study, 17,110 patients. Stats thorough with multi-variate analysis and good... Continue Reading →
