Fluid resus in sepsis

This month’s question concerns fluid administration in patients with septic shock. Are the surviving sepsis guidelines suggestion of an initial “rapid bolus of 30ml/kg crystalloid” in those patients with hypotension and lactate>4mmol/L  more harmful than useful? A  – I always think the proposal to limit fluid resus is pragmatically difficult, but it may well be a … More Fluid resus in sepsis

December 2017 Journal Club

Hi All Have a look at this month’s paper here https://www.ncbi.nlm.nih.gov/pubmed/27706466 Something to think about while we’re all overindulging during the holidays….. Cheers Rob “There’s also a nice review here;https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5661789/ It includes the festive paper. How much pudding is enough?” “Hi Everyone Hope you all enjoyed the paper! I have to say that this is … More December 2017 Journal Club

November 2017 Journal Club

Hi all For this month’s club you’re getting 2 for the price of one! With the long nights drawing in it’s time to think about what we are all missing out on, namely Vitamin D….. Have a read of paper 1 here first https://jamanetwork.com/journals/jama/fullarticle/1911017 then read paper 2 https://ccforum.biomedcentral.com/articles/10.1186/cc13790 Without wanting to sound all new … More November 2017 Journal Club

October 2017 Journal Club

For October we looked at an interesting paper; (https://www.ncbi.nlm.nih.gov/pubmed/28622167) Which suggests the possibility of alternative treatment strategies for Delirium, have a look and feel free to add to the discussion thread below….. “Hi All Hope you all enjoyed the paper and apologies to anyone who found it a bit “dry”! Basically it’s a retrospective study … More October 2017 Journal Club