This is a bit of a bumper month but it seemed sensible to cohort these similar topics than split them over the next two months. This month’s questions: 1. In patients on escalating doses of vasopressors (and/or inotropes) should we routinely be inserting a femoral arterial line to correlate with radial arterial pressures, and if so and they differ which pressure … More Next Sira debate
Hi Everyone Welcome to September’s Journal club, this month we’re going to be looking at that old chestnut Albumin….. Have a read of the paper here https://www.nejm.org/doi/full/10.1056/NEJMoa1305727 Cheers Rob “Hi All Interesting that the post hoc analysis of patients with septic shock at time of enrolment, did find a statistically significant difference in 90 day … More September 2018 Journal Club
Please see the updated research and QI section for a new collaborative project across the region.
This month’s questions: Excessive respiratory secretions are a common reason for prolonged ventilator weaning and failed extubation. (1) What treatments or interventions are most effective in controlling/reducing excessive respiratory secretions? (2) When it is safe to consider extubation / decannulation in a patient with excessive respiratory secretions i.e. are there any useful measurements / scoring … More Secretion management & PARAMEDIC2
Before we discuss this month’s questions and papers I would ask everyone to consider what components of critical care create an outstanding ICU? The context is that Portsmouth ICU http://www.portsmouthicu.com/ (Queen Alexandra Hospital) has recently been awarded Outstanding in all CQC domains, which I believe is unprecedented. One of the cornerstones of this model is the impressive standardisation through SOPs and guidelines of … More Next Sira Debate
27th October. Places still available. A highly rated course. Course flyer 2018
Hi Everyone Have a look at this month’s paper https://www.ncbi.nlm.nih.gov/pubmed/24108526 Cheers! Rob “Thanks Rob, not seen this one before but have used esmolol in a select group of patients. I’ve always been a bit cautious with b-blocker use in septic patients after seeing a few spectacular deteriorations, but the patient group in this study is … More July 2018 Journal Club