Although 0.9% sodium chloride (“normal” saline) is traditionally the most commonly used intravenous fluid, it is unclear if “normal” saline is the best fluid. Data from prior studies suggests 0.9% saline use may result in hyperchloremic acidosis.
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Tagged ‘Critical Care’
Journal Review
Balanced Solutions vs 0.9% Saline in Critical Care (SMART)
Journal Review
ADRENAL – Corticosteroids in Septic Shock
During physiological stress, hypotension, or severe infection, the hypothalamic-pituitary-adrenal (HPA) axis is activated. The hypothalamus secretes corticotrophin-releasing hormone (CRH) stimulating the release of adrenocorticotrophin hormone (ACTH) from the anterior pituitary.
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Core
Petition to Retire the Surviving Sepsis Campaign Guidelines
This post is a multi-physician, multi-specialty petition detailing significant concerns with the surviving sepsis campaign guidelines.
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Journal Review
Apneic Oxygenation in the ICU
Hypoxemia is the most common complication of endotracheal intubation in the critically ill and the strongest risk factor for periprocedural cardiac arrest and death. The traditional approach to avoiding desaturation during intubation is preoxygenation.
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Core
Acute Pancreatitis
This post explores the diagnosis and critical steps in the management of pancreatitis.
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Journal Review
Angiotensin II for the Treatment of Vasodilatory Shock
ICU patients with vasodilatory shock continue to have a high mortality despite advancements in treatment. Maintaining blood pressure, and thus organ perfusion, is one key in management. Decreases in mean arterial pressure (MAP) can have serious complications including damage to the kidneys,
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Core
Upper GI Bleeding
This post is an overview of upper GI bleeding with a focus on treatment
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