Blood sugar: how low should we go?

Van den Berghe G, Bouillon R, & Mesotten D. Glucose control in critically ill patients. New England Journal of Medicine 2009; 361: 89

RHH Journal Club. July 11th, 2013. Dr Pavan Battu

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Does normalisation of blood glucose levels with insulin therapy improve the prognosis of critically ill patients?

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The origin of the magic MAC number

Eger EI, Saidman LJ & Brandstater B. Minimum alveolar anesthetic concentration: a standard of anesthetic potency. Anesthesiology 1965; 26:756-763.

RHH Journal Club. July 4th, 2013. Dr Niv Jena

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This seminal body of work performed by Eger and his team in the 1960’s provides the basis for much of how we practice anaesthesia today. It continues to be referenced nearly 50 years later because of its importance. They introduced the concept of MAC and using it as a standard and comparison of potency of inhalational agents.

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BIS Off? No need for that…

Avidan MS, Jacobsohn E, Glick D et al. A. Prevention of intraoperative awareness in a high-risk surgical population. New England Journal of Medicine, 2011; 365: 591-600.

RHH Journal Club. July 4th, 2013. Dr Helen Findley

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Is keeping BIS 40-60 better at preventing awareness than keeping end tidal at minimum 0.7 age adjusted MAC?

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