AAGBI WSM 2017: Blood pressure – how low can I go?

This is a copy of the slides I used during a talk I gave at the AAGBI (@AAGBI) Winter Scientific Meeting. The full programme of the meeting can be found here.

The talk aimed to review the evidence of the risks of intra-operative hypotension and provide clinicians with population-specific targets.

The pdf of my presentation can be downloaded by clicking the link below. Please note the pdf has in-built hyperlinks to each of the papers referenced. To access, simply click on the slide title to go directly to the paper.

AAGBI WSM 2017 Hypotension

 

 

International Symposium of Intensive Care & Emergency Medicine, 2013

This is an excellent summary of the International Symposium of Intensive Care & Emergency Medicine, held in Brussels in March 2013.

In order to allow those who were unable to attend the meeting to gain a flavour of the topics covered by the speakers, Dr Ajay Raithatha has created a summary of the key points of the talks supplemented with additional references and reflections.

This is an excellent update for anyone who works in, or has on-call responsibilities for, critical care. For those of you who are predominately anaesthetists, the section on fluids is highly recommended in light numerous publications on the use of fluids (and particularly colloids) in the past 12 months.

The summary is in the form of a PowerPoint presentation which can be downloaded here: ICS_Brussels_2013

 

The origin of DO2 and the magic 600….

Shoemaker WC, Appel PL, Kram HB, Waxman K, & Lee TS. Prospective trial of supranormal values of survivors as therapeutic goals in high-risk surgical patients. CHEST Journal  1988; 94: 1176-1186.

RHH Journal Club. June 13th, 2013. Dr Andy Cruikshanks

Full-text article (if available)

Does the targeting of supranormal oxygen delivery reduce mortality in high-risk surgical patients?

Read more…

PAFC: the yellow snake of death?

Sandham JD, Hull RD, Brant RF et al.  A randomized, controlled trial of the use of pulmonary-artery catheters in high-risk surgical patients. New England Journal of Medicine 2003; 348: 5-14.

RHH Journal Club. May 23th, 2013. Dr Kris Sivarajan

Full-text article (if available)

Does the use of a PA catheter improve in hospital mortality in surgical patients?

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Why you should engage with checklists….

de Vries EN, Prins HA, Crolla RM et al. Effect of a comprehensive surgical safety system on patient outcomes. New England Journal of Medicine 2010; 363: 1928-1937.

RHH Journal Club. December 4th, 2012. Dr Surya Kasa

Full-text article (if available)

Does implementation of comprehensive multidisciplinary check list with pre, intra & post op components improve outcome? 

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Why we starting siting epidurals in high-risk laparotomies

MP Yeager, DD Glass, RK Neff, T Brinck-Johnsen. Epidural Anesthesia and Analgesia in High-risk Surgical Patients Anesthesiology 1987; 66:729-736

RHH Journal Club. December 8th, 2011. Dr Ilias Kanellopoulos

Full-text article  (if available)

Does the use of epidural anaesthesia for postoperative analgesia improve outcomes in high-risk surgical patients?

Read more…