Blog

Are the days of the MacIntosh blade numbered?

Todd Fraser on 12-02-2011

An paper by Di Marco et al in the January 2011 edition of Anesthesia and Analgesia compares novice aquisition of intubation skill when comparing traditional intubation using a Maci...

Intensive Insulin Therapy

Neil Orford on 03-02-2011

Categories: Controversies in ICU

Anthony Tzannes comments regarding IIT A few comments from my reading of the study: 1. A concern with the protocol of the study: namely that if hypoglycaemia was found on tes...

The Case for Etomidate

Todd Fraser on 15-12-2010

Categories: Controversies in ICU

The haemodynamic perils of induction of anaesthesia in severely compromised patients has long been recognised. Few anaesthetic agents can be used in this setting without the poten...

Factor VIIa

Todd Fraser on 09-12-2010

Categories: Controversies in ICU

Over the last few years a number of very useful interventions in ICU have gone from evidence based to obselete - Steroids in severe sepsis, Activated Protein C, tight glycaemic con...

Recruitment Manoeuvers

Todd Fraser on 25-10-2010

Categories: Controversies in ICU

I'm impressed that I can even spell Manoeuvers... In September 2010, Critical Care and Resuscitation published a small randomised controlled trial examining the pulmonary and no...