US guided peripheral venous access
The Difficult IV access page has been updated with some additional information about US guided access.
Dunn RJ
The Difficult IV access page has been updated with some additional information about US guided access.
The ECGs on the Assessment of AF or flutter page have been resized to improve clarity.
The figures on the AF arrhythmia management page have been resized to increase clarity.
The AF arrhythmia management page has been updated with revised information about pad placement for electrical cardioversion.
Significant additions and updates have been made to the segment on Cryoprecipitate in the Clotting factor replacement page.
The Paediatric resuscitation and Paediatric trauma pages have been updated with information about the use of an airway pad in children.
The Intravenous fluids page has been updated with information from the recent ANZ RCT of NSaline vs plasmalyte in ICU patients that did not demonstrate any difference in outcomes. Finfer, S, Micallef, S, Hammond, N, et al. Balanced Multielectrolyte Solution versus Saline in Critically Ill Adults. N Engl J Med 2022 https://www.ncbi.nlm.nih.gov/pubmed/35041780.
The Diabetic ketoacidosis page has been updated indicating that NSaline is associated with a slightly longer time to acidosis resolution than other ‘balanced’ fluids.
The Ventricular arrhythmias page has been updated with additional information about congenital long QTc syndromes.
A number of additions have been made to segments on Cardiogenic shock on the Types of shock page.
The results of a large multi centre RCT published a few days ago may help settle some arguments about whether a bougie or stylet is better when intubating. And the good news is that (if you are adequately trained in their use) you get a very similar success rate with either – well at least … Read more
The Intubation equipment page has been updated with additional information about bougies or stylets
The Cardiac arrest in special circumstances page has been updated with an improved section on resuscitative hysterotomy.
A short segment on adjusting ventilatory settings has been added to the Ventilation page.
The Oxygen therapy page has been updated with additional information about high flow nasal oxygen therapy.
The Intubation in patients with respiratory infections page has had a few minor additions.
The Non depolarising neuromuscular blocking agents page has been updated with information about rocuronium injection pain.
The Intubation equipment page has been updated with an image of the proximal part of a right sided double lumen ETT.
The Intubation equipment page has been updated with an image of a left sided double lumen ETT.
The Intubation equipment page has been updated with an image of a right sided double lumen ETT.