Neonatal resuscitation
The Neonatal resuscitation page has been updated and significantly re-organised to aid clarity.
Resuscitation
Diagnosing the cause(s) of difficult intubation
A short segment on diagnosing the cause(s) of difficult intubation has been added to the Difficult intubation page, as well as a few other minor changes.
Bag mask ventilation during induction
The Endotracheal intubation page has been updated including a modification of the recommended use of bag mask ventilation during induction in the critically ill patient. Casey, JD, Janz, DR, Russell, DW, et al. Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults. N Engl J Med 2019 .
Syncope
The Syncope page has been updated, including additional information about assessment and the lack of utility of serum troponin in unselected cases.
Femoral nerve and fascia iliaca block
The Regional anaesthesia page has been updated with some additional information about femoral nerve and fascia iliaca blocks.
Acute pain management
The Acute pain management page has been updated with a variety of minor improvements.
Target SpO2 < 96%
The Oxygen therapy page has been updated, including a clearer indication that target SpO2 in hospitalised patients should rarely be > 95%.
IABP in cardiogenic shock
The Mechanical cardiovascular support page has been updated to downplay the usefulness of IABP in cardiogenic shock.
Genetic factors and channelopathies are AF risk factors
The Assessment of atrial fibrillation or flutter page has been updated with the addition of genetic factors and channelopathies as causes for AF.
Stroke prevention in AF
The Stroke prevention in atrial fibrillation page has been significantly revised, simplified and updated, reflecting the improved understanding we have of DOACs and anti-platelet agents.
CHA2DS2VASc score is dead…..long live the CHA2DS2VA score
The Assessment of atrial fibrillation or flutter page has been updated with the removal of the CHADS2 score and replacement of the CHA2DS2VASc score with the CHA2DSVA score.
Flecainide in AF
The Atrial fibrillation arrhythmia management page has been updated with some additional information about the use of Flecainide.
AF discharge advice
A short segment about other management of new onset AF has been added to the Atrial fibrillation arrhythmia management page.
Thyroid function testing in AFib
The Assessment of atrial fibrillation or flutter page has been updated with advice that TFTs are not advised acutely with new onset AF, but are better performed once the patient has recovered from the acute episode.
Spurious hypotension
A new segment on spurious hypotension has been added to the Blood pressure monitoring page. You might want to check a few things before acting on a single reading.
Atrial flutter
The Atrial fibrillation or flutter page has been updated with some additional information about how not to miss atrial flutter.
Syncope and PE
The Syncope page has had a few minor changes, including a statement that PE is an uncommon cause of syncope in ED patients.
Adrenaline in digital blocks
The Regional anaesthesia page has been updated to reflect that lignocaine with adrenaline is safe for digital nerve blocks.
IV catheter failure and amount in vein
The Difficult IV access page has been updated with information about the amount of catheter in the vein and failure rate, following US guided access.
More about MAC values
The Inhalational anaesthetic agents page has been updated with some additional information about MAC values.