PICC line associated thrombosis
The PICC lines page has been updated with expanded detail about the management of PICC line associated thrombosis.
Resuscitation
Initial ventilator settings in children
The Paediatric resuscitation page has been updated with recommended initial ventilator settings for paediatric patients.
Breath stacking and gas trapping in ventilated patients
A new segment on breath stacking/gas trapping has been added to the Ventilation in special circumstances page.
FiO2 and PEEP
A new table of the recommended changes to FiO2 and PEEP in patients with respiratory failure has been added to the Ventilation page.
Height and estimated TV
The Ventilation page has been updated with information about patient height and estimated TV (as TV is calculated according to ideal body weight).
Gelatin and starch solution effects on coagulation
The Intravenous fluids page has been updated with additional information about the potential anti-coagulant effects of gelatin and starch solutions.
Circulatory management of the trauma patient
The Management of the trauma patient page has been updated with additional information about haemostatic resuscitation and the treatment of trauma induced coagulopathy.
Treatment of hypovolaemia
The Treatment of hypovolaemia page has been updated with additional information about the principles of therapy and the blood product transfusion ratios in resuscitation.
Rotational technique of LMA and iGel insertion
[avatar user=”robjdunn” size=”original” align=”left” /] The Difficult intubation equipment page has been updated with details of the rotational insertion technique for LMA or iGel insertion.
Ventricular assist devices
The Mechanical cardiac support page has been extensively revised following the recently published article in EMA on ventricular assist devices.
Pericardial tamponade US video
A short video of pericardial tamponade on US has been added to the Pericardial tamponade page.
Using the EJV to measure venous pressure
A small section on using the IJV to estimate venous pressure has been added to the Cardiovascular examination page.
Advanced airway techniques and chest compressions
The Basic life support page has been updated to emphasise that advanced airway techniques, when performed quickly, improve the effectiveness of chest compression. This is probably due to improved co-ordination between chest compression and ventilation.
Packed cell transfusion strategy and infection
The Packed cell transfusion page has been updated with information about the 5% (absolute) increase in infection risk associated with a liberal transfusion strategy (Hb > 9g/dL) compared to a more restrictive strategy.
High flow nasal cannula therapy
The Oxygen therapy page has been updated with information about high flow nasal cannula therapy, used in infants and as apnoeic oxygenation prior to intubation.