Peripheral Vascular Loops urges practitioners to consider their patients capillary pressures when prescribing fluids or vaso-active medications, as the Steady State Starling Principle dictates that interstitial fluid volume can be rapidly increased by hyperfiltration caused by injudicious ‘bolus’ fluid therapy, while the lymphatic drainage of interstitial fluid is slow. Jv is a

Don’t try this at home.

Just checking which well-informed Authors have been citing RSE&GM paradigm and I came across this one from Flinders, Adelaide published last year, full text is free; Bolus intravenous 0.9% saline, but not 4% albumin or 5% glucose, causes interstitial pulmonary edema in healthy subjects Just to make sure you


Wanting to reward those loyal followers who visit, I trawled through my HD and found an Educational project I used in Southampton several years ago to help students get a quantitative grasp of practice. It is unambitiously titled Understanding fluids, urea and electrolyte balance; a quantitative approach and you