Fluid Physiology in 2020; the first month!

I redoubled efforts to have fluid physiology recognised as a subspecialty of intensive/ critical care medicine and anaesthesia/ anesthesiology with Podcasts on TopMedTalk, and was rewarded with an Endorsement from UCL’s Monty Mythen that reading the book could be “Career-changing”. Korbin Haycock, EM Physician at Loma Linda in California, called the book “Fantastic”.

INTRODUCING
CAREER CHANGING
FANTASTIC

Then my young friend Mike Grocott pointed our Twitter realm to yet another colloid v crystalloid comparison and, no surprises, Normal Saline remains the undisputed Gold Standard extracellular fluid substitute. Use of the colloid reduced perioperative fluid administration by 0.25 litres (P<0.05). Relative risk of death with the colloid 1.8 (ns).

Hope Mike will forgive me if I indulge in a recollection of his early days as only our second Professor of Anaesthesia in Southampton. Mike James, a renowned colloidista from South Africa, was visiting us soon after his publication of a randomised trial in BJA. Anaesthetists from all over the South gathered to hear MFM, and as a warm up act we put on a Grocott v Woodcock Debate, a colloid Pro – Con. Grocott won the debate by a landslide… Perhaps these days he might let the old man win!

AND FINALLY >>> Mike is going to run this years London Marathon! A lot less exciting than dropping your climbing trousers a metre or two away from the summit of Everest, but a Great Cause and a Marvellous Scientist, please Sponsor Mike and support life-saving work in Africa by anaesthetists from around the globe. My daughter Anna will be racing against Mike – if he betters her time I too will donate! Go Mike! (but remember, Ladies First…)

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