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

The myth of venous return? The Venous Excess approach.

Fans of FOAMEd will doubtless welcome Critical Care’s latest educational venture into cardiovascular physiology which includes “Volume and its relationship to cardiac output and venous return” by Sheldon Magder. Critical Care 2016;20:271 DOI: 10.1186/s13054-016-1438-7 Published: 10 September 2016 I was delighted by the very last sentence of this well-written review, and recently