Fluid Physiology

Rob MacSweeney’s Critical Care Reviews Project is an astounding undertaking, delivering a website, newsletter, meeting, book and podcast for Free Open Access to scientific advancement in critical care. Fluidphysiology.org is proud to be at the centre of attention, even if only for one day, as Woodcock & Woodcock 2012 becomes

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

“a retrospective ecological study examining regional and temporal trends in IV fluid consumption across Australia and New Zealand over the periods 2012-2013 and 2013- 2014, using national proprietary sales data as a surrogate for consumption, and demographic data from the public domain.” Neil Glassford, Craig John French, M. Bailey and

A recent tweet about ATLS 10e Shock Classification  @misraasit gave me pause for thought. The message of this now-classic table is that arterial-side blood pressure may be so well defended in haemorrage that it is a poor indicator of  proximity to irreversible shock/ death. Heart rate may be raised by

I guess I should be pleased that researchers in Tokyo and Anesth Analg journal editors/ reviewers in the USA have noticed that there have been some revisions in fluid physiology; one can hardly call these recent revisions. But how my heart sank when I read the headlines; “The revised Starling

I’m flattered and rather excited to be mentioned in the NYC tracks this week; https://thinkingcriticalcare.com/2016/08/03/the-nyc-tracks-with-jon-emile-the-glycocalyx-the-next-frontier-foamed-foamcc/ Great to hear how  others are progressing on their paths to steady state Starling enlightenment. I sometimes feel like a single voice against some of the Pharma-sponsored talking heads who sparkle on the international Congress

I was recently asked this excellent question by a neuro-intensivist working in the USA.  I’m confident he knows more about the blood-brain barrier than I do, but here are my own thoughts on the topic. Firstly, it’s complicated. A nice experiment on six acute brain trauma patients reported in 2012 showed that

Excellent educational contribution from the father of fluid kinetics has appeared in the European Journal of Anaesthesiology. I have drawn freely on Hahn’s kinetic diagrams, but have modified them to include the concept that the glycocalyx can be considered an intravascular part of the extracellular gel phase. This concept is

Still awaiting proofs for my own chapter in Farag & Kurz’ anaesthetic textbook, we have been beaten to the bookshops by the surgical equivalent. But with John Myburgh as senior author I feel honoured to be amongst his august Reference list;   9. Starling E. On the absorption of fluids