Misconceptions about the Starling principle as applied to fluid therapy.

The recent publication by Löffel et al1 concerning the Starling principle reveals some important misunderstandings common amongst clinicians about the science. The Authors confuse the Frank Starling Law (of the heart) with Starling’s principle of fluid exchange, often expressed as the Starling equation which I explain here. Jv is the transendothelial solvent filtration rate, A…… Continue reading Misconceptions about the Starling principle as applied to fluid therapy.

A big Thankyou to purchasers of the Textbook of Fluid Physiology…

I’m delighted to hear from the Publisher that sales of Fluid Physiology in hardback continue to be strong, and that they feel confident to expand our readership by offering a paperback version at a more affordable price. My hope is that this will enable every prescriber of fluid therapy to have their own copy, or…… Continue reading A big Thankyou to purchasers of the Textbook of Fluid Physiology…

Medical Education in a post pandemic world

The traditional paradigm of lecture theatre gatherings, authoritative Textbooks, accredited congresses and conferences has rapidly dwindled. Today people are choosing Twitter Experts, non-peer reviewed electronic publications, and on-line Presentations without live interactions. Love it or loathe it, there is no going back. Fake News communications are increasingly succeeding in getting published in previously reputable journals;…… Continue reading Medical Education in a post pandemic world