check out @thomaswoodcock and https://fluidphysiology.org for more info. I just make his stuff understandable for mere mortals like me

Every now and then, usually when a Renewal bill arrives, I wonder whether it is worth renewing and maybe I should let this web page pass away with dignity. I started teaching the obvious absurdities of biophysical colloid osmotic pressure manipulations (‘therapies’ except that they don’t actually treat anything) about 2010. Then I had my…… Continue reading check out @thomaswoodcock and https://fluidphysiology.org for more info. I just make his stuff understandable for mere mortals like me

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

Glycocalyx Special Edition

The American Journal of Pathology Special edition opens with an overview of nanomechanics; the connections between the luminal surface endothelial glycocalyx and the intra-endothelial cortex, largely composed of actin molecules, is emphasised. The sequelae of endothelial glycocalyx injury include enhanced vascular permeability, tissue oedema, augmented leukocyte adhesion, platelet aggregation, and dysregulated vasodilation. The structure/ function…… Continue reading Glycocalyx Special Edition

Precapillary sphincters maintain perfusion in the cerebral cortex.

A beautifully illustrated report on the cerebral microcirculation of mice provides many answers to the role of precapillary sphincters in cerebral perfusion autoregulation. Grubb, S., Cai, C., Hald, B.O. et al. Precapillary sphincters maintain perfusion in the cerebral cortex. Nat Commun 11, 395 (2020). In previous blogs we considered the possibility of a Bernoulli effect…… Continue reading Precapillary sphincters maintain perfusion in the cerebral cortex.

Why you need to care about the Glycocalyx Model paradigm.

Last weekend many hundreds of people read my last Post on FluidPhysiology about measuring the endothelial glycocalyx, thankyou so much. Starling physiology has grown to become a Controversy, thanks to the misinterpretations published by Professor Robert Hahn and his colleagues in the past year or so. These prompted Professor Charles Michel, Professor Roy Curry and…… Continue reading Why you need to care about the Glycocalyx Model paradigm.