I am delighted to see a pro-con pair of manuscripts published side by side in Acta Anesthesiologica Scandinavica, and would congratulate the Journal Editors for agreeing to this style of presentation. Earlier criticisms of my work by Professor Hahn’s team did not afford me a right to reply. I also thank Imperial College London for…… Continue reading The last word… for now
Thankyou, Imperial College. From the comments I am seeing from working FFICMs on the CoViD-19 frontline, getting fluids right is one of the keys to optimising outcome. This MS is real basic science, lots of equations from Michel and Curry, but I hope my contribution to a narrative account too will ease the read. If…… Continue reading Starling Principle MS Accepted.
Are you a health care practitioner or a concerned potential patient as we approach a crisis of Intensive Care Bed supply? Would you like your voice to be heard about the Ethics of allocating scarce resources to mortally ill patients? I am a UK Intensive Care Medicine Consultant (retired from clinical practice) and I have…… Continue reading CoViD19 Family values, Doctors attitudes survey.
Universities and Colleges are now delivering Lectures to your home Computer, and FluidPhysiology.org is following suit. The first lecture commitment that I decided I had to cancel was in Leeds, Yorkshire, March 17th. I have now added a Sound file with my commentary to each Keynote slide, which plays on the Transition. I mailed a…… Continue reading Corona Virus Lockdown
Today I cast a critical eye over a recent paper from Professor Tatara’s team in Hyogo, Japan. DOI: 10.1111/aas.13548. It is a fine example of the sort of physiology experiment that can be performed in clinical practice to advance our understanding of acute body water distribution changes. The study population was 56 consecutive patients (age…… Continue reading A neat clinical experiment in fluid physiology and context sensitivity.
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…… Continue reading Fluid Physiology in 2020; the first month!
Every critical care team needs its own super specialists and I have long believed that fluid physiology should be one of those super specialisms. I was therefore delighted to see this short if cryptic comment from the Smiths Medical Professor of Anaesthesia and Critical Care at University College London. Now, to get things in proportion,…… Continue reading 2020 – the year of the fluid physiologist?
Can you explain these remarkable observations about the circulation of blood? If not, it’s time to order your copy of the book just in time for New Year reading…. Become a fluid physiologist.
Armand Girbes, Professor in Intensive Care Medicine and Clinical Pharmacologist, chairs the Division of Scientific Affairs at the European Society of Intensive Care Medicine (ESICM), so when he complains about the direction of research in his speciality he deserves our attention. Last year he gave an Invited Lecture entitled Fifteen years of sepsis trials: where…… Continue reading Physiology Matters.
Here is a paper that has to go in the next edition of Fluid Physiology: Extreme bradycardia and tachycardia in the world’s largest animal “The biomechanical properties and dimensions of the aortic wall in fin whales (Balaenoptera physalus) have led to the hypothesis that, at heart rates ≤10 beats min−1 (bpm) during dives, the highly compliant…… Continue reading Role of vascular mechanics in circulatory dynamics.