The traditional method of fixing central venous catheters was suturing, and although this is still used today, the high rate of complications is leading more and more professionals to opt for other safer options. What are the alternatives? WHAT WILL YOU FIND IN THIS...
Anaesthesia and Intensive Care
Perioperative hemodynamic management made easy, affordable, and green
Hemodynamic instability frequently manifests during the perioperative course of high-risk surgical patients. This instability arises primarily during surgery due to the influence of anesthetic agents on vascular tone, compounded by surgical bleeding. Post-surgery,...
What tools can be used to avoid resonance in the blood pressure waveform?
In 30.7% of cases, the arterial blood pressure waveform is resonant. If this happens, the reading will be incorrect and, if we base our decisions on it, they will not be the most accurate. WHAT WILL YOU FIND IN THIS ARTICLE? What is resonance? How to avoid resonance?...
Why CO?
In acute care areas, where patients can be hemodynamically unstable (or at risk of instability), clinicians aim to optimize perfusion in order to avoid organ dysfunction, multi-organ failure, or even death. These areas refer to critical care units, perioperative areas...
6 Keys to proper care and maintenance of the CVC
Central venous catheters are one of the most commonly used devices in hospitals, however, they can present some complications, and to avoid them, proper care and maintenance of the device is essential. WHAT WILL YOU FIND IN THIS ARTICLE? Monitoring of the insertion...
10 Keys to safe internal jugular vein CVC placement in pediatrics
According to studies, the success rate of IJV cannulation in infants can be 100% as long as certain measures are taken and catheter insertion is ultrasound-guided. 1 WHAT CAN YOU FIND IN THIS ARTICLE? Pediatric patients: the challenges of central venous cannulation...
Volume response in septic shock. Case study presented by Dr. Sergi Tormo Ferrándiz
Sepsis is defined as a systemic inflammatory response to infection. This scenario is encountered daily in all healthcare centres with a rate of 10 per 1,000 hospitalised patients. This condition is of great importance as mortality is observed in 20% of sepsis...
Fluid therapy: challenges in the septic patient
The administration of fluids is essential for the survival of the critical patient in shock, regardless of the cause of the shock. This supply occurs to a greater extent during the first hours and days of stay, since it is during these that resuscitation of the...
5 key parameters to understand the hemodynamic response of a septic patient
The first definition of sepsis was made in 1980 and was based on the concept of Systemic Inflammatory Response (SIRS). Despite advances and new definitions over the years, it was then that the basis for the management of the septic patient was established. Sepsis is...
3 keys to choosing the best hemodynamic monitor for our patients
Hemodynamic monitoring provides us with information on cardiovascular performance and has therefore become a fundamental tool in the diagnostic approach and therapeutic orientation. More and more devices are becoming available that allow us to carry out advanced...
Recommendations for the management of difficult airways during COVID-19
As some of the commonly recommended strategies for managing difficult airways are not optimal in the context of COVID-19, the Society for Airway Management (SAM) decided to take action. To this end, it has set up a task force to review existing literature and current...
Which intubation guide to choose for which patient?
Intubation is one of the most common practices for an anaesthetist. However, when this technique is performed, the patient's airways are often not as accessible as we would like. This is why an intubation guide is very often necessary to facilitate intubation into the...