For many years, perioperative and critical care medicine has moved towards a simple but powerful idea: we should not treat physiology blindly. In adult patients, advanced hemodynamic monitoring and tissue perfusion assessment have helped shape what we now call...
Dr Francisco Escribá
Fluids, Perfusion, and Lactate: A Unified Approach to Sepsis Resuscitation
Administering the right amount of fluids is crucial in sepsis and septic shock. In critically ill patients, the goal of intravenous fluid therapy is to increase cardiac output to improve both micro- and macro-circulation and tissue oxygen delivery (DO₂). However, in...
Keys to central venous line maintenance
One in ten children with a central venous catheter (CVC) develops a device-associated bloodstream infection. 2 Want to know how to prevent bacteremia and central venous catheter-related infection? Dr. Paco Escribá, anesthesiologist FEA Anesthesiology for children, PhD...
8 Complications that can occur during arterial cannulation
Arterial cannulation for continuous blood pressure monitoring is not a technique free of complications, most of the time minor and not a major problem for the patient, but in some cases it can have serious consequences. Furthermore, in children, given the smaller...



