I love the world of social media. It was through the medium of Twitter that I was able to connect with James DuCanto ()who is an anesthesiologist at Aurora Health Care in Wisconsin. Gavin Denton () and I picked his brains about some of the pitfalls in intubation especially for those not so experienced but who may well still find them in a situation where they may have to perform the task.
James has produced a few teaching videos around some of his ideas, some of which you can see on Minh LeCongs ()
site, so I won't reproduce them here. just follow the link.
I did ask him about cricoid pressure and his answer was interesting. If you want to hear the discussion I had with Minh about this then go listen to
Summary:In this episode, we spotlight a stealthy ICU disruptor — hypophosphataemia. Based on a 2024 narrative review in the Journal of Clinical Medicine, we explore why phosphate matters, how it goes missing in critically ill patients, and why you should care even when it’s just “a little low.”What’s Covered:The vital role of phosphate in energy,
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Mobilisation in the ICU raises two big questions: is it safe, and will staff embrace it?In this discussion, Jonathan explores both sides of the story:Safety first:Large prevalence studies show mobilisation is happening, though often inconsistently.A systematic review of 1,800+ sessions found serious adverse events in only 0.6% — most minor and short-lived.Even patients on CRRT can safely mobilise
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