NOT The Two Ronnies...but The Two Jonnys....and Twitter!
This is the fourth episode of an exciting new podcast project with Jonny Wilkinson (
) who is an anaesthetist and Intensive Care Consultant at Northampton hospital He has a website,
, from where he does regular reviews of some of the many issues one can find on Twitter.
If this podcast does not convince you of the merits of Twitter then nothing will.
The Content on the website is provided for FREE as is the podcast.
You could help support this work by going to
. This means that I will earn a small commission from any purchases you make with NO extra cost to yourself.
Thank you.
Tom, one of my colleagues from the Critical Care Outreach Team and I discuss this paper and its findings reaching our own conclusions. Deferring Arterial Catheterisation in Patients with Septic Shock.
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We return to our 48-year-old patient: jaundiced, hypotensive, drowsy, and bleeding. In decompensated cirrhosis, every treatment targets a disrupted system — splanchnic vasodilation, portal hypertension, toxin accumulation, and renal hypoperfusion.Although these patients look fluid overloaded, they are effectively hypovolaemic. Start with small aliquots of balanced crystalloid, avoiding 0.9% saline. In hepatorenal syndrome or tense ascites, 20% albumin is
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In this episode, I walk through the real-world critical care management of acute decompensated alcohol-related liver disease, using a high-risk ICU case to anchor the discussion. The focus is on understanding the underlying physiology—portal hypertension, rebalanced haemostasis, hepatic encephalopathy, infection, and hepatorenal syndrome—and translating that physiology into clear first-hour priorities at the bedside. Listeners are
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