I was lucky enough to be invited to the Home Mechanical Ventilation Conference in June 2017 by Rachael Moses (
) and this is one of the presentations I thought you might like to hear. Bariatric surgery has become almost routine now and Andrew Jenkinson tells us why. Diets will never seem the same again after hearing this!
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.
Read More
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
Read More
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
Read More