Archive for April, 2013|Monthly archive page

Salt is better than sugar

Here’s a taster of the excellent stuff available over at sthjournalclub. Go & follow this blog now!

STH Journal Club

Myburgh JA, Finfer S, Bellomo R et al. Hydroxyethyl starch or saline for fluid resuscitation in intensive care. New England Journal of Medicine 2012; 367: 1901-1911.

RHH Journal Club. November 22nd, 2012. Dr Balaji Kasa

No free full-text available

To evaluate the safety and efficacy of 6% HES (130/0.4) in 0.9% saline as compared to 0.9% saline alone for fluid resuscitation in ICU.

Type of Study: Multicentre, Prospective, Blinded, Parallel group, Randomised controlled trial

Methodology:

Population:

7000 patients from 32 hospitals in Australia and New Zealand, 18 years or older eligible for admission to ICU and who met the criteria for fluid resuscitation

Exclusions: more than 1000mls of HES is administered to patient before screening, those with impending or current dialysis dependent renal failure and those with intracranial haemorrhage on CT scan.

Intervention /Control

HES(130/0.4) in 0.9% saline or 0.9% saline

Outcomes

Primary-…

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STH Journal Club

STH Journal Club

An excellent new resource from our colleagues in Sheffield has arrived! They are now publishing short summaries of their “live” journal club on a blog (link above) and on a twitter stream (@sthjournalclub). We are planning to collaborate in the future, and I’d encourage all followers of Critical Insight to check them out and join in the discussions! In fact this resource is so good its rather put our recent output (zero) to shame…..I will put this right over the coming couple of months!