CCC Update 004

It’s that time again, time to recap what is new in the LITFL Critical Care Compendium (as you probably know, the quick way to get there is to click on the CCC at the very top of every LITFL page). Updated pages have a revision date noted under the page heading. Once again I’d like to express my thanks to everyone who continues to send me comments and suggestions about what to correct, improve or add to the CCC. This resource can only keep on getting better because of this.

Remember, if you see something wrong or out-of-date, leave a comment on the post or send me an email…. Don’t let me (or anyone else!) be wrong on the internet!

Let’s crack on with the updates:

Glucose control literature summaries

• Thanks to a bit of prompting from Sarah Yong, the VISEP study and last year’s post hoc analysis of NICE-SUGAR have been added to the glucose control literature summaries. Furthermore, the summaries of many of the classic studies have been revised.

Glucose control in ICU

• A new section of dysglycaemia and a new summary of how the evidence for glucose control in ICU has evolved have been added.

Aortic stenosis echocardiography

• What’s new here? A section describing the classification of severity categories, that’s what.

Sugammadex

• A whole new CCC page (at last) on this fascinating addition to the RSI pharmacological armamentarium — let’s face it, gamma-cyclodextrans are cool!

Prognosis after cardiac arrest

• A new section on potential confounding factors has been added.

Selective digestive tract decontamination (SDD)

• I just can’t stop tweaking this page on one of the most studied interventions in intensive care. Still, we don’t use it in Australasia. Its worth making sure you know why.

Physiotherapy in ICU

• Early mobilisation, preventing deconditioning and rehabilitation are becoming more important in ICU, and so does the role of physiotherapy as a result. This is a brief overview with links to some useful references.

ICU Response to a Pandemic

• This has come up in the last two FCICM exams — surely a hat-trick is out of the question…?

Sodium bicarbonate and DKA

• This one is always controversial, I have added in the Chua systematic review. You need to know the pros and cons and exactly what you would/ will do.

Herpes simplex encephalitis

• This a commonly delayed diagnosis with very poor outcomes if not treated – the triad of fever, headache and altered mental state is only present a third of the time. Think about it, get the imaging and do the LP!

That’s enough for now I’m sure…

Vive la FOAM!