Global Increased Permeability Syndrome (GIPS) "is characterised by high capillary leak index (CLI, expressed as the ratio of CRP over albumin x 100), excess interstitial fluid and persistent high extravascular lung water index (EVLWI), no late conservative fluid management (LCFM) achievement, and progression to organ failure"
Fluid Therapy Literature Summaries
Advantages and disadvantages of different methods for assessing fluid status
Albumin: colloid solution; 4, 10, 20%; use in the critically unwell is controversial
Albumin versus normal saline
template for answering on 'adverse outcome' questions in the FCICM exam
"Futility" means the absence of benefit; a consensus definition of medical futility does not exist; ~80% of ICU patients who die do so as a consequence of a decision to withhold or withdraw life support
Military Anti-Shock Trousers (MAST): inflatable trousers once recommended for exsanguinating pelvic injury, now considered obsolete; aka "pneumatic anti-shock garments" (PASG)
Autotransfusion device and cell salvage; collection system used to recycle blood from a bleeding patient
CRRT Haemodialysis Filter; continuous veno-venous hemodiafiltration
Heliox is a mixture of helium and oxygen, by substituting helium for nitrogen -> reduction in density of the gas -> reduction in Reynolds number -> more laminar flow -> reduces airflow resistance, work of breathing and dynamic hyperinflation
A Ventricular Assist Device (VAD) is a mechanical pump used to provide adequate cardiac output when heart failure is resistant to medical therapy