Critical Care Teaching
  • Welcome
  • Week 1: Induction
    • NUH Critical Care
    • UHL Critical Care
  • Airway and breathing
    • Week 2: Airway and oxygenation
    • Week 3: Ventilation
    • Week 4: Weaning and rehabilitation
    • Week 5: Challenging scenarios in ventilation
  • Cardiac disease and physiology
    • Week 6: Cardiovascular manipulation
    • Week 7: Cardiac arrest and post-arrest management
    • Week 8: Cardiology on intensive care
    • Week 9: Renal replacement therapy
  • Neurointensive care
    • Week 10: Head injuries
    • Week 11: Confusion, delirium, and strokes
    • Week 12: Seizures and encephalitis
    • Week 13: Brain stem death, devastating brain injuries, and organ donation
  • Everything else
    • Week 14: Fluids and nutrition
    • Week 15: Surgical principles on intensive care
    • Week 16: Marginal gains and critical care
    • Week 17: Everything sepsis
  • Surgical specialities month
    • Week 18: Upper GI and thoracic surgery
    • Week 19: Major trauma and burns
    • Week 20: Massive intra-abdominal surgery
    • Week 21: Maternity and obstetrics
  • Medical Specialities Month
    • Week 22: Haematology and oncology
    • Week 23: Respiratory medicine
    • Week 24: Microbiology
    • Week 25: End of life care on intensive care
  • Wrapping up
    • Week 26: Reflect, and pay it forward
    • About and credits
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On this page
  • Things to consider
  • Resources
  • Key trials and guidelines
  • Have we missed something?

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  1. Everything else

Week 14: Fluids and nutrition

PreviousWeek 13: Brain stem death, devastating brain injuries, and organ donationNextWeek 15: Surgical principles on intensive care

Last updated 3 years ago

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Things to consider

  • Why do we give fluids?

  • Which fluid should we give?

  • Electrolyte replacement - When to treat? How?

  • Hyper and hyponatraemia

  • Hyperchloraemic metabolic acidosis - is it a thing? Should you care?

  • What's the evidence base for nutrition on critical care?

Resources

  • Fluids

    • (ICS Education)

    • and subsequent (IBCC)

    • (BJAEd)

    • (LITFL)

  • Electrolytes:

    • (AnaesthesiaUK)

    • (BJAEd)

    • IBCC guides: /, /, /, /, /

    • (Deranged Physiology)

  • Nutrition

    • (BJAEd)

    • (IBCC)

    • (PulmCrit)

    • LITFL: and

Key trials and guidelines

  • Fluids

  • Nutrition

Have we missed something?

- IV fluids

Use balance crystalloids: , ,

Don't use starch: ,

Don't use albumin: ,

How much: , ,

, , and critical care nutrition guidelines

Energy density: , ,

Glucose control: ,

Parenteral nutrition: , ,

Know a great resource or teaching aid that we've missed? and help make this page even better.

Fluids: Turing the Tide
Fluid selection
deresuscitation
Choice of fluid type
Fluid bolus therapy
Sodium, potassium, and the anaesthetist
Cations
HyperNa
hypoNa
hyperK
hypoK
hyperCa
hypoCa
hyperMg
hypoMg
hyperPO4
hypoPO4
Normal saline intoxication
Nutrition in critical care
Nutrition for the intubated patient
Review of the ASPEN guidelines
Nutrition literature summary
glucose control in the critically ill
NICE CG174
Colloids vs crystalloids Cochrane
SALT
SALT-ED
SPLIT
6S
CHEST
ALBIOS
SAFE
CLASSIC
RELIEF
OPTIMISE
British Association of Dieticians
ESPEN
ASPEN
Early goal-directed nutrition
TARGET
permissive underfeeding
NICE-SUGAR
Intensive Insulin Therapy
Timing
vs enteral
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