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
  • Admission decisions
  • Marginal gains
  • Have we missed something?

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  1. Everything else

Week 16: Marginal gains and critical care

PreviousWeek 15: Surgical principles on intensive careNextWeek 17: Everything sepsis

Last updated 3 years ago

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Things to consider

  • Admission - Who? What's the correct timing? Dr Sharman's 4Rs...

  • Nutrition - When? How? Monitoring?

  • Gastroprotection - What's the evidence? Which drug? Interactions?

  • Eye care - Who? Why? What are the risks if we don't?

  • Anticoagulation - Prophylactic? Theraputic?

  • Sedation and analgesia - What should we target? How do we monitor it?

  • Pressure areas and tissue viability - Why are the nurses obsessed with rolling? Flowtrons and TEDS?

Admission decisions

  • (Dr Howatson)

  • (Dr Bonnington)

  • (BJAEd, Drs Harvey and Gardiner)

Marginal gains

  • (IBCC)

  • (LITFL) and JLV's

  • (Dr Bonnington)

  • RCT of

  • (LITFL)

  • and - when to pause/continue anticoagulation perioperatively

  • Oxygen targets? , , , ,

  • Gastroprotection? , , and a nice

  • Is dexmedetomidine the (expensive) answer to all our sedation problems? , , ,

Have we missed something?

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

Which patients should be admitted to critical care
Recognition and management of the critically ill ward patient
The 'MORAL BALANCE' of decision making
Guide to supportive care in critical illness
FAST HUGS IN BED
original fast hugs article
Routine prescriptions on critical care
Goal directed nutrition
VTE prophylaxis
BRIDGE
PAUSE
ICU-ROX
HOT-ICU
OXYGEN-ICU
LOCO2
IOTA
SUP-ICU
PEPTIC
network meta-analysis
MENDS2
SPICE3
DahLIA
MIDEX-PRODEX
Let us know