Andy Breen
169 posts
@ICUbreeno
Consultant Intensivist. Honorary Secretary Intensive Care Society @ICS_updates @turningthe_tide
Take home points: ✅ Prescribe IV fluid with the care you would warfarin ✅ Achieve euvolaemia, then sit on your hands ✅ If urine output or BP stays low think “Is a different approach needed here?” rather than autoreaching for more IV fluid ✅ Break your AKI ➡️ fluid reflex
🧵 Thread: Why cardiovascular physiology feels confusing (even to experts) Part 1 of my 'The physics of circulation' series Cardiovascular physiology isn’t confusing because it’s complex. It’s confusing because we routinely mix up description with causation. And our language subtly reinforces the error.
Published in BMJ Open Quality, Turning the Tide discuss what we have found about the state of intravenous fluid use in the UK, and what should be done about it. Low education, little management and under realisation of potential harms. It will change. bmjopenquality.bmj.com/content/14/4/e…
🧵Why does low protein intake cause hyponatraemia? Most people find this confusing. But the underlying physiology is beautifully simple. Let’s walk through it 👇 #Hyponatraemia #FluidBalance #MedTwitter #FOAMed
