Useful online educational resource for ICU covering, amongst other things, ECMO and echo.
A useful practical summary of latest ruling
A useful checklist can be found here…
If underlying lung is recruitable (ref?)
Specific indications e.g. Surgical, BTS guidelines
Stalled wean + large effusion. If max distance between diaphragm measures >5cm then almost certainly >800ml and drainge will improve situation (ref?)
High RSB index
Overall nil definitive evidence, so take a pragmatic approach.
From CUSIC day @ICSSeminars
Interesting article from an unusual source…
Take home messages:
Explore patients values
What is important to them?
Quality vs length
What have they learnt about death and dying from previous experiences with family/friends
What does a good day (or good death?) look like to them