White cell-reduced blood components: should we go with the flow?

Intravenous fluids: should we go with the flow?

Sensitive monitoring should be used when prescribing intravenous fluids for volume resuscitation. The extent and duration of tissue hypoperfusion determine the severity of cellular damage, which should be kept to a minimum with timely volume substitution. Optimizing the filling status to normovolaemia may boost the resuscitation success. Macrocirculatory pressure values are not sensitive in thi...

How Low Should We Go With Blood Pressure?

Traditional blood pressure (BP) measurement has made its time. We should familiarize ourselves with automated unattended BP measurements. This method will virtually eliminate the BP rise associated with the presence of doctors or even nurses. Using such a protocol in patients who meet the SPRINT (Systolic Blood Pressure Intervention Trial) inclusion/exclusion criteria, a blood pressure target o...

Should we stay or should we go?

With the potential benefit of positive movement in the housing market and now having two properties this may place you in a good position to increase your retirement nest egg if you choose to sell your family home when you downsize. Depending on your situation you may even be able to keep the family home as an investment. One of the biggest decisions for many retirees is whether to stay in the ...

Blood pressure in intracerebral hemorrhage--how low should we go?

Intracerebral hemorrhage is one of the most devastating forms of stroke. The median 1-month case fatality rate is 40%, and only 12 to 39% of patients achieve functional independence.1 Although previous trials of therapies for patients with this condition have not shown a benefit with respect to outcome,2,3 targeted blood-pressure management after an intracerebral hemorrhage has been both a prom...

Beyond X 2.0: Where Should We Go?