Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 15: IV Fluids

4 snips
Sep 5, 2016
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ANECDOTE

Wilt Chamberlain's Free Throw Anecdote

  • Wilt Chamberlain improved his free throw shooting drastically by using an underhand technique borrowed from Rick James.
  • Despite its success, he stopped because he felt it made him "look like a sissy."
INSIGHT

Glycocalyx Protects Vascular Fluid

  • The endothelial glycocalyx maintains vascular integrity and keeps fluid intravascular.
  • Damage to the glycocalyx, such as from excess fluids, leads to protein leakage and edema.
ADVICE

Tailor Fluid Therapy to Patient

  • Use goal-directed therapy to tailor fluid resuscitation to individual patient needs.
  • Combine clinical exam, vitals, and ultrasound to decide fluid requirements rather than fixed milliliter per kilogram formulas.
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