Coda Change

Critical Care physiology in resuscitation: Rinaldo Bellomo

Apr 8, 2018
Rinaldo Bellomo, a leading critical care researcher from Melbourne, dives deep into the complexities of resuscitation practices. He contends that traditional physiological paradigms in critical care need serious reevaluation, as they often do not align with patient outcomes. Bellomo critiques the reliance on manipulative measurements like blood pressure and cardiac output, arguing they lack a true connection to survival. The discussion also highlights the danger of steadfast beliefs in medicine, emphasizing the need for skepticism and evolution in medical practices.
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INSIGHT

Physiology in Critical Care

  • Critical care medicine's reliance on physiology for resuscitation is questioned, comparing it to outdated practices in treating myocardial infarction.
  • Rinaldo Bellomo suggests that current physiological paradigms in critical care may be similarly flawed.
ANECDOTE

Oxygen Delivery in Sepsis

  • The obsession with oxygen delivery in sepsis led to early goal-directed therapy, which proved ineffective despite large trials.
  • This highlights how physiological beliefs can drive ineffective treatments.
ANECDOTE

Targeting Physiological Parameters

  • Interventions based on correcting physiological parameters like glucose, protein C, and albumin levels have led to negative outcomes in trials.
  • This demonstrates the danger of focusing on individual physiological variables without considering broader effects.
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