Jeremy Roberts

10 Questions 16 Answers 0 Followers

Questions related from Jeremy Roberts

Can the use of different modes of mechanical ventilation cause peripheral vasoconstriction?

Can the use of different types of mechanical ventilatory modes cause peripheral vasoconstriction? During the cares of a patient on BIPAP ASB it was noted that the patients fingers were both cold...

15 May 2016 8,302 3 View

Severe Lactic Acidosis. which is the most effective Dialysis Modality, with or without Citrate?

Severe Lactic Acidosis, which is most effective dialysis modality that you use to try and correct this type of acidemia? Do you fine that different cause's of lactic acidemia (Hypoxic and...

26 September 2015 5,470 3 View

Upto what Temperature has it been deemed contraindicative to give antipyretic therapy in the critically ill patient?

Can anyone tell me if there is any upto date and relevant research into the treatment of pyrexia in the critically ill patient. Also, at what temperature is it deemed appropriate to give...

09 August 2015 8,871 4 View

How do other Intensive Care Medical units compensate for pre-blood fluid in dialysis?

The use of pre-blood fluid in the reduction of filter clotting in dialysis is well known, but it is also known to reduce the efficiency of the dialysis abilities. Could you please explain how your...

06 December 2014 2,211 6 View

Is the absorption and effectiveness of subcutaneous Insulin affected by peripheral odema in ICU patients. Have studies undertaken for analysis?

With the introduction of subcutaneous Insulin to our patients whom are diabetic, we have seen abnormal and at times difficult blood glucose levels to control with IV Actrapid. Do other intensive...

01 November 2014 5,954 3 View

With increasing uses of sustained low-efficiency daily diafiltration in ICU patients throughout Europe and America, is it a viable modality to CVVHDF?

With the shortage of funds within the health service, can we really turn to SLED or SLEDD as an alternative to continuous renal replacement therapies?

25 August 2014 5,643 2 View

In the use of Citrate in dialysis patients, which mode is most suitable and has the least complications, CVVH, CVVHf, or CVVHDF?

In the analysis of research into the use of Citrate in the dialysis of ICU patients, there seems to be a positive swing towards the use of Citrate over other anticoagulants. With so many different...

25 August 2014 3,515 11 View

Is the use of Citrate in CVVHDF safe and effective in comparison to Heparin?

I'm looking at the use of Citrate in CVVHDF in the critically ill patients with and without AKI. Do other healthcare professionals endorse it's use or discourage the use of citrate over heparin?

11 June 2014 4,473 8 View

Should patients with severe sepsis on CVVHDF be warmed to 38 to 38.5 Degrees to aid their normal thermic immune response to illness?

With some of our septic patients experiencing acute renal failure needing CVVHDF, I have posed the question, that as yet I can find no answer to. With 'normal' patients in ARF on CVVHDF, they...

23 March 2014 399 21 View

Should patients with severe sepsis on CVVHDF be warmed to 38 to 38.5 degrees to aid their normal thermic immune response to illness?

My name is Jeremy, I am a senior staff nurse working in a general medical and surgical ICU in the UK. With recently reading some work on Immunomodulatory Effect of Continuous Venovenous...

22 March 2014 2,750 3 View