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	<title>Critical Insight</title>
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	<description>A 24/7 journal club from intensivists in the East Midlands</description>
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		<title>Critical Insight</title>
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	<item>
		<title>Effect of Individualised vs Standard Blood Pressure Management Strategies on Postoperative Organ Dysfunction Among High-Risk Patients Undergoing Major Surgery: A Randomised Clinical Trial</title>
		<link>https://criticalinsight.wordpress.com/2018/04/07/effect-of-individualised-vs-standard-blood-pressure-management-strategies-on-postoperative-organ-dysfunction-among-high-risk-patients-undergoing-major-surgery-a-randomised-clinical-trial/</link>
					<comments>https://criticalinsight.wordpress.com/2018/04/07/effect-of-individualised-vs-standard-blood-pressure-management-strategies-on-postoperative-organ-dysfunction-among-high-risk-patients-undergoing-major-surgery-a-randomised-clinical-trial/#respond</comments>
		
		<dc:creator><![CDATA[danharvey]]></dc:creator>
		<pubDate>Sat, 07 Apr 2018 18:32:35 +0000</pubDate>
				<category><![CDATA[Anaesthesia]]></category>
		<category><![CDATA[CVS]]></category>
		<category><![CDATA[Physiology]]></category>
		<category><![CDATA[Uncategorized]]></category>
		<guid isPermaLink="false">http://criticalinsight.wordpress.com/?p=252</guid>

					<description><![CDATA[Journal of the American Medical Association; published 10 Oct 2017 Futier E, Lefrant J, Guinot P, Godet T, Lorne E, Cuvillon P, Bertran S, Leone M, Pastene B, Piriou V, Molliex S, Albanese J, Julia J, Tavernier B, Imhoff E, Bazin J, Constantin J, Pereira B, Jaber S STUDY DESIGN The authors pose the research [&#8230;]]]></description>
		
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		<post-id xmlns="com-wordpress:feed-additions:1">252</post-id>
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			<media:title type="html">dan harvey</media:title>
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		<item>
		<title>Early NA in sepsis</title>
		<link>https://criticalinsight.wordpress.com/2015/02/28/early-na-in-sepsis/</link>
					<comments>https://criticalinsight.wordpress.com/2015/02/28/early-na-in-sepsis/#comments</comments>
		
		<dc:creator><![CDATA[danharvey]]></dc:creator>
		<pubDate>Sat, 28 Feb 2015 09:32:16 +0000</pubDate>
				<category><![CDATA[Uncategorized]]></category>
		<guid isPermaLink="false">http://criticalinsight.wordpress.com/?p=248</guid>

					<description><![CDATA[Early vs delayed administration of norepinephrine in patients with septic shock. Bai et al. Critical Care 2014, 18:532 Appraisal by Dr. Peter Tsim.  Summary Study investigating delayed NA use following onset of septic shock on mortality Retrospective study End-point was 28 days mortality (target in sepsis) Timing of vasopressors more important than choice of agent Based on [&#8230;]]]></description>
		
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			<slash:comments>1</slash:comments>
		
		
		<post-id xmlns="com-wordpress:feed-additions:1">248</post-id>
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			<media:title type="html">dan harvey</media:title>
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		<item>
		<title>Procalcitonin &#8211; D Dimer for sepsis?</title>
		<link>https://criticalinsight.wordpress.com/2015/02/23/procalcitonin-d-dimer-for-sepsis/</link>
					<comments>https://criticalinsight.wordpress.com/2015/02/23/procalcitonin-d-dimer-for-sepsis/#respond</comments>
		
		<dc:creator><![CDATA[danharvey]]></dc:creator>
		<pubDate>Mon, 23 Feb 2015 12:05:11 +0000</pubDate>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[antibiotic treatment]]></category>
		<category><![CDATA[sepsis]]></category>
		<category><![CDATA[Surviving sepsis]]></category>
		<guid isPermaLink="false">http://criticalinsight.wordpress.com/?p=246</guid>

					<description><![CDATA[The following discussion is taken from a presentation given at JC by Dr Dave Hewson, ST5 Anaesthetics, in which he explores the utility of PROCALCITONIN: Does our antibiotic use matter? The evidence would seem to show that it does “…Antibiotic resistance becomes more prevalent by using prolonged courses of broad-spectrum antimicrobial agents for treatment of [&#8230;]]]></description>
		
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			<slash:comments>0</slash:comments>
		
		
		<post-id xmlns="com-wordpress:feed-additions:1">246</post-id>
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			<media:title type="html">dan harvey</media:title>
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		<item>
		<title>Proning &#8211; Is it worth the hassle?</title>
		<link>https://criticalinsight.wordpress.com/2015/01/03/proning-is-it-worth-the-hassle/</link>
					<comments>https://criticalinsight.wordpress.com/2015/01/03/proning-is-it-worth-the-hassle/#respond</comments>
		
		<dc:creator><![CDATA[danharvey]]></dc:creator>
		<pubDate>Sat, 03 Jan 2015 11:30:37 +0000</pubDate>
				<category><![CDATA[Reviews]]></category>
		<category><![CDATA[RS]]></category>
		<guid isPermaLink="false">http://criticalinsight.wordpress.com/?p=244</guid>

					<description><![CDATA[Effect of prone positioning during mechanical ventilation on mortality among patients with acute respiratory distress syndrome: a systematic review and meta-analysis Appraiser: Dr Andrew Langton http://www.cmaj.ca/content/186/10/E381and/or http://www.nejm.org/doi/pdf/10.1056/nejmoa1214103 Standards reviewed against; Systematic Review Appraisal Sheet” Available from the Centre for Evidence-Based Medicine. http://www.cebm.net/critical-appraisal/ What questions does the systematic review address? “Because of the availability of new data, [&#8230;]]]></description>
		
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			<slash:comments>0</slash:comments>
		
		
		<post-id xmlns="com-wordpress:feed-additions:1">244</post-id>
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			<media:title type="html">dan harvey</media:title>
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		<item>
		<title>Sleep like a baby?</title>
		<link>https://criticalinsight.wordpress.com/2014/09/26/sleep-like-a-baby/</link>
					<comments>https://criticalinsight.wordpress.com/2014/09/26/sleep-like-a-baby/#respond</comments>
		
		<dc:creator><![CDATA[danharvey]]></dc:creator>
		<pubDate>Fri, 26 Sep 2014 15:00:09 +0000</pubDate>
				<category><![CDATA[Neuro]]></category>
		<category><![CDATA[delirium]]></category>
		<category><![CDATA[sleep]]></category>
		<guid isPermaLink="false">http://criticalinsight.wordpress.com/?p=242</guid>

					<description><![CDATA[The effect of a multicomponent multidisciplinary bundle of interventions on sleep and delirium in medical and surgical intensive care patients. Patel J, Baldwin J, Bunting P, Laha S Anaesthesia. 2014 Jun;69(6):540-9 STUDY APPRAISER: Dr Paul James Link to abstract: http://www.ncbi.nlm.nih.gov/pubmed/24813132 Background ICU patients are observed to have a poor quality of sleep, with a predominance [&#8230;]]]></description>
		
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		<post-id xmlns="com-wordpress:feed-additions:1">242</post-id>
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			<media:title type="html">dan harvey</media:title>
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	</item>
		<item>
		<title>Trop tops?</title>
		<link>https://criticalinsight.wordpress.com/2014/09/21/trop-tops/</link>
					<comments>https://criticalinsight.wordpress.com/2014/09/21/trop-tops/#respond</comments>
		
		<dc:creator><![CDATA[danharvey]]></dc:creator>
		<pubDate>Sun, 21 Sep 2014 17:00:30 +0000</pubDate>
				<category><![CDATA[CVS]]></category>
		<category><![CDATA[cardiac]]></category>
		<guid isPermaLink="false">http://criticalinsight.wordpress.com/?p=240</guid>

					<description><![CDATA[Role of troponin in patients with chronic kidney disease and suspected acute coronary syndrome: a systematic review. Sylvie R. Stacy, et al Ann Intern Med. Published online 12 August 2014 doi:10.7326/M14-0746 http://annals.org/article.aspx?articleid=1895305 (Full text)  Reviewed by Dr Helen Prescott CT1 Background Timely diagnosis of cardiac injury is crucial Troponins found almost exclusively in myocardium Troponin measurement [&#8230;]]]></description>
		
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		<post-id xmlns="com-wordpress:feed-additions:1">240</post-id>
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			<media:title type="html">dan harvey</media:title>
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		<item>
		<title>Esmolol in septic shock</title>
		<link>https://criticalinsight.wordpress.com/2014/09/16/esmolol-in-septic-shock/</link>
					<comments>https://criticalinsight.wordpress.com/2014/09/16/esmolol-in-septic-shock/#respond</comments>
		
		<dc:creator><![CDATA[danharvey]]></dc:creator>
		<pubDate>Tue, 16 Sep 2014 20:02:09 +0000</pubDate>
				<category><![CDATA[CVS]]></category>
		<category><![CDATA[sepsis]]></category>
		<category><![CDATA[esmolol]]></category>
		<guid isPermaLink="false">http://criticalinsight.wordpress.com/?p=235</guid>

					<description><![CDATA[Effect of heart rate control with esmolol on hemodynamic and clinical outcomes in patients with septic shock: a randomized clinical trial. Morelli A1 et al JAMA. 2013 Oct 23;310(16):1683-91. doi: 10.1001/jama.2013.278477. STUDY APPRAISER: Dr David Smith Link to abstract: http://www.ncbi.nlm.nih.gov/pubmed/24108526 &#160; Background Sepsis is: Low resistance, high cardiac output circulation with tachycardia and arterial hypotension [&#8230;]]]></description>
		
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		<post-id xmlns="com-wordpress:feed-additions:1">235</post-id>
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			<media:title type="html">dan harvey</media:title>
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		<item>
		<title>Hear no Evil?</title>
		<link>https://criticalinsight.wordpress.com/2013/08/19/hear-no-evil/</link>
					<comments>https://criticalinsight.wordpress.com/2013/08/19/hear-no-evil/#respond</comments>
		
		<dc:creator><![CDATA[danharvey]]></dc:creator>
		<pubDate>Mon, 19 Aug 2013 11:23:25 +0000</pubDate>
				<category><![CDATA[Uncategorized]]></category>
		<guid isPermaLink="false">http://criticalinsight.wordpress.com/?p=228</guid>

					<description><![CDATA[The effect of earplugs during the night on the onset of delirium and sleep perception: a randomized controlled trial in intensive care patients Van Rompaey et al. Critical Care 2012, 16:R73. (full text available) &#160; Background This study hypothesised that a reduction of sound during the night using earplugs could be beneficial in the prevention [&#8230;]]]></description>
		
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		<post-id xmlns="com-wordpress:feed-additions:1">228</post-id>
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			<media:title type="html">dan harvey</media:title>
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		<item>
		<title>Extubation to NIPPV</title>
		<link>https://criticalinsight.wordpress.com/2013/08/15/extubation-to-nippv/</link>
					<comments>https://criticalinsight.wordpress.com/2013/08/15/extubation-to-nippv/#comments</comments>
		
		<dc:creator><![CDATA[danharvey]]></dc:creator>
		<pubDate>Thu, 15 Aug 2013 11:20:29 +0000</pubDate>
				<category><![CDATA[RS]]></category>
		<category><![CDATA[Extubation]]></category>
		<category><![CDATA[NIPPV]]></category>
		<category><![CDATA[Weaning]]></category>
		<guid isPermaLink="false">http://criticalinsight.wordpress.com/?p=224</guid>

					<description><![CDATA[Non-invasive ventilation immediately after extubation improves weaning outcome after acute respiratory failure: a randomized controlled trial. Ornico SR, Lobo SM, Sanches HS, Deberaldini M, Tófoli LT, Vidal AM, Schettino GP, Amato MB, Carvalho CR, Barbas CS. Crit Care. 2013 Mar 4;17(2):R39. (full text available) Background There have been many studies demonstrating the benefits of extubation of [&#8230;]]]></description>
		
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			<slash:comments>1</slash:comments>
		
		
		<post-id xmlns="com-wordpress:feed-additions:1">224</post-id>
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			<media:title type="html">dan harvey</media:title>
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		<item>
		<title>Xtravent</title>
		<link>https://criticalinsight.wordpress.com/2013/07/03/xtravent/</link>
					<comments>https://criticalinsight.wordpress.com/2013/07/03/xtravent/#respond</comments>
		
		<dc:creator><![CDATA[danharvey]]></dc:creator>
		<pubDate>Wed, 03 Jul 2013 13:09:53 +0000</pubDate>
				<category><![CDATA[RS]]></category>
		<category><![CDATA[Technology]]></category>
		<category><![CDATA[Uncategorized]]></category>
		<guid isPermaLink="false">http://criticalinsight.wordpress.com/?p=215</guid>

					<description><![CDATA[Lower Tidal Volume Strategy (3ml/kg) Combined with Extracorporeal CO2 Removal Versus ‘Conventional’ Protective Ventilation (6 ml/kg) in Severe ARDS (Bein et al) Intensive Care Med Vol 39, Issue 5, pg 847–856, May 2013 QMC AICU Journal Club, April 2013. Dr Amit Pancholi    Background Acute respiratory distress syndrome (ARDS) is characterized by damage to the [&#8230;]]]></description>
		
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		<post-id xmlns="com-wordpress:feed-additions:1">215</post-id>
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			<media:title type="html">dan harvey</media:title>
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