night 3, another peaceful one...

no new admissions, almost took another for general icu, avoided with some smart bed managing by our charge nurse, even though it shouldnt have been his job to do so.

all 6 on the unit behaved themselves mostly. resited an arterial line that had mysteriously "fallen out" in the middle of the night, as they do...

aneurysm lady actually deteriorated during the day, with acute renal failure developing and a base excess of -12 again handed back to me on my arrival tonight. stuck in a haemofiltration cathether and started her on cvvhf*. also sited a pulmonary artery catheter too, just to see what her heart was actually doing. wouldnt wedge properly, even sent her into a short run of vt* while i was in her rv*! ended up just pulling it back. she could do without cardiac numbers for a couple of hours, having stabilised out on higher dopexamine. vascular want to take her back to theatre in the morning for pack removal and formal closure. she might just make it off the table. we shall see... =(

niven will be on his own today, no second person on duty with him, happens sometimes. better make the handover as slick as possible to keep his workload down.

food of the night:

braised pork, broccoli, rice

----
* cvvhf = continuous venovenous haemofiltration, vt = ventricular tachycardia, rv = right ventricle

posted by Chas at 07:43
go ahead, roll the donut!